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3.
Pediatr Radiol ; 49(6): 841-848, 2019 05.
Article in English | MEDLINE | ID: mdl-30915515

ABSTRACT

Very early onset inflammatory bowel disease (VEO-IBD) is defined as disease presenting before the age of 6. These children require a tailored imaging approach because conventional imaging studies can be difficult to perform at such a young age. Unlike inflammatory bowel disease in older children and adults, colonic disease predominates in VEO-IBD, and small-bowel disease is rare. Distinguishing Crohn disease from ulcerative colitis is challenging both clinically and on histology. Radiology offers the greatest utility for detecting small-bowel disease because it helps to distinguish the two main disease entities and guide clinical management. Small-bowel ultrasound is recommended as the first-line investigation because it requires relatively little preparation, is readily available and is generally well tolerated in young children. We present these recommendations, based on the current evidence for radiologic management in this group, and propose an imaging algorithm for investigating VEO-IBD.


Subject(s)
Inflammatory Bowel Diseases/diagnostic imaging , Algorithms , Child , Diagnosis, Differential , Europe , Female , Humans , Male
4.
Pediatr Radiol ; 48(10): 1528-1536, 2018 09.
Article in English | MEDLINE | ID: mdl-29796794

ABSTRACT

At the European Society of Paediatric Radiology (ESPR) annual meeting 2017 in Davos, Switzerland, the ESPR Abdominal (gastrointestinal and genitourinary) Imaging Task Force set out to complete the suggestions for paediatric abdominal imaging and its procedural recommendations. Some final topics were addressed including how to perform paediatric gastrointestinal ultrasonography. Based on the recent approval of ultrasound (US) contrast agents for paediatric use, important aspects of paediatric contrast-enhanced US were revisited. Additionally, the recent developments concerning the use and possible brain deposition of gadolinium as a magnetic resonance imaging contrast agent were presented. The recommendations for paediatric use were reissued after considering all available evidence. Recent insights on the incidence of neoplastic lesions in children with testicular microlithiasis were discussed and led to a slightly altered recommendation.


Subject(s)
Calculi/diagnostic imaging , Contrast Media/administration & dosage , Gadolinium/administration & dosage , Gastrointestinal Diseases/diagnostic imaging , Magnetic Resonance Imaging/standards , Testicular Diseases/diagnostic imaging , Ultrasonography/standards , Child , Female , Humans , Male
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