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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 467 - 474 (8page)
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Background/Aims: Although the role of capsule endoscopy (CE) in Crohn’s disease (CD) has expanded, CE is not used routinely for diagnosing and evaluating CD in Korea. We aimed to investigate current patterns of practice and evaluate the clinical significance of the use of CE in CD in Korean patients. Methods: Among 651 CE procedures performed for various indications, we retrospectively analyzed the medical records of patients who underwent CE in 57 cases of suspected CD (sCD) and 14 cases of established CD (eCD). Results: In the sCD group, CE was most commonly used for the initial diagnosis of CD (54.4%). Capsule retention was found in only 1 patient in the eCD group (1/71, 1.4%). In the sCD group, 28.1% of patients were diagnosed with CD on the basis of CE findings; other diseases diagnosed included tuberculous enteritis (7.0%), non-steroidal anti-inflammatory drug-induced enteropathy (5.3%), and other enteritis (17.5%). Only 11.5% of patients with eCD (14/122) underwent CE. The indication for CE in the 14 patients with eCD was to assess disease extent and activity. The overall diagnostic yield of CE was 59.7%. Therapeutic strategies were changed in 70.2% of patients in the sCD group and 50% of those in the eCD group based on CE findings. Conclusions: In clinical practice, CE was most commonly indicated for the initial diagnosis of CD and was not generally performed in patients with eCD. CE appears to be an effective diagnostic modality for evaluating sCD and is useful for determining therapeutic strategies for patients with sCD and those with eCD
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참고문헌 (34)
참고문헌 신청
Kornbluth A / 2005 / ICCE consensus for inflammatory bowel disease / Endoscopy 37:1051~1054
Louis E / 2001 / Behaviour of Crohn’s disease according to the Vienna classification: changing pattern over the course of the disease / Gut 49:777~782
Cosnes J / 2011 / Epidemiology and natural history of inflammatory bowel diseases / Gastroenterology 140:1785~1794
ASGE Technology Committee / 2013 / Wireless capsule endoscopy / Gastrointest Endosc 78:805~815
Yang SK / 2008 / Epidemiology of inflammatory bowel disease in the Songpa-Kangdong district, Seoul, Korea, 1986-2005: a KASID study / Inflamm Bowel Dis 14:542~549
Louis E / 2001 / Behaviour of Crohn’s disease according to the Vienna classification: changing pattern over the course of the disease / Gut 49:777~782
Cosnes J / 2011 / Epidemiology and natural history of inflammatory bowel diseases / Gastroenterology 140:1785~1794
ASGE Technology Committee / 2013 / Wireless capsule endoscopy / Gastrointest Endosc 78:805~815
Yang SK / 2008 / Epidemiology of inflammatory bowel disease in the Songpa-Kangdong district, Seoul, Korea, 1986-2005: a KASID study / Inflamm Bowel Dis 14:542~549
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