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Diagnosis of Inflammatory Bowel Disease by Abdominal Ultrasound and Color Doppler Techniques

[ Vol. 17 , Issue. 9 ]

Author(s):

Rehab Ahmed, Hossam Debian, Mohamed Fawzi, Heba Fadl Elsergany, Moataz Yousry Soliman, Ahmed Abdel Haleem Mohmed, Alaa Kandil, Mostafa Bedair Elmaghraby, Sherief Abd-Elsalam* and Yousry Esam-Eldin Abo-Amer   Pages 1085 - 1093 ( 9 )

Abstract:


Background & Aims: The utility of ultrasound and color Doppler in the diagnosis and evaluation of inflammatory bowel diseases (IBD) has not been studied enough. Therefore, the aim of the current study was to evaluate the importance of conventional abdominal ultrasound and color Doppler in diagnosing IBD and assessing disease activity.

Methods: The study was conducted at the National Hepatology and Tropical Medicine Research Institute (NHTMRI) between July 2018 and January 2019, in which 150 patients were suffering from diarrhea, dysentery, tenesmus, or rectal bleeding were evaluated by colonoscopy, high-resolution ultrasound, and color Doppler scans.

Results: The present study was conducted on 150 patients; 84 (56%) had ulcerative colitis (UC), 16 (10.7%) had Crohn's disease (CD), and 50 (33.3%) had normal colonoscopy results with a mean age 37.2 ± 9.059. The superior mesenteric Artery Peak Systolic Velocity (SMA-PSV) and End Diastolic Velocity (EDV) were significantly higher in both UC and CD than in the control group; however, pulsatility index (PI) was significantly higher in the control group than both UC and CD. However, there was no significant difference between UC and CD. The inferior mesenteric artery PSV and EDV were significantly higher in both UC and CD than in the control group.

Conclusion: Doppler ultrasound findings of SMA and IMA correlate with the incidence of inflammatory bowel disease, the site of disease, and its activity.

Keywords:

Inflammatory bowel diseases, abdominal ultrasound, doppler ultrasound, severity, ulcerative colitis, crohn's disease.

Affiliation:

Tropical Medicine and Hepatology Department, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Department of Radiology at the National Hepatology and Tropical Medicine Research Institute (NHTMRI)-Cairo, Department of Radiology at the National Hepatology and Tropical Medicine Research Institute (NHTMRI)-Cairo, Tropical Medicine and Hepatology Department, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Tropical Medicine and Hepatology Department, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Tropical Medicine and Hepatology Department, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Hepatology,Gastroenterology and Infectious Diseases Department, Faculty of Medicine, Benha University, Benha, Gastrointestinal and Hepatobiliary Surgery Department, Mahala Hepatology Teaching Hospital, Gharbiya, Tropical Medicine Department, Tanta University, Tanta, Hepatology, Gastroenterology and Infectious Diseases Department, Mahala Hepatology Teaching Hospital-Gharbiya



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