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- Original Article Correlation of Abdominal Sonography with Colonoscopy in Inflammatory and Infectious Bowel Disease
- Cheol Hee Park, Jong Hyeok Kim, Jin Cheol Park, Do Kyun Jin, Kil Chan Oh, Chul Sung Park, Kyoung Oh Kim, Kyo-Sang Yoo, Taeho Hahn, Sang Hoon Park, Choong Kee Park, Kwan Seop Lee
- Intestinal Research 2004;2(2):77-82. Published online: December 22, 2004
Departments of Internal Medicine and Radiology, Hallym University College of Medicine, Anyang, Korea
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Abstract
Background/Aims
Colonoscopy is the most important tool in the evaluation of the bowel diseases. But it needs bowel preparation, causes pain, hemorrhage, and even perforation in acute stage. Since the development of the high resolution ultrasonography, ultrasonography is widely used in the evaluation of the bowel diseases. It does not need bowel preparation and can be used in acute stage. We compared the results obtained by abdominal ultrasonography with the endoscopic findings to evaluate the location and extent of bowel disease. Methods: Ultrasonographic scan and colonoscopy were performed in 70 patients with ulcerative colitis (n=16), Crohn's disease (n=7), tuberculous colitis (n=10), infectious colitis (n=37). Bowel wall thickness was compared with endoscopic findings in a segment-by-segment comparison. A bowel wall thickness of 4 mm or more was considered pathologic. Results: Sensitivity and specificity of ultrasonography were 86%, 97% in ulcerative colitis, 83%, 88% in Crohn's disease, 83%, 97% in tuberculous colitis, 81%, 96% in infectious colitis and 83%, 96% in total patients. Conclusions: Abdominal ultrasonography may be helpful in evaluating the location and extent of bowel disease and especially, follow-up examination in inflammatory bowel disease. (Intestinal Research 2004;2:77-82)
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