Published In
Turkish Journal of Gastroenterology
Volume 37 · Issue 4
Pages: 455-463
History
Published Online: January 26, 2026
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright © 2026 İlksen Kökbaş, Ebru Hasbay, Betül Aksoy, Yeliz Çağan Appak, Serenay Çetinoğlu, Sinem Kahveci, Şenay Onbaşı Karabağ, Selen Güler, Maşallah Baran
İlksen Kökbaş
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Ebru Hasbay
Department of Radiology, İzmir City Hospital, İzmir, Türkiye
Betül Aksoy
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Yeliz Çağan Appak
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Serenay Çetinoğlu
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Sinem Kahveci
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Şenay Onbaşı Karabağ
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Selen Güler
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Maşallah Baran
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Kökbaş, İlksen, Hasbay, E., Aksoy, B., Çağan Appak, Y., Çetinoğlu, S., Kahveci, S., … Baran, M. (2026). The Role of Intestinal Ultrasonography in Children with Inflammatory Bowel Disease. Turkish Journal of Gastroenterology, 37(4), 455–463. https://doi.org/10.5152/tjg.2026.25401
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Abstract
Background/Aims: Endoscopic and histopathological evaluation are important in the diagnosis and follow-up of inflammatory bowel disease (IBD), but they are invasive methods. This study aimed to evaluate the use of ultrasonography (USG), a noninvasive examination, in diagnosing and monitoring children with IBD.
Materials and Methods: The study included IBD and non-IBD patients who underwent a prospective diagnostic colonoscopy. After colonoscopy, bowel wall thickness (BWT) of the patients was measured using USG. Ultrasonographic, endoscopic, histological, and laboratory findings were then compared.
Results: Of the 62 patients who underwent colonoscopy, 25 (40.3%) were female. The mean age of the patients was 14.7 ± 3.5 years. Forty-three (69.4%) patients were diagnosed with ulcerative colitis, 12 (19.4%) with Crohn’s disease. Seven (11.3%) patients had normal colonoscopy findings. The BWT of the terminal ileum, left colon, and sigmoid colon were significantly higher in children with IBD. The BWT cut-off was detected as 2.55 mm in the terminal ileum, 3.35 mm in the right colon, 2.5 mm in the left colon and 2.25 mm in the sigmoid colon. When BWT in the terminal ileum and left colon increased, histopathological inflammation was significantly detected. A moderate positive correlation was observed between the C-reactive protein, erythrocyte sedimentation rate, and platelet values and the BWT values.
Conclusion: Ultrasonography can be useful in the diagnosis of IBD patients. Specifically, BWT was found to be particularly sensitive and specific during the inflammatory period.
Cite this article as: Kökbaş İ, Hasbay E, Aksoy B, et al. The role of intestinal ultrasonography in children with inflammatory bowel disease. Turk J Gastroenterol. 2026;37(4):455-463.
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Article Info
Published In
Journal
Turkish Journal of Gastroenterology
Volume / Issue
Volume 37 · Issue 4
Pages
455-463
History
Published Online
January 26, 2026
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
Copyright (c) 2026 İlksen Kökbaş, Ebru Hasbay, Betül Aksoy, Yeliz Çağan Appak, Serenay Çetinoğlu, Sinem Kahveci, Şenay Onbaşı Karabağ, Selen Güler, Maşallah Baran
Affiliations
İlksen Kökbaş
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Ebru Hasbay
Department of Radiology, İzmir City Hospital, İzmir, Türkiye
Betül Aksoy
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Yeliz Çağan Appak
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Serenay Çetinoğlu
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Sinem Kahveci
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Şenay Onbaşı Karabağ
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Selen Güler
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Maşallah Baran
Department of Pediatric Gastroenterology, Hepatology and Nutrition, İzmir Katip Çelebi University Faculty of Medicine, İzmir City Hospital, İzmir, Türkiye
Cite this Article
Kökbaş, İlksen, Hasbay, E., Aksoy, B., Çağan Appak, Y., Çetinoğlu, S., Kahveci, S., … Baran, M. (2026). The Role of Intestinal Ultrasonography in Children with Inflammatory Bowel Disease. Turkish Journal of Gastroenterology, 37(4), 455–463. https://doi.org/10.5152/tjg.2026.25401
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