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欧洲超声医学与生物学联合会胃肠超声(GIUS)特别工作组:乳糜泻及其他罕见胃肠疾病的超声特征

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features.

作者信息

Dietrich Christoph F, Hollerweger Alois, Dirks Klaus, Higginson Antony, Serra Carla, Calabrese Emma, Dong Yi, Hausken Trygve, Maconi Giovanni, Mihmanli Ismail, Nürnberg Dieter, Nylund Kim, Pallotta Nadia, Ripollés Tomás, Romanini Laura, Săftoiu Adrian, Sporea Ioan, Wüstner Matthias, Maaser Christian, Gilja Odd Helge

机构信息

Department of Internal Medicine 2, Caritas Hospital Bad Mergentheim, Bad Mergentheim, Germany.

2Department of Radiology, Hospital Barmherzige Brüder, Salzburg, Austria.

出版信息

Med Ultrason. 2019 Aug 31;21(3):299-315. doi: 10.11152/mu-2162.

Abstract

Transabdominal gastrointestinal ultrasound (GIUS) is unique in its capacity to examine the bowel non-invasively and in its physiological condition, including extra-intestinal features such as the splanchnic vessels, mesentery, omentum and lymph nodes- even at the bedside. Despite this, and its extensive documentation for its usefulness, it has only been fully implemented in a few European countries and expert centres. Therefore, the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) established a GIUS Task Force Group in 2014 consisting of international experts from 9 European countries with the objectives to standardize and promote the use of GIUS in a clinical setting. This is achieved by publishing clinical guidelines and recommendations on indications and use of GIUS and so far,4 guidelines have been published: first on "examination techniques and normal findings", second on "inflammatory bowel disease", third on "acute appendicitis and diverticulitis" and fourth on "transrectal and perineal ultrasound".This paper describes the ultrasound features of miscellaneous disorders such as celiac disease, cystic fibrosis, omental infarction, Meckel's diverticle, endometriosis, intestinal neoplasia, mucocele, amyloidosis, GVHD, foreign bodies, vasculitis, and pneumatosis cystoides intestinalis. Bowel ultrasound can be indicated in most of these conditions to investigate intestinal symptoms but in other cases the alterations of the bowel can be also an incidental finding that suggest other examinations which finally help to discover an unknown pathological condition.

摘要

经腹胃肠道超声检查(GIUS)具有独特优势,能够在肠道处于生理状态下进行无创检查,包括检查诸如内脏血管、肠系膜、网膜和淋巴结等肠外特征,甚至可在床边进行。尽管如此,尽管其有用性已有大量文献记载,但仅在少数欧洲国家和专家中心得到全面应用。因此,欧洲医学与生物学超声学会联合会(EFSUMB)于2014年成立了GIUS特别工作组,成员包括来自9个欧洲国家的国际专家,目的是在临床环境中规范和推广GIUS的使用。这通过发布关于GIUS适应证和使用的临床指南及建议来实现,到目前为止,已发布了4项指南:第一项是“检查技术和正常表现”,第二项是“炎症性肠病”,第三项是“急性阑尾炎和憩室炎”,第四项是“经直肠和会阴超声检查”。本文描述了乳糜泻、囊性纤维化、网膜梗死、梅克尔憩室、子宫内膜异位症、肠道肿瘤、黏液囊肿、淀粉样变性、移植物抗宿主病、异物、血管炎和肠壁囊样积气等多种病症的超声特征。在大多数这些情况下,肠道超声可用于调查肠道症状,但在其他情况下,肠道改变也可能是偶然发现,提示需要进行其他检查,最终有助于发现未知的病理状况。

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