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Mucosal Healing Predicts the Long-Term Prognosis of Intestinal Behçet’s Disease

Authors
 Sun Mie Yim  ;  Duk Hwan Kim  ;  Hyun Jung Lee  ;  Hui Won Jang  ;  Soo Jung Park  ;  Sung Pil Hong  ;  Tae Il Kim  ;  Won Ho Kim  ;  Jae Hee Cheon 
Citation
 DIGESTIVE DISEASES AND SCIENCES, Vol.59(10) : 2529-2535, 2014 
Journal Title
 DIGESTIVE DISEASES AND SCIENCES 
ISSN
 0163-2116 
Issue Date
2014
MeSH
Adolescent ; Adult ; Behcet Syndrome/pathology* ; Behcet Syndrome/therapy* ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Time Factors ; Young Adult
Keywords
Intestinal Behçet’s disease ; Mucosal healing ; Inflammatory bowel disease
Abstract
BACKGROUND: Mucosal healing (MH) has emerged as a therapeutic goal in the treatment of inflammatory bowel disease; however, little is known about the impact of MH on the prognosis of intestinal Behçet's disease (BD). AIM: We investigated whether MH could predict the prognosis of intestinal BD. METHODS: We retrospectively reviewed the medical records of 80 patients with intestinal BD who underwent colonoscopy within 3 months after clinical remission. The clinical recurrence rate according to the presence or absence of MH was evaluated using the Kaplan-Meier method and the log-rank test. In order to evaluate MH as an independent prognostic factor, a multivariate analysis using Cox proportional hazards regression model was performed including other potential factors for the relapse of intestinal BD. RESULTS: The number of patients with active ulcers at the time of clinical remission was 57 (71.3%), while 23 patients (28.7%) were experiencing MH. In the active ulcer group, 39 patients (68.4%) experienced recurrence during the follow-up period, whereas 7 patients (30.4%) recurred in the MH group. The cumulative recurrence rate was significantly higher in the active ulcer group than in the MH group (P < 0.001). A multivariate analysis identified active ulcers at the time of clinical remission as an independent predictive factor for relapse. CONCLUSION: Our study demonstrates that MH is an independent factor predictive of long-term prognosis of intestinal BD. MH might be the ultimate therapeutic goal in the treatment of intestinal BD.
Full Text
http://link.springer.com/article/10.1007%2Fs10620-014-3198-z
DOI
10.1007/s10620-014-3198-z
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Duk Hwan(김덕환)
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)
Lee, Hyun Jung(이현정)
Yim, Sun Mie(임선미)
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/22282913/99824
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