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  1. Article ; Online: Transperineal ultrasound for assessment of fistulas and abscesses: a pictorial essay.

    Lavazza, Alessandra / Maconi, Giovanni

    Journal of ultrasound

    2019  Volume 22, Issue 2, Page(s) 241–249

    Abstract: Perianal fistulas and abscesses may be cryptogenetic or associated with inflammatory bowel disease (IBD), specifically Crohn's disease. Proper identification and classification of these lesions are paramount for correct therapeutic management. Current ... ...

    Abstract Perianal fistulas and abscesses may be cryptogenetic or associated with inflammatory bowel disease (IBD), specifically Crohn's disease. Proper identification and classification of these lesions are paramount for correct therapeutic management. Current diagnostic modalities include MRI (magnetic resonance imaging), EUS (endoscopic ultrasound), EUA (exam under anaesthesia) and recently, transperineal ultrasound (TPUS). The latter has been proposed as a noninvasive, easily available and cost-effective technique to diagnose, assess and follow up perianal disease particularly in IBD patients. This pictorial review focuses on the role of TPUS in clinical practice, highlighting the features of fistulas and abscesses.
    MeSH term(s) Abscess/diagnostic imaging ; Anal Canal/diagnostic imaging ; Fistula/diagnostic imaging ; Humans ; Rectal Diseases/diagnostic imaging ; Rectum/diagnostic imaging ; Ultrasonography/methods
    Language English
    Publishing date 2019-05-07
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 2365426-0
    ISSN 1876-7931 ; 1971-3495
    ISSN (online) 1876-7931
    ISSN 1971-3495
    DOI 10.1007/s40477-019-00381-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Ultrasonographic and Functional Features of Symptomatic Uncomplicated Diverticular Disease.

    Maconi, Giovanni / Dell'Era, Alessandra / Flor, Nicola / De Silvestri, Annalisa / Lavazza, Alessandra / Ardizzone, Sandro / Bassotti, Gabrio

    Clinical and translational gastroenterology

    2023  Volume 14, Issue 6, Page(s) e00580

    Abstract: Introduction: To evaluate the ability of intestinal ultrasound (IUS) in discriminating symptomatic uncomplicated diverticular disease (SUDD) among patients with abdominal symptoms including irritable bowel syndrome (IBS).: Methods: This observational, ...

    Abstract Introduction: To evaluate the ability of intestinal ultrasound (IUS) in discriminating symptomatic uncomplicated diverticular disease (SUDD) among patients with abdominal symptoms including irritable bowel syndrome (IBS).
    Methods: This observational, prospective study included consecutive patients classified into the following categories: (i) SUDD; (ii) IBS; (iii) unclassifiable abdominal symptoms; and (iv) controls, including asymptomatic healthy subjects and diverticulosis. The IUS evaluation of the sigmoid: assessed the presence of diverticula, thickness of the muscularis propria, and IUS-evoked pain, namely the intensity of pain evoked by compression with the ultrasound probe on sigmoid colon compared with an area of the left lower abdominal quadrant without underlying sigmoid colon.
    Results: We enrolled 40 patients with SUDD, 20 patients with IBS, 28 patients with unclassifiable abdominal symptoms, 10 healthy controls, and 20 patients with diverticulosis. Patients with SUDD displayed significantly ( P < 0.001) greater muscle thickness (2.25 ± 0.73 mm) compared with patients with IBS (1.66 ± 0.32 mm), patients with unclassifiable abdominal pain, and healthy subjects, but comparable with that of patients with diverticulosis (2.35 ± 0.71 mm). Patients with SUDD showed a greater (not significant) differential pain score than other patients. There was a significant correlation between the thickness of the muscularis propria and the differential pain score only for patients with SUDD ( r = 0.460; P : 0.01). Sigmoid diverticula were detected by colonoscopy in 40 patients (42.4%) and by IUS with a sensitivity of 96.0% and a specificity of 98.5%.
    Discussion: IUS could represent a useful diagnostic tool for SUDD, potentially useful in characterizing the disease and appropriately address the therapeutic approach.
    MeSH term(s) Humans ; Irritable Bowel Syndrome/diagnostic imaging ; Irritable Bowel Syndrome/complications ; Prospective Studies ; Diverticular Diseases/diagnostic imaging ; Diverticular Diseases/complications ; Diverticulum/complications ; Abdominal Pain/diagnosis ; Abdominal Pain/etiology
    Language English
    Publishing date 2023-06-01
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 2581516-7
    ISSN 2155-384X ; 2155-384X
    ISSN (online) 2155-384X
    ISSN 2155-384X
    DOI 10.14309/ctg.0000000000000580
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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