Pal P, Kata P, Mateen MA, Gupta R, Tandan M, Duvvur NR. Intestinal ultrasound for monitoring postoperative Crohn’s disease: A systematic review and clinical implications. World J Gastrointest Surg 2025; 17(12): 111481 [DOI: 10.4240/wjgs.v17.i12.111481]
Corresponding Author of This Article
Partha Pal, MD, DNB, FASGE, MRCP, Attending Doctor, Department of Medical Gastroenterology, Asian Institute of Gastroenterology, 6-3-661 Red Rose Cafe Lane, Sangeet Nagar, Somajiguda, Hyderabad 500082, Telangāna, India. partha1986@yahoo.com
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Gastroenterology & Hepatology
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Systematic Reviews
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Dec 27, 2025 (publication date) through Dec 25, 2025
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Publication Name
World Journal of Gastrointestinal Surgery
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1948-9366
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Pal P, Kata P, Mateen MA, Gupta R, Tandan M, Duvvur NR. Intestinal ultrasound for monitoring postoperative Crohn’s disease: A systematic review and clinical implications. World J Gastrointest Surg 2025; 17(12): 111481 [DOI: 10.4240/wjgs.v17.i12.111481]
World J Gastrointest Surg. Dec 27, 2025; 17(12): 111481 Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.111481
Intestinal ultrasound for monitoring postoperative Crohn’s disease: A systematic review and clinical implications
Partha Pal, Priyaranjan Kata, Mohammad Abdul Mateen, Rajesh Gupta, Manu Tandan, Nageshwar Reddy Duvvur
Partha Pal, Rajesh Gupta, Manu Tandan, Nageshwar Reddy Duvvur, Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad 500082, Telangāna, India
Priyaranjan Kata, Department of Medicine, MedStar St. Mary’s Hospital, Leonardtown, MD 20650, United States
Mohammad Abdul Mateen, Diagnostic Radiology and Imaging, Asian Institute of Gastroenterology, Hyderabad 500082, Telangāna, India
Co-first authors: Partha Pal and Priyaranjan Kata.
Author contributions: Pal P and Kata P performed the literature search and wrote the first draft; Pal P and Mateen MA conceptualized the work; Pal P, Gupta R, Tandan M, and Reddy DN provided intellectual input; Kata P, Mateen MA, Mateen MA, Gupta R, and Tandan M critically revised the manuscript; Mateen MA, Gupta R, and Tandan M supervised the writing; Gupta R and Tandan M supervised the literature search; Pal P and Kata P contributed equally to this manuscript and are co-first authors. All authors approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Partha Pal, MD, DNB, FASGE, MRCP, Attending Doctor, Department of Medical Gastroenterology, Asian Institute of Gastroenterology, 6-3-661 Red Rose Cafe Lane, Sangeet Nagar, Somajiguda, Hyderabad 500082, Telangāna, India. partha1986@yahoo.com
Received: July 1, 2025 Revised: August 21, 2025 Accepted: October 27, 2025 Published online: December 27, 2025 Processing time: 177 Days and 14 Hours
Core Tip
Core Tip: Intestinal ultrasound is a practical, non-invasive tool for monitoring postoperative Crohn’s disease. Bowel wall thickness > 3-5 mm, especially when persistent or worsening, predicts recurrence. Diagnostic accuracy improves with dual-site assessment (neo-terminal ileum and ileo-colonic anastomosis), Doppler hyperemia, and lymphadenopathy. Integration with fecal calprotectin enhances specificity and negative predictive value. Advanced techniques like contrast enhanced ultrasound and small intestine contrast ultrasound further refine detection. Early assessment within 12 months post-surgery is most prognostic. Intestinal ultrasound is well-suited for repeated follow-up, and when used systematically, may reduce reliance on routine ileocolonoscopy in selected postoperative patients.
