Al-Ghamdi AS, Al-Mofleh IA, Al-Rashed RS, Al-Amri SM, Aljebreen AM, Isnani AC, El-Badawi R. Epidemiology and outcome of Crohn’s disease in a teaching hospital in Riyadh. World J Gastroenterol 2004; 10(9): 1341-1344 [PMID: 15112355 DOI: 10.3748/wjg.v10.i9.1341]
Corresponding Author of This Article
Ibrahim A Al-Mofleh, Professor, Gastroenterology Division, Department of Medicine (38), King Khalid University Hospital, PO Box 2925 Riyadh 11461, Kingdom of Saudi Arabia
Article-Type of This Article
Clinical Research
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. May 1, 2004; 10(9): 1341-1344 Published online May 1, 2004. doi: 10.3748/wjg.v10.i9.1341
Table 1 Demographic characteristics of patients with Crohn’s disease in KKUH, Riyadh, Saudi Arabia (n = 77)
All patients
Active
On remission
Number
77
34 (44%)
43 (56%)
Total males
33 (42.9%)
15 (44%)
18 (42%)
Total females
44 (57.1%)
19 (56%)
25 (58%)
Age (range), yr
11-70
11-55
11-70
Mean age, yr
25.3 ± 11.3
22.9 ± 8.3
27.3 ± 13.2
Nationality (Saudi/non-Saudi)
71/6
32/2
39/4
Table 2 Clinical features of Crohn’s disease in KKUH n (%)
All patients, n = 77
Active Crohn's, n = 34
Remission, n = 43
Abdominal pain
67 (87)
29 (85)
38 (88)
Diarrhea
60 (78)
27 (79)
33 (77)
Weight loss
41 (53)
23 (68)
18 (42)
Anorexia
22 (29)
10 (29)
12 (28)
Fever
20 (26)
8 (24)
12 (28)
Rectal bleeding
19 (25)
5 (15)
14 (32)
Normal physical examination
32 (42)
10 (29)
22 (51)
Abdominal tenderness
45 (58)
24 (71)
21 (49)
Palpable mass
8 (10)
3 (9)
5 (12)
Table 3 Colonoscopic, biopsy, small bowel enema findings and CT scan results of Crohn's disease in KKUH n (%)
All patients
Active Crohn's
Remission
Colonoscopy
n = 76
n = 33
n = 43
Normal
18 (24)
8 (24)
10 (23)
Abnormal
58 (76)
25 (76)
33 (77)
Biopsy
n = 77
n = 34
n = 43
Normal
0
0
0
Abnormal
77 (100)
34 (100)
43 (100)
Enteroclysis
n = 77
n = 34
n = 43
Normal
8 (11)
5 (15)
3 (7)
Abnormal
69 (89)
29 (85)
40 (93)
CT scan
n = 77
n = 34
n = 43
Normal
9 (12)
9 (26)
0
Abnormal
68 (88)
25 (74)
43 (100)
Table 4 Initial laboratory results of Crohn’s disease patients at KKUH (all patients vs active vs on remission)
All patients
Active Crohn’s
Remission
WBC count
9.06 ± 3.95
8.57 ± 4.43
9.42 ± 3.58
Hemoglobin
10.8 ± 1.89
10.97 ± 1.61
10.72 ± 2.12
Platelets
429.9 ± 161
422.5 ± 145.2
435.4 ± 176.1
ESR
42.8 ± 27.8
34.4 ± 22.9
49.5 ± 26.6
Albumin
30.7 ± 8.9
30.4 ± 9.9
30.97 ± 8.21
Table 5 Comparison of initial and last follow-up laboratory results of Crohn’s disease patients who went into remission
Initial visit
Last follow-up
P value
WBC count
9.42 ± 3.58
8.36 ± 3.4
0.1629
Hemoglobin
10.72 ± 2.12
12.4 ± 1.78
0.0001
Platelets
435.4 ± 176.1
396.4 ± 132.02
0.2485
ESR
49.5 ± 26.6
29.9 ± 26.01
0.0009
Albumin
30.97 ± 8.21
33.5 ± 7.97
0.1508
Table 6 Comparison of initial and last follow-up laboratory results of Crohn’s disease patients who remained active
Initial visit
Last follow-up
P value
WBC count
8.57 ± 4.43
8.35 ± 3.04
0.812
Hemoglobin
10.97 ± 1.61
11.2 ± 2.3
0.6344
Platelets
422.5 ± 145.2
388.5 ± 122.5
0.3005
ESR
34.4 ± 22.9
33.05 ± 24.4
0.8148
Albumin
30.4 ± 9.9
30.55 ± 7.67
0.9445
Citation: Al-Ghamdi AS, Al-Mofleh IA, Al-Rashed RS, Al-Amri SM, Aljebreen AM, Isnani AC, El-Badawi R. Epidemiology and outcome of Crohn’s disease in a teaching hospital in Riyadh. World J Gastroenterol 2004; 10(9): 1341-1344