Paschoud Catherine, Pillet Julie, Kherad Omar, Restellini Sophie
Service de médecine interne, Hôpital de La Tour, 1217 Meyrin/Genève.
Service de gastroentérologie, Centre Crohn et Colite, Hôpital de La Tour, 1217 Meyrin/Genève.
Rev Med Suisse. 2022 Sep 7;18(794):1644-1648. doi: 10.53738/REVMED.2022.18.794.1644.
Crohn's disease (CD) and ulcerative colitis (UC) are chronic inflammatory bowel diseases (IBD) characterized by an inflammation of the digestive tract wall. Current guidelines recommend a «treat to target» management and a "tight control" of the inflammation for an optimal follow-up. Intestinal ultrasound, due to its low cost, its feasibility at bed side, its absence of preparation and its non-invasive character, has proved its place in the diagnosis and the follow-up of IBD. It allows the evaluation of various parameters of the lumen, the intestinal wall, the mesentery, the vascularization as well as complications.
克罗恩病(CD)和溃疡性结肠炎(UC)是慢性炎症性肠病(IBD),其特征为消化道壁炎症。当前指南推荐采用“达标治疗”管理方式并“严格控制”炎症以实现最佳随访。肠道超声因其成本低、床边可行性高、无需准备且无创,已在IBD的诊断和随访中证明了其价值。它可评估管腔、肠壁、肠系膜、血管化以及并发症的各种参数。