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Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study
Background: In Crohn’s disease (CD), intra-abdominal abscess (IA) and intestinal free-wall perforation (IP) have a common mechanism of transmural inflammation; however, their manifestation is different. Objective: This study aimed to investigate differences in the clinical features between IA and IP...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794699/ https://www.ncbi.nlm.nih.gov/pubmed/33396251 http://dx.doi.org/10.3390/jcm10010116 |
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author | Jeong, Seok-Hoo Choi, Ja Sung Kim, Jin Woo Kim, Hee Man Kim, Hyun-Soo Im, Jong Pil Kim, Joo Sung Kim, You Sun Cheon, Jae Hee Kim, Won Ho Ye, Byong Duk Kim, Young-Ho Han, Dong Soo |
author_facet | Jeong, Seok-Hoo Choi, Ja Sung Kim, Jin Woo Kim, Hee Man Kim, Hyun-Soo Im, Jong Pil Kim, Joo Sung Kim, You Sun Cheon, Jae Hee Kim, Won Ho Ye, Byong Duk Kim, Young-Ho Han, Dong Soo |
author_sort | Jeong, Seok-Hoo |
collection | PubMed |
description | Background: In Crohn’s disease (CD), intra-abdominal abscess (IA) and intestinal free-wall perforation (IP) have a common mechanism of transmural inflammation; however, their manifestation is different. Objective: This study aimed to investigate differences in the clinical features between IA and IP in Korean patients with Crohn’s disease. Design: A retrospective cohort study. Setting: Thirty university hospitals and two local hospitals in Korea. Patients: Patients who were diagnosed with CD between July 1982 and December 2008 were enrolled. Main Outcome Measures: Clinical characteristics of IA and IP. Results: Among 1286 patients with CD, 147 (11.4%) had IA and 83 (6.5%) had IP. IA patients were younger than those of IP (24.2 ± 8.6 vs. 30.4 ± 11.1 years, p = 0.001). Location and behavior were significantly different between IA and IP (p = 0.035 and 0.021). In multivariate analyses, perianal fistula was not associated with increased risk of IA and IP, while intestinal stricture was associated with increased risk of IA (OR: 2.72, p < 0.0001) and IP (OR: 2.76, p < 0.0001). In subgroup analyses, 55 (36.5%) IA patients were diagnosed at the diagnosis of CD, and 92 (63.5%) during follow-up of CD, while 47 (56.6%) IP patients were diagnosed at the diagnosis of CD, and 36 (43.3%) during follow-up of CD. Conclusions: There are several differences in the clinical features of IA and IP in Korean patients with CD. The development mechanism is considered as identical, but further investigation should be needed for clinical implication. |
format | Online Article Text |
id | pubmed-7794699 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77946992021-01-10 Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study Jeong, Seok-Hoo Choi, Ja Sung Kim, Jin Woo Kim, Hee Man Kim, Hyun-Soo Im, Jong Pil Kim, Joo Sung Kim, You Sun Cheon, Jae Hee Kim, Won Ho Ye, Byong Duk Kim, Young-Ho Han, Dong Soo J Clin Med Article Background: In Crohn’s disease (CD), intra-abdominal abscess (IA) and intestinal free-wall perforation (IP) have a common mechanism of transmural inflammation; however, their manifestation is different. Objective: This study aimed to investigate differences in the clinical features between IA and IP in Korean patients with Crohn’s disease. Design: A retrospective cohort study. Setting: Thirty university hospitals and two local hospitals in Korea. Patients: Patients who were diagnosed with CD between July 1982 and December 2008 were enrolled. Main Outcome Measures: Clinical characteristics of IA and IP. Results: Among 1286 patients with CD, 147 (11.4%) had IA and 83 (6.5%) had IP. IA patients were younger than those of IP (24.2 ± 8.6 vs. 30.4 ± 11.1 years, p = 0.001). Location and behavior were significantly different between IA and IP (p = 0.035 and 0.021). In multivariate analyses, perianal fistula was not associated with increased risk of IA and IP, while intestinal stricture was associated with increased risk of IA (OR: 2.72, p < 0.0001) and IP (OR: 2.76, p < 0.0001). In subgroup analyses, 55 (36.5%) IA patients were diagnosed at the diagnosis of CD, and 92 (63.5%) during follow-up of CD, while 47 (56.6%) IP patients were diagnosed at the diagnosis of CD, and 36 (43.3%) during follow-up of CD. Conclusions: There are several differences in the clinical features of IA and IP in Korean patients with CD. The development mechanism is considered as identical, but further investigation should be needed for clinical implication. MDPI 2020-12-31 /pmc/articles/PMC7794699/ /pubmed/33396251 http://dx.doi.org/10.3390/jcm10010116 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Jeong, Seok-Hoo Choi, Ja Sung Kim, Jin Woo Kim, Hee Man Kim, Hyun-Soo Im, Jong Pil Kim, Joo Sung Kim, You Sun Cheon, Jae Hee Kim, Won Ho Ye, Byong Duk Kim, Young-Ho Han, Dong Soo Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study |
title | Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study |
title_full | Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study |
title_fullStr | Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study |
title_full_unstemmed | Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study |
title_short | Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study |
title_sort | clinical features of intra-abdominal abscess and intestinal free-wall perforation in korean patients with crohn’s disease: results from the connect study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794699/ https://www.ncbi.nlm.nih.gov/pubmed/33396251 http://dx.doi.org/10.3390/jcm10010116 |
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