Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease

Gastroenterology Research and Practice
Diletta CozziVittorio Miele

Abstract

Inflammatory bowel disease (IBD) is a form of chronic inflammation of the gastrointestinal tract, including two major entities: ulcerative colitis and Crohn's disease. Although intestinal imaging of IBD is well known, imaging of extraintestinal manifestations is not extensively covered. In particular, the spectrum of IBD-associated or related changes in the chest is broad and may mimic other conditions. The common embryonic origin of intestine and lungs from the foregut, autoimmunity, smoking, and bacterial translocation from the colon may all be involved in the pathogenesis of these manifestations in IBD patients. Chest involvement in IBD can present concomitant with or years after the onset of the bowel disease even postcolectomy and can affect more than one thoracic structure. The purpose of the present paper is to present the different radiological spectrum of IBD-related chest manifestations, including lung parenchyma, airways, serosal surfaces, and pulmonary vasculature. The most prevalent and distinctive pattern of respiratory involvement is large airway inflammation, followed by lung alterations. Pulmonary manifestations are mainly detected by pulmonary function tests and high-resolution computed tomography (HRCT). It i...Continue Reading

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Citations

Feb 26, 2019·Respirology : Official Journal of the Asian Pacific Society of Respirology·Andrew Bush, R Andres Floto
Aug 20, 2019·Journal of Gastroenterology and Hepatology·Jihye KimJoo Sung Kim
Oct 5, 2019·La Radiologia medica·Diletta CozziVittorio Miele
Jun 18, 2020·ACG Case Reports Journal·Abigail RussiFrancis R LeBlanc
May 26, 2020·Inflammatory Bowel Diseases·Paul T KrönerFrancis A Farraye
Oct 21, 2020·Journal of Bacteriology·An ZhouBo Tang
Mar 18, 2021·Ultrasound International Open·Diletta CozziVittorio Miele
Apr 27, 2021·Japanese Journal of Radiology·Diletta CozziVittorio Miele
Jul 24, 2021·Breathe·Anja JochmannJürg Hammer
Aug 17, 2021·Japanese Journal of Radiology·Chiara MoroniMaurizio Bartolucci

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Methods Mentioned

BETA
X-ray

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