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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

[Clinical study of patients with Crohn's disease and lower extremity arterial occlusive]

Wei-wei Wu1, Chang-wei Liu, Yong-jun Li

  • 1Vascular Surgery Department, Peking Union Medical College Hospital, Beijing 100032, China.

Zhonghua Yi Xue Za Zhi
|June 20, 2009
PubMed

Insights

Lower extremity arterial occlusive disease is a rare complication of Crohn's disease (CD), often affecting younger females. Surgical intervention like embolectomy is common, with anticoagulation recommended post-operation.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Rheumatology

Background:

  • Crohn's disease (CD) is a chronic inflammatory condition.
  • Arterial occlusive disease (AOD) is a rare extraintestinal manifestation of CD.

Observation:

  • A case series of 9 patients with lower extremity AOD and CD was analyzed.
  • Patients were predominantly female (8/9) and under 50 years old.
  • Arterial occlusions occurred in both active and inactive stages of CD.

Findings:

  • Aorta, iliac, renal, and mesenteric arteries were also affected in addition to lower extremities.
  • Atherosclerotic findings like aortic plaques and iliac stenosis were common (7/9).
  • Embolectomy or thromboendarterectomy were the primary surgical interventions, with 44.4% experiencing recurrent ischemia.

Implications:

  • A comprehensive aortic inspection is crucial for patients with CD and AOD.
  • Embolectomy is a frequently preferred surgical approach.
  • Post-operative anticoagulation therapy is highly recommended to prevent recurrence.
Abstract

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