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Diagnostic Role of Computed Tomographic Enterography Differentiating Crohn Disease From Intestinal Tuberculosis

Authors
 Yoon Hea Park  ;  Woo-Suk Chung  ;  Joon Seok Lim  ;  Soo Jung Park  ;  Jae Hee Cheon  ;  Tae Kim, Il  ;  Won Ho Kim  ;  Sung Pil Hong 
Citation
 JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, Vol.37(5) : 834-839, 2013 
Journal Title
 JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY 
ISSN
 0363-8715 
Issue Date
2013
MeSH
Adult ; Aged ; Crohn Disease/epidemiology* ; Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Prevalence ; Reproducibility of Results ; Republic of Korea/epidemiology ; Risk Assessment ; Sensitivity and Specificity ; Tomography, X-Ray Computed/statistics & numerical data* ; Tuberculosis, Gastrointestinal/diagnosis* ; Tuberculosis, Gastrointestinal/epidemiology* ; Young Adult
Keywords
gastrointestinal tuberculosis ; Crohn disease ; multidetector computed tomography ; diagnosis
Abstract
OBJECTIVES: The aim of the present study was to evaluate the diagnostic role of computed tomographic enterography (CTE) in distinguishing Crohn disease (CD) from intestinal tuberculosis (ITB). MATERIALS AND METHODS: From January 2006 to August 2011, a total of 81 consecutive patients (64 patients with CD and 17 patients with ITB) who received CTE on the initial workup were included. In CTE, degree of bowel involvement (number and length), mural change (mural hyperenhancement, stratification, wall thickening, and distribution), adjacent mesenteric change (comb sign, fibrofatty proliferation, fistula, abscess, and lymphadenopathy), and peritoneal change (peritoneal thickening and ascites) were assessed. RESULTS: Segmental involvement, comb sign, fibrofatty changes, moderate wall thickening, and asymmetric distribution were significantly more common in the patients with CD than those with ITB. A positive comb sign was the most suggestive finding of CD (sensitivity, 74.1%; specificity, 90.9%). CONCLUSIONS: A positive comb sign is the most suggestive finding that differentiates CD from ITB.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00004728-201309000-00031&LSLINK=80&D=ovft
DOI
10.1097/RCT.0b013e31829e0292
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 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)
Park, Yoon Hea(박윤혜)
Lim, Joon Seok(임준석) ORCID logo https://orcid.org/0000-0002-0334-5042
Chung, Woo Seok(정우석)
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
Hong, Sung Pil(홍성필)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89204
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