在临床前的克罗恩病中进行跨壁横截面发现和肠损伤评估:一个病例对照研究
Iago Rodríguez-Lago1,2,3, Marta Aduna4,5, Patricia Ramírez de la Piscina6
1IBD Unit, Gastroenterology Department, Hospital Universitario de Galdakao-Usansolo, Galdakao, Spain. iago.r.lago@gmail.com.
在查期间发现的早期克罗恩病 (CD) 显示了与症状CD相似的肠道损伤和放射性发现. 这表明临床前的CD可能已经在偶然诊断时表现出显著的疾病负担.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 炎症性肠道疾病是什么
背景情况:
- 克罗恩氏病 (CD) 是一种进展性炎症性肠病,导致累积的肠损伤.
- 莱曼指数是监测CD进展和治疗疗效的验证工具.
- 在例行健康检查期间,CD的偶然诊断可能会发生.
研究的目的:
- 描述偶然诊断的CD的放射性发现.
- 为了评估在临床前CD与症状CD相比,肠道损伤.
- 为了比较偶然和症状诊断的CD队列之间的疾病特征.
主要方法:
- 追溯比较19个偶然诊断的CD患者与19个匹配的症状CD对照.
- 集中阅读横截面成像,以识别放射性发现.
- 计算勒曼指数以评估肠道损伤.
主要成果:
- 临床前CD患者在MRE上表现出常见的发现,如对比度增强,壁壁加厚和淋巴腺病变.
- 在临床前和症状性CD之间没有发现Lémann指数的显著差异.
- 具有症状的CD对照显示了更高的前静脉扩张率.
结论:
- 偶然的CD诊断揭示了与新出现的症状性CD相比的放射性发现.
- 通过莱曼指数评估的肠损伤程度,在临床前和症状性CD中是相似的.
- 临床前CD显示显著的肠道干扰,类似于症状呈现.
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