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©The Author(s) 2020.
World J Clin Cases. Jul 6, 2020; 8(13): 2769-2777
Published online Jul 6, 2020. doi: 10.12998/wjcc.v8.i13.2769
Published online Jul 6, 2020. doi: 10.12998/wjcc.v8.i13.2769
Table 1 Demographic variables and disease characteristics of Crohn’s disease
Variable | No. or median/mean | % or range |
Total number of patients | 122 | |
Male gender | 85 | 69.67 |
Age of onset (yr) | 34.72 | 15.15 |
Duration of disease (mo) | 64 | 1-492 |
Gastrointestinal stenosis | 72 | 59.02 |
L1 | 33 | 27.05 |
L2 | 27 | 22.13 |
L3 | 59 | 48.36 |
L4 | 2 | 1.64 |
L1 + L4 | 1 | 0.82 |
B1 (B1p) | 42 (5) | 34.43 |
B2 (B2p) | 65 (2) | 53.28 |
B3 (B3p) | 8 (1) | 6.56 |
B2 + B31 | 7 | 5.74 |
Disease activity: Mild | 25 | 20.49 |
Disease activity: Moderate | 84 | 68.85 |
Disease activity: Severe | 13 | 10.66 |
Table 2 Univariate comparison between gastrointestinal stenosis group and non-gastrointestinal stenosis group
Variable | Gastrointestinal stenosis | Non-gastrointestinal stenosis | P value |
Total number of patients | 72 (59.02%) | 50 (40.98%) | |
Male gender | 49 (68.06%) | 36 (72.00%) | 0.761 |
Age of onset (yr) | 37.61 ± 15.14 | 30.84 ± 14.67 | 0.021 |
Duration of disease (mo) | 72 (11-492) | 45 (3-240) | 0.010 |
Exposure to corticosteroid | 23 | 20 | 0.360 |
Exposure to azathioprine | 22 | 13 | 0.247 |
Exposure to biologics | 35 | 19 | 0.585 |
Disease activity: Severe | 11 | 2 | 0.065 |
Disease involved: Ileum | 50 | 44 | 0.039 |
Parenteral performance | 5 | 6 | 0.243 |
Perforation | 4 | 4 | 0.594 |
Gastrointestinal bleeding | 5 | 1 | 0.243 |
Thrombosis | 1 | 0 | NA |
Fistula | 7 | 10 | 0.114 |
Severe malnutrition | 9 | 5 | 0.671 |
Infection | 7 | 6 | 0.689 |
Neoplastic lesions | 1 | 1 | 0.795 |
Table 3 Multivariable logistic regression analysis between gastrointestinal stenosis group and non-gastrointestinal stenosis group
Variable | β | SE | Odds ratio (95%CI) | P value |
Age of onset | 0.028 | 0.014 | 1.028 (1.000-1.056) | 0.046 |
Duration of disease | 0.008 | 0.003 | 1.008 (1.002-1.015) | 0.013 |
Fistula | -0.833 | 0.587 | 0.435 (0.138-1.373) | 0.156 |
Disease activity: Severe | 1.524 | 0.841 | 4.593 (0.883-23.896) | 0.070 |
Disease involved: Ileum | -1.003 | 0.525 | 0.367 (0.131-1.025) | 0.056 |
Table 4 Correlation between age of onset or duration of disease and Crohn's disease-related gastrointestinal stenosis
Variable | Gastrointestinal stenosis (n = 72) | Non-gastrointestinal stenosis (n = 50) | P value | OR (95%CI) |
Age of onset > 40 yr | 29 | 9 | 0.009 | 3.072 (1.298-7.272) |
Age of onset ≤ 40 yr | 43 | 41 | ||
Duration of disease > 5 yr | 39 | 18 | 0.048 | 2.101 (1.002-4.406) |
Duration of disease ≤ 5 yr | 33 | 32 |
Table 5 Treatments for Crohn's disease-related gastrointestinal stenosis
Variable | n | % |
Total number of patients | 72 | |
Internal medicine and nutrition treatment | 15 | 20.83 |
Surgical treatment | 52 | 72.22 |
Endoscopic therapy | 21 | 29.17 |
Surgical treatment | ||
Reoperation | 6 | 11.54 |
Postoperative complications | 8 | 15.38 |
Endoscopic therapy | ||
No surgery events | 16 | 76.19 |
Undergo surgery | 5 | 23.81 |
Postoperative complications | 0 | 0 |
- Citation: Yang SB, Du SW, Wang JH. Correlation between age of onset and gastrointestinal stenosis in hospitalized patients with Crohn's disease. World J Clin Cases 2020; 8(13): 2769-2777
- URL: https://www.wjgnet.com/2307-8960/full/v8/i13/2769.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v8.i13.2769