March 18, 2026 · Gastroenterology · DOI: 10.1053/j.gastro.2026.02.034

Intestinal Ultrasound Scan in Acute Severe Ulcerative Colitis in children: a multicenter prospective study on behalf of the Porto IBD Working Group of ESPGHAN

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This study aimed to evaluate the effectiveness of intestinal ultrasound scans (IUS) in predicting short-term treatment outcomes for pediatric patients with acute severe ulcerative colitis (ASUC). The findings indicate that specific metrics from IUS, such as colonic wall thickness and Milan ultrasound criteria, can reliably forecast steroid resistance and the likelihood of requiring colectomy. Overall, the study suggests that IUS serves as a valuable noninvasive tool in managing ASUC in children.

Luca Scarallo, Patrizia Alvisi, Matteo Bramuzzo, Andrea Domanico, Jaroslaw Kierkus, Manar Matar, Caterina Strisciuglio, Jan De Laffolie, Ilse Broekaert, Marina Aloi, Marta Velasco Rodríguez-Belvís, Sara Renzo, Flavio Labriola, Laura Tasciotti, Gabriele Dragoni, Paolo Lionetti

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