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

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

doi:10.1055/a-1474-8013

Ultrasound International Open, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Ultrasound Int Open 2021; 07(01): E14-E24
DOI: 10.1055/a-1474-8013

Review

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

Autor*innen

Giovanni Maconi

¹Gastroenterology Unit, Department of Biomedical and Clinical Sciences, "L.Sacco" University Hospital, Milano, Italy
Trygve Hausken

²Department of Medicine, University of Bergen, Bergen, Norway
Christoph F. Dietrich

³Department Allgemeine Innere Medizin, Kliniken Hirslanden Beau-Site, Salem und Permanence, Bern, Switzerland
Nadia Pallotta

⁴Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Roma, Italy
Ioan Sporea

⁵Department of Gastroenterology, University of Medicine and Pharmacy, Victor Babes Timisoara, Timisoara, Romania

⁶Department of Gastroenterology, Universitatea de Vest din Timisoara, Timisoara, Romania
Dieter Nurnberg

⁷Brandenburg Institute for Clinical Ultrasound (BICUS) – Medical University Brandenburg “Theodor Fontane”, Faculty of Medicine and Philosophy and Faculty of Health Sciences Brandenburg, Neuruppin, Germany
Klaus Dirks

⁸Gastroenterology and Internal Medicine, Rems-Murr-Klinikum Winnenden, Winnenden, Germany
Laura Romanini

⁹Department of Radiology, Radiologia 1, Hospital of Cremona, Cremona, Italy
Carla Serra

¹⁰Internal Medicine and Gastroenterology, University of Bologna, Hospital of Bologna Sant’Orsola-Malpighi Polyclinic, Bologna, Italy
Barbara Braden

¹¹Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
Zeno Sparchez

¹²3rd Medical Department, University of Medicine and Pharmacy, Cluj-Napoca, Romania
Odd Helge Gilja

¹³Haukeland University Hospital, Haukeland University Hospital, and Department of Clinical Medicine, University of Bergen, Bergen, Norway

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.

Keywords:

esophagus - rectum - stomach - ultrasound - small bowel

Volltext

Referenzen

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