Our Summary

This study looked at the effectiveness of using ultrasound to detect a relapse of Crohn’s disease after intestinal surgery, and compared it to a more traditional method, the colonoscopy. The researchers used different indicators on the ultrasound like the thickness of the intestine wall and the amount of blood flow to the area. The results from 31 patients suggested that ultrasound was very effective in detecting a return of the disease. They found that ultrasound was more accurate than some common biomarkers (substances used as indicators of a biological state) and could be a good alternative to a colonoscopy. This is important because ultrasounds are less invasive and can be more comfortable for the patient.

FAQs

  1. What was the purpose of the study on the use of ultrasound in detecting Crohn’s disease relapse?
  2. How does the accuracy of ultrasound compare to colonoscopy and other common biomarkers in detecting a return of Crohn’s disease?
  3. Why might ultrasound be considered a more comfortable alternative to a colonoscopy for patients with Crohn’s disease?

Doctor’s Tip

A doctor might tell a patient that regular follow-up ultrasounds can be an effective way to monitor for any potential relapse of Crohn’s disease after intestinal resection surgery. Ultrasounds can provide valuable information about the health of the intestines without the need for more invasive procedures like colonoscopies. It’s important to discuss with your healthcare provider about the frequency of follow-up ultrasounds and any symptoms to watch out for that may indicate a relapse.

Suitable For

Patients with Crohn’s disease, ulcerative colitis, bowel obstructions, tumors or growths in the intestine, severe diverticulitis, or other conditions that affect the intestines may be recommended for intestinal resection. Additionally, patients who have not responded well to other treatments or have complications from their condition may also be candidates for this surgery.

Timeline

Before intestinal resection:

  • Patient experiences symptoms of Crohn’s disease such as abdominal pain, diarrhea, weight loss, and fatigue.
  • Patient undergoes diagnostic tests such as blood tests, imaging studies (ultrasound, CT scan, MRI), and possibly a colonoscopy to confirm the presence of Crohn’s disease.
  • Patient and healthcare team discuss treatment options, including medication and surgery, to manage the disease.
  • If surgery is recommended, patient undergoes pre-operative preparations such as bowel preparation and discussion of potential risks and benefits.

After intestinal resection:

  • Patient undergoes intestinal resection surgery to remove the diseased portion of the intestine.
  • Patient recovers in the hospital for a period of time, where they may receive pain medication, intravenous fluids, and monitoring of their condition.
  • Patient gradually resumes eating and drinking, starting with clear liquids and progressing to solid foods.
  • Patient may experience temporary side effects such as pain, bloating, and changes in bowel habits.
  • Patient is monitored for any signs of complications such as infection, bleeding, or intestinal blockage.
  • Patient follows up with their healthcare team for post-operative care, including monitoring for disease recurrence and adjusting medications as needed.

What to Ask Your Doctor

  1. What is the reason for recommending intestinal resection surgery?
  2. What are the potential risks and complications associated with intestinal resection surgery?
  3. How long is the recovery time after intestinal resection surgery?
  4. Will I need to make any changes to my diet or lifestyle after the surgery?
  5. What follow-up care or monitoring will be necessary after the surgery?
  6. How likely is it that Crohn’s disease will return after intestinal resection surgery?
  7. Are there any alternative treatments or options to consider instead of surgery?
  8. How will my quality of life be impacted after intestinal resection surgery?
  9. How will the surgery affect my ability to have children in the future?
  10. Are there any support groups or resources available for patients undergoing intestinal resection surgery?

Reference

Authors: Yebra Carmona J, Poza Cordón J, Suárez Ferrer C, Martín Arranz E, Lucas Ramos J, Andaluz García I, Sánchez Azofra M, Rueda García JL, Martín Arranz MD. Journal: Gastroenterol Hepatol. 2022 Jan;45(1):40-46. doi: 10.1016/j.gastrohep.2021.02.010. Epub 2021 Mar 19. PMID: 33746025