Z Gastroenterol 2008; 46(9): 883-896
DOI: 10.1055/s-2008-1027408
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Sonografische Funktionsuntersuchungen in der Gastroenterologie

Functional Ultrasound in GastroenterologyD. Nuernberg1 , B. Braden2 , A. Ignee3 , D. G. Schreiber-Dietrich4 , C. F. Dietrich3
  • 1Medizinische Klinik B. Gastroenterologie, Ruppiner Kliniken, Neuruppin
  • 2Abteilung für Gastroenterologie, John Radcliffe Hospital, Oxford
  • 3Innere Medizin 2, Caritas-Krankenhaus, Bad Mergentheim
  • 4Pädiatrie, Caritas-Krankenhaus, Bad Mergentheim
Further Information

Publication History

Manuskript eingetroffen: 16.2.2008

Manuskript akzeptiert: 2.4.2008

Publication Date:
22 September 2008 (online)

Zusammenfassung

Die Sonografie stellt in der klinischen Routine der Diagnostik von gastroenterologischen Erkrankungen eine wichtige Untersuchungsmethode dar. Sie ist vorrangig ein morphologisches Untersuchungsverfahren. Da der Ultraschall aber Wandstrukturen von Hohlorganen wie der Gallenblase, des Pankreasganges und des gesamten Magen-Darm-Traktes hervorragend beurteilen und als Echtzeitmethode (real-time) die Bewegungsabläufe darstellen kann, eignet sich das Verfahren auch bestens zur Untersuchung und Erforschung funktioneller Abläufe bzw. von deren Störungen. Wir geben eine Übersicht über die Möglichkeiten der Funktionssonografie in den einzelnen Organbereichen. Die praktische Relevanz wird kritisch eingeschätzt.

Abstract

Ultrasonography has become increasingly important in the routine diagnostics of gastrointestinal diseases. It is first of all a morphological diagnostic method. As it not only assesses the wall structure of the gallbladder, the pancreatic duct and the whole gastrointestinal tract but also visualises motion sequences as a real-time-method, functional processes and their disruptions can especially be examined. The present authors give a review of the capacity of functional ultrasound in different anatomic zones and critically discuss its practical relevance.

Literatur

  • 1 Sengupta S, Modak P, McCauley N. et al . Effect of oral clarithromycin on gall-bladder motility in normal subjects and those with gall-stones.  Aliment Pharmacol Ther. 2006;  24 (1) 95-99
  • 2 Arai Y, Tamada K, Satoh Y. et al . Ultrasonography with liquid type CalorieMate for gallbladder motility.  Nippon Shokakibyo Gakkai Zasshi. 2005;  102 (11) 1412-1416
  • 3 Pallotta N, Calabrese E, Alghisi F. et al . Ultrasonography in the assessment of gastric and gallbladder motor function.  Diabetes Nutr Metab. 2004;  17 (1) 37-42
  • 4 Lanzini A, Lanzarotto F, Baisini O. et al . Value of measuring gallbladder motility in clinical practice.  Dig Liver Dis. 2003;  35 (Suppl 3) S46-S50
  • 5 Lock G, Kammerl M, Schlottmann K. et al . Gallbladder motility in healthy volunteers: effects of age, gender, body mass index, and hair color.  Hepatogastroenterology. 2003;  50 (53) 1232-1235
  • 6 Guliter S, Yilmaz S, Karakan T. Evaluation of gallbladder volume and motility in non-insulin-dependent diabetes mellitus patients using real-time ultrasonography.  J Clin Gastroenterol. 2003;  37 (4) 288-291
  • 7 Shaffer E A. Acalculous biliary pain: motility dysfunction and functional pain.  Can J Gastroenterol. 2001;  15 (6) 358-359
  • 8 Qvist N. Review article: gall-bladder motility after intestinal surgery.  Aliment Pharmacol Ther. 2000;  14 Suppl 2 35-38
  • 9 Toouli J. Biliary motility disorders.  Baillieres Clin Gastroenterol. 1997;  11 (4) 725-740
  • 10 Wedmann B, Droge C, Amoiridis G. et al . Gallbladder motility in diabetic patients with and without cardiovascular neuropathy.  Z Gastroenterol. 1992;  30 (8) 519-524
  • 11 Festi D, Frabboni R, Bazzoli F. et al . Gallbladder motility in cholesterol gallstone disease. Effect of ursodeoxycholic acid administration and gallstone dissolution.  Gastroenterology. 1990;  99 (6) 1779-1785
  • 12 Pauletzki J, Sackmann M, Holl J. et al . Evaluation of gallbladder volume and emptying with a novel three-dimensional ultrasound system: comparison with the sum-of-cylinders and the ellipsoid methods.  J Clin Ultrasound. 1996;  24 (6) 277-285
  • 13 Stolk M F, Erpecum K J, Berge Henegouwen G P. et al . Gallbladder volume and contraction measured by sum-of-cylinders method compared with ellipsoid and area-length methods.  Acta Radiol. 1990;  31 (6) 591-596
  • 14 Dodds W J, Groh W J, Darweesh R M. et al . Sonographic measurement of gallbladder volume.  Am J Roentgenol. 1985;  145 (5) 1009-1011
  • 15 Everson G T, Braverman D Z, Johnson M L. et al . A critical evaluation of real-time ultrasonography for the study of gallbladder volume and contraction.  Gastroenterology. 1980;  79 (1) 40-46
  • 16 Everson G T. Gallbladder function in gallstone disease.  Gastroenterol Clin North Am. 1991;  20 (1) 85-110
  • 17 Thompson J C, Fried G M, Ogden W D. et al . Correlation between release of cholecystokinin and contraction of the gallbladder in patients with gallstones.  Ann Surg. 1982;  195 (5) 670-676
  • 18 Jakobeit van C, Greiner L, Wenzel H. Sonography for determining indications and monitoring shockwave lithotripsy of gallbladder calculi.  Z Gastroenterol Verh. 1989;  24 211-212
  • 19 Koop H. Function tests in gastroenterology.  Internist (Berl). 1995;  36 (1) 9-17
  • 20 Meeberg P C, Portincasa van de P, Wolfhagen F H. et al . Increased gall bladder volume in primary sclerosing cholangitis.  Gut. 1996;  39 (4) 594-599
  • 21 Behar J, Corazziari E, Guelrud M. et al . Functional gallbladder and sphincter of oddi disorders.  Gastroenterology. 2006;  130 (5) 1498-1509
  • 22 Toouli J. Biliary Dyskinesia.  Curr Treat Options Gastroenterol. 2002;  5 (4) 285-291
  • 23 Shrestha S, Pasricha P J. Chronic Visceral Right Upper Quadrant Pain Without Gallstones.  Curr Treat Options Gastroenterol. 2001;  4 (2) 123-131
  • 24 Yost F, Margenthaler J, Presti M. et al . Cholecystectomy is an effective treatment for biliary dyskinesia.  Am J Surg. 1999;  178 (6) 462-465
  • 25 Goncalves R M, Harris J A, Rivera D E. Biliary dyskinesia: natural history and surgical results.  Am Surg. 1998;  64 (6) 493-497
  • 26 Khosla R, Singh A, Miedema B W. et al . Cholecystectomy alleviates acalculous biliary pain in patients with a reduced gallbladder ejection fraction.  South Med J. 1997;  90 (11) 1087-1090
  • 27 Dumont R C, Caniano D A. Hypokinetic gallbladder disease: a cause of chronic abdominal pain in children and adolescents.  J Pediatr Surg. 1999;  34 (5) 858-861
  • 28 Westlake P J, Hershfield N B, Kelly J K. et al . Chronic right upper quadrant pain without gallstones: does HIDA scan predict outcome after cholecystectomy?.  Am J Gastroenterol. 1990;  85 (8) 986-990
  • 29 Patankar R, Ozmen M M, Bailey I S. et al . Gallbladder motility, gallstones, and the surgeon.  Dig Dis Sci. 1995;  40 (11) 2323-2335
  • 30 Jourdan J L, Stubbs R S. Acalculous gallbladder pain: a largely unrecognised entity.  N Z Med J. 1999;  112 (1087) 152-154
  • 31 Wald A. Functional biliary-type pain: update and controversies.  J Clin Gastroenterol. 2005;  39 (5 Suppl) S217-S222
  • 32 Kamerling I M, Van Haarst A D, De Kam M L. et al . Gallbladder volume as a biomarker for the motilin effect in healthy volunteers and patients with functional dyspepsia.  Aliment Pharmacol Ther. 2004;  19 (7) 797-804
  • 33 Acalovschi M, Dumitrascu D L, Suteu T. et al . Misoprostol induces gallbladder contraction during fasting, but does not influence postprandial emptying: an ultrasound study in healthy subjects.  Acta Gastroenterol Belg. 2002;  65 (4) 191-195
  • 34 Murray F E, Stinchcombe S J, Hawkey C J. Effect of indomethacin and misoprostol on fasted gallbladder volume and meal-induced gallbladder contractility in humans.  Dig Dis Sci. 1992;  37 (8) 1228-1231
  • 35 Cahan M A, Balduf L, Colton K. et al . Proton pump inhibitors reduce gallbladder function.  Surg Endosc. 2006;  20 (9) 1364-1367
  • 36 Pallotta N. Ultrasonography in the assessment of gallbladder motor activity.  Dig Liver Dis. 2003;  35 Suppl 3 S67-S69
  • 37 Pallotta N, Corazziari E, Scopinaro F. et al . Noninvasive estimate of bile flux through the gallbladder in humans.  Am J Gastroenterol. 1998;  93 (10) 1877-1885
  • 38 Rajan M, Wali J P, Sharma M P. et al . Ultrasonographic assessment of gall bladder kinetics in the elderly.  Indian J Gastroenterol. 2000;  19 (4) 158-160
  • 39 Sari R, Balci M K, Coban E. et al . Sonographic evaluation of gallbladder volume and ejection fraction in obese women without gallstones.  J Clin Ultrasound. 2003;  31 (7) 352-357
  • 40 Degirmenci B, Albayrak R, Haktanir A. et al . Acute effect of smoking on gallbladder emptying and refilling in chronic smokers and nonsmokers: a sonographic study.  World J Gastroenterol. 2006;  12 (34) 5540-5543
  • 41 Yap L, Wycherley A G, Morphett A D. et al . Acalculous biliary pain: cholecystectomy alleviates symptoms in patients with abnormal cholescintigraphy.  Gastroenterology. 1991;  101 (3) 786-793
  • 42 Pons V, Ballesta A, Ponce M. et al . Dynamic ultrasonography in the diagnosis of gallbladder dysfunction: reliability of a simple method with easy clinical application.  Gastroenterol Hepatol. 2003;  26 (1) 8-12
  • 43 Andersen I B, Monrad H, Gronvall S. et al . In vitro and in vivo accuracy of sonographic gallbladder volume determinations.  J Clin Ultrasound. 1993;  21 (3) 157-162
  • 44 Schiedermaier P, Neubrand M, Hansen S. et al . Variability of gallbladder emptying after oral stimulation.  Scand J Gastroenterol. 1997;  32 (7) 719-724
  • 45 Cay A, Imamoglu M, Sarihan H. et al . Ultrasonographic evaluation of fatty meal stimulated gallbladder contraction in the diagnosis of biliary dyskinesia in children.  Acta Paediatr. 2006;  95 (7) 838-842
  • 46 Wedmann B, Schmidt G, Wegener M. et al . Sonographic evaluation of gallbladder kinetics: in vitro and in vivo comparison of different methods to assess gallbladder emptying.  J Clin Ultrasound. 1991;  19 (6) 341-349
  • 47 Hashimoto S, Goto H, Hirooka Y. et al . An evaluation of three-dimensional ultrasonography for the measurement of gallbladder volume.  Am J Gastroenterol. 1999;  94 (12) 3492-3496
  • 48 Corcioni E, Mazzuca L, Russo F. et al .Ultrasonographic study of the modifications of the caliber of the duct of Wirsung after physiologic stimulation. Milan; Masson Italia 1983
  • 49 Bolondi L, Gandolfi L, Corcioni E. et al .Ultrasonographic visualisation of normal and pathological duct of Wirsung (abstract). Ref Type: Art Work Amsterdam; Excerpta Medica 1981 4th Eur Cong Ultrasonics Med
  • 50 Bolondi L, Li B S, Gaiani S. et al . Impaired response of main pancreatic duct to secretin stimulation in early chronic pancreatitis.  Dig Dis Sci. 1989;  34 (6) 834-840
  • 51 Bolondi L, Priori P, Gullo L. et al . Relationship between morphological changes detected by ultrasonography and pancreatic exocrine function in chronic pancreatitis.  Pancreas. 1987;  2 (2) 222-229
  • 52 Glaser J, Hogemann B, Krummenerl T. et al . Sonographic imaging of the pancreatic duct. New diagnostic possibilities using secretin stimulation.  Dig Dis Sci. 1987;  32 (10) 1075-1081
  • 53 Masoero G, Bianco A, Rossanino A. et al . Ultrasonic monitoring of Wirsung duct following secretin in controls and in chronic pancreatitis patients.  Pancreas. 1987;  2 (3) 344-349
  • 54 Hadidi A. Pancreatic duct diameter: sonographic measurement in normal subjects.  J Clin Ultrasound. 1983;  11 (1) 17-22
  • 55 Bolondi L, Li B S, Gaiani S. et al . Impaired response of main pancreatic duct to secretin stimulation in early chronic pancreatitis.  Dig Dis Sci. 1989;  34 (6) 834-840
  • 56 Bolondi L, Gaiani S, Casanova P. et al . Improvement of pancreatic ultrasound imaging after secretin administration.  Ultrasound Med Biol. 1983;  9 (5) 497-501
  • 57 Cavallini G, Rigo L, Brunori M P. et al . Ultrasonography-secretin test pattern after acute administration of octreotide in healthy persons and in patients with recurrent acute pancreatitis.  J Clin Gastroenterol. 1997;  24 (4) 231-234
  • 58 Glaser J, Mann O, Pausch J. Diagnosis of chronic pancreatitis by means of a sonographic secretin test.  Int J Pancreatol. 1994;  15 (3) 195-200
  • 59 Glaser J. Clinical perspectives of a sonographic secretin test.  Z Gastroenterol. 1997;  35 (7) 579-583
  • 60 Glaser J, Stienecker K. Ultrasound secretin test in patients with pancreas divisum – an aid in the diagnosis of papillary or dorsal duct stenosis?.  Z Gastroenterol. 1999;  37 (7) 585-588
  • 61 Di Francesco V, Brunori M P, Rigo L. et al . Comparison of ultrasound-secretin test and sphincter of Oddi manometry in patients with recurrent acute pancreatitis.  Dig Dis Sci. 1999;  44 (2) 336-340
  • 62 Manfredi R, Costamagna G, Brizi M G. et al . Severe chronic pancreatitis versus suspected pancreatic disease: dynamic MR cholangiopancreatography after secretin stimulation.  Radiology. 2000;  214 (3) 849-855
  • 63 Catalano M F, Lahoti S, Alcocer E. et al . Dynamic imaging of the pancreas using real-time endoscopic ultrasonography with secretin stimulation.  Gastrointest Endosc. 1998;  48 (6) 580-587
  • 64 Di Francesco V, Angelini G, Zoico E. et al . Effect of native somatostatin on Sphincter of Oddi motility in patients with acute recurrent pancreatitis. A pilot study with Ultrasound-Secretin test.  Dig Liver Dis. 2006;  38 (4) 268-271
  • 65 Naik D R, Moore D J. Ultrasound diagnosis of gastro-oesophageal reflux.  Arch Dis Child. 1984;  59 (4) 366-367
  • 66 DeFriend D E, Dubbins P A. Sonographic demonstration of a pharyngoesophageal diverticulum.  J Clin Ultrasound. 2000;  28 (9) 485-487
  • 67 Kim J, Kim Y J, Kim E K. et al . Incidentally found pharyngoesophageal diverticulum on ultrasonography.  Yonsei Med J. 2002;  43 (2) 271-273
  • 68 Komatsu M, Komatsu T, Inove K. Ultrasonography of Zenker’s diverticulum: special reference to differential diagnosis from thyroid nodules.  Eur J Ultrasound. 2000;  11 (2) 123-125
  • 69 Kwak J Y, Kim E K. Sonographic findings of Zenker diverticula.  J Ultrasound Med. 2006;  25 (5) 639-642
  • 70 Yahara T, Machi J. Image of the month. Zenker diverticulum.  Arch Surg. 2002;  137 (5) 619-620
  • 71 Gomes H, Lallemand A, Lallemand P. Ultrasound of the gastroesophageal junction.  Pediatr Radiol. 1993;  23 (2) 94-99
  • 72 Naik D R, Bolia A, Moore D J. Comparison of barium swallow and ultrasound in diagnosis of gastro-oesophageal reflux in children.  Br Med J (Clin Res Ed). 1985;  290 (6486) 1943-1945
  • 73 Aliotta A, Rapaccini G L, Pompili M. et al . Ultrasonographic signs of sliding, gastric, and hiatal hernia: their prospective evaluation.  J Ultrasound Med. 1994;  13 (9) 665-669
  • 74 Braden B, Schröder O, Schneider A. Bestimmung von Magenentleerung und Dünndarmtransit. Stein J, Wehrmann T Funktionsdiagnostik in der Gastroenterologie Berlin Heidelberg; Springer 2006
  • 75 Gilja O H, Thune N, Matre K. et al . In vitro evaluation of three-dimensional ultrasonography in volume estimation of abdominal organs.  Ultrasound Med Biol. 1994;  20 (2) 157-165
  • 76 Gilja O H, Smievoll A I, Thune N. et al . In vivo comparison of 3D ultrasonography and magnetic resonance imaging in volume estimation of human kidneys.  Ultrasound Med Biol. 1995;  21 (1) 25-32
  • 77 Gilja O H, Hausken T, Odegaard S. et al . Three-dimensional ultrasonography of the gastric antrum in patients with functional dyspepsia.  Scand J Gastroenterol. 1996;  31 (9) 847-855
  • 78 Gilja O H, Lunding J, Hausken T. et al . Gastric accommodation assessed by ultrasonography.  World J Gastroenterol. 2006;  12 (18) 2825-2829
  • 79 Wedmann B, Adamek R J, Wegener M. Ultrasound detection of gastric antrum motility – evaluating a simple semiquantitative method.  Ultraschall in Med. 1995;  16 (3) 124-126
  • 80 Gilja O H. Ultrasound of the Stomach – The EUROSON Lecture 2006.  Ultraschall in Med. 2007;  28 (1) 32-39
  • 81 Pallotta N, Cicala M, Frandina C. et al . Antro-pyloric contractile patterns and transpyloric flow after meal ingestion in humans.  Am J Gastroenterol. 1998;  93 (12) 2513-2522
  • 82 Gomes H, Hornoy P, Liehn J C. Ultrasonography and gastric emptying in children: validation of a sonographic method and determination of physiological and pathological patterns.  Pediatr Radiol. 2003;  33 (8) 522-529
  • 83 Hveem K, Jones K L, Chatterton B E. et al . Scintigraphic measurement of gastric emptying and ultrasonographic assessment of antral area: relation to appetite.  Gut. 1996;  38 (6) 816-821
  • 84 Gentilcore D, Hausken T, Horowitz M. et al . Measurements of gastric emptying of low- and high-nutrient liquids using 3D ultrasonography and scintigraphy in healthy subjects.  Neurogastroenterol Motil. 2006;  18 (12) 1062-1068
  • 85 Loreno M, Bucceri A M, Catalano F. et al . Pattern of gastric emptying in functional dyspepsia. An ultrasonographic study.  Dig Dis Sci. 2004;  49 (3) 404-407
  • 86 Ajaj W, Goehde S C, Papanikolaou N. et al . Real time high resolution magnetic resonance imaging for the assessment of gastric motility disorders.  Gut. 2004;  53 (9) 1256-1261
  • 87 Benini L, Sembenini C, Heading R C. et al . Simultaneous measurement of gastric emptying of a solid meal by ultrasound and by scintigraphy.  Am J Gastroenterol. 1999;  94 (10) 2861-2865
  • 88 Acalovschi M, Dumitrascu D L, Csakany I. Gastric and gall bladder emptying of a mixed meal are not coordinated in liver cirrhosis – a simultaneous sonographic study.  Gut. 1997;  40 (3) 412-417
  • 89 Kusunoki H, Haruma K, Hata J. et al . Real-time ultrasonographic assessment of antroduodenal motility after ingestion of solid and liquid meals by patients with functional dyspepsia.  J Gastroenterol Hepatol. 2000;  15 (9) 1022-1027
  • 90 Pedersen J F. A modified sonographic technique for assessment of gastric emptying of liquid.  Acta Radiol. 2003;  44 (3) 340-342
  • 91 Pedersen J F. Sonographic comparison of gastric emptying of broth and water: is there a promoting cephalic factor?.  Acta Radiol. 2005;  46 (2) 132-134
  • 92 Hveem K, Sun W M, Hebbard G. et al . Relationship between ultrasonically detected phasic antral contractions and antral pressure.  Am J Physiol Gastrointest Liver Physiol. 2001;  281 (1) G95-101
  • 93 Loreno M, Bucceri A M, Catalano F. et al . Gastric clearance of radiopaque markers in the evaluation of gastric emptying rate.  Scand J Gastroenterol. 2004;  39 (12) 1215-1218
  • 94 Talley N J, Locke III G R, Tack J. Does delayed gastric emptying really cause symptoms in functional dyspepsia?.  We still doubt it! Gut. 2006;  55 (11) 1674
  • 95 Hausken T, Berstad A. Wide gastric antrum in patients with non-ulcer dyspepsia. Effect of cisapride.  Scand J Gastroenterol. 1992;  27 (5) 427-432
  • 96 Sogabe M, Okahisa T, Tsujigami K. et al . Ultrasonographic assessment of gastric motility in diabetic gastroparesis before and after attaining glycemic control.  J Gastroenterol. 2005;  40 (6) 583-590
  • 97 Moldovan C, Dumitrascu D L, Demian L. et al . Gastroparesis in diabetes mellitus: an ultrasonographic study.  Rom J Gastroenterol. 2005;  14 (1) 19-22
  • 98 Undeland K A, Hausken T, Svebak S. et al . Wide gastric antrum and low vagal tone in patients with diabetes mellitus type 1 compared to patients with functional dyspepsia and healthy individuals.  Dig Dis Sci. 1996;  41 (1) 9-16
  • 99 Undeland K A, Hausken T, Gilja O H. et al . Gastric meal accommodation studied by ultrasound in diabetes. Relation to vagal tone.  Scand J Gastroenterol. 1998;  33 (3) 236-241
  • 100 Hausken T, Odegaard S, Matre K. et al . Antroduodenal motility and movements of luminal contents studied by duplex sonography.  Gastroenterology. 1992;  102 (5) 1583-1590
  • 101 Haider N, Spicer R, Grier D. Ultrasound diagnosis of infantile hypertrophic pyloric stenosis: determinants of pyloric length and the effect of prematurity.  Clin Radiol. 2002;  57 (2) 136-139
  • 102 Dietrich C F, Sarrazin C, Zeuzem S. et al . Sprue-assoziiertes T-Zell-Lymphom der Leber – Ultraschall als wegweisender Befund.  Ultraschall in Med. 1997;  18 22
  • 103 Dietrich C F, Brunner V, Seifert H. et al . Intestinal B-mode sonography in patients with endemic sprue. Intestinal sonography in endemic sprue.  Ultraschall in Med. 1999;  20 (6) 242-247
  • 104 Fraquelli M, Colli A, Colucci A. et al . Accuracy of ultrasonography in predicting celiac disease.  Arch Intern Med. 2004;  164 (2) 169-174
  • 105 Fraquelli M, Sciola V, Villa C. et al . The role of ultrasonography in patients with celiac disease.  World J Gastroenterol. 2006;  12 (7) 1001-1004
  • 106 Lembcke B. Die gastroenterologische Ultraschalldiagnostik. Reinbeck; Einhorn-Press-Verlag ed. 1992
  • 107 Lembcke B, Pohl M, Krackhardt B. et al .Ökosystem Darm VII. Berlin Heidelberg New York; Springer Verlag ed 1997
  • 108 Nuernberg D, Ignee A, Dietrich C F. Current status of ultrasound in gastroenterology – bowel and upper gastrointestinal tract – part 1.  Z Gastroenterol. 2007;  45 (7) 629-640
  • 109 Bedi D G, Fagan C J, Nocera R M. Sonographic diagnosis of bowel obstruction presenting with fluid-filled loops of bowel.  J Clin Ultrasound. 1985;  13 (1) 23-30
  • 110 Derchi L E, Bazzocchi M, Brovero P L. Sonographic diagnosis of obstructed afferent loop.  Gastrointest Radiol. 1992;  17 (2) 105-107
  • 111 Buljevac M, Busic Z, Cabrijan Z. Sonographic diagnosis of gallstone ileus.  J Ultrasound Med. 2004;  23 (10) 1395-1398
  • 112 Dite P, Lata J, Novotny I. Intestinal obstruction and perforation – the role of the gastroenterologist.  Dig Dis. 2003;  21 (1) 63-67
  • 113 Grassi R, Romano S, D’Amario F. et al . The relevance of free fluid between intestinal loops detected by sonography in the clinical assessment of small bowel obstruction in adults.  Eur J Radiol. 2004;  50 (1) 5-14
  • 114 Heistermann H P, Joosten U, Krawzak H W. et al . Effect of intestinal ultrasound on choice of surgical procedure in acute abdominal pain.  Ultraschall in Med. 1995;  16 (6) 288-292
  • 115 Ko Y T, Lim J H, Lee D H. et al . Small bowel obstruction: sonographic evaluation.  Radiology. 1993;  188 (3) 649-653
  • 116 Meiser G, Waclawiczek H W, Heinerman M. et al . Intermittent incomplete ileus of the small intestine. Sonographic diagnosis and trends.  Chirurg. 1990;  61 (9) 651-655
  • 117 Schmutz G R, Benko A, Fournier L. et al . Small bowel obstruction: role and contribution of sonography.  Eur Radiol. 1997;  7 (7) 1054-1058
  • 118 Seitz K, Merz M. Ultrasound ileus diagnosis.  Ultraschall in Med. 1998;  19 (6) 242-249
  • 119 Borner N, Clement T, Behringer U. et al . Die Farbduplexsonographie zur Aktivitätsbeurteilung chronisch entzündlicher Darmerkrankungen.  Z Gastroenterol. 1998;  36 725
  • 120 Kratzer W, Schmidt S A, Mittrach C. et al . Contrast-enhanced wideband harmonic imaging ultrasound (SonoVue): a new technique for quantifying bowel wall vascularity in Crohn’s disease.  Scand J Gastroenterol. 2005;  40 (8) 985-991
  • 121 Parente F, Maconi G, Bollani S. et al . Bowel ultrasound in assessment of Crohn’s disease and detection of related small bowel strictures: a prospective comparative study versus × ray and intraoperative findings.  Gut. 2002;  50 (4) 490-495
  • 122 Parente F, Greco S, Molteni M. et al . Oral contrast enhanced bowel ultrasonography in the assessment of small intestine Crohn’s disease. A prospective comparison with conventional ultrasound, × ray studies, and ileocolonoscopy.  Gut. 2004;  53 (11) 1652-1657
  • 123 Rapaccini G L, Pompili M, Orefice R. et al . Contrast-enhanced power doppler of the intestinal wall in the evaluation of patients with Crohn disease.  Scand J Gastroenterol. 2004;  39 (2) 188-194
  • 124 Robotti D, Cammarota T, Debani P. et al . Activity of Crohn disease: value of Color-Power-Doppler and contrast-enhanced ultrasonography.  Abdom Imaging. 2004;  29 (6) 648-652
  • 125 Schlottmann K, Kratzer W, Scholmerich J. Doppler ultrasound and intravenous contrast agents in gastrointestinal tract disorders: current role and future implications.  Eur J Gastroenterol Hepatol. 2005;  17 (3) 263-275
  • 126 Briskin B S, Smakov G M, Borodin A S. et al . Occlusive ileus in colonic cancer.  Khirurgiia. 1999;  (5) 37-40
  • 127 Dietrich C F, Brunner V, Lembcke B. Intestinal ultrasound in rare small and large intestinal diseases.  Z Gastroenterol. 1998;  36 (11) 955-970
  • 128 Truong S, Arlt G, Pfingsten F. et al . Importance of sonography in diagnosis of ileus. A retrospective study of 459 patients.  Chirurg. 1992;  63 (8) 634-640
  • 129 Bonkoungou G, Traore S S, Kirakoya B. et al . Intestinal invaginations in children: 24 cases treated at the Yalgado National University Hospital in Ouedraogo.  Sante. 1999;  9 (4) 215-217
  • 130 Kurtz B, Steidle B, Molzahn E. Invagination in adults.  Röntgenstr Fortschr. 1993;  158 (4) 314-319
  • 131 Tellado M G, Liras J, Mendez R. et al . Ultrasound-guided hydrostatic reduction for the treatment of idiopathic intestinal invagination.  Cir Pediatr. 2003;  16 (4) 166-168
  • 132 Zielke A, Forster R, Klotter H J. et al . Ileocolic invagination in adults. The sonographic characteristics.  Dtsch Med Wochenschr. 1991;  116 (38) 1424-1427
  • 133 Doi O, Aoyama K, Hutson J M. Twenty-one cases of small bowel intussusception: the pathophysiology of idiopathic intussusception and the concept of benign small bowel intussusception.  Pediatr Surg Int. 2004;  20 (2) 140-143
  • 134 Lagalla R, Caruso G, Novara V. et al . Color Doppler ultrasonography in pediatric intussusception.  J Ultrasound Med. 1994;  13 (3) 171-174
  • 135 Lim H K, Bae S H, Lee K H. et al . Assessment of reducibility of ileocolic intussusception in children: usefulness of color Doppler sonography.  Radiology. 1994;  191 (3) 781-785
  • 136 Linke F, Eble F, Berger S. Postoperative intussusception in childhood.  Pediatr Surg Int. 1998;  14 (3) 175-177
  • 137 Amend M, Greiner L. The sono-capsule: a new method for measuring gastrointestinal motility.  Ultraschall in Med. 1996;  17 (6) 274-276
  • 138 Amend M, Jakobeit C, Greiner L. Akustisches Verhalten ingestierbarer Fremdkörper in vivo – zur Sonographie gastrointestinaler Motilität.  Verdauungskrankheiten. 1995;  13 (1) 21
  • 139 der Ohe M R. The sonographical diagnosis of colon motility by colonhydrosonography – a routine method?.  Ultraschall in Med. 2001;  22 S41 (Ultraschall 2001-25. Dreiländertreffen Schröder O, Schneider A)
  • 140 Dixit von R, Chowdhury V, Kumar N. Hydrocolonic sonography in the evaluation of colonic lesions.  Abdom Imaging. 1999;  24 (5) 497-505
  • 141 Limberg B. Diagnosis and staging of colonic tumors by conventional abdominal sonography as compared with hydrocolonic sonography.  N Engl J Med. 1992;  327 (2) 65-69
  • 142 Loftus W K, Metreweli C, Sung J J. et al . Ultrasound, CT and colonoscopy of colonic cancer.  Br J Radiol. 1999;  72 (854) 144-148
  • 143 Dux M, Richter G M, Roeren T. et al . Gastrointestinal imaging with hydrosonography and hydro-CT.  Röntgenstr Fortschr. 1996;  164 (5) 359-367
  • 144 Limberg B. Diagnosis of chronic inflammatory bowel disease by ultrasonography.  Z Gastroenterol. 1999;  37 (6) 495-508
  • 145 Limberg B. Hydrocolonic sonography – potentials and limitations of ultrasonographic diagnosis of colon diseases.  Z Gastroenterol. 2001;  39 (12) 1007-1015
  • 146 Caprioli F, Losco A, Vigano C. et al . Computer-assisted evaluation of perianal fistula activity by means of anal ultrasound in patients with Crohn’s disease.  Am J Gastroenterol. 2006;  101 (7) 1551-1558
  • 147 PF, Leon-Jimenez E, Cisneros N. et al . Use of anorectal ultrasounds in perianal Crohn s disease: consistency with clinical data.  Rev Esp Enferm Dig. 2006;  98 (10) 747-754
  • 148 Giovannini M, Ardizzone S. Anorectal ultrasound for neoplastic and inflammatory lesions.  Best Pract Res Clin Gastroenterol. 2006;  20 (1) 113-135
  • 149 Roche B, Deleaval J, Fransioli A. et al . Comparison of transanal and external perineal ultrasonography.  Eur Radiol. 2001;  11 (7) 1165-1170
  • 150 Titi M, Jenkins J T, Urie A. et al . Prospective study of the diagnostic evaluation of faecal incontinence and leakage in male patients.  Colorectal Dis. 2007;  9 (7) 647-652
  • 151 Jenkins J T, Urie A, Molloy R G. Anterior anal fissures are associated with occult sphincter injury and abnormal sphincter function.  Colorectal Dis. 2008;  10 (3) 280-285
  • 152 Remes-Troche J M, Rao S S. Current concepts in the pathophysiology, diagnosis and treatment of fecal incontinence.  Rev Gastroenterol Mex. 2006;  71 (4) 496-507
  • 153 Saranovic D, Barisic G, Krivokapic Z. et al . Endoanal ultrasound evaluation of anorectal diseases and disorders: technique, indications, results and limitations.  Eur J Radiol. 2007;  61 (3) 480-489
  • 154 Dobben A C, Terra M P, Deutekom M. et al . Anal inspection and digital rectal examination compared to anorectal physiology tests and endoanal ultrasonography in evaluating fecal incontinence.  Int J Colorectal Dis. 2007;  22 (7) 783-790
  • 155 Bharucha A E. Update of tests of colon and rectal structure and function.  J Clin Gastroenterol. 2006;  40 (2) 96-103
  • 156 Kumar A, Scholefield J H. Endosonography of the anal canal and rectum.  World J Surg. 2000;  24 (2) 208-215
  • 157 Geile D, Osterholzer G, Rosenberg R. Diagnostics and conservative treatment of anal incontinence.  Wien Med Wochenschr. 2004;  154 (3 – 4) 76-83
  • 158 Buchmann P. Surgical therapy of fecal incontinence.  Ther Umsch. 2003;  60 (5) 289-295
  • 159 Buhr H J, Kroesen A J. The importance of diagnostics in faecal incontinence. Endosonography.  Chirurg. 2003;  74 (1) 4-14
  • 160 Roche B, Deleaval J, Fransioli A. et al . Comparison of transanal and external perineal ultrasonography.  Eur Radiol. 2001;  11 (7) 1165-1170
  • 161 Clement T, Swars H, Boerner N. et al . Venous occlusive disease of the liver – a rare pregnancy complication.  Internist. 1990;  31 (4) 297-300
  • 162 Seitz K, Wermke W. Portal hypertension – current status of ultrasound diagnosis.  Z Gastroenterol. 1995;  33 (6) 349-361
  • 163 Zwiebel W J. Sonographic diagnosis of diffuse liver disease.  Semin Ultrasound CT MR. 1995;  16 (1) 8-15
  • 164 Ignee A, Gebel M, Caspary W F. et al . Doppler imaging of hepatic vessels – review.  Z Gastroenterol. 2002;  40 (1) 21-32
  • 165 Dietrich C F, Ignee A, Seitz K H. et al . Duplex sonography of visceral arteries.  Ultraschall in Med. 2001;  22 (6) 247-257
  • 166 Dietrich C F, Wehrmann T, Zeuzem S. et al . Analysis of hepatic echo patterns in chronic hepatitis C.  Ultraschall in Med. 1999;  20 (1) 9-14
  • 167 Dietrich C F, Lee J H, Gottschalk R. et al . Hepatic and portal vein flow pattern in correlation with intrahepatic fat deposition and liver histology in patients with chronic hepatitis C.  Am J Roentgenol. 1998;  171 (2) 437-443
  • 168 Izbicki J R, Schneider C G, Kastl S. Partial ischemia. Occlusive and nonocclusive mesenteric ischemia, ischemic colitis, systemic lupus erythematosus.  Chirurg. 2003;  74 (5) 413-418
  • 169 Klein S A, Martin H, Schreiber-Dietrich D. et al . A new approach to evaluating intestinal acute graft-versus-host disease by transabdominal sonography and colour Doppler imaging.  Br J Haematol. 2001;  115 (4) 929-934
  • 170 Lock G, Scholmerich J. Non-occlusive mesenteric ischemia.  Hepatogastroenterology. 1995;  42 (3) 234-239
  • 171 Roobottom C A, Dubbins P A. Significant disease of the celiac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography.  Am J Roentgenol. 1993;  161 (5) 985-988
  • 172 Trompeter M, Brazda T, Remy C T. et al . Non-occlusive mesenteric ischemia: etiology, diagnosis, and interventional therapy.  Eur Radiol. 2002;  12 (5) 1179-1187
  • 173 Lassau N, Auperin A, Leclere J. et al . Prognostic value of doppler-ultrasonography in hepatic veno-occlusive disease 28.  Transplantation. 2002;  74 (1) 60-66
  • 174 Wang J T, Zhao H Y, Liu Y L. Portal vein thrombosis.  Hepatobiliary Pancreat Dis Int. 2005;  4 (4) 515-518
  • 175 Wermke W. Examination technique and findings of ultrasound procedures in portal hypertension.  Z Arztl Fortbild. 1994;  88 (10) 763-772
  • 176 Lock G, Scholmerich J. Non-occlusive mesenteric ischemia.  Hepatogastroenterology. 1995;  42 (3) 234-239
  • 177 Roobottom C A, Dubbins P A. Significant disease of the celiac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography.  Am J Roentgenol. 1993;  161 (5) 985-988
  • 178 English W P, Pearce J D, Craven T E. et al . Chronic visceral ischemia: symptom-free survival after open surgical repair.  Vasc Endovascular Surg. 2004;  38 (6) 493-503
  • 179 Moneta G L, Yeager R A, Dalman R. et al . Duplex ultrasound criteria for diagnosis of splanchnic artery stenosis or occlusion.  J Vasc Surg. 1991;  14 (4) 511-518
  • 180 Perko M J, Just S, Schroeder T V. Importance of diastolic velocities in the detection of celiac and mesenteric artery disease by duplex ultrasound.  J Vasc Surg. 1997;  26 (2) 288-293
  • 181 Teefey S A, Roarke M C, Brink J A. et al . Bowel wall thickening: differentiation of inflammation from ischemia with color Doppler and duplex US.  Radiology. 1996;  198 (2) 547-551
  • 182 Smythe A, Majeed A W, Fitzhenry M. et al . A requiem for the cholecystokinin provocation test?.  Gut. 1998;  43 (4) 571-574
  • 183 Gollin G, Raschbaum G R, Moorthy C. et al . Cholecystectomy for suspected biliary dyskinesia in children with chronic abdominal pain.  J Pediatr Surg. 1999;  34 (5) 854-857

Prof. Christoph F. Dietrich

Innere Medizin 2, Caritas-Krankenhaus Bad Mergentheim

Uhlandstr. 7

97980 Bad Mergentheim

Phone: ++ 49/79 31/58 22 01

Fax: ++ 49/79 31/58 22 90

Email: christoph.dietrich@ckbm.de

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