Role of Bowel Hydrosonography in Evaluation of Inflammatory Bowel Diseases Compared to CT or MR Enterography

Abstract

Abstract Background bowel diseases (IBD). CT entrography (CTE), bowel US, magnetic resonance enterography Crohn’s disease and ulcerative colitis are chronic, relapsing inflammatory (MRE) are decisive medical imaging modalities for diagnosing and locating bowel lesions with its extramural extent and complications. They assess the degree of activity, help clinicians to identify patients in need of surgery, and can be used for patient follow-up. Aim To evaluate the utility of small bowel hydrosonography (SBH) in assessment if patient s with proven IBD in comparison to the currently available CT/MR enterographic techniques. Methods The study was conducted on 41 patients with histologically proven IBD. All patients were subjected to clinical assessment, laboratory investigations, MRE/CTE then bowel ultrasound. Results This study was conducted on 41 patients (19.5%) with ulcerative colitis and (80.5 %) with Crohn's disease; Terminal illeum is the most affected detected segment (22.1%) by bowel ultrasound and(22.5%) by CTE/MRE, ultrasound also showed statistically significance results in detection evidence of complicated Crohn’s disease such as fistula and abscess. Conclusion In comparison to MRE/CTE, bowel hydrosonography is a useful, non- invasive, and feasible bedside imaging tool for the detection of inflammation, detection of complications, and follow-up of IBD patients.