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Application value of endoscopic ultrasonography in the diagnosis of inflammatory bow-el disease

Published on Oct. 25, 2022Total Views: 2038 timesTotal Downloads: 843 timesDownloadMobile

Author: Jun XIAO Xiang JIANG

Affiliation: Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

Keywords: Inflammatory bowel disease Ultrasound endoscopy Ulcerative colitis Crohn's disease

DOI: 10.12173/j.issn.1004-5511.202206033

Reference: Xiao J, Jiang X. Application value of endoscopic ultrasonography in the diagnosis of inflammatory bowel disease[J]. Yixue Xinzhi Zazhi, 2022, 32(5): 382-387. DOI: 10.12173/j.issn.1004-5511.202206033.[Article in Chinese]

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Abstract

Inflammatory bowel disease (IBD) refers to a group of chronic non-specific inflammatory bowel diseases with unclear etiology, mainly including ulcerative colitis (UC) and Crohn's disease (CD), which are characterized by recurrent attacks, persistence and non-healing of lesions. At present, the diagnosis lacks a gold standard and mainly relies on the comprehensive judgment of clinical manifesta-tions, endoscopic findings, pathology and imaging examinations. Compared with general endoscopy, ul-trasound endoscopy (EUS) can clearly define the various layers of the affected intestinal wall and the characteristics of the surrounding mesentery and lymph nodes, based on the observation of the mucosa of the gastrointestinal tract. It is increasingly useful in the diagnosis of IBD and in assessing the activity of the disease. In addition, EUS can also be used for the observation and treatment of combined intesti-nal strictures, fistulas, abdominal and perianal abscesses in patients with IBD. This article reviews the value of EUS in the diagnosis of inflammatory bowel disease.

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