Ultrasound examination with contrast in the diagnosis of inflammatory bowel disease. The results of the pilot study

• Main Authors: V V Fomin, S K Ternovoy, V M Makhov, M A Isaykina, N A Dzhenzhera, T V Turko, L N Ugryumova, O V Babenko
• Format: Article
• Language: Russian
• Published: "Consilium Medicum" Publishing house 2018-02-01
• Series: Терапевтический архив
• Subjects: inflammatory bowel disease; crohn's disease; ulcerative colitis; ultrasound with contrast
• Online Access: https://ter-arkhiv.ru/0040-3660/article/viewFile/32822/pdf

Aim. Assessment of diagnostic significance of informativeness and security of ultrasonography with contrast enhancement drug SonoVue in the diagnosis of Crohn's disease (CD) and ulcerative colitis (UC). Materials and methods. The pilot conducted a prospective study which involved 15 patients with inflammatory bowel disease (IBD). All patients gave written consent to participate in the study and processing of personal data. The study included adult patients with an established diagnosis of UC and CD, with proven clinical activity of the disease. Activity was evaluated based on clinical and laboratory data on the scale of best (CDAI >150) for patients with CD and on a scale of Trulove-Witts (2-3 stage) and the Mayo index (DAI) for patients with UC. All the patients underwent colonoscopy with biopsy, ultrasound examination of abdominal cavity organs with the study of the vascularization of the intestinal wall (color Doppler, power Doppler, contrast study). Results. The use of contrast showed additional features in the instrumental evaluation of activity of inflammatory process, identification of complications and assessment of prognosis. Conclusion. The results of ultrasound of the bowel with contrast can be used to assess the activity and stage of disease in patients with UC or CD.