Copyright
©2014 Baishideng Publishing Group Co.
World J Gastrointest Endosc. Mar 16, 2014; 6(3): 88-98
Published online Mar 16, 2014. doi: 10.4253/wjge.v6.i3.88
Published online Mar 16, 2014. doi: 10.4253/wjge.v6.i3.88
Table 1 Clinical characteristics of patients (n = 19)
Characteristics | Statistics |
Age (yr) | 37.6 ± 10.2 |
Gender (male/female) | 14/5 |
Duration of CD (yr) | 13.5 ± 10.6 |
Smoking (yes/no) | 2/17 |
Disease location | |
Ileum only | 4 |
Ileum and colon | 15 |
Disease behavior (B1/B2/B3) | 2/6/11 |
Surgical resection (times) | |
1 | 6 |
≥ 2 | 13 |
Type of surgery | |
Ileocolonic resection | 16 |
Partial ileal resection | 3 |
Ileostomy | 7 |
Length of the residual small intestine (cm) | 455 ± 52 |
Preoperative medications | |
Mesalamine | 15 |
Elemental diet | 12 |
Corticosteroids | 6 |
Immunomodulators | 1 |
Anti-TNFα antibody | 4 |
Table 2 Changes in capsule endoscopy findings from shortly after surgery to 6-8 mo later
CE shortly after surgery | CE 6-8 mo later | P value | |
Total LS | 215:168 (8-562) | 196:143 (8-450) | NS |
Activity | NS | ||
No disease: 2 | No disease: 4 | ||
Mild disease: 11 | Mild disease: 9 | ||
Edema LS | |||
Proximal | 40.6:8 (0-168) | 36.3:8 (0-112) | NS |
Mid | 48:0 (0-280) | 9.8:0 (0-112) | NS |
Distal | 31.4:0 (0-168) | 27.1:0 (0-112) | NS |
Ulcer LS | |||
Proximal | 10.4:0 (0-135) | 41.5:0 (0-135) | NS |
Mid | 57.7:0 (0-300) | 38.1:0 (0-225) | NS |
Distal | 133.8:135 (0-450) | 118.8:0 (0-450) | NS |
Aphthae/erosion (number) | |||
Proximal | 3.2:1 (0-12) | 4.9:2 (0-17) | NS |
Mid | 2.1:2 (0-9) | 10.5:3 (0-40) | 0.036 |
Distal | 1.6:1 (0-4) | 8.1:5 (0-18) | 0.015 |
Table 3 Comparison of postoperative endoscopic recurrence detection by ileocolonoscopy and capsule endoscopy in 6 patients who underwent ileocolonic resection
Cases | Ileocolonoscopy | Capsule endoscopy | |||
Rutgeerts score | Ulcer LS: 6-8 mo later (distal tertile) | A: Total LS shortly after surgery | B: Total LS: 6-8 mo later | ΔLS (B-A) | |
1 | 0 | 0 | 135 | 8 | -127 |
2 | 1 | 135 | 278 | 135 | -243 |
3 | 1 | 300 | 135 | 412 | 277 (recurrence) |
4 | 2 (recurrence) | 135 | 308 | 142 | -166 |
5 | 2 (recurrence) | 300 | 135 | 300 | 165 (recurrence) |
6 | 2 (recurrence) | 450 | 300 | 450 | 150 (recurrence) |
- Citation: Kono T, Hida N, Nogami K, Iimuro M, Ohda Y, Yokoyama Y, Kamikozuru K, Tozawa K, Kawai M, Ogawa T, Hori K, Ikeuchi H, Miwa H, Nakamura S, Matsumoto T. Prospective postsurgical capsule endoscopy in patients with Crohn’s disease. World J Gastrointest Endosc 2014; 6(3): 88-98
- URL: https://www.wjgnet.com/1948-5190/full/v6/i3/88.htm
- DOI: https://dx.doi.org/10.4253/wjge.v6.i3.88