Analysis of Clinical,Endoscopic and Pathological Characteristics of Inflammatory Bowel Disease
10.3969/j.issn.1008-7125.2017.12.007
- VernacularTitle:炎症性肠病的临床、内镜和病理特征分析
- Author:
Xiuxiu CUI
1
;
Pingping XU
;
Wuqin XU
;
Wenjun WANG
;
Weizhen XI
;
Yulan WANG
;
Chiyi HE
;
Zhen HAN
Author Information
1. 皖南医学院附属弋矶山医院消化内科 241000
- Keywords:
Colitis,Ulcerative;
Crohn Disease;
Histology;
Therapy
- From:Chinese Journal of Gastroenterology
2017;22(12):738-743
- CountryChina
- Language:Chinese
-
Abstract:
Background:Inflammatory bowel disease (IBD)is a group of chronic gastrointestinal inflammatory disease and its diagnosis depends on analysis of clinical,endoscopic and pathological characteristics. Aims:To analyze the clinical, endoscopic and pathological characteristics of IBD. Methods:Clinical,endoscopic and pathological characteristics of 99 patients with IBD [including 61 ulcerative colitis (UC)and 38 Crohn's disease (CD)]from January 2010 to April 2017 at Yijishan Hospital were retrospectively analyzed. Results:Compared with CD patients,age in UC patients was significantly increased,incidences of diarrhea,bloody stool were significantly increased while incidence of abdominal mass was significantly decreased (P < 0. 05). Extensive type UC and ileocolonic type CD were common. Proportion of patients received 5-aminosalicylic acid (5-ASA)was significantly higher in UC than in CD (90. 2% vs. 71. 1%,P = 0. 014). Two UC patients achieved remission shown by endoscopy,and endoscopic remission achieved in 3 CD patients. The main pathological features of UC were cryptic branching (57. 1%),cryptic twisting (76. 2%),cryptic atrophy (54. 8%)and cryptic irregularity (28. 6%). Ulcer was seen in 78. 9% of CD patients with active chronic inflammation (mainly lymphocyte and plasmocyte infiltration),and the detection rate of non-caseating granuloma was 15. 8% . Conclusions:UC patients are characterized with older age,diarrhea,bloody stool and higher administration rate of 5-ASA,and the endoscopic features were mucosal bleeding and ulcers. Pathological characteristics of UC were mainly cryptic architectural change and inflammatory infiltration,while those of CD were mainly segmental lesions and chronic inflammation with lymphocyte and plasmocyte infiltration and some with non-caseating granuloma.
