{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T01:58:49Z","timestamp":1781229529648,"version":"3.54.1"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T00:00:00Z","timestamp":1419292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2015,1]]},"abstract":"Abstract<\/jats:title>Background and Aims<\/jats:title>In evaluating small bowel C<\/jats:styled-content>rohn's disease (CD<\/jats:styled-content>), small intestine contrast\u2010enhanced ultrasonography (SICUS<\/jats:styled-content>) is emerging as an alternative to magnetic resonance enterography (MRE<\/jats:styled-content>). This retrospective study compared the diagnostic accuracy of SICUS<\/jats:styled-content> and MRE<\/jats:styled-content> with surgical findings, and their level of agreement.<\/jats:p><\/jats:sec>Methods<\/jats:title>We identified a cohort of CD<\/jats:styled-content> patients investigated by either SICUS<\/jats:styled-content> and\/or MRE<\/jats:styled-content> that subsequently required resective bowel surgery within 6 months. The accuracy and agreement of SICUS<\/jats:styled-content> and MRE<\/jats:styled-content> to detect small bowel complications were compared with intraoperative findings using kappa coefficient (\u03ba). Agreement between SICUS<\/jats:styled-content> and MRE<\/jats:styled-content> in those undergoing both modalities was also assessed.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 67 patients were evaluated; 25 underwent SICUS<\/jats:styled-content> and 17 underwent MRE<\/jats:styled-content> prior to surgery. Another 25 patients underwent both SICUS<\/jats:styled-content> and MRE<\/jats:styled-content>. When compared with intraoperative findings, the sensitivity of SICUS<\/jats:styled-content> and MRE<\/jats:styled-content> was 87.5% and 100%, respectively, in detecting strictures, 87.7% and 66.7% for fistulae, 100% for both in identifying abscesses, 100% and 66.7% for bowel dilatation, and 94.7% and 81.8% in defining bowel wall thickening. When correlating SICUS<\/jats:styled-content> and MRE<\/jats:styled-content> with surgery, there was a high level of agreement in localizing strictures (\u03ba\u2009=\u20090.75, 0.88, respectively), fistulae (\u03ba\u2009=\u20090.82, 0.79) and abscesses (\u03ba\u2009=\u20090.87, 0.77). Concordance between SICUS<\/jats:styled-content> and MRE<\/jats:styled-content> was substantial or almost complete in identifying stricturing disease (\u03ba\u2009=\u20090.84), their number and location (\u03ba\u2009=\u20090.85), fistulae (\u03ba\u2009=\u20090.65), and mucosal thickening (\u03ba\u2009=\u20090.61).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>SICUS<\/jats:styled-content> accurately identified small bowel complications and correlated well with MRE<\/jats:styled-content> and intraoperative findings. SICUS<\/jats:styled-content> offers an alternative in the preoperative assessment of CD<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.12724","type":"journal-article","created":{"date-parts":[[2014,8,28]],"date-time":"2014-08-28T12:34:46Z","timestamp":1409229286000},"page":"86-91","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Small intestinal contrast ultrasonography for the detection of small bowel complications in C<\/scp>rohn's disease: Correlation with intraoperative findings and magnetic resonance enterography"],"prefix":"10.1111","volume":"30","author":[{"given":"Shankar","family":"Kumar","sequence":"first","affiliation":[{"name":"St George's University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aishah","family":"Hakim","sequence":"additional","affiliation":[{"name":"St George's University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Alexakis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology St George's Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Chhaya","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology St George's Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demitrios","family":"Tzias","sequence":"additional","affiliation":[{"name":"Department of Radiology St George's Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Pilcher","sequence":"additional","affiliation":[{"name":"Department of Radiology St George's Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnny","family":"Vlahos","sequence":"additional","affiliation":[{"name":"Department of Radiology St George's Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Pollok","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology St George's Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,23]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00054725-200207000-00002"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2009.12.003"},{"key":"e_1_2_5_4_1","first-page":"1823","article-title":"Incidence, presentation, and prognosis of small bowel adenocarcinoma in patients with small bowel Crohn's disease: a prospective observational study","volume":"19","author":"Elriz K","year":"2013","journal-title":"Inflamm. 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