Intestinal Ultrasound for Monitoring Colonic Inflammation in Inflammatory Bowel Disease.

Q1 Medicine

Current Gastroenterology Reports Pub Date : 2025-08-12 DOI:10.1007/s11894-025-01010-5

Rishika Chugh, Phillip Gu, Michael Todd Dolinger

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Abstract

Purpose of review: Traditional abdominal ultrasound for monitoring inflammatory bowel disease is known as Intestinal ultrasound (IUS). This is a non-invasive, point-of-care imaging tool that is utilized to visualize the bowel wall and its layers. IUS was initially used for assessment of small bowel Crohn's disease (CD) but has now proven to be just as accurate for colonic disease.

Recent findings: IUS can detect disease activity in both ulcerative colitis (UC) and colonic CD with high sensitivity and specificity when compared to colonoscopy. The sonographic parameter of bowel wall thickness (BWT) is key for detecting disease activity. The ease and reproducibility of IUS allows for rapid assessment of treatment response in both outpatient and inpatient settings with changes seen as early as 48 h after initiating appropriate treatment. IUS has proven to be useful in special populations, including pregnancy and pediatrics, where traditional methods of monitoring are less feasible or of higher risk. IUS is a useful tool for objective assessment of colonic disease activity in colonic UC or CD.

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肠超声监测炎症性肠病的结肠炎症。

综述目的：用于监测炎症性肠病的传统腹部超声被称为肠道超声（IUS）。这是一种非侵入性的即时成像工具，用于观察肠壁及其各层。IUS最初用于评估小肠克罗恩病（CD），但现在已被证明对结肠疾病同样准确。最近的发现：与结肠镜检查相比，IUS可以检测溃疡性结肠炎（UC）和结肠CD的疾病活动，具有较高的敏感性和特异性。肠壁厚度（BWT）的超声参数是检测疾病活动性的关键。IUS的简易性和可重复性允许在门诊和住院环境中快速评估治疗反应，在开始适当治疗后48小时即可看到变化。事实证明，在传统监测方法不太可行或风险较高的孕妇和儿科等特殊人群中，IUS是有用的。IUS是客观评估结肠UC或CD患者结肠疾病活动度的有用工具。

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.