EFSUMB Recommendations and Clinical Guidelines for Intestinal Ultrasound (GIUS) in Inflammatory Bowel Diseases

Abstract

The accuracy and usefulness of gastrointestinal ultrasound (GIUS) for detecting activity and complications of inflammatory bowel diseases (IBD), has been reported in studies, promoting this technique as an important tool for the management of IBD patients. Whilst well recognised by international guidelines, standardization and general agreement in the definition of the luminal and extra-intestinal features, still need to be well defined.

A task force group of 17 experts in GIUS faced this issue, by developing recommendations and clinical guidelines for the use of GIUS in IBD, under the auspices of EFSUMB. This article presents the consensus on the current data on sonographic features of IBD and summarises the accuracy of different sonographic modalities for the management of IBD patients.

Zusammenfassung

Über die Genauigkeit und den Nutzen des gastrointestinalen Ultraschalls (GIUS) zum Nachweis von Aktivität und Komplikationen bei entzündlichen Darmerkrankungen (IBD „inflammatory bowel disease“) wurde in Studien berichtet, die diese Technik als wichtige Methode beim Management von IBD-Patienten propagieren. Die Standardisierung und der allgemeine Konsens bei der Definition der luminalen und extra-intestinalen Merkmale ist zwar von internationalen Leitlinien anerkannt, muss aber noch genau definiert werden. Eine Arbeitsgruppe von 17 GIUS-Experten hat sich diesem Problem angenommen und entwickelte unter der Schirmherrschaft des EFSUMB Empfehlungen und klinische Leitlinien für den Einsatz von GIUS bei IBD. Dieser Artikel präsentiert den Konsens über die sonografischen Merkmale bei IBD aufgrund der aktuellen Datenlage und fasst die Genauigkeit verschiedener sonografischer Verfahren für das Management von IBD-Patienten zusammen.

Key words

Gastrointestinal tract - inflammatory bowel diseases - guidelines - ultrasound - Crohn’s disease - ulcerative colitis - IBD - ultrasonography

• References

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