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. 2024 Dec;56(12):103087.
doi: 10.1016/j.aprim.2024.103087. Epub 2024 Sep 10.

[Early ultrasound diagnosis of Crohn's disease]

[Article in Spanish]
Luis Ortiz-González  1 , Carlos Ortiz-Peces  2 , Luis Ortiz-Peces  3
Affiliations

[Early ultrasound diagnosis of Crohn's disease]

[Article in Spanish]
Luis Ortiz-González et al. Aten Primaria. 2024 Dec.
No abstract available

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Figures

Figura 1
Figura 1
a) Corte transversal con sonda lineal de alta frecuencia (8-12 MHz) a nivel de fosa iliaca derecha donde se objetiva una sección longitudinal del íleon terminal con engrosamiento mural generalizado y cuantificación del espesor de su pared posterior (varias mediciones). b) Corte similar al previo donde se pone de manifiesto la conservación de la estratificación normal de la pared del íleon terminal en fases iniciales de la enfermedad, con engrosamiento de la misma a expensas de la submucosa, que se identifica hiperecogénica. Se ilustran 5 capas concéntricas alternativamente hiperecogénicas e hipoecogénicas: 1, interfaz mucosa superficial; 2, mucosa profunda, incluida la muscularis mucosa; 3, submucosa; 4, muscular propia; 5, serosa.
Figura 2
Figura 2
Corte longitudinal (a) y transversal (b) con sonda lineal de alta frecuencia (8-12 MHz) a nivel de fosa iliaca derecha donde se identifica el íleon terminal con engrosamiento generalizado de su pared y cuantificación de su espesor. c) Imagen similar a la primera donde se evidencia un aumento de la vascularización del íleon mediante Doppler color.
See this image and copyright information in PMC

References

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    1. Mitchel E.B., Rosh J.R. Pediatric Management of Crohn's Disease. Gastroenterol Clin North Am. 2022;51:401–424. doi: 10.1016/j.gtc.2021.12.013. Epub 2022 Apr 28. PMID: 35595422. - DOI - PubMed
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    1. Tsai T.L., Marine M.B., Wanner M.R., Cooper M.L., Steiner S.J., Ouyang F., et al. Can ultrasound be used as the primary imaging in children with suspected Crohn disease? Pediatr Radiol. 2017;47:917–923. - PubMed
    1. Levine A., Koletzko S., Turner D., Escher J.C., Cucchiara S., de Ridder L., et al. European Society of Pediatric Gastroenterology, Hepatology, and Nutrition ESPGHAN revised porto criteria for the diagnosis of inflammatory bowel disease in children and adolescents. J Pediatr Gastroenterol Nutr. 2014;58:795–806. - PubMed

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