Gastrointestinal Ultrasound in Functional Disorders of the Gastrointestinal Tract - EFSUMB Consensus Statement.

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Ultrasound International Open Pub Date : 2021-04-01 Epub Date: 2021-05-28 DOI:10.1055/a-1474-8013
Giovanni Maconi, Trygve Hausken, Christoph F Dietrich, Nadia Pallotta, Ioan Sporea, Dieter Nurnberg, Klaus Dirks, Laura Romanini, Carla Serra, Barbara Braden, Zeno Sparchez, Odd Helge Gilja
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引用次数: 7

Abstract

Abdominal ultrasonography and intestinal ultrasonography are widely used as first diagnostic tools for investigating patients with abdominal symptoms, mainly for excluding organic diseases. However, gastrointestinal ultrasound (GIUS), as a real-time diagnostic imaging method, can also provide information on motility, flow, perfusion, peristalsis, and organ filling and emptying, with high temporal and spatial resolution. Thanks to its noninvasiveness and high repeatability, GIUS can investigate functional gastrointestinal processes and functional gastrointestinal diseases (FGID) by studying their behavior over time and their response to therapy and providing insight into their pathophysiologic mechanisms. The European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) has established a Task Force Group consisting of GIUS experts, which developed clinical recommendations and guidelines on the role of GIUS in several acute and chronic gastrointestinal diseases. This review is dedicated to the role of GIUS in assisting the diagnosis of FGID and particularly in investigating patients with symptoms of functional disorders, such as dysphagia, reflux disorders, dyspepsia, abdominal pain, bloating, and altered bowel habits. The available scientific evidence of GIUS in detecting, assessing, and investigating FGID are reported here, while highlighting sonographic findings and its usefulness in a clinical setting, defining the actual and potential role of GIUS in the management of patients, and providing information regarding future applications and research.

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胃肠道超声在胃肠道功能性疾病中的应用——EFSUMB共识声明。
腹部超声和肠道超声被广泛用作调查腹部症状患者的首选诊断工具,主要用于排除器质性疾病。而胃肠道超声(GIUS)作为一种实时诊断成像方法,还可以提供运动、血流、灌注、蠕动、器官充盈和排空等信息,具有较高的时空分辨率。由于其无创性和高重复性,GIUS可以通过研究其随时间的行为和对治疗的反应来研究功能性胃肠过程和功能性胃肠疾病(FGID),并深入了解其病理生理机制。欧洲超声医学和生物学学会联合会(EFSUMB)建立了一个由超声造影专家组成的工作组,该工作组就超声造影在几种急性和慢性胃肠疾病中的作用提出了临床建议和指南。本综述致力于GIUS在辅助FGID诊断中的作用,特别是在调查有功能障碍症状的患者中,如吞咽困难、反流障碍、消化不良、腹痛、腹胀和排便习惯改变。本文报告了GIUS在检测、评估和调查FGID方面的现有科学证据,同时强调了超声检查结果及其在临床环境中的有用性,定义了GIUS在患者管理中的实际和潜在作用,并提供了有关未来应用和研究的信息。
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来源期刊
Ultrasound International Open
Ultrasound International Open RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
3.00
自引率
0.00%
发文量
7
审稿时长
12 weeks
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