BookMassimo Tonolini, editor.
Summary: During the past decade, the medical and surgical treatment of ulcerative colitis has undergone dramatic advances, including the widespread use of immunomodulators, biological drugs, and restorative proctocolectomy. In order to correctly balance the risks and benefits of medical therapies and surgical procedures, there is a need for improved diagnosis of colonic disease, acute complications, extraintestinal manifestations, and early and delayed postoperative complications. Cross-sectional imaging techniques are therefore playing an increasing role in the assessment of ulcerative colitis and provide an essential complement to clinical data and endoscopy. This practical, illustrated volume on the role of cross-sectional imaging is aimed at radiologists, gastroenterologists, and surgeons who are engaged or interested in the diagnosis and care of patients with inflammatory bowel disease, particularly ulcerative colitis. After an overview of diagnostic imaging techniques, state-of-the-art assessment of colorectal inflammatory disease with CT colonography using water enema and bowel MRI is discussed, followed by description of the plain radiographic and CT findings in patients with acute exacerbations and surgical complications. Subsequent chapters review the diagnostic findings and role of cross-sectional imaging in the assessment of sclerosing cholangitis (with emphasis on MR cholangiopancreatography), vascular complications (particularly portal and mesenteric thrombosis), colitis-associated colorectal cancer and perianal inflammatory disease. Normal postoperative appearances and early and delayed complications in patients treated with proctocolectomy and ileal pouch-anal anastomosis are also comprehensively reviewed.
Contents:
1. Introduction / Massimo Tonolini
2. Medical needs / Emilia Bareggi and Michela Monteleone
3. Intestinal ultrasound in ulcerative colitis / Cristina Bezzio, Federica Furfaro, Michela Monteleone and Giovanni Maconi
4. Water enema multidetector CT colonography : technique, role and imaging findings in ulcerative colitis / Alba H. Norsa and Massimo Tonolini
5. Magnetic resonance imaging of ulcerative colitis / Francesca Maccioni and Fabrizio Mazzamurro
6. Radiographic and CT imaging assessment of acute exacerbations and surgical complications / Sonia Ippolito, Massimo Tonolini and Chiara Villa
7. Cross-sectional imaging mimics of ulcerative colitis / Massimo Tonolini
8. Hepato-bilio-pancreatic complications of ulcerative colitis / Giovanni Pompili, Alice Munari, Alessandro Campari and Gianpaolo Cornalba
9. Vascular complications of ulcerative colitis / Massimo Tonolini
10. Neoplasms in ulcerative colitis / Massimo Tonolini
11. Musculoskeletal manifestations of ulcerative colitis / Roberto Bianco and Massimo Tonolini
12. Surgical perspective on perianal complications in ulcerative colitis / Gianluca Matteo Sampietro, Francesco Colombo, Alice Frontali and Diego Foschi
13. Imaging of perianal inflammatory disorders in ulcerative colitis / Chiara Villa
14. Ileal pouch-anal anastomosis surgery : surgical techniques / Gianluca Matteo Sampietro, Francesco Colombo, Silvia Casiraghi and Diego Foschi
15. Imaging of ileal pouch surgery and related complications / Massimo Tonolini.