Servicio de Digestivo. Complejo Asistencial Universitario de Salamanca, España.
Servicio Radiodiagnóstico, Hospital Universitario Dr. Peset, Valencia, España.
Gastroenterol Hepatol. 2021 Feb;44(2):158-174. doi: 10.1016/j.gastrohep.2020.05.009. Epub 2020 Dec 11.
Ultrasound has an excellent diagnostic performance when Crohn's disease is suspected, when performing an activity assessment, or determining the extension and location of Crohn's disease, very similar to other examinations such as MRI or CT. It has a good correlation with endoscopic lesions and allows the detection of complications such as strictures, fistulas or abscesses. It complements colonoscopy in the diagnosis and, given its tolerance, cost and immediacy, it can be considered as a good tool for disease monitoring. In ulcerative colitis, its role is less relevant, being limited to assessing the extent and activity when it is not possible with other diagnostic techniques or if there are doubts with these. Despite its advantages, its use in inflammatory bowel disease (IBD) is not widespread in Spain. For this reason, this document reviews the advantages and disadvantages of the technique to promote knowledge about it and implementation of it in IBD Units.
当怀疑患有克罗恩病、进行活动评估或确定克罗恩病的范围和位置时，超声检查具有出色的诊断性能，其表现与 MRI 或 CT 等其他检查非常相似。它与内镜病变具有良好的相关性，并能够检测到狭窄、瘘管或脓肿等并发症。它补充了结肠镜检查在诊断中的作用，并且由于其耐受性、成本和及时性，它可以被视为疾病监测的良好工具。在溃疡性结肠炎中，其作用相关性较小，仅在其他诊断技术不可用时或对这些技术存在疑问时，用于评估其范围和活动程度。尽管具有这些优势，但在西班牙，超声检查在炎症性肠病 (IBD) 中的应用并不广泛。因此，本文回顾了该技术的优缺点，以促进对其的了解，并在 IBD 单位中实施。
