Typical Endoscopic Findings and Diagnostic Criteria for Crohn’s Disease

2017 ◽  
pp. 77-83 ◽  
Author(s):  
Tadakazu Hisamatsu
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Diagnostic Criteria ◽  
Endoscopic Findings

Su1196 Delay in Meeting Formal Diagnostic Criteria in Crohn's Disease

2015 ◽  
Vol 148 (4) ◽  
pp. S-434
Author(s):  
James R. Irwin ◽  
Emma Ferguson ◽  
Lisa A. Simms ◽  
Katherine Hanigan ◽  
Graham L. Radford-Smith
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Diagnostic Criteria

scholarly journals Small-Bowel Capsule Endoscopy in Patients with Suspected Crohn's Disease—Diagnostic Value and Complications

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
Pedro Figueiredo ◽  
Nuno Almeida ◽  
Sandra Lopes ◽  
Gabriela Duque ◽  
Paulo Freire ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Capsule Endoscopy ◽  
Inflammatory Markers ◽  
Diagnostic Yield ◽  
Villous Atrophy ◽  
Tertiary Care ◽  
Endoscopic Findings ◽  
Capsule Retention

Background. The aim of this work was to assess the value of capsule enteroscopy in the diagnosis of patients with suspected Crohn's Disease (CD). Methods. This was a retrospective study in a single tertiary care centre involving patients undergoing capsule enteroscopy for suspected CD. Patients taking nonsteroidal anti inflammatory drugs during the thirty preceding days or with a follow-up period of less than six months were excluded. Results. Seventy eight patients were included. The endoscopic findings included mucosal breaks in 50%, ulcerated stenosis in 5%, and villous atrophy in 4%. The diagnosis of CD was established in 31 patients. The sensitivity, specificity, positive and negative predictive value of the endoscopic findings were 93%, 80%, 77%, and 94%, respectively. Capsule retention occurred in four patients (5%). The presence of ulcerated stenosis was significantly more frequent in patients with positive inflammatory markers. The diagnostic yield of capsule enteroscopy in patients with negative ileoscopy was 56%, with a diagnostic acuity of 93%. Conclusions. Small bowel capsule endoscopy is a safe and valid technique for assessing patients with suspected CD. Capsule retention is more frequent in patients with positive inflammatory markers. Patients with negative ileoscopy and suspected CD should be submitted to capsule enteroscopy.

scholarly journals P191 Non-specific terminal ileitis: prevalence, clinical course and association with later diagnosis of Crohn’s disease

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S259-S259
Author(s):  
E Koureta ◽  
M Tampaki ◽  
T Voulgaris ◽  
E Laoudi ◽  
P Karatzas ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Clinical Course ◽  
Disease Diagnosis ◽  
Study Patient ◽  
Histological Findings ◽  
Terminal Ileitis ◽  
Endoscopic Findings ◽  
Initial Symptoms

Abstract Background The existing literature does not provide adequate guidance on the diagnosis and management of patients with non-specific terminal ileitis, while the data regarding the percentage of patients that finally develop Crohn’s disease are scarce. Methods The aim of this study was to evaluate the prevalence and natural course of non-specific terminal ileitis in patients who underwent colonoscopy in our department during the last decade. All patients with endoscopic findings of terminal ileitis and non-specific histological findings between 2008 and 2018 were included in the study. Patient characteristics, initial symptoms, biopsy findings, and the patients’ clinical and endoscopic course were recorded. Patients with a history of Crohn’s disease or histological findings related to specific diseases were excluded. Results Out of 5.353 colonoscopies in total, 92 patients (mean age: 50 years, men: 56.5%, asymptomatic: 72.5%) with non-specific terminal ileitis were identified (prevalence: 1.7%). Among 92 patients, 56 (61%) had available follow-up information for at least 6 months after initial endoscopy. In these patients, the reasons for performing endoscopy were chronic diarrhea (21/56, 37.5%), screening (16/56, 28.6%), abdominal pain (12/56, 21.4%), iron deficiency (5/56, 9%) and visible blood in stool (2/56, 3.5%). Endoscopic findings included erosions/ulcerations (62.5%), mucosal edema (23.2%), mucosal erythema (10.7%) and ileal valve stenosis (3.6%). Among 56 patients, 16 (28.6%) received medical treatment that included aminosalicylates (25%), budesonide (62.5%) and antibiotics (12.5%). Recession of symptoms was recorded in 20 out of 40 symptomatic patients (50%). Interestingly, symptomatic relief was more frequent in patients who did not receive any treatment (75%) comparing to those who received medications (26.3%), (p=0.02). In total, 23/56 (41%) patients underwent 2nd endoscopy with persisting endoscopic findings in 15/23 (65.2%). Eleven out of 56 (19.6%) patients were eventually diagnosed with Crohn’s disease. The probability of Crohn’s disease diagnosis was significantly higher in symptomatic patients (27.5%) comparing to asymptomatic (0%) (p=0.019). The majority of patients with Crohn’s disease (9/11, 81.8%) remained symptomatic after initial endoscopy (p= 0.002), while 90% of them had persisting endoscopic findings in follow-up endoscopy (p=0.019). Conclusion Non-specific terminal ileitis has a generally benign clinical course regardless of the administered treatment. However, patients with persisting symptoms and endoscopic findings should be followed closely to monitor later development of Crohn’s disease.

scholarly journals Atypical endoscopic findings of Crohn's disease

2011 ◽  
Vol 103 (10) ◽  
pp. 544-545
Author(s):  
Expiración González-Montero ◽  
María Tejada-Cabrera ◽  
Francisco Bueno-Márquez ◽  
Alexis Piñero-García ◽  
Antonio López-Cano
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Endoscopic Findings

Evaluation of endoscopic findings in Crohn’s disease of childhood and adolescence

1990 ◽  
pp. 67-74
Author(s):  
M. Burdelski ◽  
H.-G. Posselt ◽  
M. Becker ◽  
R.-M. Bertele-Harms ◽  
B. Rodeck ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Childhood And Adolescence ◽  
Endoscopic Findings

Reliability among central readers in the evaluation of endoscopic findings from patients with Crohn's disease

Gut ◽  
2015 ◽  
Vol 65 (7) ◽  
pp. 1119-1125 ◽  
Author(s):  
Reena Khanna ◽  
Guangyong Zou ◽  
Geert D'Haens ◽  
Paul Rutgeerts ◽  
J W D McDonald ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Endoscopic Findings

scholarly journals Su1262 INTER- AND INTRA-OBSERVER VARIATION OF CAPSULE ENDOSCOPIC FINDINGS FOR THE DIAGNOSIS OF CROHN'S DISEASE: A CASE-CONTROL STUDY

2018 ◽  
Vol 87 (6) ◽  
pp. AB302
Author(s):  
Motohiro Esaki ◽  
Ema Washio ◽  
Toshifumi Morishita ◽  
Kei Sakamoto ◽  
Yuta Fuyuno ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Case Control Study ◽  
Observer Variation ◽  
Case Control ◽  
Endoscopic Findings ◽  
Control Study

scholarly journals Correlation of the endoscopic findings for small and large bowels in pediatric patients with established Crohn’s disease

2019 ◽  
Vol 64 (3) ◽  
pp. 257-264 ◽  
Author(s):  
Takeru Okuhira ◽  
Atsushi Yoden ◽  
Tomoki Aomatsu ◽  
Masano Akamatsu ◽  
Keisuke Inoue ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Pediatric Patients ◽  
Endoscopic Findings
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