Elloumi Héla, Ben Abdelaziz Ahmed, Sfar Souhir, Arfaoui Dalenda, Ben Slama Aida, Ghouma Mouna, Ajmi Salem
Service de-Gastro-entérologie, Hôpital Universitaire Sahloul.
Tunis Med. 2006 Nov;84(11):711-3.
The aim of our study was to determine demographic, clinical, biological or endoscopic factors that predict intestinal stenosis in Crohn's disease.
One hundred and twenty one patients were retrospectively analyzed during 10 years. The diagnosis of stenosis were determined by morphologic and endoscopic exams independently of appearance of symptoms. The studied characteristics were age at appearance of symptoms, sex, geographical origin, tobacco addiction, symptoms revealing Crohn's disease, extra-digest and auto-immune signs associate and seat of disease. Biological values studied were: haemoglobin, white cells, platelet, erythrocyte sedimentation rate, C- reactive protein and albumin. Predictive factors were assessed using univariate and multivariate analysis.
Forty-seven patients (38,8%) had a stenosis. In univariate analysis, predictive factors of stenosis were a young age and ileum site of Crohn's disease. In multivariate analysis, none of these variables was independently associated of appearance of stenosis in Crohn's disease.
This study didn't identify the presence of predictive factors of intestinal stenosis in Crohn's disease that could allow an early specific therapy.
我们研究的目的是确定预测克罗恩病肠道狭窄的人口统计学、临床、生物学或内镜因素。
对121例患者进行了为期10年的回顾性分析。狭窄的诊断通过形态学和内镜检查确定,与症状出现无关。研究的特征包括症状出现时的年龄、性别、地理来源、烟草成瘾、提示克罗恩病的症状、消化系统外和自身免疫体征以及疾病部位。研究的生物学指标有:血红蛋白、白细胞、血小板、红细胞沉降率、C反应蛋白和白蛋白。使用单因素和多因素分析评估预测因素。
47例患者(38.8%)出现狭窄。单因素分析中,狭窄的预测因素为年龄小和克罗恩病的回肠部位。多因素分析中,这些变量均未与克罗恩病狭窄的出现独立相关。
本研究未发现可用于早期特异性治疗的克罗恩病肠道狭窄预测因素。