Cited 24 times in
Cryptogenic multifocal ulcerous stenosing enteritis: Radiologic features and clinical behavior
DC Field | Value | Language |
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dc.contributor.author | 임준석 | - |
dc.date.accessioned | 2023-08-09T02:53:22Z | - |
dc.date.available | 2023-08-09T02:53:22Z | - |
dc.date.issued | 2017-07 | - |
dc.identifier.issn | 1007-9327 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/195910 | - |
dc.description.abstract | Aim: To investigate the characteristic radiologic findings of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) which can be differentiated from other similar bowel disease and to assess their clinical behavior. Methods: Twenty pathologically and clinically confirmed CMUSE patients (males:females = 8:12; mean age: 40.4 years) between March 2002 and August 2015 from seven academic centers in South Korea were retrospectively reviewed. We evaluated small bowel series (SBS; n = 25), computed tomography (CT) enterography (n = 21), magnetic resonance (MR) enterography (n = 2), and abdominopelvic CT (n = 18) images, focusing on enteric and perienteric manifestations. Any change in radiologic features during follow-up period was recorded. We evaluated clinical data including presenting symptoms, laboratory finding and presence of relapse from electronic medical records. Histopathologic findings were also evaluated. Results: The main symptoms were abdominal pain (n = 12) and anemia (n = 10). All patients showed small bowel strictures (n = 52, mean: 2.6 per patient) on initial CT/MR, located in the ileum (n = 47) or jejunum (n = 5). Strictures showed short-length (mean: 10.44 mm) and circumferential bowel wall thickening (mean: 5.56 mm) with layered enhancement (n = 48) that were also noted on initial SBS (n = 36) with shallow ulcers (n = 10). Some ulcerative lesions or wall thickening progressed into strictures on follow-up SBS/CT, and some strictures revealed recurrent ulceration on follow-up SBS. There were no penetrating disease features like fistula or abscess and no gastrointestinal tract involvement except the small bowel. Nine patients experienced disease recurrence (median relapse-free period: 32 mo) even post-operatively. Histopathologic features of surgically resected specimens were characterized as multiple superficial ulcerations confined to mucosa or submucosa and multiple strictures. Conclusion: Under characteristic radiologic findings with multiple short-segmental strictures and/or shallow ulcers of the small intestine, CMUSE should be considered when assessing patients with recurrent abdominal pain and anemia. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Baishideng Publishing Group | - |
dc.relation.isPartOf | WORLD JOURNAL OF GASTROENTEROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Abdominal Pain / diagnostic imaging | - |
dc.subject.MESH | Abdominal Pain / etiology | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Anemia / diagnostic imaging | - |
dc.subject.MESH | Anemia / etiology | - |
dc.subject.MESH | Chronic Disease | - |
dc.subject.MESH | Constriction, Pathologic / complications | - |
dc.subject.MESH | Constriction, Pathologic / diagnostic imaging* | - |
dc.subject.MESH | Constriction, Pathologic / pathology | - |
dc.subject.MESH | Crohn Disease | - |
dc.subject.MESH | Diagnosis, Differential | - |
dc.subject.MESH | Enteritis / complications | - |
dc.subject.MESH | Enteritis / diagnostic imaging* | - |
dc.subject.MESH | Enteritis / pathology | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Gastrointestinal Hemorrhage / diagnostic imaging | - |
dc.subject.MESH | Gastrointestinal Hemorrhage / etiology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intestinal Obstruction / complications | - |
dc.subject.MESH | Intestinal Obstruction / diagnostic imaging* | - |
dc.subject.MESH | Intestinal Obstruction / pathology | - |
dc.subject.MESH | Intestine, Small / diagnostic imaging | - |
dc.subject.MESH | Magnetic Resonance Imaging | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Rare Diseases / diagnostic imaging* | - |
dc.subject.MESH | Rare Diseases / pathology | - |
dc.subject.MESH | Recurrence | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Tomography, X-Ray Computed | - |
dc.subject.MESH | Ulcer / complications | - |
dc.subject.MESH | Ulcer / diagnostic imaging* | - |
dc.subject.MESH | Ulcer / pathology | - |
dc.subject.MESH | Young Adult | - |
dc.title | Cryptogenic multifocal ulcerous stenosing enteritis: Radiologic features and clinical behavior | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Jiyoung Hwang | - |
dc.contributor.googleauthor | Jin Sil Kim | - |
dc.contributor.googleauthor | Ah Young Kim | - |
dc.contributor.googleauthor | Joon Seok Lim | - |
dc.contributor.googleauthor | Se Hyung Kim | - |
dc.contributor.googleauthor | Min Ju Kim | - |
dc.contributor.googleauthor | Mi Sung Kim | - |
dc.contributor.googleauthor | Kyoung Doo Song | - |
dc.contributor.googleauthor | Ji Young Woo | - |
dc.identifier.doi | 10.3748/wjg.v23.i25.4615 | - |
dc.contributor.localId | A03408 | - |
dc.contributor.localId | A01862 | - |
dc.contributor.localId | A00765 | - |
dc.contributor.localId | A00133 | - |
dc.contributor.localId | A01780 | - |
dc.relation.journalcode | J02795 | - |
dc.identifier.eissn | 2219-2840 | - |
dc.identifier.pmid | 28740350 | - |
dc.subject.keyword | Computed tomography | - |
dc.subject.keyword | Cryptogenic multifocal ulcerous stenosing enteritis | - |
dc.subject.keyword | Diagnosis | - |
dc.subject.keyword | Small bowel series | - |
dc.subject.keyword | Small intestine | - |
dc.contributor.alternativeName | Lim, Joon Seok | - |
dc.contributor.affiliatedAuthor | 임준석 | - |
dc.citation.volume | 23 | - |
dc.citation.number | 25 | - |
dc.citation.startPage | 4615 | - |
dc.citation.endPage | 4623 | - |
dc.identifier.bibliographicCitation | WORLD JOURNAL OF GASTROENTEROLOGY, Vol.23(25) : 4615-4623, 2017-07 | - |
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