Teoman AYDIN, Okan KÜÇÜKKAŞ, Mehmet Ali GÜLTEKİN

Ultrasonographic evaluation of gastrointestinal system involvement in chronic inflammatory rheumatic diseases

Aim: Although chronic inflammatory rheumatic diseases (CIRDs) primarily affect the joints due to arthritis; involvement ofother systems and organs is not rare. Ultrasound evaluations are particularly useful in the detection of pathologies observedin the gastrointestinal tract. The aim of this study was to investigate and compare the results of abdominal ultrasonography ingastrointestinal system of some common chronic inflammatory rheumatic diseases.Material and Methods: 96 patients with rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis were included in the study.The data of patients were retrospectively reviewed from patient files and hospital database. Patients with abdominal ultrasoundperformed for the check-up indication in the last 6 months and updated laboratory tests in the last 1 month were included in thestudy. The patients were divided into three groups according to the diagnosis and the results were compared.Results: No gastrointestinal system involvement was observed in the patients except liver and gallbladder pathologies. Themost frequent liver pathologies were hepatosteatosis (49.0%) and hepatomegaly (41.7%), respectively. The rate of patients withcholecystectomy was 8.3% and 6.3% of the patients had gallstones. When the results were compared between the groups, it wasseen that only the incidence of gallstones was significantly higher in the psoriatic arthritis group than in other groups.Conclusion: In the course of chronic inflammatory rheumatic diseases, many organ and system involvement may be observed.Abdominal ultrasound imaging, especially in patients with additional risk factors, may be useful for early detection of many intraabdominal organ pathologies, especially the gastrointestinal tract.

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