- IBD
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Association of young age and male sex with primary sclerosing cholangitis in Taiwanese patients with inflammatory bowel disease
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Meng-Tzu Weng, I-Lun Shih, Chien-Chih Tung, Yew-Loong Leong, Ming-Jium Shieh, Cheng-Yi Wang, Jau-Min Wong, Yen-Hsuan Ni, Shu-Chen Wei
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Intest Res 2022;20(2):224-230. Published online February 8, 2022
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DOI: https://doi.org/10.5217/ir.2021.00042
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 Abstract
 PDF Supplementary Material PubReader ePub
- Background/Aims
Primary sclerosing cholangitis (PSC) is associated with inflammatory bowel disease (IBD). We aimed to evaluate the prevalence, clinical manifestation, and outcomes of PSC in Taiwanese patients with IBD. Methods: This retrospective study enrolled patients with IBD admitted from January 1, 1996, to December 31, 2018, to National Taiwan University Hospital. A case-matched analysis was performed comparing patients with IBD with and without PSC according to age, sex, and time of admission, with ratios of 1:4 and 1:2 in the adult and pediatric groups, respectively.
Results
In total, 763 patients with IBD were enrolled, 12 of whom were also diagnosed with PSC (1.57%). All these patients had ulcerative colitis (UC). A greater incidence of IBD with PSC was observed in younger patients than in older patients. Male sex was a risk factor for PSC in pediatric patients with IBD (P=0.015); 75% of these patients were diagnosed with PSC along with or after the diagnosis of UC. There was no significant difference in colitis extent and severity between the groups; however, a higher proportion of rectal sparing was observed in patients with PSC (P=0.001). There was no significant difference in cancer development between the groups (P=0.679). Conclusions: A 1.57% prevalence of PSC was observed in Taiwanese patients with IBD. The majority of patients with IBD and PSC were men and were diagnosed at a younger age. Hence, routine evaluation of biliary enzymes and liver imaging is recommended in young male patients with IBD.
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Citations
Citations to this article as recorded by  - Hepatic Steatosis but Not Fibrosis Is Independently Associated with Poor Outcomes in Patients with Inflammatory Bowel Disease
Hye Kyung Hyun, Hye Won Lee, Jihye Park, Soo Jung Park, Jae Jun Park, Tae Il Kim, Jae Seung Lee, Beom Kyung Kim, Jun Yong Park, Do Young Kim, Sang Hoon Ahn, Seung Up Kim, Jae Hee Cheon
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In Sub Han, Dong Hoon Baek, Seung Min Hong, Bong Eun Lee, Moon Won Lee, Gwang Ha Kim, Geun Am Song
International Journal of Colorectal Disease.2023;[Epub] CrossRef - Primary sclerosing cholangitis (PSC) and inflammatory bowel disease (IBD): a condition exemplifying the crosstalk of the gut–liver axis
You Sun Kim, Edward H. Hurley, Yoojeong Park, Sungjin Ko
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You Sun Kim, Edward H. Hurley, Yoojeong Park, Sungjin Ko
Intestinal Research.2023; 21(4): 420. CrossRef - Regional variations in the prevalence of primary sclerosing cholangitis associated with inflammatory bowel disease
Kwang Woo Kim, Hyoun Woo Kang
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Yong Eun Park
Intestinal Research.2022; 20(2): 157. CrossRef
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- IBD
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Epidemiological trend in inflammatory bowel disease in Taiwan from 2001 to 2015: a nationwide populationbased study
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Hsu-Heng Yen, Meng-Tzu Weng, Chien-Chih Tung, Yu-Ting Wang, Yuan Ting Chang, Chin-Hao Chang, Ming-Jium Shieh, Jau-Min Wong, Shu-Chen Wei
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Intest Res 2019;17(1):54-62. Published online November 20, 2018
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DOI: https://doi.org/10.5217/ir.2018.00096
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Abstract
PDFPubReaderePub
- Background/Aims
Incidences of inflammatory bowel diseases (IBDs), ulcerative colitis (UC), and Crohn’s disease (CD), have been increasing in Asia. In this study, we report the relevant clinical characteristics and determined the epidemiological trend of IBD in Taiwan from 2001 to 2015.
Methods
A retrospective study was conducted to analyze data recorded from January 2001 through December 2015 in the registered database compiled by the National Health Insurance and provided by the Ministry of Health and Welfare, Taiwan.
Results
A total of 3,806 patients with catastrophic IBD illness were registered from 2001 to 2015 in Taiwan (CD, 919; UC, 2,887). The crude incidence of CD increased from 0.17/100,000 in 2001 to 0.47/100,000 in 2015, whereas that of UC increased from 0.54/100,000 in 2001 to 0.95/100,000 in 2015. The prevalence of CD increased from 0.6/100,000 in 2001 to 3.9/100,000 in 2015, whereas that of UC increased from 2.1/100,000 in 2001 to 12.8/100,000 in 2015. The male-to-female ratio in the study sample was 2.19 for CD and 1.62 for UC. The median age of those registered with CD was lower than that of those registered for UC: 38.86 and 44.86 years, respectively. A significantly greater increase in CD incidence rate was identified among 20 to 39-year-old compared with other age groups.
Conclusions
Using Taiwan’s nationwide insurance database, we determined that the number of patients with CD increased more rapidly during the study period than the number of patients with UC, especially among age 20 to 39-year-old, resulting in a decreased UC-to-CD ratio.
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BMC Gastroenterology.2019;[Epub] CrossRef
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- IBD
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Experience of patients with inflammatory bowel disease in using a home fecal calprotectin test as an objective reported outcome for self-monitoring
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Shu-Chen Wei, Chien-Chih Tung, Meng-Tzu Weng, Jau-Min Wong
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Intest Res 2018;16(4):546-553. Published online October 10, 2018
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DOI: https://doi.org/10.5217/ir.2018.00052
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Abstract
PDFPubReaderePub
- Background/Aims
Fecal calprotectin (fC) level is a predictive marker of mucosal healing for patients with inflammatory bowel disease (IBD). Home fC tests are now available. We evaluated the performance of the smartphone-based IBDoc home testing system in patients with IBD and obtained their feedback as an objective patient-reported outcome.
Methods
This prospective study enrolled consecutive patients with IBD in clinical remission. fC in the same stool sample was assessed by using both the laboratory test (Quantum Blue calprotectin test) and home test (IBDoc). The correlation between the 2 tests was analyzed using the Pearson method. In addition, the patients were asked to fill a questionnaire based on their experience.
Results
Fifty-one patients with IBD (68 tests and 49 questionnaires) were included. The correlation between Quantum Blue test and IBDoc was good (r=0.776, P<0.0001). After the test, 56% patients found IBDoc easy to perform, and 96% were satisfied with it. Thirty-nine patients (80%) had a strong (>70%) probability to use it for future monitoring if the price was acceptable. By using 250 μg/g as the cutoff, the agreement between home test and laboratory results was 80%, and by using 600 μg/g as the cutoff, the agreement increased to 92%.
Conclusions
The correlation between the laboratory and home tests was good. Most patients found the home test to be feasible and easy to use and preferred it over laboratory test and endoscopy for monitoring. Therefore, the home test could be used as an objective patient-reported outcome.
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Citations
Citations to this article as recorded by - Performance evaluation of a smartphone-based home test for fecal calprotection
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Akihiko Oka, Kousaku Kawashima, Kenichi Kishimoto, Satoshi Kotani, Mai Fukunaga, Nobuhiko Fukuba, Yoshiyuki Mishima, Naoki Oshima, Norihisa Ishimura, Muyiwa Awoniyi, Shunji Ishihara
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Ferdinando D’Amico, Fernando Magro, Benedicte Caron, Axel Dignass, Vipul Jairath, Ailsa Hart, Paulo Gustavo Kotze, Kristine Paridaens, Sameer Al Awadhi, Taku Kobayashi, Britta Siegmund, Laurent Peyrin-Biroulet, Silvio Danese
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Rune Wilkens, Michael Dolinger, Johan Burisch, Christian Maaser
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Young-Ho Kim
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- IBD
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Should Asian inflammatory bowel disease patients need routine thromboprophylaxis?
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Meng-Tzu Weng, Chien-Chih Tung, Jau-Min Wong, Shu-Chen Wei
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Intest Res 2018;16(2):312-314. Published online April 30, 2018
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DOI: https://doi.org/10.5217/ir.2018.16.2.312
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PDFPubReaderePub
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Citations
Citations to this article as recorded by - Perioperative optimization of Crohn's disease
Chun‐Chi Lin, Hung‐Hsin Lin, Hui‐Chuen Chen, Nai‐Chia Chen, I‐Lun Shih, Ji‐Shiang Hung, Te‐Cheng Yueh, Feng‐Fan Chiang, Ping‐Wei Lin, Yuan‐Yao Tsai, Shu‐Chen Wei
Annals of Gastroenterological Surgery.2023; 7(1): 10. CrossRef - Risk of venous thromboembolism with a central venous catheter in hospitalized Japanese patients with inflammatory bowel disease: a propensity score-matched cohort study
Yasuhiro Aoki, Hiroki Kiyohara, Yohei Mikami, Kosaku Nanki, Takaaki Kawaguchi, Yusuke Yoshimatsu, Shinya Sugimoto, Tomohisa Sujino, Kaoru Takabayashi, Naoki Hosoe, Haruhiko Ogata, Yasushi Iwao, Takanori Kanai
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Wei-Chen Lin, Meng-Tzu Weng, Chien-Chih Tung, Yuan-Ting Chang, Yew-Loong Leong, Yu-Ting Wang, Horng-Yuan Wang, Jau-Min Wong, Shu-Chen Wei
Journal of Translational Medicine.2019;[Epub] CrossRef
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5,399
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4
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4
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Intestinal Stricture in Crohn's Disease
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Chen-Wang Chang, Jau-Min Wong, Chien-Chih Tung, I-Lun Shih, Horng-Yuan Wang, Shu-Chen Wei
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Intest Res 2015;13(1):19-26. Published online January 29, 2015
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DOI: https://doi.org/10.5217/ir.2015.13.1.19
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Abstract
PDFPubReader
Crohn's disease (CD) is a disease with chronic inflammation of unknown etiology involving any part of the gastrointestinal tract. The incidence and prevalence of CD are increasing recently in Asia. Half of the CD patients will have intestinal complications, such as strictures or fistulas, within 20 years after diagnosis. Twenty-five percentage of CD patients have had at least one small bowel stricture and 10% have had at least one colonic stricture and lead to significant complications. Most of these patients will require at least one surgery during their lifetime. Early diagnosis and evaluation with adequate managements for the patients can prevent disability and mortality of these patient. Here, we reviewed the current incidence of CD with stricture, the etiology of stricture, and how to diagnose and manage the stricture. -
Citations
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Aline Garnevi-Fávero , Karina Nascimento-da Silva , Willian Rodrigues-Ribeiro , Caroline Marcantonio-Ferreira , Patrícia Sartorelli, Leonardo Cardili, Rita De Cássia-Sinigaglia , Joice Naiara Bertaglia-Pereira, Marcelo Aparecido-da Silva , Wagner Vilega
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Veterinary Sciences.2023; 10(9): 577. CrossRef - Revisiting fibrosis in inflammatory bowel disease: the gut thickens
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Nature Reviews Gastroenterology & Hepatology.2022; 19(3): 169. CrossRef - Medical treatment of intestinal Crohn's disease
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Expert Review of Gastroenterology & Hepatology.2022; 16(3): 235. CrossRef - The Possible Pathogenic Role of IgG4-Producing Plasmablasts in Stricturing Crohn’s Disease
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Pathobiology.2022; 89(4): 187. CrossRef - Safety and efficacy of non-fluoroscopic endoscopic dilatation of gastrointestinal tuberculosis related strictures
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Intestinal Research.2022; 20(2): 274. CrossRef - State-of-the-art surgery for Crohn’s disease: Part II—colonic Crohn’s disease and associated neoplasms
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Langenbeck's Archives of Surgery.2022; 407(7): 2595. CrossRef - The role of interleukin-33 in organ fibrosis
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Inflammatory Bowel Diseases.2021; 27(3): 388. CrossRef - A postdischarge venous thromboembolism risk calculator for inflammatory bowel disease surgery
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Surgery.2021; 169(2): 240. CrossRef - Presence of Obstructive Symptoms and Absence of Perianal Crohn Disease Is Predictive of Surgery After Endoscopic Balloon Dilation
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Inflammatory Bowel Diseases.2021; 27(8): 1230. CrossRef - Association of Baseline Luminal Narrowing With Ileal Microbial Shifts and Gene Expression Programs and Subsequent Transmural Healing in Pediatric Crohn Disease
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Vascular and Endovascular Surgery.2021; 55(8): 859. CrossRef - Crohn's Disease Obstructions
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Clinics in Colon and Rectal Surgery.2021; 34(04): 227. CrossRef - Transplantation of fecal microbiota from patients with inflammatory bowel disease and depression alters immune response and behavior in recipient mice
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Yusuke Honzawa, Shuji Yamamoto, Makoto Okabe, Hiroshi Seno, Hiroshi Nakase
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BMJ Open Gastroenterology.2021; 8(1): e000781. CrossRef - Epidemiology of fibrostenosing inflammatory bowel disease
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Journal of Digestive Diseases.2020; 21(6): 332. CrossRef - The Efficacy of Anti-Tumor Necrosis Factor Alpha for Symptomatic Stricturing Small Bowel Crohn’s Disease
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Cureus.2020;[Epub] CrossRef - Roles of protein ubiquitination in inflammatory bowel disease
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EMC - Gastro-entérologie.2020; 37(3): 1. CrossRef - Development, validation, and application of a novel tool to measure disease-related knowledge in patients with inflammatory bowel disease
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The Korean Journal of Internal Medicine.2019; 34(1): 81. CrossRef - Unusual causes of large bowel obstruction
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Current Problems in Surgery.2019; 56(2): 49. CrossRef - TTC7A: Steward of Intestinal Health
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Cellular and Molecular Gastroenterology and Hepatology.2019; 7(3): 555. CrossRef - Segmental dilatation following side‐to‐side isoperistaltic strictureplasty in Crohn’s disease: a note of caution
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Current Opinion in Gastroenterology.2019; 35(3): 235. CrossRef - Early Initiation of Anti-TNF is Associated with Favourable Long-term Outcome in Crohn’s Disease: 10-Year-Follow-up Data from the Swiss IBD Cohort Study
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Journal of Crohn's and Colitis.2019; 13(10): 1292. CrossRef - Clinical Features and Prognosis of Crohn’s Disease with Upper Gastrointestinal Tract Phenotype in Chinese Patients
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Digestive Diseases and Sciences.2019; 64(11): 3291. CrossRef - Phosphatidylinositol 3-kinase p110δ drives intestinal fibrosis in SHIP deficiency
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Mucosal Immunology.2019; 12(5): 1187. CrossRef - Occult Adenocarcinoma Arising in Crohn’s-Related Strictures: A Case Series
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Gastroenterología y Hepatología.2018; 41(9): 576. CrossRef - Parathyroid Hormone–Like Hormone Induces Epithelial-to-Mesenchymal Transition of Intestinal Epithelial Cells by Activating the Runt-Related Transcription Factor 2
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The American Journal of Pathology.2018; 188(6): 1374. CrossRef - Anti-tumour necrosis factor agents in Crohn's disease and ulcerative colitis: Beyond luminal disease
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Gastroenterología y Hepatología (English Edition).2018; 41(9): 576. CrossRef - Long-Term Outcomes of Endoscopic Balloon Dilation for Benign Strictures in Patients with Inflammatory Bowel Disease
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Gut and Liver.2018; 12(5): 530. CrossRef - Association of Perianal Fistulas with Clinical Features and Prognosis of Crohn's Disease in Korea: Results from the CONNECT Study
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Gut and Liver.2018; 12(5): 544. CrossRef - Computed tomography and magnetic resonance imaging in the diagnosis of the small and large intestine strictures in Crohn’s disease. Radiological semiotics and assessment of the inflammation activity
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Almanac of Clinical Medicine.2018; 46(7): 725. CrossRef - A distinct epigenetic profile distinguishes stenotic from non-inflamed fibroblasts in the ileal mucosa of Crohn’s disease patients
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Intestinal Research.2017; 15(3): 285. CrossRef - Biodegradable Stents
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Journal of Clinical Gastroenterology.2017; 51(4): 295. CrossRef - Quality Indicators for Small Bowel Capsule Endoscopy
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BMC Gastroenterology.2017;[Epub] CrossRef - Advanced Oxidation Protein Products Induce Epithelial–Mesenchymal Transition of Intestinal Epithelial Cellsviaa PKC δ-Mediated, Redox-Dependent Signaling Pathway
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Antioxidants & Redox Signaling.2017; 27(1): 37. CrossRef - Incidence of and Risk Factors for Free Bowel Perforation in Patients with Crohn’s Disease
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Digestive Diseases and Sciences.2017; 62(6): 1607. CrossRef - Crohn’s disease presenting as gastric outlet obstruction: a therapeutic challenge?
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Frontiers in Medicine.2016;[Epub] CrossRef - Crohn's Disease: Specific Concerns in the Elderly
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International Journal of Gerontology.2016; 10(3): 126. CrossRef - Structural and molecular features of intestinal strictures in rats with Crohn's-like disease
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World Journal of Gastroenterology.2016; 22(22): 5154. CrossRef - Disease Phenotype, Activity and Clinical Course Prediction Based on C-Reactive Protein Levels at Diagnosis in Patients with Crohn’s Disease: Results from the CONNECT Study
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Gut and Liver.2016; 10(4): 595. CrossRef - Small Bowel Stricture Mimicking Megacolon in a Patient with Crohn's Disease
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World Journal of Gastroenterology.2015; 21(40): 11246. CrossRef - Endoskopie in Diagnose, Therapie und Nachsorge
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MMW - Fortschritte der Medizin.2015; 157(12): 63. CrossRef - Endoscopic Therapy in Inflammatory Bowel Diseases
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