The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn’s disease
Research output: Contribution to journal › Article › peer-review
Technique: After laparoscopic mobilisation of the bowel a periumbilical incision is performed for extracorporeal division of the mesentery and the resection and anastomosis. A gastrointestinal consultant radiologist, with expertise in Crohn’s disease imaging and abdominal ultrasound performs the full intraoperative assessment of the small bowel, by applying directly on the bowel a sterile probe, prior to resection being performed by the surgeon. The bowel is assessed through the wound protector with a sterile technique and the length, location and number of segments is documented together with further quantitative assessment using the (MREnterography or ultrasound in Crohn’s disease) METRIC scoring guide.
Results: A step by step protocol for intraoperative ultrasound evaluation of the entire small bowel has been described.
Conclusions: A standardised approach to intraoperative evaluation of extent and location of Crohn’s disease is desirable. Intraoperative ultrasound may provide added value for assessment of proximal and multifocal Crohn’s disease.
|Early online date||25 Oct 2019|
|Publication status||Published - 1 Mar 2020|
- Portsmouth protocol for intraoperative
Rights statement: This is the peer reviewed version of the following article: Celentano, V. , Beable, R. , Ball, C. , Flashman, K. , Reeve, R. , Holmes, A. , Fogg, C. , Harper, M. and Higginson, A. (2019), Portsmouth protocol for intraoperative ultrasound of the small bowel in Crohn’s disease. Colorectal Dis. Accepted Author Manuscript. doi:10.1111/codi.14888, which has been published in final form at https://doi.org/10.1111/codi.14888. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Accepted author manuscript (Post-print), 455 KB, PDF document