| Bowel wall thickening: differentiation of inflammation from ischemia with color Doppler and duplex US. | |
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MedLine Citation:
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PMID: 8596864 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To determine whether ultrasonography (US) can be used to differentiate inflammatory from ischemic bowel wall thickening. MATERIALS AND METHODS: Thirty-five patients (aged 23-96 years) with inflammatory or ischemic bowel wall thickening underwent US. Thickness was recorded, echotexture categorized, color Doppler flow graded, presence of intramural arterial signal recorded, and resistive index calculated. RESULTS: The difference between inflammatory and ischemic bowel wall thicknesses was not significant (P = .49). Differences in color Doppler flow (P < .0001), arterial signal (P = .0005), and bowel wall echotexture (P < or = .0200) between patients with inflammatory and ischemic bowel wall thickening were significant. Absence of or barely visible color Doppler flow and absence of arterial signal suggested ischemia; readily visible color Doppler flow and a stratified echotexture suggested inflammation. A resistive index less than 0.60 indicated inflammation. The difference in resistive index between the two groups was not significant (P = .12). CONCLUSION: Duplex and color Doppler flow US are helpful in differentiation between ischemic and inflammatory bowel wall thickening. |
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Authors:
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S A Teefey; M C Roarke; J A Brink; W D Middleton; D M Balfe; E P Thyssen; C F Hildebolt |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Radiology Volume: 198 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1996-04-16 Completed Date: 1996-04-16 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 547-51 Citation Subset: AIM; IM |
Affiliation:
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Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Case-Control Studies Colitis / ultrasonography* Colitis, Ischemic / ultrasonography* Colon / blood supply, ultrasonography Diagnosis, Differential Female Humans Male Middle Aged Regional Blood Flow Ultrasonography, Doppler, Color Ultrasonography, Doppler, Duplex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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