Crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema
Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, a...
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| Autor*in: |
Paparo, F. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2011 |
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| Schlagwörter: |
Anastomotic recurrence of Crohn’s disease |
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| Anmerkung: |
© Springer Science+Business Media, LLC 2011 |
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| Übergeordnetes Werk: |
Enthalten in: Abdominal radiology - [Boston, MA] : Springer US, 2016, 37(2011), 3 vom: 09. Dez., Seite 326-337 |
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| Übergeordnetes Werk: |
volume:37 ; year:2011 ; number:3 ; day:09 ; month:12 ; pages:326-337 |
| Links: |
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| DOI / URN: |
10.1007/s00261-011-9832-8 |
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SPR003189414 |
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| 520 | |a Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. | ||
| 650 | 4 | |a Crohn’s disease |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a CT-enterography |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Anastomotic recurrence of Crohn’s disease |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Upper gastrointestinal Crohn’s disease |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Perianal Crohn’s disease |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Small bowel adenocarcinoma |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Sacroiliitis |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Bacigalupo, L. |4 aut | |
| 700 | 1 | |a Garello, I. |4 aut | |
| 700 | 1 | |a Biscaldi, E. |4 aut | |
| 700 | 1 | |a Cimmino, M. A. |4 aut | |
| 700 | 1 | |a Marinaro, E. |4 aut | |
| 700 | 1 | |a Rollandi, G. A. |4 aut | |
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10.1007/s00261-011-9832-8 doi (DE-627)SPR003189414 (SPR)s00261-011-9832-8-e DE-627 ger DE-627 rakwb eng Paparo, F. verfasserin aut Crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer Science+Business Media, LLC 2011 Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. Crohn’s disease (dpeaa)DE-He213 CT-enterography (dpeaa)DE-He213 Anastomotic recurrence of Crohn’s disease (dpeaa)DE-He213 Upper gastrointestinal Crohn’s disease (dpeaa)DE-He213 Perianal Crohn’s disease (dpeaa)DE-He213 Small bowel adenocarcinoma (dpeaa)DE-He213 Sacroiliitis (dpeaa)DE-He213 Bacigalupo, L. aut Garello, I. aut Biscaldi, E. aut Cimmino, M. A. aut Marinaro, E. aut Rollandi, G. A. aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 37(2011), 3 vom: 09. Dez., Seite 326-337 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:37 year:2011 number:3 day:09 month:12 pages:326-337 https://dx.doi.org/10.1007/s00261-011-9832-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_150 GBV_ILN_2113 AR 37 2011 3 09 12 326-337 |
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10.1007/s00261-011-9832-8 doi (DE-627)SPR003189414 (SPR)s00261-011-9832-8-e DE-627 ger DE-627 rakwb eng Paparo, F. verfasserin aut Crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer Science+Business Media, LLC 2011 Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. Crohn’s disease (dpeaa)DE-He213 CT-enterography (dpeaa)DE-He213 Anastomotic recurrence of Crohn’s disease (dpeaa)DE-He213 Upper gastrointestinal Crohn’s disease (dpeaa)DE-He213 Perianal Crohn’s disease (dpeaa)DE-He213 Small bowel adenocarcinoma (dpeaa)DE-He213 Sacroiliitis (dpeaa)DE-He213 Bacigalupo, L. aut Garello, I. aut Biscaldi, E. aut Cimmino, M. A. aut Marinaro, E. aut Rollandi, G. A. aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 37(2011), 3 vom: 09. Dez., Seite 326-337 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:37 year:2011 number:3 day:09 month:12 pages:326-337 https://dx.doi.org/10.1007/s00261-011-9832-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_150 GBV_ILN_2113 AR 37 2011 3 09 12 326-337 |
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10.1007/s00261-011-9832-8 doi (DE-627)SPR003189414 (SPR)s00261-011-9832-8-e DE-627 ger DE-627 rakwb eng Paparo, F. verfasserin aut Crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer Science+Business Media, LLC 2011 Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. Crohn’s disease (dpeaa)DE-He213 CT-enterography (dpeaa)DE-He213 Anastomotic recurrence of Crohn’s disease (dpeaa)DE-He213 Upper gastrointestinal Crohn’s disease (dpeaa)DE-He213 Perianal Crohn’s disease (dpeaa)DE-He213 Small bowel adenocarcinoma (dpeaa)DE-He213 Sacroiliitis (dpeaa)DE-He213 Bacigalupo, L. aut Garello, I. aut Biscaldi, E. aut Cimmino, M. A. aut Marinaro, E. aut Rollandi, G. A. aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 37(2011), 3 vom: 09. Dez., Seite 326-337 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:37 year:2011 number:3 day:09 month:12 pages:326-337 https://dx.doi.org/10.1007/s00261-011-9832-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_150 GBV_ILN_2113 AR 37 2011 3 09 12 326-337 |
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10.1007/s00261-011-9832-8 doi (DE-627)SPR003189414 (SPR)s00261-011-9832-8-e DE-627 ger DE-627 rakwb eng Paparo, F. verfasserin aut Crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer Science+Business Media, LLC 2011 Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. Crohn’s disease (dpeaa)DE-He213 CT-enterography (dpeaa)DE-He213 Anastomotic recurrence of Crohn’s disease (dpeaa)DE-He213 Upper gastrointestinal Crohn’s disease (dpeaa)DE-He213 Perianal Crohn’s disease (dpeaa)DE-He213 Small bowel adenocarcinoma (dpeaa)DE-He213 Sacroiliitis (dpeaa)DE-He213 Bacigalupo, L. aut Garello, I. aut Biscaldi, E. aut Cimmino, M. A. aut Marinaro, E. aut Rollandi, G. A. aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 37(2011), 3 vom: 09. Dez., Seite 326-337 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:37 year:2011 number:3 day:09 month:12 pages:326-337 https://dx.doi.org/10.1007/s00261-011-9832-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_150 GBV_ILN_2113 AR 37 2011 3 09 12 326-337 |
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10.1007/s00261-011-9832-8 doi (DE-627)SPR003189414 (SPR)s00261-011-9832-8-e DE-627 ger DE-627 rakwb eng Paparo, F. verfasserin aut Crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer Science+Business Media, LLC 2011 Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. Crohn’s disease (dpeaa)DE-He213 CT-enterography (dpeaa)DE-He213 Anastomotic recurrence of Crohn’s disease (dpeaa)DE-He213 Upper gastrointestinal Crohn’s disease (dpeaa)DE-He213 Perianal Crohn’s disease (dpeaa)DE-He213 Small bowel adenocarcinoma (dpeaa)DE-He213 Sacroiliitis (dpeaa)DE-He213 Bacigalupo, L. aut Garello, I. aut Biscaldi, E. aut Cimmino, M. A. aut Marinaro, E. aut Rollandi, G. A. aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 37(2011), 3 vom: 09. Dez., Seite 326-337 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:37 year:2011 number:3 day:09 month:12 pages:326-337 https://dx.doi.org/10.1007/s00261-011-9832-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_150 GBV_ILN_2113 AR 37 2011 3 09 12 326-337 |
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The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. 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Crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema Crohn’s disease (dpeaa)DE-He213 CT-enterography (dpeaa)DE-He213 Anastomotic recurrence of Crohn’s disease (dpeaa)DE-He213 Upper gastrointestinal Crohn’s disease (dpeaa)DE-He213 Perianal Crohn’s disease (dpeaa)DE-He213 Small bowel adenocarcinoma (dpeaa)DE-He213 Sacroiliitis (dpeaa)DE-He213 |
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crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema |
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Crohn’s disease: prevalence of intestinal and extraintestinal manifestations detected by computed tomography enterography with water enema |
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Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. © Springer Science+Business Media, LLC 2011 |
| abstractGer |
Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. © Springer Science+Business Media, LLC 2011 |
| abstract_unstemmed |
Background Computed tomography enterography (CTE) may detect the presence, severity, and extent of bowel inflammation in patients with Crohn’s disease (CD). The aim of our study was to assess, among a cohort of 22 histologically proven CD patients, the prevalence of disease distribution, behavior, anastomotic recurrence and extraintestinal manifestations detected by an original CTE technique. Methods Two radiologists reviewed 221 CTEs performed providing both small and large bowel distension by oral administration of neutral contrast material and trans-rectal introduction of a water enema (CTE-WE). Results Ileal CD was detected in 116 CTE-WEs (52.4%), including 71/116 (61.2%) non-stricturing/non-penetrating, 17/116 (14.6%) stricturing, and 28/116 (24.1%) penetrating forms. Colonic CD was appreciable in 35 (15.8%) patients, including 18/35 (51.4%) non-stricturing/non-penetrating, 6/35 (17.1%) stricturing, and 11/35 (31.4%) penetrating forms. Ileocolic CD was present in 52 (23.5%) CTE-WEs, including 30/52 (57.7%) non-stricturing/ non-penetrating; 3/52 (5.7%) stricturing, and 19/52 (36.5%) penetrating forms. In 10/221 patients (4.5%), upper gastrointestinal involvement (UGI) was present. Perianal disease was observed in 17/221 patients (7.7%). Fistulas were present in 52 (23.5%) and abscesses in 24 (10.8%) CTE-WEs, respectively. Among 57/221 (25.8%) patients who had undergone a disease-related intestinal resection, in 30/57 cases (52.6%) CD recurrence at the anastomosis was present. 4/221 patients (1.8%) with a histologically confirmed intestinal neoplastic stenosis were observed. Sacroiliitis (24%) was found to be prevalent over hepatic steatosis (10.8%), cholelithiasis (8.6%), and nephrolithiasis (4%). Conclusions CTE-WE represents a comprehensive imaging technique which may demonstrate bowel inflammation and CD extraintestinal manifestations. A peculiar prevalence of UGI involvement and neoplastic strictures were observed. In our study the prevalence of sacroiliitis resulted higher than previously reported. © Springer Science+Business Media, LLC 2011 |
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