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Effects of Perianal Involvement on Clinical Outcomes in Crohn's Disease over 10 Years

Authors
 Jin Young Yoon  ;  Jae Hee Cheon  ;  Soo Jung Park  ;  Tae Il Kim  ;  Won Ho Kim 
Citation
 Gut and Liver, Vol.12(3) : 297-305, 2018 
Journal Title
 Gut and Liver 
ISSN
 1976-2283 
Issue Date
2018
Keywords
Crohn disease ; Outcomes ; Perianal lesion
Abstract
Background/Aims: There was the assumption that Crohn's disease (CD) patients with perianal lesions might have different clinical courses compared to those without. However, quantifiable data comparing the long-term outcomes between the two groups are scarce. Methods: We retrospectively reviewed 221 consecutive patients newly diagnosed with CD and registered at the IBD clinic of Severance Hospital, in Seoul, Korea, between January 1990 and October 2005. We compared patients with perianal CD (PCD) and non-perianal CD (NPCD) in terms of clinical outcomes over 10 years. Results: PCD progressed more frequently from inflammatory to complicated behavior than NPCD. Moreover, corticosteroids were prescribed in 102 patients with PCD and only 57 with NPCD (82.9% vs 58.2%, p0.001), immunosuppressants in 89 and 42 (72.4% vs 42.9%, p0.001), and anti-tumor necrosis factor alpha (TNF-alpha) in 37 and 12 (30.1% vs 12.2%, p=0.002). Cumulative hospitalization rates were 82.1% in PCD and 72.4% in NPCD (p=0.086), and surgical intervention rates were 39.8% and 51.0%, respectively (p=0.097). Conclusions: Patients with PCD were more likely than those with NPCD to be administered corticosteroids, immunosuppressants, and anti-TNF-alpha. However, there is no significant difference in the cumulative rates of surgical interventions or hospitalizations.
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DOI
10.5009/gnl17275
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Park, Soo Jung(박수정)
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162554
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