EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

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AI-generated summary by claude@2026-06, 2026-06-08

This paper describes the ultrasound features of miscellaneous gastrointestinal disorders, including celiac disease, cystic fibrosis, and neoplasia, and highlights the utility of GIUS in investigating intestinal symptoms or as an incidental diagnostic finding.

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This EFSUMB GIUS Task Force Group paper describes transabdominal gastrointestinal ultrasound features across a range of miscellaneous, relatively rare gastrointestinal disorders and explains that GIUS can assess the bowel non-invasively in physiological condition while also evaluating extra-intestinal structures such as splanchnic vessels, mesentery, omentum, and lymph nodes. Drawing on the Task Force’s stated goals to standardize and promote GIUS via clinical guidelines, the authors present ultrasound patterns relevant to conditions including celiac disease, cystic fibrosis, omental infarction, Meckel’s diverticle, intestinal neoplasia, and others. The paper’s major caveat is that it is a descriptive features guidance within a broader standardization effort rather than an evidence-generating study of treatment outcomes in a defined patient cohort. Relevance to endometriosis: endometriosis is explicitly listed among the disorders whose ultrasound features are described, though the paper’s overall focus is GIUS feature documentation and standardization across many diseases rather than endometriosis specifically.

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Abstract

Transabdominal gastrointestinal ultrasound (GIUS) is unique in its capacity to examine the bowel non-invasively and in its physiological condition, including extra-intestinal features such as the splanchnic vessels, mesentery, omentum and lymph nodes- even at the bedside. Despite this, and its extensive documentation for its usefulness, it has only been fully implemented in a few European countries and expert centres. Therefore, the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) established a GIUS Task Force Group in 2014 consisting of international experts from 9 European countries with the objectives to standardize and promote the use of GIUS in a clinical setting. This is achieved by publishing clinical guidelines and recommendations on indications and use of GIUS and so far,4 guidelines have been published: first on "examination techniques and normal findings", second on "inflammatory bowel disease", third on "acute appendicitis and diverticulitis" and fourth on "transrectal and perineal ultrasound".This paper describes the ultrasound features of miscellaneous disorders such as celiac disease, cystic fibrosis, omental infarction, Meckel's diverticle, endometriosis, intestinal neoplasia, mucocele, amyloidosis, GVHD, foreign bodies, vasculitis, and pneumatosis cystoides intestinalis. Bowel ultrasound can be indicated in most of these conditions to investigate intestinal symptoms but in other cases the alterations of the bowel can be also an incidental finding that suggest other examinations which finally help to discover an unknown pathological condition.
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Abstract

Transabdominal gastrointestinal ultrasound (GIUS) is unique in its capacity to examine the bowel non-invasively and in its physiological condition, including extra-intestinal features such as the splanchnic vessels, mesentery, omentum and lymph nodes- even at the bedside. Despite this, and its extensive documentation for its usefulness, it has only been fully implemented in a few European countries and expert centres. Therefore, the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) established a GIUS Task Force Group in 2014 consisting of international experts from 9 European countries with the objectives to standardize and promote the use of GIUS in a clinical setting. This is achieved by publishing clinical guidelines and recommendations on indications and use of GIUS and so far,4 guidelines have been published: first on “examination techniques and normal findings”, second on “inflammatory bowel disease”, third on “acute appendicitis and diverticulitis” and fourth on “transrectal and perineal ultrasound”. This paper describes the ultrasound features of miscellaneous disorders such as celiac disease, cystic fibrosis, omental infarction, Meckel’s diverticle, endometriosis, intestinal neoplasia, mucocele, amyloidosis, GVHD, foreign bodies, vasculitis, and pneumatosis cystoides intestinalis. Bowel ultrasound can be indicated in most of these conditions to investigate intestinal symptoms but in other cases the alterations of the bowel can be also an incidental finding that suggest other examinations which finally help to discover an unknown pathological condition.

Keywords

DOI: http://dx.doi.org/10.11152/mu-2162 Refbacks - There are currently no refbacks.

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endometriosis

MeSH descriptors

Gastrointestinal Diseases Ultrasonography Europe Gastrointestinal Diseases Gastrointestinal Tract Gastrointestinal Tract Humans Societies, Medical Ultrasonography

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