Role of Abdominal Imaging in the Diagnosis of IBD Strictures, Fistulas, and Postoperative Complications

Parakkal Deepak, Shannon P. Sheedy, Amy L. Lightner, David H. Bruining

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

2 Scopus citations


Approximately one-third of Crohn's disease (CD) patients have stricturing or penetrating complications at the time of diagnosis, often underdiagnosed conditions without the aid of radiologic imaging. Cross-sectional imaging techniques are complementary to ileocolonoscopy, as they facilitate evaluation of disease extent and severity in regions inaccessible to endoscopy, detection of disease complications (strictures, fistulas, and/or abscesses), and assessment of response to medical management. This chapter summarizes the current state of CD imaging with computed tomography, magnetic resonance imaging, and abdominal ultrasound. The utilization of these modalities for the diagnosis of strictures, penetrating disease (fistulas and/or abscesses), and postoperative complications of inflammatory bowel disease will also be explored.

Original languageEnglish
Title of host publicationInterventional Inflammatory Bowel Disease
Subtitle of host publicationEndoscopic Management and Treatment of Complications
Number of pages17
ISBN (Electronic)9780128113882
ISBN (Print)9780128113899
StatePublished - Jan 1 2018


  • Abdominal abscess
  • Computed tomography
  • Crohn's disease
  • Enterography
  • Fibrosis
  • Fistula
  • Magnetic resonance imaging
  • Ultrasound


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