Background: Ultrasound imaging is used to assess bowel abnormalities in gastrointestinal diseases. We aimed to assess the rate of predefined bowel ultrasound signs and their relationship with gastrointestinal symptoms and the cystic fibrosis transmembrane conductance regulator (CFTR) genotype in cystic fibrosis patients in regular follow-up. Methods: Prospective study of 70 consecutive patients with cystic fibrosis and 45 controls who underwent abdominal ultrasound; pertinent findings were related to gastrointestinal symptoms and, in cystic fibrosis patients, to pancreatic status, malabsorption degree, lipase intake, CFTR genotype (classified as severe or mild against functional class of CFTR mutations). Results: 96% patients showed at least one abnormal bowel ultrasound sign. Most frequent signs were lymph node enlargement (64%), bowel loop dilatation (55%), thick corpuscular intraluminal content (49%), bowel wall hypervascularization (26%), thickened bowel wall (22%) and intussusception (17%). Patients with recurrent abdominal pain showed more bowel wall hypervascularization than patients without recurrent pain (47% vs. 19%, respectively; p = 0.02) and intussusception (58% vs. 17%, respectively; p < 0.01). Genotype was not associated to specific bowel ultrasound signs. Patients with bowel loop intussusception showed greater lipase intake than those without intussusception (8.118 ± 2.083 vs. 5.994 ± 4.187, respectively; p < 0.01). Conclusion: Cystic fibrosis patients present a higher rate of bowel ultrasound abnormalities than controls. Bowel ultrasound abnormalities are associated with abdominal symptoms.
Bowel ultrasound imaging in patients with cystic fibrosis : relationship with clinical symptoms and CFTR genotype / M. Fraquelli, A. Baccarin, F. Corti, C.B. Conti, M.C. Russo, S.D. Valle, R. Pozzi, M. Cressoni, D. Conte, C. Colombo. - In: DIGESTIVE AND LIVER DISEASE. - ISSN 1590-8658. - 48:3(2016 Mar), pp. 271-276.
|Titolo:||Bowel ultrasound imaging in patients with cystic fibrosis : relationship with clinical symptoms and CFTR genotype|
BACCARIN, ALESSANDRA (Secondo)
CONTE, DARIO (Penultimo)
COLOMBO, CARLA (Ultimo)
|Parole Chiave:||Abdominal symptoms; Bowel ultrasound; Cystic fibrosis; Intussusception|
|Settore Scientifico Disciplinare:||Settore MED/38 - Pediatria Generale e Specialistica|
|Data di pubblicazione:||mar-2016|
|Data ahead of print / Data di stampa:||28-set-2015|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.dld.2015.09.010|
|Appare nelle tipologie:||01 - Articolo su periodico|