Cavalcoli Federica, Zilli Alessandra, Fraquelli Mirella, Conte Dario, Massironi Sara
Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Postgraduate School of Gastroenterology, Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.
Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Ultrasound Med Biol. 2017 Sep;43(9):1741-1752. doi: 10.1016/j.ultrasmedbio.2017.04.028. Epub 2017 Jul 11.
The use of bowel ultrasonography (US) for the evaluation of gut diseases has increased in recent years and has been proven to provide a widely available, non-invasive and inexpensive method for the initial work-up and follow-up of different intestinal diseases, limited mostly by technical challenges posed by the patient's anatomy. The present review aims to provide an extensive overview of the main pathologic features at US examination of intestinal diseases other than inflammatory bowel disease, both acute (e.g., acute appendicitis, colonic diverticulitis, infectious diseases and ischemic conditions) and chronic (e.g., celiac disease, cystic fibrosis and other enterocolites). The identification of typical US features may help in the diagnostic process and guide the treatment approach. Therefore, the application of knowledge of the US appearance of gastrointestinal diseases is of relevance in enabling greater diagnostic performance and better patient management.
近年来，肠道超声检查（US）在肠道疾病评估中的应用有所增加，并且已被证明可为不同肠道疾病的初步检查和随访提供一种广泛可用、非侵入性且廉价的方法，其主要局限于患者解剖结构带来的技术挑战。本综述旨在广泛概述除炎症性肠病外的肠道疾病在超声检查时的主要病理特征，包括急性疾病（如急性阑尾炎、结肠憩室炎、传染病和缺血性疾病）和慢性疾病（如乳糜泻、囊性纤维化和其他小肠结肠炎）。识别典型的超声特征可能有助于诊断过程并指导治疗方法。因此，了解胃肠道疾病的超声表现对于提高诊断性能和改善患者管理具有重要意义。
