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European Society of Paediatric Radiology abdominal imaging task force: statement on imaging in very early onset inflammatory bowel disease

  • Tom A. WatsonEmail author
  • Philippe Petit
  • Thomas A. Augdal
  • E. Fred Avni
  • Costanza Bruno
  • M. Beatrice Damasio
  • Kassa Darge
  • Damjana Kjucevsek
  • Stéphanie Franchi-Abella
  • Donald Ibe
  • Annemieke Littooij
  • Luisa Lobo
  • Hans J. Mentzel
  • Marcelo Napolitano
  • Aikaterini Ntoulia
  • Michael Riccabona
  • Samuel Stafrace
  • Magdalena Wozniak
  • Lil-Sofie Ording Müller
ESPR

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.

Keywords

Children Computed tomography Infant Inflammatory bowel disease Magnetic resonance imaging Ultrasound 

Notes

Compliance with ethical standards

Conflicts of interest

None

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Tom A. Watson
    • 1
    Email author
  • Philippe Petit
    • 2
  • Thomas A. Augdal
    • 3
  • E. Fred Avni
    • 4
  • Costanza Bruno
    • 5
  • M. Beatrice Damasio
    • 6
  • Kassa Darge
    • 7
  • Damjana Kjucevsek
    • 8
  • Stéphanie Franchi-Abella
    • 9
  • Donald Ibe
    • 10
  • Annemieke Littooij
    • 11
  • Luisa Lobo
    • 12
  • Hans J. Mentzel
    • 13
  • Marcelo Napolitano
    • 14
  • Aikaterini Ntoulia
    • 15
  • Michael Riccabona
    • 16
  • Samuel Stafrace
    • 17
  • Magdalena Wozniak
    • 18
  • Lil-Sofie Ording Müller
    • 19
  1. 1.Department of Radiology,Great Ormond Street Hospital for Children NHS Foundation Trust,LondonUK
  2. 2.Service d’Imagerie Pédiatrique et PrénataleHôpital Timone EnfantsMarseilleFrance
  3. 3.Department of RadiologyUniversity Hospital of North NorwayTromsøNorway
  4. 4.Department of Pediatric Radiology, Jeanne de Flandre HospitalCHRU de LilleLilleFrance
  5. 5.Department of RadiologyRadiology Institute,VeronaItaly
  6. 6.Department of RadiologyG. Gaslini Institute,GenoaItaly
  7. 7.Department of Radiology, The Children’s Hospital of PhiladelphiaUniversity of Pennsylvania,PhiladelphiaUSA
  8. 8.Department of Diagnostic Imaging, University Children’s HospitalLjubljanaSlovenia
  9. 9.Department of Paediatric Radiology, Hôpital Bicêtre - Hôpitaux Universitaires Paris-SudUniversité Paris-Sud,OrsayFrance
  10. 10.Department of Radiology,Ahmadu Bello University Teaching Hospital Shika,ZariaNigeria
  11. 11.Princess Maxima Center for Pediatric OncologyWilhelmina Children’s Hospital Utrecht/UMCU,Utrechtthe Netherlands
  12. 12.Department of Radiology, Hospital de Santa Maria-CHLNUniversity Hospital,LisbonPortugal
  13. 13.Section of Pediatric Radiology, Institute of Diagnostic and Interventional RadiologyUniversity Hospital Jena,JenaGermany
  14. 14.Department of Paediatric Radiology and Neuroradiology,V. Buzzi Children’s Hospital,MilanItaly
  15. 15.Department of RadiologyPoole Hospital NHS Foundation TrustPooleUK
  16. 16.Department of Radiology, Division of Pediatric RadiologyUniversity Hospital Graz,GrazAustria
  17. 17.Sidra MedicineDohaQatar
  18. 18.Department of Pediatric RadiologyMedical University of LublinLublinPoland
  19. 19.Department of Radiology and Nuclear Medicine, Unit for Paediatric RadiologyOslo University HospitalOsloNorway

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