Iida M, Kobayashi H, Matsumoto T, Okada M, Fuchigami T, Niizeki H, Yao T, Fujishima M
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Radiology. 1993 Jul;188(1):65-9. doi: 10.1148/radiology.188.1.8511319.
To clarify the characteristic radiographic findings and serial radiographic changes in nonsurgical cases of intestinal Behçet disease (BD), seven patients were followed up for an average of 4 1/2 years (range, 8 months to 11 years 4 months). They underwent repeated examination with barium meal studies and double-contrast barium enema meal studies and double-contrast barium enema radiography. Initial radiography revealed one to three deep ulcers in the terminal ileum or ileocecal region in five patients. The ulcers healed while patients were treated with medical therapy but recurred during the follow-up period. In four of these five patients, follow-up radiography demonstrated various changes within each case: At each examination, an enlarged ulcer or a newly developed ulcer was often found in conjunction with a healed ulcer. In the other two patients, multiple shallow ulcers or innumerable aphthoid ulcers were seen throughout the entire colon, and these ulcers showed a good response to medical treatment. These results indicate that serial radiographic changes in patients with intestinal BD may mimic those in patients with Crohn disease, with findings in the terminal ileum and colon that wax and wane with medical treatment.
为明确肠道白塞病（BD）非手术病例的特征性影像学表现及系列影像学变化，对7例患者进行了平均4.5年（范围8个月至11年4个月）的随访。他们接受了多次钡餐造影及双重对比钡剂灌肠造影检查。初次造影显示5例患者在回肠末端或回盲部有1至3个深溃疡。这些溃疡在接受药物治疗时愈合，但在随访期间复发。在这5例患者中的4例，随访造影显示每例均有不同变化：每次检查时，常发现一个扩大的溃疡或新出现的溃疡与已愈合的溃疡并存。另外2例患者，整个结肠可见多个浅溃疡或无数口疮样溃疡，这些溃疡对药物治疗反应良好。这些结果表明，肠道BD患者的系列影像学变化可能与克罗恩病患者相似，回肠末端和结肠的表现随药物治疗而反复。
