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Inicio Radiología (English Edition) Bowel ultrasound: Examination techniques and normal and pathologic patterns
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Vol. 62. Issue 6.
Pages 517-527 (November - December 2020)
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Vol. 62. Issue 6.
Pages 517-527 (November - December 2020)
Series: Ultrasound of the gastrointestinal tract
DOI: 10.1016/j.rxeng.2020.09.003
Bowel ultrasound: Examination techniques and normal and pathologic patterns
Ecografía intestinal: técnicas de examen, patrones normales y patológicos
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M.J. Martínez Péreza,
Corresponding author
martinez_marper@gva.es

Corresponding author.
, E. Blanc Garcíaa, J.A. Merino Bonillab
a Servicio de Radiodiagnóstico, Hospital Universitario Doctor Peset, Valencia, Spain
b Servicio de Radiodiagnóstico, Hospital Santiago Apóstol, Miranda de Ebro, Burgos, Spain
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Table 1. Bowel disease distribution.
Table 2. Differential diagnosis of low-echogenicity abdominal adenopathies.
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Abstract

Ultrasound is being increasingly used to study the digestive tract because it has certain advantages over other techniques such as endoscopy, CT enterography, and MR enterography. Ultrasound can be used to evaluate the bowel wall and the elements that surround it without the need for contrast agents; its ability to evaluate the elasticity and peristalsis of these structures is increasing interest in its use. This article describes the techniques and modalities of bowel ultrasound, as well as the normal features of the bowel wall and contiguous structures. It uses a practical approach to review the main pathological findings and their interpretation, and the different patterns of presentation, which will help orient the diagnosis.

Keywords:
Ultrasonography
Bowel ultrasound
Digestive tract
Small bowel
Colon
Inflammatory bowel disease
Resumen

El estudio del tubo digestivo con ecografía está experimentando en los últimos años un auge debido a las cualidades que tiene frente a otras técnicas como la endoscopia, la entero-TC o la entero-RM. Su capacidad de valorar la pared intestinal y elementos que la rodean sin necesidad de administración de contraste y la posibilidad de evaluar la elasticidad y peristaltismo de estas estructuras está generando un progresivo interés en su utilización. En este artículo se describe la técnica ecográfica y sus modalidades, así como las características normales de la pared intestinal y de las estructuras contiguas. Se revisan, con un enfoque práctico, los principales hallazgos patológicos y su interpretación, y los diferentes patrones de presentación, que nos aportarán una aproximación útil para orientar el diagnóstico.

Palabras clave:
Ecografía
Ecografía intestinal
Tubo digestivo
Intestino delgado
Colon
Enfermedad inflamatoria intestinal

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