Feasibility of transperineal intestinal ultrasound in assessing ulcerative proctitis during pregnancy

Tessa Greeve; Ralley E Prentice; Edward Shelton; Frauke Lever; Ray Boyapati; Megan Burns; Sally J Bell

doi:10.1002/jgh3.70035

Feasibility of transperineal intestinal ultrasound in assessing ulcerative proctitis during pregnancy

JGH Open. 2024 Nov 5;8(11):e70035. doi: 10.1002/jgh3.70035. eCollection 2024 Nov.

Authors

Tessa Greeve^{1

2}, Ralley E Prentice^{1

2

3}, Edward Shelton¹, Frauke Lever⁴, Ray Boyapati^{1

2}, Megan Burns¹, Sally J Bell^{1

3

5}

Affiliations

¹ Department of Gastroenterology Monash Health Melbourne Victoria Australia.
² Faculty of Medicine, Nursing and Health Sciences Monash University Melbourne Victoria Australia.
³ Department of Gastroenterology St Vincent's Hospital Melbourne Melbourne Victoria Australia.
⁴ Department of Diagnostic Imaging Monash Health Melbourne Victoria Australia.
⁵ Faculty of Medicine, Dentistry and Health Sciences University of Melbourne Melbourne Victoria Australia.

Abstract

This study explored the use of transperineal intestinal ultrasound (TPIUS) for assessment of ulcerative colitis (UC) in pregnancy. 8 pregnant women with UC underwent TP-US, clinical assessment and fecal calprotectin. TP-IUS was well tolerated and feasible with adequate rectal views obtained in all trimesters of pregnancy. No correlation between TP-IUS, clinical, or biochemical rectal disease activity assessment was found in this small cohort. Further studies are required to define the optimal technique and references ranges in the pregnant population.

Keywords: pregnancy; transperineal ultrasound; ulcerative colitis.