Year 2019 / Volume 111 / Number 8
Special Article
The quality of abdominal ultrasound: a much-needed consensus

633-636

DOI: 10.17235/reed.2019.6177/2019

Eva Marín-Serrano,

Abstract
The abdominal ultrasound (AU) is a diagnostic imaging modality that is yet to be established in most Gastrointestinal (GI) Units in Spain. This is largely due to the difficulties that GI specialists face with regard to the appropriate training received when starting the specialty. Insufficient resources have been allocated to develop AU units in many GI units where AUs are performed. The equipment is obsolete and there are no adaptations to the needs of the GI specialist to provide good medical care. Thus, due to all the above, the AU does not hold the position it deserves in our specialty. This probably stems from a lack of impulse and/or support to the technique, which has underestimated its usefulness and has limited the implementation of resources in the GI units. For the AU to overcome these obstacles, it needs to be considered as a process or a series of activities based on scientific evidence and the experience of professionals that achieves a result that covers the patients’ needs with minimal risk. In this article, we defend the need to boost AU as a key discipline for the diagnosis of digestive diseases. Quality is considered as the key aspect on which this transformation and improvement is founded.
Share Button
New comment
Comments
No comments for this article
References
Shea JA, Berlin JA, Escarce JJ, Clarke JR, Kinosian BP, Cabana MD, et al. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Intern Med. 1994 Nov 28; 154(22): 2573-81.
Toouli J, Brooke-Smith M, Bassi C, Carr-Locke D, Telford J, Freeny P, et al.; Working Party of the Program Commitee of the Bangkok World Congress of Gastroenterology 2002. Guidelines for the management of acute pancreatitis. J Gastroenterol Hepatol. 2002 Feb; 17 Suppl: S15-39
Zakko SF, Srb S, Ramsby GR. Sensitivity of percutaneous endoscopy compared with ultrasonography in the detection of residue or mucosal lesions after topical gallbladder stone dissolution. Gastrointest Endosc. 1995 Nov; 42(5): 434-8.
Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology 2013; 13: e1 – e15.
Gaiani S, Gramantieri L, Venturoli N, Piscaglia F, Siringo S, D Errico A, et al. What is the criterion for differentiating chronic hepatitis from compensated cirrhosis? A prospective study comparing ultrasonography and percutaneous liver biopsy. J Hepatol 1997; 27: 979-85.
Macías-Rodríguez MA, Rendón-Unceta P, Navas-Relinque C, Tejada-Cabrera M, Infantes-Hernández JM, Martín-Herrera L. Ultrasonography in patients with chronic liver disease: its usefulness in the diagnosis of cirrhosis. Rev Esp Enferm Dig 2003; 95(4): 251-7.
Poza-Cordón J, Ripollés-González T. Utility of abdominal ultrasonography in the diagnosis and monitoring of inflammatory bowel disease. Rev Esp Enferm Dig.2014 Jun; 106(6): 395-408.
González de Frutos C, Castellano Tortajada G, Marín Serrano E, Gómez Rubio M, Crespo Sánchez M and Álvarez Higuera J. La docencia en ecografía digestiva de los MIR de AD en España. Rev Esp Enferm Dig 2018;110(Supl. 1): 57 (abstract)
González de Frutos C y Asociación Española de Ecografía Digestiva (AEED): La docencia en Ecografía Digestiva de los MIR de AD en España. Encuesta a los 93 SAD con programa de formación MIR. XXIX Jornada Nacional de Ecografía Digestiva, Murcia 20 y 21 de abril de 2018
Ministerio de Sanidad y Política Social: Orden Ministerial SAS/2854/2009, de 9 de octubre, por la que se aprueba y publica el programa formativo de la especialidad de AD. BOE de 26 de octubre de 2009.
Segura Cabral JM. “Anatomía Ecográfica y Sistemática de Exploración” In: Ecografía Digestiva, 2ª edición revisada y ampliada, Madrid, Producción Gráfica UAM, 2011, 31-51.
Ministerio de Sanidad y Consumo. Instituto Nacional de la Salud: Catálogo de técnicas y procedimientos del sistema de información. Cartera de servicios SICAR (ISBN: 84-351-0385-4). Madrid, 2002.
Ministerio de Sanidad, Servicios Sociales e Igualdad: Unidades asistenciales del AD. Estándares y recomendaciones de calidad y seguridad. Informes, estudios e investigación, 2013. Centro de Publicaciones del Ministerio de Sanidad y http//publicacionesoficiales.boe.es.
Minimum training recommendations for the practice of medical ultrasound.Education and Practical Standards Committee, European Federation of Societies for Ultrasound in Medicine and Biology. Ultraschall Med. 2006; 27(1): 79-105.
Berzigotti A, Ferraioli G, Bota S, Gilja OH, Dietrich CF. Novel ultrasound-based methods to assess liver disease: The game has just begun. Dig Liver Dis. 2018 Feb; 50(2):107-112.
Kollmann C, deKorte C, Dudley NJ, Gritzmann N, Martin K, Evans DH; EFSUMB Technical Quality Assurance Group--US-TQA/B. Guideline for Technical Quality Assurance (TQA) of ultrasound devices (B-Mode)--version 1.0 (July 2012): EFSUMB Technical Quality Assurance Group--US-TQA/B. Ultraschall Med. 2012; 33(6): 544-9.
Ley 41/2002, de 14 de noviembre, Básica Reguladora de la Autonomía del Paciente y de Derechos y Obligaciones en Materia de Información y Documentación Clínica (2002). Disponible en: https://w.w.w.boe.es/buscar/pdf/2002/BOE-A-2002-22188-consolidado.pdf
Morales A, del Cura JL, Bueno A, Remartínez E, García B, Pelayo M, et al. SEUS 2013-03: El informe en ecografía. Madrid: Sociedad Española de Ultrasonidos 2013.
European Society of Radiology (ESR). Good practice for radiological reporting. Guidelines from the European Society of Radiology (ESR) Insights Imaging 2011; 2: 93-96.
Claudon M, Dietrich CF, Choi BI, Cosgrove DO, Kudo M, Nolsøe CP, et al. Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS) in the liver—update 2012: a WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB,AIUM, ASUM, FLAUS and ICUS. Ultraschall Med. 2013 Feb; 34(1): 11-29.
Berzigotti A, Piscaglia F. Ultrasound in portal hypertension--part 1. Ultraschall Med. 2011 Dec; 32(6): 548-68
Castellano Tortajada G, Martín Aljibes A. Criterios diagnósticos en hepatopatía crónica. Rev Esp Ecogr Dig 2002; 4: 171-5.
Macías M, Rendón P, Soria M, Díaz F, Iglesias M, Martín L. Utilidad de la ecografía abdominal en el diagnóstico de hipertensión portal en pacientes cirróticos. Rev Esp Enferm Dig 1994; 86: 655-60.
Macías Rodríguez MA, Rendón Unceta P, Ramos-Clemente Romero MT, Troiteiro Carrasco LM, Serrano León MD. Validación prospectiva de dos modelos de diagnóstico de cirrosis hepática mediante ultrasonografía. Rev Esp Enferm Dig 2011; 103 (5): 232-7.
Allan R, Thoirs K, Phillips M. Accuracy of ultrasound to identify chronic liver disease. World J Gastroenterol 2010; 16(28): 3510-20.
Oustamanolakis P, Tack J. Dyspepsia: organic versus functional. J Clin Gastroenterol. 2012 Mar; 46(3): 175-90.
Sharma A, Chari ST. Pancreatic Cancer and Diabetes Mellitus. Curr Treat Options Gastroenterol. 2018 Dec; 16(4): 466-478.
Martínez-Noguera A, D'Onofrio M. Ultrasonography of the pancreas. 1. Conventional imaging. Abdom Imaging. 2007 Mar-Apr; 32(2): 136-49.
Frampas E, David A, Regenet N, Touchefeu Y, Meyer J, Morla O. Pancreatic carcinoma: Key-points from diagnosis to treatment. Diagn Interv Imaging. 2016; 97(12): 1207-1223.
Marín Serrano E, Segura Cabral JM. “Usefulness of ultrasonography for the diagnosis of difuse liver diseases”. Rev Esp Enferm Dig. 2011 May; 103(5): 227-231.
Marín Serrano E y Segura Cabral JM. “Diagnóstico ecográfico de la hepatopatía crónica difusa”. RAPD on line 2012; 35 (2); 109-121
Marín Serrano E, Prieto Villegas M y Segura Cabral JM. “Ecografía del bazo” In: Ecografía Digestiva, 2ª edición revisada y ampliada, Madrid, Producción Gráfica UAM, 2011, 159-175.
European Society of Radiology (ESR); European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB). Joint ESR-EFSUMB recommendation on archiving and reporting ultrasound examinations. Insights Imaging. 2013; 4(5): 525-6.
Berzigotti A, Piscaglia F; EFSUMB Education and Professional Standards Committee. Ultrasound in portal hypertension--part 2--and EFSUMB recommendations for the performance and reporting of ultrasound examinations in portal hypertension. Ultraschall Med. 2012 Feb; 33(1): 8-32
Huang DY, Yusuf GT, Daneshi M, Husainy MA, Ramnarine R, Sellars ME, et al. Contrast-enhanced US-guided Interventions: Improving Success Rate and Avoiding Complications Using US Contrast Agents. Radiographics. 2017; 37(2): 652-664.
Boyum JH, Atwell TD, Schmit GD, Poterucha JJ, Schleck CD, Harmsen WS, et al. Incidence and Risk Factors for Adverse Events Related to Image-Guided Liver Biopsy. Mayo Clin Proc. 2016; 91(3): 329-35.
Lorenzo S, Mira JJ, Moracho O. La gestión por procesos en instituciones sanitarias. En: Gimeno J, Repullo J, Rubio S (Eds). Manuales de Dirección médica y gestión clínica. Díaz de Santos. Madrid 2006.
Aranaz JM, Aibar C, Vitaller J, Mira JJ (Directores). Gestión Sanitaria. Calidad y seguridad de los pacientes. Díaz de Santos. Madrid 2008.
Müller T, Martiny H, Merz E, Döffert J, Wüstner M, Lessel W, et al. DEGUM Recommendations on Infection Prevention in Ultrasound and Endoscopic Ultrasound. Ultraschall Med. 2018 Jun; 39(3): 284-303.
Donabedian A. Evaluating the quality of medical care. Millbank Memorial Fund Quarterly, 1966; 44:166-206.
López-Picazo J, Alberca de las Parras F, Sánchez del Río A, Pérez Romero S, León Molina J and Júdez J. Indicadores de calidad en endoscopia digestiva: introducción a los indicadores comunes de estructura, proceso y resultado. Rev Esp Enferm Dig 2017, Vol. 109: 435-450.
González-Huix Lladó F, Figa Francesch M, Huertas Nadal C. [Essential quality criteria in the indication and performance of colonoscopy]. Gastroenterol Hepatol. 2010 Jan; 33(1): 33-42.
Related articles

Letter

An unusual cause of liver lesions

DOI: 10.17235/reed.2023.9787/2023

Editorial

A new year and a new roadmap for the journal in challenging times

DOI: 10.17235/reed.2022.9372/2022

Editorial

Colonoscopy — When quality matters

DOI: 10.17235/reed.2022.8942/2022

Letter

Retracted articles in Gastroenterology

DOI: 10.17235/reed.2022.8859/2022

Letter

Analysis of retracted articles in the field of Gastroenterology

DOI: 10.17235/reed.2022.8760/2022

Special Article

Quality indicators in enteroscopy. Enteroscopy procedure

DOI: 10.17235/reed.2020.6946/2020

Editorial

Small but great steps

DOI: 10.17235/reed.2019.6758/2019

Editorial

On the centenary of The Spanish Journal of Gastroenterology (REED)

DOI: 10.17235/reed.2017.5427/2017

Review

Quality indicators in colonoscopy. The colonoscopy procedure

DOI: 10.17235/reed.2018.5408/2017

Original

Gastroenterology - Evolution of specialty choice in recent years

DOI: 10.17235/reed.2017.4977/2017

Letter to the Editor

Propofol sedation Quality and safety. Failure mode and effects analysis.

DOI: 10.17235/reed.2017.4976/2017

Original

Coping with celiac disease: how heavy is the burden for caregivers?

DOI: 10.17235/reed.2017.4518/2016

Citation tools
Marín-Serrano E. The quality of abdominal ultrasound: a much-needed consensus. 6177/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1431 visits.
This article has been downloaded 344 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 16/01/2019

Accepted: 29/03/2019

Online First: 24/06/2019

Published: 31/07/2019

Article revision time: 60 days

Article Online First time: 159 days

Article editing time: 196 days


Share
This article has been rated by 3 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology