Management of Severe Attacks of Ulcerative Colitis with New Technologies
Barium enema and colonoscopy are contraindicated in severe attacks of ulcerative colitis because of the possibility of toxic megacolon and perforation. The authors have assessed abdominal ultrasound in 38 patients with severe ulcerative colitis. Ultrasound revealed bowel wall thicknesses ranging fro...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
1990-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1990/353874 |
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| author | M Campieri P Gionchetti A Belluzzi M Tampieri C Brignola E Bertinelli V Arienti P Iannone M Miglioli L Barbara |
| author_facet | M Campieri P Gionchetti A Belluzzi M Tampieri C Brignola E Bertinelli V Arienti P Iannone M Miglioli L Barbara |
| author_sort | M Campieri |
| collection | DOAJ |
| description | Barium enema and colonoscopy are contraindicated in severe
attacks of ulcerative colitis because of the possibility of toxic megacolon and
perforation. The authors have assessed abdominal ultrasound in 38 patients with
severe ulcerative colitis. Ultrasound revealed bowel wall thicknesses ranging
from 3.9 to 9.2 mm (mean 7.7) extending the whole length of the colon, to the
transverse colon, and to the descending colon, respectively, in 18, 10 and eight
patients. The degree of bowel thickening was related to the severity of inflammation
based on clinical, sigmoidoscopic and histological evaluation. In two
patients, ultrasound showed a thin bowel wall distended without motility,
suggesting the diagnosis of toxic megacolon (confirmed radiologically). An
excellent correlation (95%) was found between ultrasound and technetium-99
scanning. Ultrasound might be a reasonable first investigation in the assessment
of patients with severe ulcerative colitis. |
| format | Article |
| id | doaj-art-0e74aff0aaba4add8f733f7f8a754905 |
| institution | OA Journals |
| issn | 0835-7900 |
| language | English |
| publishDate | 1990-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-0e74aff0aaba4add8f733f7f8a7549052025-08-20T02:02:25ZengWileyCanadian Journal of Gastroenterology0835-79001990-01-014734734910.1155/1990/353874Management of Severe Attacks of Ulcerative Colitis with New TechnologiesM CampieriP GionchettiA BelluzziM TampieriC BrignolaE BertinelliV ArientiP IannoneM MiglioliL BarbaraBarium enema and colonoscopy are contraindicated in severe attacks of ulcerative colitis because of the possibility of toxic megacolon and perforation. The authors have assessed abdominal ultrasound in 38 patients with severe ulcerative colitis. Ultrasound revealed bowel wall thicknesses ranging from 3.9 to 9.2 mm (mean 7.7) extending the whole length of the colon, to the transverse colon, and to the descending colon, respectively, in 18, 10 and eight patients. The degree of bowel thickening was related to the severity of inflammation based on clinical, sigmoidoscopic and histological evaluation. In two patients, ultrasound showed a thin bowel wall distended without motility, suggesting the diagnosis of toxic megacolon (confirmed radiologically). An excellent correlation (95%) was found between ultrasound and technetium-99 scanning. Ultrasound might be a reasonable first investigation in the assessment of patients with severe ulcerative colitis.http://dx.doi.org/10.1155/1990/353874 |
| spellingShingle | M Campieri P Gionchetti A Belluzzi M Tampieri C Brignola E Bertinelli V Arienti P Iannone M Miglioli L Barbara Management of Severe Attacks of Ulcerative Colitis with New Technologies Canadian Journal of Gastroenterology |
| title | Management of Severe Attacks of Ulcerative Colitis with New Technologies |
| title_full | Management of Severe Attacks of Ulcerative Colitis with New Technologies |
| title_fullStr | Management of Severe Attacks of Ulcerative Colitis with New Technologies |
| title_full_unstemmed | Management of Severe Attacks of Ulcerative Colitis with New Technologies |
| title_short | Management of Severe Attacks of Ulcerative Colitis with New Technologies |
| title_sort | management of severe attacks of ulcerative colitis with new technologies |
| url | http://dx.doi.org/10.1155/1990/353874 |
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