ECCO-ESGAR Guideline for Diagnostic Assessment in IBD Part 1: Initial diagnosis, monitoring of known IBD, detection of complications.

By C. Maaser, A. Sturm, S. Vavricka, T. Kucharzik, G. Fiorino, V. Annese, E. Calabrese, Daniel C. Baumgart, D. Bettenworth, Paula Borralho Nunes and 20 more. Journal of Crohn's & Colitis, 2018

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White blood cell scintigraphy is not indicated for diagnosis and characterisation of fistulae. A systematic review revealed the following point estimates for diagnosis of abscesses: using surgery as a reference standard, IUS had a sensitivity of 84% and a specificity of 93%, which was dependent on disease location in CD. 81 Detection of intra-abdominal abscesses via CT, with surgery as the reference standard, revealed a sensitivity of 86% and a specificity of 88%. 350 One prospective study showed a sensitivity of 85% and specificity of 95% of CT for intra-abdominal abscesses. 372 CT and ultrasound showed an overall high and comparable accuracy in the detection of intra-abdominal abscesses, although CT showed a slightly greater positive predictive value than ultrasound.

Subfields: Epidemiology, Genetics, Surgery

View Paper: https://www.semanticscholar.org/paper/3b9f870d96b5e4510270ab164d828cc65f8ff9a7

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