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Clinical characteristics of non-perianal fistulating Crohn's disease in China: a single-center experience of 184 cases

摘要Background There is little information of non-perianal fistulating Crohn's disease in the consensus published by the European Crohn's and Colitis Organization in 2006 and 2010.This study was designed to demonstrate the clinical characteristics of non-perianal fistulating Crohn's disease among homogenous Chinese population.Methods One-hundred-and-eighty-four patients were retrospectively collected.All of these patients were diagnosed of Crohn's disease between February 2001 and April 2011.Results The male-to-female ratio was 2.7:1.The most common symptoms at onset were abdominal pain (88.0%),diarrhea (34.7%),and fever (28.3%).The most common disease location and behavior at diagnosis were small bowel (56.0%) and penetrating (51.6%).Among 324 non-perianal fistulae,the most common types were ileocolonic anastomotic (30.9%),terminal ileocutaneous (19.7%),and enteroenteric anastomotic (11.4%).One-hundred-and-thirty-eight (75.0%) patients received antibiotics,and β-lactam (85.5%) and metronidazole (67.4%) are most frequently used.One-hundred-and-seventy-eight (96.7%) patients suffered 514 surgical operations,and the cumulative surgical rates after 1,3,and 5 years were 38.0%,52.2%,and 58.7% respectively.Nine patients died during the follow-up period,and the cumulative survival rates after 1,3,and 5 years were 97.8%,96.7%,and 96.2% respectively.Conclusions This study displayed the clinical characteristics of non-perianal fistulating Crohn's disease in our center.Large population-based studies are required for further investigation in China.

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作者单位 Department of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu 210002, China [1]
分类号 S858.28
栏目名称 ORIGINALARTICLES
DOI 10.3760/cma.j.issn.0366-6999.2012.14.001
发布时间 2012-10-22
基金项目
the Climb Program in Natural Science Foundation of Jiangsu Province for Distinguished Scholars
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中华医学杂志(英文版)

中华医学杂志(英文版)

2012年125卷14期

2405-2410页

SCIMEDLINEISTICCSCDCABP

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