ULTRASOUND - FIRST-LINE IMAGING MODALITY IN EVALUATION OF THE INFLAMMATORY BOWEL LESIONS IN CHILDREN

Abstract Introduction Crohn’s disease is classified as chronic inflammatory bowel disease. The incidence in Europe ranges from 1 to almost 11.4 per 100,000 population year. Ultrasound examination plays an important role imaging diagnostics of lesions. It allows for assessing response therapy well recognizing possible penetrating complications the disease, i.e. fistula or abscess. Materials and Methods 36 children were included study: 16 boys 20 girls with active phase Each patient underwent intestinal ultrasound a high frequency 7–12 Mhz linear probe. Results In all patients US depicted thickened, hypoechoic ileal wall showing patterns vascularization. 8 Bauhin’ valve edema was visible. children, infiltration periintestinal fat around affected segment intestine found. addition, presented mesenteric lymphadenopathy short-axis diameter 10–15 mm. had disease: 4 small fistulas abscesses. Conclusion Given its safety profile diagnostic efficacy, should be considered first-line modality children. proved reliable easily accessible tool diagnosis enteric lesions, evaluating CD activity potential