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Colonoscopic findings in intestinal Behçet's disease

Authors
 Chung Ryul Lee  ;  Won Ho Kim  ;  Yong Suk Cho  ;  Myoung Hwan Kim  ;  Jae Hak Kim  ;  In Suh Park  ;  Dongsik Bang 
Citation
 Inflammatory Bowel Diseases, Vol.7(3) : 243-249, 2001 
Journal Title
 Inflammatory Bowel Diseases 
ISSN
 1078-0998 
Issue Date
2001
MeSH
Adolescent ; Adult ; Age Distribution ; Aged ; Behcet Syndrome/diagnosis* ; Behcet Syndrome/pathology ; Child ; Colonic Diseases/diagnosis ; Colonoscopy* ; Female ; Humans ; Intestinal Diseases/diagnosis* ; Intestinal Diseases/pathology ; Male ; Middle Aged ; Sex Distribution
Keywords
Behçet's disease ; intestinal Behçet's disease ; endoscopy ; colonoscopy ; ulcer
Abstract
The aims of this study were to investigate the clinical and colonoscopic characteristics of patients with intestinal Behçet's disease and to compare the findings of typical and atypical intestinal Behçet's disease. Ninety-four patients diagnosed as having intestinal Behçet's disease were included. Of these, we considered 42 patients as having complete or incomplete type; these fulfilled the international criteria as “typical,” and the other 52 patients were classified as having “atypical” intestinal Behçet's disease. Abdominal pain was the most common symptom (92%), followed by diarrhea and gastrointestinal bleeding. All of the 22 patients with a history of surgery had ulcers at the anastomotic site. Most of the patients, who had never been operated on, had lesions in the ileocecal area (96%). Sixty-three patients (67%) had a single ulcer. Many (76%) of the ulcers were larger than 1 cm, and the mean size of the ulcers was 2.9 cm. Most (99%) of the ulcers were round/oval or geographic in shape. Usually ulcers were deep (62%), and their margins discrete (80%). There was no difference in the endoscopic findings of typical and atypical intestinal Behçet's disease. Typical colonoscopic findings in intestinal Behçet's disease were single or a few deep ulcers with discrete margins in the ileocecal area or anastomotic site. Endoscopic characteristics of patients with intestinal involvement in the case of “suspect” or “possible” type of Behçet's disease that lack the systemic manifestations of Behçet's disease were in accord with those in “complete” or “incomplete” types of Behçet's disease, who fulfill the International Study Group for Behçet's Disease criteria.
Full Text
http://onlinelibrary.wiley.com/doi/10.1097/00054725-200108000-00010/full
DOI
10.1097/00054725-200108000-00010
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Bang, Dong Sik(방동식)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142411
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