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128764

The role of Trans-abdominal Ultrasound in Assessing Disease Activity and Severity in Ulcerative Colitis

Article

Last updated: 24 Dec 2024

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Subjects

-

Tags

Internal Medicine

Abstract

Background: Ulcerative colitis [UC] is an inflammatory disease of the colon with a relapsing-remitting course. Early diagnosis is crucial, and the presence of a screening test is of utmost importance.Bowel ultrasound could be used as a screening tool for UC.
Aim of the work: To assess the diagnostic accuracy of bowel ultrasound in detecting disease activity and severity in adult patients with UC, compared with Ileocolonoscopy as the reference standard.
Patients and methods: This prospective study included 42 adult patients with an established UC diagnosis for at least six months. All patients were subjected to full inquiry about their disease history, complete clinical examination, laboratory investigations, colonoscopy, and bowel ultrasound of the abdomen with Doppler mapping.
Results: Colonoscopy revealed that 41% in remission and 59% in an activity.  Thirty patients had left-sided, and 12 had an extensive UC. White blood cells, platelet count, erythrocyte sedimentation rate, and C- reactive protein significantly increased in patients with activity versus remission. But, hemoglobin concentrations significantly decreased. Colonic wall thickness significantly increased in patients with activity versus remission [5.17±0.74 vs. 2.57±0.24, respectively].  Hypoechogenic or lost colonic wall pattern, enlarged mesenteric lymph nodes and Doppler colonic wall-flow significantly increased in cases with disease activity versus remission [32.0%, 24.0% and 72.0% vs 0.0%, 0.0% and 0.0% respectively].
Conclusion: Transabdominal bowel ultrasound had a beneficial role in diagnosing ulcerative colitis. It could be used as a screening tool for rapid diagnosis or follow up of treatment.

DOI

10.21608/ijma.2020.45279.1188

Keywords

Ultrasound, Bowel, ulcerative colitis, inflammatory bowel disease, colonoscopy

Authors

First Name

Ragab Mahmoud

Last Name

Ragab

MiddleName

-

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

ragab.git@domazhermedicine.edu.eg

City

New Damietta

Orcid

-

First Name

Mohamed

Last Name

Heiza

MiddleName

-

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.heiza76@domazhermedicine.edu.eg

City

Damietta

Orcid

-

First Name

Khaled

Last Name

Elmola

MiddleName

-

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

-

City

Damietta

Orcid

-

First Name

Mostafa M.

Last Name

Shakweer

MiddleName

-

Affiliation

Department of Radiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

mshakweer1@domazhermedicine.edu.eg

City

-

Orcid

2974077209316470

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-10-05

Publish Date

2021-01-01

Page Start

1,119

Page End

1,124

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1119-1124.pdf

PDF . 1.6MB

Link

https://ijma.journals.ekb.eg/article_128764.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=128764

Order

30

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

The role of Trans-abdominal Ultrasound in Assessing Disease Activity and Severity in Ulcerative Colitis

Details

Type

Article

Created At

22 Jan 2023