POTENTIAL OF RADIODIAGNOSTIC METHODS FOR SMALL INTESTINE EXAMINATION IN THE CONTEXT OF SHORT BOWEL SYNDROME IN CHILDREN
- 作者: Khasanov R.R.1,2, Weis M.3, Gumerov R.A.1, Gumerov A.A.1, Wessel L.M.2
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隶属关系:
- Bashkir State Medical University
- Department of Pediatric Surgery University Hospital Mannheim, University of Heidelberg
- Institute of Clinical Radiology and Nuclear Medicine, University Hospital Mannheim, University of Heidelberg
- 期: 卷 9, 编号 1 (2019)
- 页面: 17-36
- 栏目: Original Study Articles
- ##submission.dateSubmitted##: 08.05.2019
- ##submission.dateAccepted##: 08.05.2019
- ##submission.datePublished##: 08.05.2019
- URL: https://rps-journal.ru/jour/article/view/507
- DOI: https://doi.org/10.30946/2219-4061-2019-9-1-17-36
- ID: 507
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详细
Objective. For many years such diagnostic techniques as ultrasonography (U/S), contrast radiography (CR) and magnetic resonance imaging (MRI) have been successfully applied for the diagnosis of gastrointestinal diseases in children. Despite the long experience with U/S, CR and MRI for small intestine examinations, their diagnostic yield is yet not defined in the context of the short bowel syndrome considering the evaluation of advantages and disadvantages of these methods. In this regard, the purpose of our research was to define the role of each of these methods as a matter of assessing and monitoring patients’ condition as well as diagnosis of complications in patients with short bowel syndrome. Methods. To determine the opportunities of U/S, CR and MRI diagnostics for detection of malconditions in cases of short bowel syndrome we examined patients who had undergone ultrasound, CR and MRI of the intestinal tract as part of preoperative preparation for elongation of small intestine. In order to assess the diagnostic efficacy of aforementioned methods in the context of short bowel syndrome research results were compared with data obtained during surgery. Results. Ultrasonography (U/S) is considered to be the best screening technique for patients with SBS. Contrast radiography (CR) provides an opportunity to research the morphology of small intestine and its transport function quite thoroughly. Magnetic resonance imaging (MRI) is a method which allows one to give the best possible estimate of morphology of small intestine. Conclusion. U/S, CR and MRI of abdominal cavity organs are effective methods when it comes to the examination of small intestine in short bowel syndrome; each of these screening techniques has its own strengths and weaknesses. However, a proper combination of these methods should be applied, as it allows one to perform a comprehensive diagnosis of changes in short bowel syndrome and to take appropriate and timely actions regarding further patients’ treatment.
作者简介
R. Khasanov
Bashkir State Medical University;Department of Pediatric Surgery University Hospital Mannheim, University of Heidelberg
编辑信件的主要联系方式.
Email: rasul222@mail.ru
Cand. Sci (Med), Department of Pediatric Surgery course at ICPE, Bashkir State Medical University, Ufa 450015 Russia, Lenina St. 3. Department of Pediatric Surgery University Hospital Mannheim, University of Heidelberg 德国
M. Weis
Institute of Clinical Radiology and Nuclear Medicine, University Hospital Mannheim, University of Heidelberg
Email: fake@neicon.ru
Cand. Sci (Med), Institute of Clinical Radiology and Nuclear Medicine, University Hospital Mannheim, University of Heidelberg 德国
R. Gumerov
Bashkir State Medical University
Email: pedsurg@bk.ru
Cand. Sci (Med), Department of Pediatric Surgery course at ICPE, Bashkir State Medical University 俄罗斯联邦
A. Gumerov
Bashkir State Medical University
Email: pedsurg@bk.ru
Dr. Sci (Med), professor, Head of Department of Pediatric Surgery course at ICPE, Bashkir State Medical University 俄罗斯联邦
L. Wessel
Department of Pediatric Surgery University Hospital Mannheim, University of Heidelberg
Email: fake@neicon.ru
Dr. Sci (Med), professor, Department of Pediatric Surgery University Hospital Mannheim, University of Heidelberg 德国
参考
- Rege, A.S. and Sudan D.L. Autologous gastrointestinal reconstruction: review of the optimal nontransplant surgical options for adults and children with short bowel syndrome. Nutr. Clin. Prac. 2013;28(1): 65–74. doi: 10.1177/0884533612460405
- Weih S., Kessler M., Fonouni H., Golriz M., Hafezi M., Mehrabi A., Holland-Cunz, S. Current practice and future perspectives in the treatment of short bowel syndrome in children-a systematic review. Langenbecks Arch. Surg. 2012;397(7):1043–51. doi: 10.1007/s00423–011–0874–8
- Хасанов Р. Р., Гумеров А. А., Вессель Л. М. Причины развития синдрома короткой кишки. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2017;8(3):8–12.
- O’Brien, D.P. Intestinal adaptation: structure, function, and regulation. Semin. Pediatr. Surg. 2001;10(2):56–64.
- Tappenden K.A. Intestinal Adaptation Following Resection. JPEN J. Parenter. Enteral Nut. 2014;38(1 Suppl):23–31. doi: 10.1177/0148607114525210
- Собко В.Ю., Трофимова Т. Н., Карпенко А. К., Щукина О. Б. Гидро МРТ в диагностике патологии тонкой кишки. Кремлевская медицина. Клинический вестник 2009; (2): 143–5.
- Abu-Zidan, F.M. and Cevik A.A. Diagnostic point-of-care ultrasound (POCUS) for gastrointestinal pathology: state of the art from basics to advanced. World J. Emerg. Surg. 2018; 13: 47. doi: 10.1186/s13017–018–0209-y
- Gongidi P. and Bellah R. D. Ultrasound of the pediatric appendix. Pediatr. Radiol. 2017; 47(9): 1091–100. DOI: 10.1007/ s00247–017–3928–4
- Sulieman A., Elhag B., Alkhorayef M., Babikir E., Theodorou K., Kappas C., Bradley D. Estimation of effective dose and radiation risk in pediatric barium studies procedures. Appl. Radiat. Isot. 2018;138: 40–4. DOI: 10.1016/j. apradiso.2017.07.013
- Kinner S., Hahnemann M. L., Forsting M., Lauenstein T. C. Magnetic resonance imaging of the bowel: today and tomorrow. Rofo, 2015;187(3): 160–7. doi: 10.1055/s-0034–1385453
- Щукина О.Б., Собко В. Ю. Фекальный кальпротектин и гидро-МРТ в оценке активности болезни крона. Вестник северо-западного государственного медицинского университета им. И. И. Мечникова, 2013;5(1):78–83.
- Maccioni F. Double-contrast magnetic resonance imaging of the small and large bowel: effectiveness in the evaluation of inflammatory bowel disease. Abdom Imaging, 2010; 35(1): 31–40. doi: 10.1007/s00261–008–9482–7
- Пыков М.И., Мазанкова Л. Н., Овечкина Н. Р., Вороненко О. А. Эхографическое исследование толстой кишки у детей. Ультразвуковая и функциональная диагностика, 2006;(2): 91–95.
- Дуброва С.Э., Сташук Г. А. Возможности лучевых методов в диагностике воспалительных заболеваний кишечника. Альманах клинической медицины, 2016; 6(44):757–69.