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논문 기본 정보

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저자정보
Katsuki Yaguchi (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Reiko Kunisaki (Inflammatory Bowel Disease Center, Yokohama City University Medical Center) Sho Sato (Department of Laboratory Medicine and Clinical Investigation, Yokohama City University Medical Center, Yokohama) Kaori Hirai (Department of Laboratory Medicine and Clinical Investigation, Yokohama City University Medical Center, Yokohama) Misato Izumi (Department of Laboratory Medicine and Clinical Investigation, Yokohama City University Medical Center, Yokohama) Yoshimi Fukuno (Department of Laboratory Medicine and Clinical Investigation, Yokohama City University Medical Center, Yokohama) Mami Tanaka (Department of Laboratory Medicine and Clinical Investigation, Yokohama City University Medical Center, Yokohama) Mai Okazaki (Department of Laboratory Medicine and Clinical Investigation, Yokohama City University Medical Center, Yokohama) Rongrong Wu (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Yurika Nishikawa (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Yusuke Matsune (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Shunsuke Shibui (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Yoshinori Nakamori (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Masafumi Nishio (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Mao Matsubayashi (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Tsuyoshi Ogashiwa (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Ayako Fujii (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Kenichiro Toritani (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Hideaki Kimura (Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama) Eita Kumagai (Department of Diagnostic Pathology, Yokohama City University Medical Center, Yokohama) Yukiko Sasahara (Department of Diagnostic Pathology, Yokohama City University Medical Center, Yokohama) Yoshiaki Inayama (Department of Diagnostic Pathology, Yokohama City University Medical Center, Yokohama) Satoshi Fujii (Department of Diagnostic Pathology, Yokohama City University Medical Center, Yokohama) Toshiaki Ebina (Department of Laboratory Medicine and Clinical Investigation, Yokohama City University Medical Center, Yokohama) Kazushi Numata (Department of Gastroenterology, Yokohama City University, Graduate School of Medicine, Yokohama) Shin Maeda (Department of Gastroenterology, Yokohama City University, Graduate School of Medicine, Yokohama)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.22 No.3
발행연도
2024.7
수록면
297 - 309 (13page)
DOI
10.5217/ir.2023.00129

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Background/Aims: Intestinal Behçet disease is typically associated with ileocecal punched-out ulcers and significant morbidity and mortality. Intestinal ultrasound is a noninvasive imaging technique for disease monitoring. However, no previous reports have compared intestinal ultrasound with endoscopic ulcer activity or histopathological findings for intestinal Behçet disease. We evaluated the usefulness of intestinal ultrasound for assessing the activity of ileocecal ulcers in intestinal Behçet disease.Methods: We retrospectively compared intestinal ultrasound findings with 73 corresponding endoscopic images and 6 resected specimens. The intestinal ultrasound findings were assessed for 7 parameters (bowel wall thickness, vascularity [evaluated using the modified Limberg score with color Doppler], bowel wall stratification, white-plaque sign [strong hyperechogenic lines or spots], mesenteric lymphadenopathy, extramural phlegmons, and fistulas), and endoscopic ulcer activity was classified into active, healing, and scar stages. Histopathological findings were evaluated by consensus among experienced pathologists. Results: Bowel wall thickness (P< 0.001), vascularity (P< 0.001), loss of bowel wall stratification (P= 0.015), and white-plague sign (P= 0.013) were significantly exacerbated in the endoscopic active ulcer stage. Receiver operating characteristic curve analysis revealed that a bowel wall thickness of > 5.5 mm (sensitivity 89.7%, specificity 85.3%) was potentially useful for detecting active lesions. When compared with histopathological findings, an increase in bowel wall thickness reflected the ulcer marginal ridge, and the white-plaque sign reflected the ulcer bottom. Conclusions: Intestinal ultrasound is useful for monitoring intestinal ulcer activity in intestinal Behçet disease.
#Behçet disease #Intestinal diseases #Ultrasonography #Ulcer #Endoscopy

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