C. Maaser, A. Sturm, S. Vavricka, T. Kucharzik, G. Fiorino, V. Annese, E. Calabrese, D. Baumgart, D. Bettenworth, Paula Borralho Nunes, J. Burisch, F. Castiglione, R. Eliakim, P. Ellul, Y. González-Lama, H. Gordon, S. Halligan, K. Katsanos, U. Kopylov, P. Kotze, E. Krustiņš, A. Laghi, J. Limdi, Florian Rieder, J. Rimola, S. Taylor, D. Tolan, P. V. van Rheenen, B. Verstockt, J. Stoker
2018.8.23Journal of Crohns & Colitis
tlooto Summary
CT and ultrasound showed an overall high and comparable accuracy in the detection of intra-abdominal abscesses, although CT showed a slightly greater positive predictive value than ultrasound.
Abstract
White blood cell scintigraphy is not indicated for diagnosis and characterisation of fistulae. A systematic review revealed the following point estimates for diagnosis of abscesses: using surgery as a reference standard, IUS had a sensitivity of 84% and a specificity of 93%, which was dependent on disease location in CD. 81 Detection of intra-abdominal abscesses via CT, with surgery as the reference standard, revealed a sensitivity of 86% and a specificity of 88%. 350 One prospective study showed a sensitivity of 85% and specificity of 95% of CT for intra-abdominal abscesses. 372 CT and ultrasound showed an overall high and comparable accuracy in the detection of intra-abdominal abscesses, although CT showed a slightly greater positive predictive value than ultrasound.
Citation format
MAASER, C., et al. ECCO-ESGAR guideline for diagnostic assessment in IBD part 1: Initial diagnosis, monitoring of known IBD, detection of complications. Journal of Crohns & Colitis, 2018, 13 2: 144–164.