Small Bowel Ultrasound..

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Bammer
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Date Joined Mar 2008
Total Posts : 381
   Posted 6/12/2009 10:40 AM (GMT -7)   
Has anyone had a small bowel ultrasound for any reason and the results?
My GI is having one scheduled for me in three months time.
57 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Lap assisted sigmoidoscopy done May 11/2009


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 6/12/2009 6:53 PM (GMT -7)   
I've never had one. I do remember reading some about them but not much of what I read. How come yuo won't be having it for 3 months yet?
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 6/12/2009 7:15 PM (GMT -7)   
I guess 'cause they aren't as simple as usual ultrasounds, abdominal and pelvic ultrasounds, etc.

http://gut.bmj.com/cgi/content/abstract/50/4/490

You might want to try a search at PubMed for some med journal abstracts.

http://www.ncbi.nlm.nih.gov/sites/entrez


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 6/12/2009 7:22 PM (GMT -7)   
Just had surgery in May and the surgeon found slight stricturing in terminal ileum. I am not having any Crohn's symptoms right now so will wait and see if the metho keeps it under control?
57 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Lap assisted sigmoidoscopy done May 11/2009


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 6/12/2009 7:29 PM (GMT -7)   
Thanks Crohnie Too, I was replying before I got your last post. I did find that web-site earlier but nothing more recent. At least it's not an evasive procedure and may be interesting to find out what they can actually see. No prep, just no food or fluids after midnight the night before.

57 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Lap assisted sigmoidoscopy done May 11/2009


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 6/12/2009 7:35 PM (GMT -7)   
My 19 yr old daughter had one a few months ago, they booked her in for it fairly quickly (which is almost unheard of in this day and age and that was in Calgary too, at the Foothills hospital)...it was just like a regular ultra sound done on the tummy, not invasive in any way, just as you said Bammer, no food/drink after midnight the day before, no having to drink tons of water either like with pregnancy ultra sounds. My daughters came out clear, so that was great news, they figure she has severe IBS, cuz they did all the tests under the sun for IBD and they all came back clear for that.

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


Wolfie40
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Date Joined Dec 2008
Total Posts : 947
   Posted 6/13/2009 4:46 AM (GMT -7)   
Bammer, is that true they found stricturing already and you just had surgery in May?
My doc said if there is Crohns then we go with the big guns of Humira.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Folic Acid, Multivitamin, Dbl. Calcium, Probiotics, Protonix, Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


janicea
Regular Member


Date Joined Feb 2009
Total Posts : 350
   Posted 6/13/2009 4:51 AM (GMT -7)   
this sounds great as a diagnostic test (especially to me because I'm sensitive to the iodine contract in ct's) -- do you have to go to someone specially trained or just the avg technician?
strictures, crohn's, adhesions, endo. fighting Pyoderma Gangrenosum.
Trying LDN 3.5mg nightly ~ because I'm allergic to pentasa and 5ASA's I'm taking Boswellia Serrata. SCD yogurt. Using silver sulfadiazine on Pyoderma . B-12 shots. Juicing veggies!


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 6/13/2009 6:15 AM (GMT -7)   
As difficult as Crohn's can be, especially in the small intestine, I would want the most experienced tech doing this type of ultrasound as possible - and also the most experienced Crohn's radiiologist I could find to read the films.

As a recent example, I had a CTE done locally and the radiologist indicated there was some mild inflammation in the jejunem and duodenum. Since I've had Crohn's since 1975 and it has remained confined to just the original site in the mid-ileum and a small area near the TI all these years I sent the films on CD to my Mayo Clinic gastro and asked that a Mayo radiologist read the films. This local CTE was done almost exactly one year after a CTE done at Mayo last year. The Mayo radiologist even compared the films and found no change and no inflammation in the jejunem or duodenum.

On the basis of that I declined the Entorcort my gastro wanted me to start on and take until our appontment in October. However, trusting soul that I am, since my Crohn's had always responded well to antibiotics and since I also have COPD and had spent a GOOD year (symptom wise) on low dose Zithromax as part of a COPD clinical trial I discussed a round of Zithromax and that is what I am doing now. Medium daily dose of Zithromax for 30 days - along w/a good probiotic, of course.
 
Hopefully, the 3 month delay in your having this small bowel ultrasound is to be sure it is done by a tech and radiologist w/experience in recognizing Crohn's activity in the small bowel via ultrasound.
 
I did correspond w/a Mayo radiologist last year who said they are working w/MRI Enterography for Crohn's. So far the CTE is still superior except in the anal/rectal region where MRE is superior - but - they are working on perfecting the technology and their skills. That could be a real breakthru in small bowel Crohn's recognition w/o the radiation risks!! Especially for those of us w/strictures who can't do the pill cam!


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.

Post Edited (CrohnieToo) : 6/13/2009 7:21:37 AM (GMT-6)


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 6/13/2009 6:51 AM (GMT -7)   
How acurate is a SBFT via ct scan for checking to see if there is any immflammation and the thickness of immflammation?
Is a ultrasound better?
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Folic Acid, Multivitamin, Dbl. Calcium, Probiotics, Protonix, Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 6/13/2009 9:05 PM (GMT -7)   

I just did a search on Dr. Stephanie Wilson who will be doing the ultrasound. She comes with a lot of credentials and specializes in this field. I had an endorectal ultrasound in January which led to the removal of my sticture in sigmoid colon. I did see the operative report and pictures.

Wolfie, back in 2007 when I had my first colonoscopies and was diagnosed there did show some mild Crohn's disease in the terminal ileum but a lot of the tests since then have not got that far, we were more concerned about the stricture in the colon. Colonoscopy in January of this year showed TI normal.  So I won't repeat myself (thread 'Beating myself up' 5/17/2009 but it is debatable wether this area should have been removed at the time of surgery. At post surgery follow up last week I don't really think they answered my question of could this area show OK from inside but show up on outside of bowel or did he get to that area at the last colonoscopy. Or has the metho got something to do with it?

Regardless the treatment is the same, continue with methotrexate and we are waiting three months just to give everything some time. Meanwhile I continue not to have Crohn's symptoms so there are a lot of positives.

Coincidentally my husband has been doing ultrasound on metal for 40 years and says it shows thickness and structure but how well we see it on the small bowel will remain to be seen.


57 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Lap assisted sigmoidoscopy done May 11/2009

Post Edited (Bammer) : 6/14/2009 11:48:31 AM (GMT-6)


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 6/14/2009 5:45 AM (GMT -7)   
I'm sorry! I forgot that they did not remove your TI.
I'm glad that you are feeling well.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Precription Folic Acid, Multivitamin, 1000mg Calcium, Vitamin D, Probiotics,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.

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