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首页> 外文期刊>European journal of gastroenterology and hepatology >Abdominal pain and bowel dysfunction: diagnostic role of intestinal ultrasound.
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Abdominal pain and bowel dysfunction: diagnostic role of intestinal ultrasound.

机译：腹痛和肠功能障碍：肠超声的诊断作用。

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BACKGROUND: Abdominal pain and irregular bowel habits are common among young people. Irritable bowel syndrome is frequent in the general population and has important economic and social costs. Inflammatory bowel diseases are chronic processes with an acute or indolent onset in young people. Differential clinical diagnosis between irritable bowel syndrome and inflammatory bowel disease can be difficult since symptoms and signs are often non-specific. OBJECTIVE: To evaluate the role of intestinal ultrasound, a non-invasive, simple and cheap diagnostic tool, in the differentiation between organic and functional bowel diseases. METHODS: Abdominal and intestinal ultrasound examinations were performed on 313 consecutive outpatients presenting with abdominal pain and irregular bowel habits lasting more than 3 months. These patients had no symptoms or signs indicative of organic disorders and no previous diagnosis of organic disease. An intestinal wall thickness of more than 7 mm was considered diagnostic for inflammatory bowel disease. Subsequently, we compared the ultrasound results with diagnoses obtained following the traditional criteria (radiological and endoscopic examinations). RESULTS: Intestinal ultrasound for the diagnosis of inflammatory bowel disease showed 74% sensitivity, 98% specificity, a positive predictive value of 92% and a negative predictive value of 92%. CONCLUSIONS: In our experience, intestinal ultrasound seems important as a first diagnostic tool in young patients without clear symptoms or signs of organic diseases, and can be used as an indication that subsequent invasive tests are required.
机译：背景：腹部疼痛和不规则的排便习惯在年轻人中很常见。肠易激综合症在普通人群中很常见，并具有重要的经济和社会成本。炎症性肠病是年轻人中急性或惰性发作的慢性过程。由于症状和体征通常是非特异性的，因此肠易激综合征与炎症性肠病之间的临床鉴别诊断可能很困难。目的：评估肠超声（一种非侵入性，简单且廉价的诊断工具）在区分器质性和功能性肠疾病中的作用。方法：对313例连续出现腹痛且排便不规律且持续时间超过3个月的门诊患者进行腹部和肠道超声检查。这些患者没有任何症状或体征表明有器质性疾病，也没有先前的器质性疾病诊断。认为肠壁厚度超过7毫米有助于诊断炎症性肠病。随后，我们将超声检查结果与按照传统标准（放射学和内镜检查）获得的诊断结果进行了比较。结果：肠道超声诊断炎症性肠病的敏感性为74％，特异性为98％，阳性预测值为92％，阴性预测值为92％。结论：根据我们的经验，对于没有明显症状或器质性疾病迹象的年轻患者，肠内超声检查似乎是重要的第一种诊断工具，可作为需要进行后续侵入性检查的指标。

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