Copyright
©2012 Baishideng Publishing Group Co.
World J Gastroenterol. Nov 14, 2012; 18(42): 6088-6095
Published online Nov 14, 2012. doi: 10.3748/wjg.v18.i42.6088
Published online Nov 14, 2012. doi: 10.3748/wjg.v18.i42.6088
Table 1 Clinical characteristics of the 16 patients considered in the analysis
Disease | Sex | Age(yr) | Surgical indication | Lesions extent (cm) | CD pattern |
CD | M | 39 | Sub-obstructions | 30 | Fibrostricturing |
CD | F | 19 | Abscess | 20 | Fistulizing |
CD | F | 49 | Sub-obstructions | 30 | Fibrostricturing |
CD | M | 38 | Abscess | 21 | Fibrostricturing |
CD | F | 73 | Sub-obstructions | 40 | Fibrostricturing |
CD | F | 33 | Sub-obstructions | 25 | Fibrostricturing |
CD | F | 57 | Sub-obstructions | 30 | Fibrostricturing |
CD | M | 31 | Abscess | 15 | Fistulizing |
CD | F | 49 | Sub-obstructions | 35 | Fibrostricturing |
CD | M | 41 | Sub-obstructions | 20 | Fibrostricturing |
CD | M | 45 | Sub-obstructions | 15 | Fibrostricturing |
CD | M | 30 | Sub-obstructions | 40 | Fibrostricturing |
CD | M | 30 | Sub-obstructions | 35 | Fibrostricturing |
Small bowel duplication | M | 60 | Sub-obstructions | 20 | NA |
Ischemic enteritis | M | 69 | Abdominal pain | 10 | NA |
Small bowel carcinoid | F | 77 | Diarrhoea, weight loss | 35 | NA |
Table 2 Characteristics of the lesions in the 13 Crohn’s disease patients, as assessed by surgical pathology (considered as a gold standard), small intestine contrast ultrasonography, computed tomography-enterography and histology
Characteristics | Surgery | SICUS | CTE | Histology |
CD site | ||||
Ileum | 8/13 | 10/131 | 10/13 | 8/13 |
Ileum-colon | 5/13 | 3/13 | 3/13 | 5/13 |
CD extent (cm) | ||||
< 10 | 0/13 | 12/13 | 12/13 | 9/13 |
≥ 10 | 13/13 | 1/13 | 1/13 | 4/13 |
Strictures | ||||
Yes | 13/13 | 12/13 | 13/13 | 13/13 |
No | 0/13 | 1/13 | 0/13 | 0/13 |
Dilation | ||||
Yes | 10/13 | 10/13 | 11/13 | 5/13 |
No | 0/13 | 0/13 | 2/13 | 8/13 |
Fistulae | ||||
Yes | 5/13 | 6/13 | 4/13 | 6/13 |
No | 8/13 | 7/13 | 9/13 | 7/13 |
Abscesses | ||||
Yes | 3/13 | 5/13 | 3/13 | 4/13 |
No | 11/13 | 8/13 | 10/13 | 9/13 |
Table 3 Sensitivity, specificity and accuracy of small intestine contrast ultrasonography and computed tomography-enterography for detecting the presence of small bowel abscesses, strictures, fistulae and bowel dilation in Crohn’s disease
Parameter | SICUS | CTE | ||||
Sens. | Spec. | Accuracy | Sens. | Spec. | Accuracy | |
Strictures | 92 | 0 | 92 | 100 | 0 | 100 |
(TN 0; TP 12; FN 1; FP 0) | (TN 0; TP 13; FN 0; FP0) | |||||
Dilation | 100 | 50 | 85 | 78 | 0 | 82 |
(TN2; TP 9; FN 0; FP2) | (TN 0; TP 7; FN 2; FP 4) | |||||
Fistulae | 60 | 88 | 77 | 60 | 88 | 77 |
(TN 7; TP 3; FN 2; FP 1) | (TN 7; TP 3; FN 2; FP 1) | |||||
Abscesses | 100 | 80 | 85 | 67 | 100 | 85 |
(TN 8; TP 3; FN 0; FP 2) | (TN 9; TP 2; FN 1; FP 1) |
-
Citation: Onali S, Calabrese E, Petruzziello C, Zorzi F, Sica G, Fiori R, Ascolani M, Lolli E, Condino G, Palmieri G, Simonetti G, Pallone F, Biancone L. Small intestine contrast ultrasonography
vs computed tomography enteroclysis for assessing ileal Crohn's disease. World J Gastroenterol 2012; 18(42): 6088-6095 - URL: https://www.wjgnet.com/1007-9327/full/v18/i42/6088.htm
- DOI: https://dx.doi.org/10.3748/wjg.v18.i42.6088