Copyright
©The Author(s) 2016.
World J Gastroenterol. Dec 21, 2016; 22(47): 10380-10387
Published online Dec 21, 2016. doi: 10.3748/wjg.v22.i47.10380
Published online Dec 21, 2016. doi: 10.3748/wjg.v22.i47.10380
Clinical/laboratory/radiologic parameter | Surgery | No surgery | P value |
Total no. of patients | 59 (47) | 67 (53) | |
Age at diagnosis > 18 | 43 (46) | 50 (54) | |
Age at diagnosis < 18 | 16 (48) | 17 (52) | 0.49 |
No fistulous disease at presentation | 47 (49) | 48 (51) | |
Fistulous disease at presentation | 12 (39) | 21 (61) | 0.20 |
No perianal disease | 53 (46) | 61 (54) | |
With perianal disease | 6 (50) | 6 (50) | 0.52 |
Lab parameters | |||
CRP < 5 mg/L | 31 (45) | 38 (55) | |
CRP > 5 mg/L | 28 (49) | 29 (51) | 0.39 |
Albumin > 35 mg/L | 39 (44) | 49 (56) | |
Albumin < 35 mg/L | 20 (53) | 18 (47) | 0.25 |
Fistula | |||
One fistula | 25 (37) | 42 (63) | REF |
Two fistulae | 24 (50) | 24 (50) | 0.17 |
Three or more fistulae | 10 (91) | 1 (9) | 0.009 |
Fistula type (anatomic) | |||
Entero-enteric | 47 (46) | 56 (54) | REF |
Entero-vesical | 12 (80) | 3 (20) | 0.01 |
Entero-colonic | 17 (49) | 18 (51) | 0.45 |
Entero-cutaneic | 17 (63) | 10 (37) | 0.08 |
No lymphadenopathy | 40 (44) | 50 (56) | |
Lymphadenopathy | 19 (53) | 17 (47) | 0.26 |
No stricture | 40 (41) | 57 (59) | |
Stricture | 19 (66) | 10 (34) | 0.02 |
No abscess | 35 (43) | 47 (57) | |
Abscess | 24 (55) | 20 (45) | 0.14 |
Bowel enhancement of 1 | 18 (43) | 24 (57) | |
Bowel enhancement of ≥ 2 | 41 (49) | 43 (51) | 0.33 |
Treatment before imaging | |||
No treatment with IM or anti-TNF | 31 (44) | 39 (56) | REF |
Immunomodulators (IM) | 13 (39) | 20 (61) | 0.98 |
Anti-TNF | 6 (55) | 5 (45) | 0.46 |
Anti-TNF + IM | 9 (75) | 3 (25) | 0.04 |
Treatment after imaging | |||
No treatment with IM or anti-TNF | 35 (65) | 19 (35) | REF |
IM | 13 (46) | 15 (54) | 0.18 |
Anti-TNF | 5 (26) | 14 (74) | 0.01 |
Anti-TNF + IM | 0 (0) | 12 (100) | 0.01 |
- Citation: Yaari S, Benson A, Aviran E, Lev Cohain N, Oren R, Sosna J, Israeli E. Factors associated with surgery in patients with intra-abdominal fistulizing Crohn's disease. World J Gastroenterol 2016; 22(47): 10380-10387
- URL: https://www.wjgnet.com/1007-9327/full/v22/i47/10380.htm
- DOI: https://dx.doi.org/10.3748/wjg.v22.i47.10380