CT Enterography for Surveillance of Anastomotic Recurrence within 12 Months of Bowel Resection in Patients with Crohn's Disease: An Observational Study Using an 8-Year Registry
DC Field | Value | Language |
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dc.contributor.author | Choi, In Young | - |
dc.contributor.author | Park, Sang Hyoung | - |
dc.contributor.author | Park, Seong Ho | - |
dc.contributor.author | Yu, Chang Sik | - |
dc.contributor.author | Yoon, Yong Sik | - |
dc.contributor.author | Lee, Jong Lyul | - |
dc.contributor.author | Ye, Byong Duk | - |
dc.contributor.author | Kim, Ah Young | - |
dc.contributor.author | Yang, Suk-Kyun | - |
dc.date.accessioned | 2021-09-02T23:22:31Z | - |
dc.date.available | 2021-09-02T23:22:31Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2017-11 | - |
dc.identifier.issn | 1229-6929 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/81683 | - |
dc.description.abstract | Objective: To investigate the diagnostic yield and accuracy of CT enterography (CTE) for early (< 12 postoperative months) surveillance of anastomotic recurrence after bowel resection for Crohn's disease (CD). Materials and Methods: We analyzed 88 adults (60 males and 28 females; mean age, 31.4 +/- 9.6 years) who underwent bowel surgery for CD that created ileocolic anastomosis without enteric stoma, and underwent CTE for surveillance of CD recurrence/aggravation within 12 post-operative months. The CD activity index (CDAI) at the time of CTE was < 150 (i.e., clinically silent) in 51 patients, and >= 150 in 37 patients. Diagnostic yields of CTE regarding CD recurrence in the ileocolic anastomosis and extraluminal penetrating complications were determined. CTE-related step-up therapy was recorded. These outcomes were compared between the two CDAI groups after accounting for major risk factors for CD recurrence. In a subgroup of 31 patients who underwent both CTE and ileocolonoscopy within 1 month, CTE accuracy for anastomotic recurrence was assessed using the Rutgeerts scoring as the reference standard. Results: CTE diagnostic yield was 35.2% (31/88) for the anastomotic recurrence and 9.1% (8/88) for penetrating complications. 20.5% (18/88) of the patients underwent step-up therapy after CTE detection of anastomotic recurrence. These outcomes were not significantly different between CDAI < 150 and CDAI >= 150, except that CTE yield for extraluminal penetrating complications was significantly higher in CDAI >= 150 (16.2% [6/37] vs. 3.9% [2/51]; multivariable-adjusted p = 0.029). CTE showed 92.3% (12/13) sensitivity and 83.3% (15/18) specificity for anastomotic recurrence. Conclusion: CTE may be a viable option for the early postsurgical surveillance of recurred disease in CD patients. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN RADIOLOGICAL SOC | - |
dc.subject | COMPUTED-TOMOGRAPHY ENTEROGRAPHY | - |
dc.subject | MAGNETIC-RESONANCE ENTEROGRAPHY | - |
dc.subject | ILEOCOLIC RESECTION | - |
dc.subject | MR ENTEROGRAPHY | - |
dc.subject | POSTOPERATIVE RECURRENCE | - |
dc.subject | INTESTINAL RESECTION | - |
dc.subject | ENTEROCLYSIS | - |
dc.subject | METAANALYSIS | - |
dc.subject | ENDOSCOPY | - |
dc.subject | INFLAMMATION | - |
dc.title | CT Enterography for Surveillance of Anastomotic Recurrence within 12 Months of Bowel Resection in Patients with Crohn's Disease: An Observational Study Using an 8-Year Registry | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, In Young | - |
dc.identifier.doi | 10.3348/kjr.2017.18.6.906 | - |
dc.identifier.scopusid | 2-s2.0-85031277313 | - |
dc.identifier.wosid | 000415617100005 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF RADIOLOGY, v.18, no.6, pp.906 - 914 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF RADIOLOGY | - |
dc.citation.title | KOREAN JOURNAL OF RADIOLOGY | - |
dc.citation.volume | 18 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 906 | - |
dc.citation.endPage | 914 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002289588 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalWebOfScienceCategory | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.subject.keywordPlus | COMPUTED-TOMOGRAPHY ENTEROGRAPHY | - |
dc.subject.keywordPlus | MAGNETIC-RESONANCE ENTEROGRAPHY | - |
dc.subject.keywordPlus | ILEOCOLIC RESECTION | - |
dc.subject.keywordPlus | MR ENTEROGRAPHY | - |
dc.subject.keywordPlus | POSTOPERATIVE RECURRENCE | - |
dc.subject.keywordPlus | INTESTINAL RESECTION | - |
dc.subject.keywordPlus | ENTEROCLYSIS | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | ENDOSCOPY | - |
dc.subject.keywordPlus | INFLAMMATION | - |
dc.subject.keywordAuthor | Crohn&apos | - |
dc.subject.keywordAuthor | s disease | - |
dc.subject.keywordAuthor | Ileocolonic | - |
dc.subject.keywordAuthor | Intestine | - |
dc.subject.keywordAuthor | Follow-up | - |
dc.subject.keywordAuthor | CT enterography | - |
dc.subject.keywordAuthor | CTE | - |
dc.subject.keywordAuthor | Monitor | - |
dc.subject.keywordAuthor | Recurrent | - |
dc.subject.keywordAuthor | Asymptomatic | - |
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