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Aphthoid ulcers in Crohn's colitis.

K C Simpkins

    Clinical Radiology
    |November 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Aphthoid ulcers are the earliest radiographic sign of Crohn's colitis, detected via double contrast barium enema. Identifying these ulcers aids in assessing disease extent for treatment planning.

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    Area of Science:

    • Gastroenterology
    • Radiology
    • Pathology

    Background:

    • Crohn's colitis is a chronic inflammatory bowel disease.
    • Early detection of Crohn's colitis is crucial for effective management.
    • Radiographic signs can indicate disease presence and extent.

    Purpose of the Study:

    • To evaluate aphthoid ulceration as an early radiographic sign of Crohn's colitis.
    • To determine the diagnostic value of aphthoid ulcers in assessing disease extent.
    • To correlate radiographic findings with clinical presentation and disease progression.

    Main Methods:

    • Double contrast barium enema examination was performed on 91 patients with Crohn's colitis.
    • Radiographic images were analyzed for the presence and characteristics of aphthoid ulcers.

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  • Comparison of radiographic findings with clinical symptoms and disease severity.

    • Main Results:

    • Aphthoid ulceration was identified in 40 out of 91 patients (44%) with Crohn's colitis.
    • These ulcers were observed as the earliest radiographic sign, preceding bowel symptoms.
    • The presence of aphthoid ulcers accurately reflected disease extent and discontinuity, correlating with macroscopic findings.

    Conclusions:

    • Aphthoid ulceration is a significant early radiographic indicator of Crohn's colitis.
    • Detection of these ulcers aids in precise disease extent assessment for treatment planning.
    • Radiographic monitoring of aphthoid ulcers can predict disease relapse or progression.