Yang SB, Du SW, Wang JH. Correlation between age of onset and gastrointestinal stenosis in hospitalized patients with Crohn's disease. World J Clin Cases 2020; 8(13): 2769-2777 [PMID: 32742987 DOI: 10.12998/wjcc.v8.i13.2769]
Corresponding Author of This Article
Ji-Heng Wang, PhD, Chief Doctor, the Seventh Medical Center, Chinese People’s Liberation Army General Hospital, No.5, Nanmengcang Hutong, Beijing 100700, China. lileiyouan@ccmu.edu.cn
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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Table 2 Univariate comparison between gastrointestinal stenosis group and non-gastrointestinal stenosis group
Variable
Gastrointestinal stenosis
Non-gastrointestinal stenosis
P value
Total number of patients
72 (59.02%)
50 (40.98%)
Male gender
49 (68.06%)
36 (72.00%)
0.761
Age of onset (yr)
37.61 ± 15.14
30.84 ± 14.67
0.021
Duration of disease (mo)
72 (11-492)
45 (3-240)
0.010
Exposure to corticosteroid
23
20
0.360
Exposure to azathioprine
22
13
0.247
Exposure to biologics
35
19
0.585
Disease activity: Severe
11
2
0.065
Disease involved: Ileum
50
44
0.039
Parenteral performance
5
6
0.243
Perforation
4
4
0.594
Gastrointestinal bleeding
5
1
0.243
Thrombosis
1
0
NA
Fistula
7
10
0.114
Severe malnutrition
9
5
0.671
Infection
7
6
0.689
Neoplastic lesions
1
1
0.795
Table 3 Multivariable logistic regression analysis between gastrointestinal stenosis group and non-gastrointestinal stenosis group
Variable
β
SE
Odds ratio (95%CI)
P value
Age of onset
0.028
0.014
1.028 (1.000-1.056)
0.046
Duration of disease
0.008
0.003
1.008 (1.002-1.015)
0.013
Fistula
-0.833
0.587
0.435 (0.138-1.373)
0.156
Disease activity: Severe
1.524
0.841
4.593 (0.883-23.896)
0.070
Disease involved: Ileum
-1.003
0.525
0.367 (0.131-1.025)
0.056
Table 4 Correlation between age of onset or duration of disease and Crohn's disease-related gastrointestinal stenosis
Variable
Gastrointestinal stenosis (n = 72)
Non-gastrointestinal stenosis (n = 50)
P value
OR (95%CI)
Age of onset > 40 yr
29
9
0.009
3.072 (1.298-7.272)
Age of onset ≤ 40 yr
43
41
Duration of disease > 5 yr
39
18
0.048
2.101 (1.002-4.406)
Duration of disease ≤ 5 yr
33
32
Table 5 Treatments for Crohn's disease-related gastrointestinal stenosis
Variable
n
%
Total number of patients
72
Internal medicine and nutrition treatment
15
20.83
Surgical treatment
52
72.22
Endoscopic therapy
21
29.17
Surgical treatment
Reoperation
6
11.54
Postoperative complications
8
15.38
Endoscopic therapy
No surgery events
16
76.19
Undergo surgery
5
23.81
Postoperative complications
0
0
Citation: Yang SB, Du SW, Wang JH. Correlation between age of onset and gastrointestinal stenosis in hospitalized patients with Crohn's disease. World J Clin Cases 2020; 8(13): 2769-2777