Assessment of stricturing Crohn's disease: Current clinical practice and future avenues

World Journal of Gastroenterology : WJG
Dominik BettenworthFrank Lenze

Abstract

Crohn's disease (CD) is a chronic remittent idiopathic disease. Although the early phase of the disease is commonly characterized by inflammation-driven symptoms, such as diarrhea, the frequency of fibrostenotic complications in patients with CD increases over the long-term course of the disease. This review presents the current diagnostic options for assessing CD-associated strictures. In addition to the endoscopic evaluation of CD strictures, this review summarizes the currently available imaging modalities, including ultrasound and cross-sectional imaging techniques. In addition to stricture detection, differentiating between the primarily inflammatory strictures and the predominantly fibrotic ones is essential for selecting the appropriate treatment strategy (anti-inflammatory medical treatment vs endoscopical or surgical approaches). Therefore, recent imaging advances, such as contrast-enhanced ultrasound and ultrasound elastography, contribute to the development of non-invasive non-radiating imaging of CD-associated strictures. Finally, novel magnetic resonance imaging techniques, such as diffusion-weighted, motility and magnetization transfer imaging, as well as (18)F-FDG PET/CT, molecular imaging approaches and biomarke...Continue Reading

References

Oct 1, 1990·Gastroenterology·P RutgeertsM Hiele
Dec 1, 1995·Journal of the American Academy of Dermatology·K KikuchiK Tamaki
Feb 9, 2002·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Wolfgang KratzerVolker Kächele
May 11, 2002·The American Journal of Gastroenterology·Matthieu AllezRobert Modigliani
Jul 20, 2002·Inflammatory Bowel Diseases·Jacques CosnesJean-Pierre Gendre
Apr 3, 2004·Inflammatory Bowel Diseases·Craig A SolemEdward V Loftus
Mar 15, 2006·Gastroenterology·Laurent BeaugerieJacques Cosnes
Jun 19, 2007·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·Edouard LouisRoland Hustinx
Oct 3, 2007·Gastrointestinal Endoscopy·Akira FukumotoKentaro Sugano
Oct 2, 2007·Alimentary Pharmacology & Therapeutics·C HassanS Morini
Dec 7, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Inger Camilla SolbergUNKNOWN IBSEN Study Group
Feb 16, 2008·Inflammatory Bowel Diseases·Richard C FeldsteinSeymour Katz
Mar 14, 2008·International Journal of Colorectal Disease·Jörg C HoffmannChristian Bojarski
Apr 29, 2008·The British Journal of Radiology·E J Hall, D J Brenner
Apr 11, 2009·World Journal of Gastroenterology : WJG·Chise KodairaMutsuhiro Ikuma
Jul 18, 2009·World Journal of Gastroenterology : WJG·Ian Craig LawranceKevin Murray
Oct 20, 2009·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·Heather A JaceneRichard L Wahl
Feb 11, 2011·Inflammatory Bowel Diseases·Florian RiederMiquel Sans
Feb 24, 2011·The American Journal of Gastroenterology·Jeremy AdlerPeter D R Higgins
May 3, 2011·Gastroenterology·Jacques CosnesAntoine Cortot
Sep 14, 2011·World Journal of Gastroenterology : WJG·Deike StrobelThomas Bernatik
May 1, 2012·Journal of Crohn's & Colitis·José María ParedesEduardo Moreno-Osset
Jul 24, 2012·Radiology·Gabriele Masselli, Gianfranco Gualdi

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Citations

Mar 29, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Shi-Si DingRong Wu
Dec 22, 2016·Inflammatory Bowel Diseases·Rosa CoelhoGiovanni Maconi
Aug 9, 2019·Abdominal Radiology·Antonino CarusoCarmelo Lacognata
May 10, 2018·World Journal of Gastroenterology : WJG·Talat BessissowGert Van Assche
May 21, 2020·Frontiers in Medicine·Nina ZidarAleš Tomažič
Jun 20, 2020·World Journal of Gastroenterology : WJG·Jodi-Ann EdwardsChongmin Huan
Jul 9, 2020·Biomedicines·Eran ZittanMarc S Berns
Dec 7, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S R BrownUNKNOWN ACPGBI IBD Surgery Consensus Collaboration
May 3, 2019·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Andrew HollowayRoberta Rasotto

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