Clinical Application of Intestinal Ultrasound in Inflammatory Bowel Disease.

Q1 Medicine

Current Gastroenterology Reports Pub Date : 2024-02-01 Epub Date: 2024-01-20 DOI:10.1007/s11894-024-00915-x

Noa Krugliak Cleveland, Joëlle St-Pierre, Amelia Kellar, David T Rubin

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Abstract

Purpose of review: Intestinal ultrasound (IUS) is a non-invasive, accurate, and well-tolerated tool that provides real-time assessment of inflammatory bowel disease (IBD) activity and is therefore an ideal monitoring tool. This review describes the evolving role of IUS in each phase of clinical management of IBD.

Recent findings: Accumulating evidence has demonstrated that IUS is an excellent tool for the assessment of suspected IBD, with a very high negative predictive value. It accurately assesses disease activity, disease complications, and in the pre-treatment phase, provides a benchmark for subsequent follow-up. IUS can detect early therapeutic response and correlates well with other established monitoring modalities with arguably superior predictive capabilities and ability to assess a deeper degree of remission, transmural healing (TH). IUS has a crucial role in the management of IBD and has ushered in a new era of monitoring with more rapid evaluation and the opportunity for early optimization, deeper therapeutic targets, and improved outcomes.

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肠道超声在炎症性肠病中的临床应用。

审查目的：肠道超声（IUS）是一种无创、准确、耐受性良好的工具，可对炎症性肠病（IBD）的活动进行实时评估，因此是一种理想的监测工具。本综述介绍了 IUS 在 IBD 临床治疗各阶段中不断发展的作用：不断积累的证据表明，IUS 是评估疑似 IBD 的绝佳工具，具有极高的阴性预测值。它能准确评估疾病活动性和疾病并发症，并在治疗前阶段为后续随访提供基准。IUS 可以检测早期治疗反应，并与其他已确立的监测模式有很好的相关性，其预测能力和评估更深层次的缓解程度、经壁愈合（TH）的能力可以说更胜一筹。IUS 在 IBD 的治疗中起着至关重要的作用，它开创了一个新的监测时代，可进行更快速的评估，并为早期优化、更深入的治疗目标和改善疗效提供了机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Gastroenterology Reports Medicine-Gastroenterology

CiteScore

7.80

自引率

0.00%

发文量

期刊介绍： As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.