{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T22:14:25Z","timestamp":1764713665369,"version":"3.41.2"},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: determinar o papel da ultrassonografia endosc\u00f3pica (UE) em rela\u00e7\u00e3o \u00e0 resson\u00e2ncia magn\u00e9tica nuclear (RMN) e ao exame sob anestesia (ESA) no manejo de pacientes com doen\u00e7a de Crohn fistulizante perianal.  M\u00e9todos: estudo observacional transversal com pacientes com doen\u00e7a de Crohn perianal, avaliados em um centro terci\u00e1rio de Curitiba, Paran\u00e1, Brasil, de fevereiro de 2016 a mar\u00e7o de 2017. Todos os pacientes foram submetidos \u00e0 UE, RMN e ESA. O grau de concord\u00e2ncia entre os tr\u00eas m\u00e9todos foi avaliado atrav\u00e9s da obten\u00e7\u00e3o do coeficiente de Kappa. Um valor de Kappa de 0,7 ou maior indicou boa concord\u00e2ncia. O teste n\u00e3o param\u00e9trico de Friedman foi utilizado para comparar o n\u00famero de trajetos fistulosos detectados em cada modalidade. Considerou-se o n\u00edvel de signific\u00e2ncia estat\u00edstica como p&lt;0,05.  Resultados: vinte pacientes foram inclu\u00eddos. Houve concord\u00e2ncia entre os tr\u00eas exames em 11 pacientes. O n\u00edvel de concord\u00e2ncia de Kappa entre os tr\u00eas exames foi 0,53 (moderado) (p&lt;0,001). N\u00e3o houve diferen\u00e7a estatisticamente significativa em rela\u00e7\u00e3o ao n\u00famero de trajetos fistulosos detectados nos tr\u00eas exames (p=0,641). Houve falha na identifica\u00e7\u00e3o de um trajeto fistuloso em tr\u00eas pacientes com a UE, em tr\u00eas pacientes com a RMN e em dois pacientes com o ESA.  Conclus\u00e3o: a UE foi compar\u00e1vel \u00e0 RMN e ao ESA para avalia\u00e7\u00e3o da doen\u00e7a de Crohn fistulizante perianal, e pode ser considerada um exame v\u00e1lido para investiga\u00e7\u00e3o pr\u00e9-operat\u00f3ria desses pacientes.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181840","type":"journal-article","created":{"date-parts":[[2019,1,5]],"date-time":"2019-01-05T18:03:44Z","timestamp":1546711424000},"source":"Crossref","is-referenced-by-count":7,"title":["Papel da ultrassonografia endosc\u00f3pica na avalia\u00e7\u00e3o da f\u00edstula perianal na doen\u00e7a de Crohn."],"prefix":"10.1590","volume":"45","author":[{"given":"Rafaela de Araujo","family":"Molteni","sequence":"first","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo Aimor\u00e9","family":"Bonin","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Baldin J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renan Arrais Ykeda","family":"Barreto","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Sergio","family":"Brenner","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T\u00e9rcio Limonge","family":"Lopes","sequence":"additional","affiliation":[{"name":"Iowa Digestive Disease Center,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Paula Della Justina","family":"Volpato","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Cristina","family":"Sartor","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1136\/gut.21.6.525","article-title":"Occurrence and outcome after primary treatment of anal f\u00edstulae in Crohn\u2019s disease","volume":"21","author":"Hellers G","year":"1980","journal-title":"Gut"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1053\/gast.2002.32362","article-title":"The natural history of fistulizing Crohn\u2019s disease in Olmsted County, Minnesota","volume":"122","author":"Schwartz DA","year":"2002","journal-title":"Gastroenterology"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s40477-013-0042-9","article-title":"Imaging techniques and combined medical and surgical treatment of perianal Crohn\u2019s disease","volume":"18","author":"Botti F","year":"2013","journal-title":"J Ultrasound"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.crohns.2009.09.009","article-title":"The second European evidence-based Consensus on the diagnosis and management of Crohn\u2019s disease: special situations","volume":"4","author":"Van Assche G","year":"2010","journal-title":"J Crohns Colitis"},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1016\/j.gastro.2003.08.025","article-title":"AGA technical review on perianal Crohn\u2019s disease","volume":"125","author":"Sandborn WJ","year":"2003","journal-title":"Gastroenterology"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/BF02552656","article-title":"Fistulography for fistula-in-ano. 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