TY - JOUR A2 - de la Portilla, Fernando AU - Alabiso, Maria Eleonora AU - Iasiello, Francesca AU - Pellino, Gianluca AU - Iacomino, Aniello AU - Roberto, Luca AU - Pinto, Antonio AU - Riegler, Gabriele AU - Selvaggi, Francesco AU - Reginelli, Alfonso PY - 2016 DA - 2015/12/27 TI - 3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn’s Disease SP - 1895694 VL - 2016 AB - Aim. This study aspires to assess the role of 3D-Endoanal Ultrasound (3D-EAUS) and Magnetic Resonance Imaging (MRI) in preoperative evaluation of the primary tract and internal opening of perianal fistulas, of secondary extensions and abscess. Methods. During 2014, 51 Crohn’s disease patients suspected for perianal fistula were enrolled. All patients underwent physical examination with both the methods and subsequent surgery. Results. In the evaluation of CD perianal fistulas, there are no significant differences between 3D-EAUS and MRI in the identification of abscess and secondary extension. Considering the location, 3D-EAUS was more accurate than MRI in the detection of intersphincteric fistulas (p value = 10−6); conversely, MRI was more accurate than 3D-EAUS in the detection of suprasphincteric fistulas (p value = 0.0327) and extrasphincteric fistulas (pvalue=410-6); there was no significant difference between MRI and 3D-EAUS in the detection of transsphincteric fistulas. Conclusions. Both 3D-EAUS and MRI have a crucial role in the evaluation and detection of CD perianal fistulas. 3D-EAUS was preferable to MRI in the detection of intersphincteric fistulas; conversely, in the evaluation of suprasphincteric and extrasphincteric fistulas the MRI was preferable to 3D-EAUS. SN - 1687-6121 UR - https://doi.org/10.1155/2016/1895694 DO - 10.1155/2016/1895694 JF - Gastroenterology Research and Practice PB - Hindawi Publishing Corporation KW - ER -