Published online May 7, 2015. doi: 10.3748/wjg.v21.i17.5231
Peer-review started: December 19, 2014
First decision: February 10, 2015
Revised: February 26, 2015
Accepted: March 31, 2015
Article in press: March 31, 2015
Published online: May 7, 2015
Processing time: 145 Days and 22.5 Hours
Inflammatory bowel disease (IBD) is one of the most common chronic gastrointestinal diseases in pediatric patients. Choosing the optimal imaging modality for the assessment of gastrointestinal disease in pediatric patients can be challenging. The invasiveness and patient acceptance, the radiation exposure and the quality performance of the diagnostic test need to be considered. By reviewing the literature regarding imaging in inflammatory bowel disease the value of ultrasound in the clinical management of pediatric patients is highlighted. Transabdominal ultrasound is a useful, noninvasive method for the initial diagnosis of IBD in children; it also provides guidance for therapeutic decisions and helps to characterize and predict the course of the disease in individual patients. Ultrasound techniques including color Doppler imaging and contrast-enhanced ultrasound are promising imaging tools to determine disease activity and complications. Comparative studies between different imaging methods are needed.
Core tip: Inflammatory bowel disease is one of the most common chronic gastrointestinal diseases in pediatric patients. Choosing the optimal imaging modality for the assessment of gastrointestinal disease in pediatric patients can be challenging. The presented paper is intended to discuss the value of ultrasound, including conventional ultrasound, color Doppler imaging and contrast enhanced ultrasound, in the clinical management of pediatric patients with inflammatory bowel disease.