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Ultrasound examination of the small bowel: comparison with enteroclysis in patients with Crohn disease

Solvig, J; Ekberg, Olle LU ; Lindgren, S; Florén, Claes-Henrik LU and Nilsson, P (1995) In Abdominal Imaging 20(4). p.323-326
Abstract
BACKGROUND: Screening for inflammatory small bowel disease has hereto relied on barium examination, usually performed after duodenal intubation. A noninvasive technique for imaging of the small bowel in such patients would be preferable. METHODS: A total of 59 patients were included in the study. A small bowel barium examination (SBE) was performed after duodenal intubation using a barium and air double-contrast technique. Ultrasound (US) of the right lower quadrant was performed with a 3.5- or 5-MHz transducer. The patients fasted overnight. RESULTS: In 37 of 39 patients with a normal SBE, US was also normal. In 20 patients, SBE showed lesions compatible with Crohn disease and in 18 of these the US study showed thickening of the bowel... (More)
BACKGROUND: Screening for inflammatory small bowel disease has hereto relied on barium examination, usually performed after duodenal intubation. A noninvasive technique for imaging of the small bowel in such patients would be preferable. METHODS: A total of 59 patients were included in the study. A small bowel barium examination (SBE) was performed after duodenal intubation using a barium and air double-contrast technique. Ultrasound (US) of the right lower quadrant was performed with a 3.5- or 5-MHz transducer. The patients fasted overnight. RESULTS: In 37 of 39 patients with a normal SBE, US was also normal. In 20 patients, SBE showed lesions compatible with Crohn disease and in 18 of these the US study showed thickening of the bowel wall. One of these patients later tested positive for Yersinia enterocolitica. There were two false-positive and two false-negative US examinations. For detection of inflammatory disease of the small bowel, US was calculated to have a sensitivity of 0.95, specificity of 0.93, accuracy of 0.93, predictive value of a positive test was 0.90, and a predictive value of a negative test was 0.95. CONCLUSIONS: US, therefore, seems to be a reliable method in the workup of patients suspected of having inflammatory small bowel disease. Thereby, US probably can select patients for SBF. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Crohn disease, US, Small bowel disease
in
Abdominal Imaging
volume
20
issue
4
pages
323 - 326
publisher
Springer
external identifiers
  • pmid:7549736
  • scopus:0029030877
ISSN
0942-8925
DOI
10.1007/BF00203364
language
English
LU publication?
yes
id
d7c2e120-42a2-4585-9428-0b249854a77d (old id 1109637)
date added to LUP
2008-07-29 11:57:07
date last changed
2017-08-20 03:35:34
@article{d7c2e120-42a2-4585-9428-0b249854a77d,
  abstract     = {BACKGROUND: Screening for inflammatory small bowel disease has hereto relied on barium examination, usually performed after duodenal intubation. A noninvasive technique for imaging of the small bowel in such patients would be preferable. METHODS: A total of 59 patients were included in the study. A small bowel barium examination (SBE) was performed after duodenal intubation using a barium and air double-contrast technique. Ultrasound (US) of the right lower quadrant was performed with a 3.5- or 5-MHz transducer. The patients fasted overnight. RESULTS: In 37 of 39 patients with a normal SBE, US was also normal. In 20 patients, SBE showed lesions compatible with Crohn disease and in 18 of these the US study showed thickening of the bowel wall. One of these patients later tested positive for Yersinia enterocolitica. There were two false-positive and two false-negative US examinations. For detection of inflammatory disease of the small bowel, US was calculated to have a sensitivity of 0.95, specificity of 0.93, accuracy of 0.93, predictive value of a positive test was 0.90, and a predictive value of a negative test was 0.95. CONCLUSIONS: US, therefore, seems to be a reliable method in the workup of patients suspected of having inflammatory small bowel disease. Thereby, US probably can select patients for SBF.},
  author       = {Solvig, J and Ekberg, Olle and Lindgren, S and Florén, Claes-Henrik and Nilsson, P},
  issn         = {0942-8925},
  keyword      = {Crohn disease,US,Small bowel disease},
  language     = {eng},
  number       = {4},
  pages        = {323--326},
  publisher    = {Springer},
  series       = {Abdominal Imaging},
  title        = {Ultrasound examination of the small bowel: comparison with enteroclysis in patients with Crohn disease},
  url          = {http://dx.doi.org/10.1007/BF00203364},
  volume       = {20},
  year         = {1995},
}