Related Experiment Video
Updated: Jun 28, 2026
04:05
A Rat Model of Pouchitis Following Proctocolectomy and Ileal Pouch-Anal Anastomosis Using Dextran Sulfate Sodium
Published on: May 31, 2024
Echo-rich and echo-poor periportal cuffing: pole position for inflammatory bowel diseases
1Gastroenterology, Endocrinology and Metabolism, University of Marburg, Marburg. neesse@med.uni-marburg.de
Ultraschall in Der Medizin (Stuttgart, Germany : 1980)
|October 30, 2008
Summary
Periportal cuffing of the liver is a rare ultrasound finding. Echo-rich cuffing is common and linked to inflammatory bowel disease, while echo-poor cuffing suggests malignancy, particularly hematological disorders.
Area of Science:
- Radiology and Medical Imaging
- Gastroenterology
- Oncology
Background:
- Periportal cuffing is an ultrasonographic finding indicating fluid accumulation around the portal vein branches.
- Its prevalence and association with specific pathologies require further investigation.
Purpose of the Study:
- To determine the prevalence of echo-rich and echo-poor periportal cuffing.
- To correlate these ultrasonographic findings with clinical data in patients.
Main Methods:
- Retrospective analysis of 10,500 abdominal ultrasound examinations over six years.
- Evaluation of echomorphology of periportal cuffing in 100 detected patients.
- Clinical diagnoses were categorized into liver, hematological, bowel diseases, and others.
Main Results:
- Periportal cuffing was predominantly echo-rich (91%) versus echo-poor (9%).
- Echo-poor periportal cuffing showed a significantly higher association with malignant diseases (78%) compared to echo-rich (36%).
- Echo-poor cuffing was linked to hematological malignancies, while echo-rich cuffing was more common in inflammatory bowel disease.
Conclusions:
- Periportal cuffing is a rare ultrasonographic finding with a prevalence of approximately 0.95%.
- Echo-poor periportal cuffing is a potential indicator of underlying malignancy.
- Echo-rich periportal cuffing is more frequently associated with inflammatory and benign conditions like inflammatory bowel disease.
Related Concept Videos
01:26Inflammatory Bowel Disease I: Introduction
Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...
01:25Inflammatory Bowel Disease III: Crohn's Disease
Crohn’s disease is a chronic, relapsing form of inflammatory bowel disease characterized by segmental, transmural inflammation that can affect any part of the gastrointestinal tract. Its pathogenesis arises from a combination of genetic susceptibility, environmental exposures, epithelial barrier dysfunction, and immune dysregulation. Together, these factors lead to an exaggerated immune response against components of the gut microbiome.Genetic and Environmental InfluencesMultiple genetic...
01:30Inflammatory Bowel Disease II: Crohn's Disease
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
01:17Chronic Bowel Disorders: Introduction
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:20Inflammatory Bowel Disease II: Ulcerative Colitis
Ulcerative colitis is a chronic inflammatory disorder of the colon characterized by continuous mucosal inflammation that typically begins in the rectum and extends proximally in a uniform pattern. Its pathogenesis involves a complex interplay of genetic predisposition, immune dysregulation, and environmental influences. These factors converge to impair the colon’s epithelial defenses and promote an exaggerated inflammatory response against luminal contents.Breakdown of the Mucosal BarrierA...