Clinical features of 44 patients with small bowel Crohn
10.11817/j.issn.1672-7347.2021.190732
- Author:
Meichun LONG
1
;
Min ZHANG
2
;
Lingna YAO
2
;
Ya PENG
2
;
Qin GUO
3
Author Information
1. Department of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha 410013, China. dmccllzz@163.com.
2. Department of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
3. Department of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha 410013, China. xyldgq@126.com.
- Publication Type:Journal Article
- Keywords:
Crohn’s disease;
clinical features;
small bowel
- MeSH:
Adult;
Crohn Disease/drug therapy*;
Endoscopy, Gastrointestinal;
Humans;
Ileum;
Intestinal Obstruction/etiology*;
Intestine, Small;
Male;
Middle Aged
- From:
Journal of Central South University(Medical Sciences)
2021;46(10):1109-1113
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:At present, there are many studies on Crohn's disease of terminal ileum and colon, but few studies on Crohn's disease of small intestine alone. This study aims to analyze the clinical features and therapeutic effect of small bowel in adult patients with Crohn's disease so as to strengthen the diagnosis and treatment for this disease.
METHODS:From July 1, 2015 to October 31, 2018, patients with small bowel Crohn's disease at Department of Gastroenterology, Third Xiangya Hospital of Central South University, were enrolled. At the same time, patients' demographics and clinical data were collected.
RESULTS:A total of 44 patients were small bowel Crohn's disease. Among them, 40 patients were male. The age at diagnosis was (35.8±10.3) years old and disease duration was (35.2±59.5) months. The subtypes included 29(65.9%) of ileum, 7(15.9%) of jejunum, 8(18.2%) of ileum with jejunum. There were 27(61.4%) of stricture behavior, 4(9.1%) of penetrating behavior, and 13(29.5%) of non-stricture and non-penetrating behavior. Endoscopic visible stricture (29/85, 34.1%) was common, followed by longitudinal ulcers (27/85, 31.8%). Non-caseate granulomatous were found in 2 cases (4.5%). The score of Crohn's disease activity index was correlated to hemoglobin, hematocrit, and erythrocyte sedimentation rate (all
CONCLUSIONS:Patients with ileum account for a large proportion in patients with small bowel Crohn's disease. Stricture is more common in small bowel Crohn's disease. Stricture and longitudinal ulcer are more common under enteroscopy. Crohn's disease activity index is correlated to hemoglobin, red blood cell specific volume, and erythrocyte sedimentation rate. The most common complication is intestinal obstruction. Mesalazine is less effective on small bowel Crohn's disease.
