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

Giovanni Maconi; Kim Nylund; Tomas Ripolles; Emma Calabrese; Klaus Dirks; Christoph F. Dietrich; Alois Hollerweger; Ioan Sporea; Adrian Saftoiu; Christian Maaser; Trygve Hausken; Antony P. Higginson; Dieter Nürnberg; Nadia Pallotta; Laura Romanini; Carla Serra; Odd Helge Gilja

doi:10.1055/s-0043-125329

Ultraschall in der Medizin - European Journal of Ultrasound, Table of Contents

Ultraschall Med 2018; 39(03): 304-317
DOI: 10.1055/s-0043-125329

Guidelines and Recommendations

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

EFSUMB-Empfehlungen und klinische Leitlinien für den gastrointestinalen Ultraschall (GIUS) chronisch entzündlichen Darmerkrankungen (CED)

Giovanni Maconi

¹Gastroenterology Unit, Department of Biomedical and Clinical Sciences, “L. Sacco” University Hospital, Milan, Italy

,

Kim Nylund

²National Centre for Ultrasound in Gastroenterology, Haukeland University Hospital, Bergen, Norway

,

Tomas Ripolles

³Radiology, Hospital Universitario Doctor Peset, Valencia, Spain

,

Emma Calabrese

⁴Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Roma, Italy

,

Klaus Dirks

⁵Gastroenterologie und Innere Medizin, Rems-Murr-Klinikum Winnenden, Germany

,

Christoph F. Dietrich

⁶Innere Medizin 2, Caritas-Krankenhaus, Bad Mergentheim, Germany

,

Alois Hollerweger

⁷Department of Radiology, Hospital Barmherzige Brüder, Salzburg, Austria

,

Ioan Sporea

⁸Department of Gastroenterology and Hepatology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania

,

Adrian Saftoiu

⁹Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Romania

,

Christian Maaser

¹⁰Ambulanzzentrum Gastroenterologie, Klinikum Lüneburg, Germany

,

Trygve Hausken

¹¹Department of Medicine, Haukeland University Hospital, Bergen, Norway

,

Antony P. Higginson

¹²Department of Radiology, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, United Kingdom of Great Britain and Northern Ireland

,

Dieter Nürnberg

¹³Gastroenterology, Ruppiner Kliniken, Neuruppin, Germany

,

Nadia Pallotta

¹⁴Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Roma, Italy

,

Laura Romanini

¹⁵Dept.of Radiology, Radiologia 1, Spedali Civili di Brescia, Italy

,

Carla Serra

¹⁶Interventional Ultrasound Unit, Department of Organ Failure and Transplantations, Sant’Orsola-Malpighi Hospital and University of Bologna, Italy

,

Odd Helge Gilja

¹⁷National Centre for Ultrasound in Gastroenterology, Haukeland University Hospital, Bergen, and Department of Clinical Medicine, University of Bergen, Norway

› Author Affiliations

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

Full Text

References

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