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内镜超声检查在炎症性肠病诊断与治疗中的应用价值

Application Value of Endoscopic Ultrasonography in Diagnosis and Treatment of Inflammatory Bowel Disease.

作者信息

Jiang Ying, Shi Runjie, Zhou Peirong, Lei Ying, Cai Zihong, Sun Yan, Li Mingsong

机构信息

Department of Gastroenterology, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510150, China.

出版信息

Dig Dis Sci. 2025 Jan;70(1):89-99. doi: 10.1007/s10620-024-08751-9. Epub 2024 Nov 29.

DOI:10.1007/s10620-024-08751-9
PMID:39614026
Abstract

Inflammatory bowel disease refers to a group of non-specific inflammatory illnesses affecting the gastrointestinal tract. According to pathogenic characteristics, it is divided into Ulcerative colitis and Crohn's disease. The exact cause and pathogenic mechanism of these disorders are not yet fully understood. In addition, there is currently no definitive diagnostic method for inflammatory bowel disease, which mainly depends on clinical symptoms, blood testing, imaging investigations, and endoscopic examination, which includes histology. Endoscopic Ultrasonography is a digestive tract examination technique that combines endoscopy and ultrasound. Compared to conventional endoscopy, it can visualize surface and deep lesions of the gastrointestinal wall, as well as provide information on the characteristics of the surrounding layers and nearby lymph nodes. Due to these advantages, Endoscopic Ultrasonography has played a significant role in the evaluation of inflammatory bowel disease in recent years. Through this work, we aim to identify the applications of this method in the case of patients with inflammatory bowel disease.

摘要

炎症性肠病是指一组影响胃肠道的非特异性炎症性疾病。根据致病特征,它分为溃疡性结肠炎和克罗恩病。这些疾病的确切病因和致病机制尚未完全明确。此外,目前尚无针对炎症性肠病的确切诊断方法,主要依靠临床症状、血液检测、影像学检查以及包括组织学检查在内的内镜检查。内镜超声检查是一种将内镜和超声相结合的消化道检查技术。与传统内镜相比,它可以显示胃肠道壁的表面和深部病变,还能提供有关周围各层及附近淋巴结特征的信息。由于这些优势,内镜超声检查近年来在炎症性肠病的评估中发挥了重要作用。通过这项工作,我们旨在确定该方法在炎症性肠病患者中的应用情况。

相似文献

1
Application Value of Endoscopic Ultrasonography in Diagnosis and Treatment of Inflammatory Bowel Disease.内镜超声检查在炎症性肠病诊断与治疗中的应用价值
Dig Dis Sci. 2025 Jan;70(1):89-99. doi: 10.1007/s10620-024-08751-9. Epub 2024 Nov 29.
2
Applicability of abdominal ultrasonography in inflammatory bowel diseases.腹部超声检查在炎症性肠病中的适用性。
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Endoscopic ultrasonography in inflammatory bowel diseases.炎症性肠病中的内镜超声检查
Gastrointest Endosc Clin N Am. 1995 Oct;5(4):851-9.
4
The role of endoscopic ultrasound in inflammatory bowel disease.内镜超声在炎症性肠病中的作用。
Gastrointest Endosc Clin N Am. 2002 Jul;12(3):561-71. doi: 10.1016/s1052-5157(02)00016-8.
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Role of Endoscopic Ultrasound in the Diagnosis and Management of Complications of Inflammatory Bowel Disease.内镜超声在炎症性肠病并发症的诊断和治疗中的作用。
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[Inflammatory bowel diseases (IBD) -- critical discussion of etiology, pathogenesis, diagnostics, and therapy].[炎症性肠病(IBD)——病因、发病机制、诊断及治疗的批判性讨论]
Radiologe. 2003 Jan;43(1):1-8. doi: 10.1007/s00117-002-0844-9.
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Diagnosis of inflammatory bowel disease with ultrasound. An in vitro study.超声诊断炎症性肠病:一项体外研究
Invest Radiol. 1990 Oct;25(10):1085-90. doi: 10.1097/00004424-199010000-00003.
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[Abdominal pain and bowel dysfunction: the diagnostic role of ultrasonography].[腹痛与肠道功能障碍:超声检查的诊断作用]
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A pilot study of transrectal endoscopic ultrasound elastography in inflammatory bowel disease.经直肠内镜超声弹性成像在炎症性肠病中的初步研究。
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Clinical Ultrasound in Inflammatory Bowel Disease.《炎症性肠病的临床超声》
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本文引用的文献

1
Ultrasound assessment of gastrointestinal luminal contents: a narrative review.超声评估胃肠道腔内容物:叙述性综述。
J Ultrasound. 2024 Dec;27(4):781-792. doi: 10.1007/s40477-024-00951-3. Epub 2024 Sep 18.
2
Novelties and Perspectives of Intestinal Ultrasound in the Personalised Management of Patients with Inflammatory Bowel Diseases-A Systematic Review.肠道超声在炎症性肠病患者个体化管理中的新进展与展望——一项系统综述
Diagnostics (Basel). 2024 Apr 12;14(8):812. doi: 10.3390/diagnostics14080812.
3
Role of through-the-scope catheter-based EUS in inflammatory bowel disease diagnosis and activity assessment.
经内镜超声引导下通过内镜通道放置导管在炎症性肠病诊断及活动度评估中的作用
Gastrointest Endosc. 2023 Apr;97(4):752-758.e2. doi: 10.1016/j.gie.2022.10.043. Epub 2022 Nov 4.
4
Practical approach to linear endoscopic ultrasound examination of the rectum and anal canal.直肠和肛管线性超声内镜检查的实用方法。
Endosc Int Open. 2022 Oct 17;10(10):E1417-E1426. doi: 10.1055/a-1922-6500. eCollection 2022 Oct.
5
Endoscopic Evaluation and Management of Perianal Disease.肛周疾病的内镜评估与处理
Gastrointest Endosc Clin N Am. 2022 Oct;32(4):747-759. doi: 10.1016/j.giec.2022.04.005. Epub 2022 Sep 7.
6
Transabdominal Ultrasound and Magnetic Resonance Enterography in Inflammatory Bowel Disease: Results of an Observational Retrospective Single-Center Study.经腹超声和磁共振小肠造影在炎症性肠病中的应用:一项观察性回顾性单中心研究结果
Ultrasound Int Open. 2022 Sep 26;8(1):E22-E28. doi: 10.1055/a-1781-4410. eCollection 2022 Jan.
7
Intestinal Ultrasound Is Accurate to Determine Endoscopic Response and Remission in Patients With Moderate to Severe Ulcerative Colitis: A Longitudinal Prospective Cohort Study.肠道超声可准确判断中重度溃疡性结肠炎患者的内镜应答和缓解:一项纵向前瞻性队列研究。
Gastroenterology. 2022 Dec;163(6):1569-1581. doi: 10.1053/j.gastro.2022.08.038. Epub 2022 Aug 24.
8
Intestinal Ultrasonography as a Tool for Monitoring Disease Activity in Patients with Ulcerative Colitis.肠超声检查作为监测溃疡性结肠炎患者疾病活动度的一种手段。
Int J Clin Pract. 2022 Jul 9;2022:3339866. doi: 10.1155/2022/3339866. eCollection 2022.
9
Endoscopic ultrasonography in the evaluation of condition and prognosis of ulcerative colitis.内镜超声在溃疡性结肠炎病情及预后评估中的应用
World J Clin Cases. 2022 May 26;10(15):4818-4826. doi: 10.12998/wjcc.v10.i15.4818.
10
Diagnostic performance of endoscopic classifications for neoplastic lesions in patients with ulcerative colitis: A retrospective case-control study.内镜分类对溃疡性结肠炎患者肿瘤性病变的诊断性能:一项回顾性病例对照研究。
World J Gastroenterol. 2022 Mar 14;28(10):1055-1066. doi: 10.3748/wjg.v28.i10.1055.