Ultrasound examination of the sigmoid colon: possible new diagnostic tool for irritable bowel syndrome
Objective Irritable bowel syndrome (IBS) affects about 10% of the population, and is primarily a disease of women. It may cause chronic pelvic pain. As yet there is no imaging test to aid in diagnosis, which relies upon history. We aimed to determine whether transvaginal sonographic investigation of...
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| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2006-02, Vol.27 (2), p.206-209 |
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| container_title | Ultrasound in obstetrics & gynecology |
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| creator | Crade, M. Pham, V. |
| description | Objective
Irritable bowel syndrome (IBS) affects about 10% of the population, and is primarily a disease of women. It may cause chronic pelvic pain. As yet there is no imaging test to aid in diagnosis, which relies upon history. We aimed to determine whether transvaginal sonographic investigation of the sigmoid colon could aid in the diagnosis of IBS.
Method
Transvaginal ultrasound was used in 175 female patients undergoing pelvic ultrasound studies for a variety of reasons, none specifically for bowel complaints. We measured the wall of the sigmoid colon and then obtained the history of positive or negative for IBS.
Results
The majority of those 27 reporting a history of IBS had thickening of the wall of the sigmoid colon. A cut‐off of 3.0 mm gave a sensitivity for this group of patients of 70%, specificity of 95%, positive predictive value of 73% and negative predictive value of 95%.
Conclusion
Transvaginal ultrasound may be useful in identifying patients at risk for IBS. Consideration of colon wall measurement during pelvic ultrasound should be studied, as IBS may be a cause of chronic pelvic pain. Copyright © 2006 ISUOG. Published by John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/uog.2620 |
| format | Article |
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Irritable bowel syndrome (IBS) affects about 10% of the population, and is primarily a disease of women. It may cause chronic pelvic pain. As yet there is no imaging test to aid in diagnosis, which relies upon history. We aimed to determine whether transvaginal sonographic investigation of the sigmoid colon could aid in the diagnosis of IBS.
Method
Transvaginal ultrasound was used in 175 female patients undergoing pelvic ultrasound studies for a variety of reasons, none specifically for bowel complaints. We measured the wall of the sigmoid colon and then obtained the history of positive or negative for IBS.
Results
The majority of those 27 reporting a history of IBS had thickening of the wall of the sigmoid colon. A cut‐off of 3.0 mm gave a sensitivity for this group of patients of 70%, specificity of 95%, positive predictive value of 73% and negative predictive value of 95%.
Conclusion
Transvaginal ultrasound may be useful in identifying patients at risk for IBS. Consideration of colon wall measurement during pelvic ultrasound should be studied, as IBS may be a cause of chronic pelvic pain. Copyright © 2006 ISUOG. Published by John Wiley & Sons, Ltd.</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.2620</identifier><identifier>PMID: 16404710</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Colon, Sigmoid - diagnostic imaging ; constipation ; Constipation - etiology ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gynecology. Andrology. Obstetrics ; Humans ; IBS ; irritable bowel syndrome ; Irritable Bowel Syndrome - diagnostic imaging ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; pelvic pain ; Risk Factors ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; transvaginal ultrasound ; Ultrasonography</subject><ispartof>Ultrasound in obstetrics & gynecology, 2006-02, Vol.27 (2), p.206-209</ispartof><rights>Copyright © 2006 ISUOG. Published by John Wiley & Sons, Ltd.</rights><rights>2006 INIST-CNRS</rights><rights>Copyright (c) 2005 ISUOG.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4460-2022b6943a6ae9ec2e1ba75dcf9443b24acf4dcb9e8ae838a374387eead801753</citedby><cites>FETCH-LOGICAL-c4460-2022b6943a6ae9ec2e1ba75dcf9443b24acf4dcb9e8ae838a374387eead801753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fuog.2620$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fuog.2620$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17460119$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16404710$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crade, M.</creatorcontrib><creatorcontrib>Pham, V.</creatorcontrib><title>Ultrasound examination of the sigmoid colon: possible new diagnostic tool for irritable bowel syndrome</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Objective
Irritable bowel syndrome (IBS) affects about 10% of the population, and is primarily a disease of women. It may cause chronic pelvic pain. As yet there is no imaging test to aid in diagnosis, which relies upon history. We aimed to determine whether transvaginal sonographic investigation of the sigmoid colon could aid in the diagnosis of IBS.
Method
Transvaginal ultrasound was used in 175 female patients undergoing pelvic ultrasound studies for a variety of reasons, none specifically for bowel complaints. We measured the wall of the sigmoid colon and then obtained the history of positive or negative for IBS.
Results
The majority of those 27 reporting a history of IBS had thickening of the wall of the sigmoid colon. A cut‐off of 3.0 mm gave a sensitivity for this group of patients of 70%, specificity of 95%, positive predictive value of 73% and negative predictive value of 95%.
Conclusion
Transvaginal ultrasound may be useful in identifying patients at risk for IBS. Consideration of colon wall measurement during pelvic ultrasound should be studied, as IBS may be a cause of chronic pelvic pain. Copyright © 2006 ISUOG. Published by John Wiley & Sons, Ltd.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Colon, Sigmoid - diagnostic imaging</subject><subject>constipation</subject><subject>Constipation - etiology</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>IBS</subject><subject>irritable bowel syndrome</subject><subject>Irritable Bowel Syndrome - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>pelvic pain</subject><subject>Risk Factors</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>transvaginal ultrasound</subject><subject>Ultrasonography</subject><issn>0960-7692</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0E1v1DAQgGELgehSkPgFyBcqLmnHH2vH3FBVClKlXrrnaOJMFiMnXuxEy_57suxKPSFOvjyaGb-MvRdwLQDkzZy219JIeMFWQhtXgYX1S7YCZ6CyxskL9qaUnwBgtDKv2YUwGrQVsGL9Jk4ZS5rHjtNvHMKIU0gjTz2ffhAvYTuk0HGfYho_810qJbSR-Eh73gXcjqlMwfMppcj7lHnIOUx4FG3aU-TlMHY5DfSWveoxFnp3fi_Z5uvd0-236uHx_vvtl4fKa73cKkHK1jit0CA58pJEi3bd-d5prVqp0fe6862jGqlWNSqrVW2JsKtB2LW6ZFenubucfs1UpmYIxVOMOFKaS2PBCumU_S8UTtYCnFrgpxP0efl8pr7Z5TBgPjQCmmP8ZonfHOMv9MN55twO1D3Dc-0FfDwDLB5jn3H0oTw7uzQQwi2uOrl9iHT458Jm83j_d_Ef0oqcPw</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Crade, M.</creator><creator>Pham, V.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200602</creationdate><title>Ultrasound examination of the sigmoid colon: possible new diagnostic tool for irritable bowel syndrome</title><author>Crade, M. ; Pham, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4460-2022b6943a6ae9ec2e1ba75dcf9443b24acf4dcb9e8ae838a374387eead801753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Colon, Sigmoid - diagnostic imaging</topic><topic>constipation</topic><topic>Constipation - etiology</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>IBS</topic><topic>irritable bowel syndrome</topic><topic>Irritable Bowel Syndrome - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>pelvic pain</topic><topic>Risk Factors</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>transvaginal ultrasound</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crade, M.</creatorcontrib><creatorcontrib>Pham, V.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics & gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crade, M.</au><au>Pham, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound examination of the sigmoid colon: possible new diagnostic tool for irritable bowel syndrome</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2006-02</date><risdate>2006</risdate><volume>27</volume><issue>2</issue><spage>206</spage><epage>209</epage><pages>206-209</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><abstract>Objective
Irritable bowel syndrome (IBS) affects about 10% of the population, and is primarily a disease of women. It may cause chronic pelvic pain. As yet there is no imaging test to aid in diagnosis, which relies upon history. We aimed to determine whether transvaginal sonographic investigation of the sigmoid colon could aid in the diagnosis of IBS.
Method
Transvaginal ultrasound was used in 175 female patients undergoing pelvic ultrasound studies for a variety of reasons, none specifically for bowel complaints. We measured the wall of the sigmoid colon and then obtained the history of positive or negative for IBS.
Results
The majority of those 27 reporting a history of IBS had thickening of the wall of the sigmoid colon. A cut‐off of 3.0 mm gave a sensitivity for this group of patients of 70%, specificity of 95%, positive predictive value of 73% and negative predictive value of 95%.
Conclusion
Transvaginal ultrasound may be useful in identifying patients at risk for IBS. Consideration of colon wall measurement during pelvic ultrasound should be studied, as IBS may be a cause of chronic pelvic pain. Copyright © 2006 ISUOG. Published by John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>16404710</pmid><doi>10.1002/uog.2620</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Free Content; Access via Wiley Online Library; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Colon, Sigmoid - diagnostic imaging constipation Constipation - etiology Female Gastroenterology. Liver. Pancreas. Abdomen Gynecology. Andrology. Obstetrics Humans IBS irritable bowel syndrome Irritable Bowel Syndrome - diagnostic imaging Medical sciences Middle Aged Other diseases. Semiology pelvic pain Risk Factors Stomach. Duodenum. Small intestine. Colon. Rectum. Anus transvaginal ultrasound Ultrasonography |
| title | Ultrasound examination of the sigmoid colon: possible new diagnostic tool for irritable bowel syndrome |
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