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Editorial
. 2021 Sep 6;13(5):447-451.
doi: 10.1136/flgastro-2021-101852. eCollection 2022.

Intestinal ultrasonography: a useful skill for efficient, non-invasive monitoring of patients with IBD using a clinic-based point-of-care approach

Affiliations
Editorial

Intestinal ultrasonography: a useful skill for efficient, non-invasive monitoring of patients with IBD using a clinic-based point-of-care approach

Uday N Shivaji et al. Frontline Gastroenterol. .
No abstract available

Keywords: Crohn's disease; IBD clinical; gastrointestinal ultrasound; health economics; small bowel disease.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Selected intestinal ultrasound images from a young adult prior to (A and B) and at follow-up (C and D) after anti-TNF treatment. The pretreatment images show significant thickening of the terminal ileal wall (line in A), patchy mixed echo change within the submucosa of the bowel wall (arrow in A) and marked mesenteric expansion with oedema (double-headed arrow in A). There is considerable hypervascularity on the Doppler image (B). Following treatment, the bowel wall has returned to normal thickness (line in C) and normal mural architecture has been restored, with clear delineation of the outer echo-dark muscularis propria, the relatively echo-bright submucosa and the inner echo-dark deep mucosa (arrow in C). The deep mucosa (innermost echo-dark layer) is now of normal thickness (<1 mm). There is only mild residual mesenteric expansion (double-headed arrow in C). The Doppler signal is now normal (D). TI, terminal ileum, TNF, tumour necrosis factor.

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