Characteristics of Crohn's disease under double balloon enteroscopy / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
;
(12): 494-499, 2018.
Article
in Chinese
| WPRIM
| ID: wpr-693845
ABSTRACT
Objective:
To observe ulcer characteristics of Crohn's disease under double balloon enteroscopy,and to evaluate the correlation between endoscopic severity and clinical manifestations.Methods:
A prospective,observational study from July 2015 to December 2016 in the Third Xiangya Hospital,Central South University,we selected 45 patients with positive double-balloon enteroscopy (DBE) and confirmed Crohn's disease.Two digestive internal physician observed the ulcer characteristics of Crohn's disease under double balloon enteroscopy,and gave a simple endoscopic score for CD (SES-CD).We analyzed the correlation between SES-CD and Crohn's disease activity index (CDAI).Results:
DBE indicated 24 patient ulcers (53.33%) locating at the end of the ileum,5 (11.11%)locating at ileocolon,16 (35.56%) locating at upper gatrointestinal tract and they did not affect the end of the ileum.Among them,8 cases (17.78%) affected only jejunum.Thirty-two patients with longitudinal ulcers in Crohn's disease,accounting for 71.11%.There was no correlation between SES-CD score and CDAI score (r=0.237,P=0.136).Conclusion:
The ulcerative appearance in Crohn's disease were diverse under double balloon enteroscopy.Crohn's disease could only affect the upper gastrointestinal tract or jejunum.The unwounded ileum and ileocecal valve couldn't be a sign to exclude Crohn's disease.CDAI score couldn't fully assess the prognosis of Crohn's disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Observational study
/
Prognostic study
Language:
Chinese
Journal:
Journal of Central South University(Medical Sciences)
Year:
2018
Type:
Article
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