Endoscopic follow-up and therapeutic attitude after ileocolonic resection in a nationwide Spanish cohort of Crohn's disease patients: the Practicrohn study.
Conclusions: Between 2007 and 2010, endoscopic monitoring of patients within the first year after CD-related surgery was less than adequate based on current standards, but showed improvement. Medication changes were in general agreement with current guideline recommendations. This work was presented as a poster (number P686) by M. Barreiro-de Acosta et al. at ECCO (European Crohn's and Colitis Organisation) '18 in Vienna, Austria, 14-17 February 2018. PMID: 31203691 [PubMed - as supplied by publisher]
A 63-year-old man presented with a history of abdominal pain, diarrhea, and weight loss. He had an abdominal computed tomography scan, which revealed duodenal, jejunal, and colonic thickening. This was followed by colonoscopy with biopsies, and the patient was diagnosed with inflammatory bowel disease, likely Crohn disease. However, upper endoscopy was performed, which revealed duodenal thickening, and biopsy revealed amyloid deposits by Congo red staining. Stool cultures were negative, and no source of infection was found.
Conclusions: Standard FC-ELISA for FC evaluation is more reliable predictor of mucosal healing than the FC-IBDoc in paediatric patients with inflammatory bowel disease. The cut-off values for both tests were incongruous.
Conclusion: EBD for small-bowel strictures demonstrated good clinical outcomes in non-CD patients. PMID: 31198420 [PubMed]
Authors: El-Salhy M, Gilja OH, Hatlebakk JG Abstract Irritable bowel syndrome (IBS) and gastroesophageal reflux disease (GERD) overlap. It is not clear whether GERD is caused by non‑erosive esophagitis, or erosive esophagitis. The Rome criteria are not widely used for the diagnosis of IBS in the clinic. In total, 1,489 IBS patients without red flags were included in the present retrospective study. They comprised of 1,331 females and 158 males with a mean age of 51 years. The diagnosis of IBS was verified by endoscopic and histopathological examinations. Whereas erosive esophagitis occurred in 97% of patient...
Small bowel lesions of Crohn ’s disease (CD) are known to be associated with a poor prognosis, and endoscopic healing leads to favorable patients outcome. The aim of this study was to clarify the importance of assessing not only the lesions at the terminal ileum (TI) but deep small bowel lesions (DSB) by using balloon- assist ed enteroscopy on CD.
The Lewis Score (LS) and the Capsule Endoscopy Crohn's Disease Activity Index (CECDAI) are scoring indices for small bowel capsule endoscopy (SBCE) in patients with Crohn ’s disease (CD) and small bowel lesions. We proposed the new capsule endoscopic scoring index (CDACE) correlated with existing scores. CDACE is evaluated by dividing the small intestine into four sections, determining the sum (range: 0-16) of the degree of inflammation at each section (range: 0-4; inflammatory score: A), the number of sections with inflammation (range: 0-4; zone score: B), and the degree of stenosis (range: 0-3; stenosis score: C), ...
Crohn ’s Disease (CD) is a chronic and progressive disease characterized by inflammation affecting all the gastrointestinal tract. Panenteric capsule endoscopy has been used to assess both the small and large bowel in a single examination. The Capsule Endoscopy Crohn’s Disease Activity Index (CECDAI o r Niv score) was initially devised to measure mucosal disease activity in small bowel, although in 2018 it was extended to the colon for standardization of inflammatory activity (CECDAIic).
Capsule Endoscopy (CE) enables non-invasive visualization of the whole small bowel in Crohn ’s disease (CD), but should not be carried out in patients with bowel stricture. Pillcam patency capsule (PC) is identical in size with the CE and can be ingested before conducting the CE examination to ensure patency of the gastrointestinal (GI) tract. However, it is not clarified whether PC eval uation itself affects the clinical course of CD. We aimed to evaluate the clinical significance of GI patency which the PC demonstrated.
We present a case of a patient whose colonoscopy was complicated by air in these extraperitoneal spaces, requiring bilateral chest tubes.
Intestinal contrast ultrasound (US) and computed tomography enterography (CTE) have been recently applied to evaluate the small bowel in Crohn ’s disease (CD). They may work as alternative tools to assess the terminal ileum and the colon of patients with CD besides colonoscopy in virtue of their non-invasiveness. The literature data regarding the comparison between US and CTE is absent for per-segment evaluation of colonic inflammation i n CD. The aim of our study is to determine the diagnostic performance and the agreement of US and CTE in identifying inflammatory extension in terminal ileum and the colon compared with endoscopy.