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Original Article
- Visceral Fat as a Useful Parameter in the Differential Diagnosis of Crohn's Disease and Intestinal Tuberculosis
- Jun Kwon Ko, Hang Lak Lee, Jin Ok Kim, Soon Young Song, Kang Nyeong Lee, Dae Won Jun, Oh Young Lee, Dong Soo Han, Byung Chul Yoon, Ho Soon Choi, Joon Soo Hahm, Sang-Yeon Kim
- Intest Res 2014;12(1):42-47. Published online January 28, 2014
- DOI: https://doi.org/10.5217/ir.2014.12.1.42
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Abstract
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PubReader <b>Background/Aims</b><br/> Because of the similarities in the clinical presentations of Crohn's disease (CD) and intestinal tuberculosis (ITB), differential diagnosis is critical. Mesenteric adipose tissue hypertrophy and creeping fat are characteristic features of CD. The purpose of this study was to assess the usefulness of visceral fat for the differential diagnosis of CD and ITB.
Methods We conducted a retrospective review of 50 patients with findings of CD or ITB between January 2005 and July 2008. Abdominal computed tomography (CT) was performed on all subjects during their first evaluation. The abdominal fat area was assessed using quantitative abdominal CT.
Results The ratio of visceral fat to total fat (VF/TF) was significantly higher in male CD patients than in male ITB patients. The ratio of visceral fat to subcutaneous fat (VF/SF) was also higher in CD patients than in patients with ITB. For a VF/TF cut-off value of 0.46, the sensitivity and specificity for the diagnosis of CD were 42.1% and 93.3% respectively, with positive and negative predictive values of 88.9% and 56.0%, respectively.
Conclusion Measurement of the abdominal fat area using CT can be clinically useful for the differential diagnosis of CD and ITB.
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Citations
Citations to this article as recorded by
- Mesenterium, a hasi szervként működő visceralis „nagykövet”
Andrea Ferencz
Orvosi Hetilap.2026; 167(3): 88. CrossRef - The Overlap Between Crohn’s Disease and Intestinal Tuberculosis: A Never-Ending Story
Sergiu Marian Cazacu, Costin Teodor Streba, Cristian Constantin, Claudiu Marinel Ionele, Ion Rogoveanu, Alexandru Valentin Popescu, Mirela-Marinela Florescu
Medicina.2026; 62(4): 794. CrossRef - Intestinal tuberculosis with small bowel stricture and hemorrhage as the predominant manifestation: Three case reports
Gang Huang, Kang-Kang Wu, Xiao-Na Li, Jing-Hua Kuai, Ai-Jun Zhang
World Journal of Gastrointestinal Surgery.2024; 16(1): 248. CrossRef - Enhancing radiologist's detection: an imaging-based grading system for differentiating Crohn's disease from ulcerative colitis
Ziman Xiong, Yan Zhang, Peili Wu, Jun Chen, Yaqi Shen, Ihab Kamel, Xianying Zheng, Bing Wu, Zhen Li
BMC Medicine.2024;[Epub] CrossRef - Digestive Tract Tuberculosis Guideline
Mohamed Tahiri, Khean-Lee Goh, Zaigham Abbas, David Epstein, Chen Min-Hu, Chris J.J. Mulder, Amarender Singh Puri, Michael Schultz, Anton LeMair, Jim Melberg
Journal of Clinical Gastroenterology.2023; 57(7): 643. CrossRef - Visceral Fat Indices: Do They Help Differentiate Crohn’s Disease and Intestinal Tuberculosis in Children?
Jayendra Seetharaman, Anshu Srivastava, Rajanikant R Yadav, Sumit K Singh, Prabhakar Mishra, Moinak Sen Sarma, Ujjal Poddar
Journal of Crohn's and Colitis.2023; 17(12): 2026. CrossRef - Differentiating gastrointestinal tuberculosis and Crohn's disease- a comprehensive review
Arup Choudhury, Jasdeep Dhillon, Aravind Sekar, Pankaj Gupta, Harjeet Singh, Vishal Sharma
BMC Gastroenterology.2023;[Epub] CrossRef - Differentiating intestinal tuberculosis and Crohn disease: Quo Vadis
Vishal Sharma
Expert Review of Gastroenterology & Hepatology.2020; 14(8): 647. CrossRef - Differentiating Crohn’s disease from intestinal tuberculosis
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World Journal of Gastroenterology.2019; 25(4): 418. CrossRef - The Adipokine Metrnl Ameliorates Chronic Colitis in Il-10–/– Mice by Attenuating Mesenteric Adipose Tissue Lesions During Spontaneous Colitis
Lugen Zuo, Sitang Ge, Yuanyuan Ge, Jingjing Li, Bing Zhu, Zongbing Zhang, Congqiao Jiang, Jing Li, Suanhu Wang, Mulin Liu, Shiqing Li, Rong Wu, Jianguo Hu
Journal of Crohn's and Colitis.2019; 13(7): 931. CrossRef - Indian guidelines on imaging of the small intestine in Crohn’s disease: A joint Indian Society of Gastroenterology and Indian Radiology and Imaging Association consensus statement
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Indian Journal of Radiology and Imaging.2019; 29(02): 111. CrossRef - Serum proteome profiles to differentiate Crohn disease from intestinal tuberculosis and primary intestinal lymphoma
Longgui Ning, Guodong Shan, Zeyu Sun, Xinhe Lou, Fenming Zhang, Sha Li, Haojie Du, Jinghua Yu, Hongtan Chen, Guoqiang Xu
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Qi Feng, Xi Tao Xu, Yi Zhou, Yun Qi Yan, Zhi Hua Ran, Jiong Zhu
Journal of Digestive Diseases.2018; 19(8): 475. CrossRef - Making a Positive Diagnosis of Intestinal Tuberculosis with the Aid of New Biologic and Histologic Features: How Far Have We Reached?
Vatsal Mehta, Devendra Desai, Philip Abraham, Camilla Rodrigues
Inflammatory Intestinal Diseases.2018; 3(4): 155. CrossRef - Accuracy of computed tomographic features in differentiating intestinal tuberculosis from Crohn's disease: a systematic review with meta-analysis
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Intestinal Research.2017; 15(2): 149. CrossRef - Development and validation of visceral fat quantification as a surrogate marker for differentiation of Crohn's disease and intestinal tuberculosis
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Journal of Gastroenterology and Hepatology.2017; 32(2): 420. CrossRef - Imaging of the small intestine in Crohn’s disease: Joint position statement of the Indian Society of Gastroenterology and Indian Radiological and Imaging Association
Saurabh Kedia, Raju Sharma, Govind K. Makharia, Vineet Ahuja, Devendra Desai, Devasenathipathy Kandasamy, Anu Eapen, Karthik Ganesan, Uday C. Ghoshal, Naveen Kalra, D. Karthikeyan, Kumble Seetharama Madhusudhan, Mathew Philip, Amarender Singh Puri, Sunil
Indian Journal of Gastroenterology.2017; 36(6): 487. CrossRef - Intestinal tuberculosis and Crohn's disease: challenging differential diagnosis
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Journal of Digestive Diseases.2016; 17(3): 155. CrossRef - Change in the diagnosis of inflammatory bowel disease: a hospital-based cohort study from Korea
Ho-Su Lee, Jaewon Choe, Hyo Jeong Lee, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Kyung-Jo Kim, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Yong Sik Yoon, Chang Sik Yu, Jin-Ho Kim, Suk-Kyun Yang
Intestinal Research.2016; 14(3): 258. CrossRef
- Mesenterium, a hasi szervként működő visceralis „nagykövet”
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Case Report
- A Case of Warfarin-Induced Intramural Hematoma Diagnosed by Double-Balloon Enteroscopy
- Dong Hwi Rim, Chang Soo Eun, Shin Jae Moon, Jung Ho Bae, Tae Yeob Kim, Hang Lak Lee, Joo Hyun Sohn, Yong Cheol Jeon, Dong Soo Han
- Intest Res 2011;9(2):162-165. Published online August 30, 2011
- DOI: https://doi.org/10.5217/ir.2011.9.2.162
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Abstract
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- Although bleeding is a major complication of oral anticoagulant therapy, warfarin-induced spontaneous intramural hematoma of the small bowel is a very rare complication. The clinical features of spontaneous intramural hematoma vary from mild abdominal pain to panperitonitis due to bowel perforation. Because spontaneous intramural hematoma can proceed to a life threatening situation, early diagnosis is of vital importance. Although there are a number of radiologic diagnostic tools available including abdominal ultrasonography and computed tomography, confirmation of the diagnosis through direct visualization of the involved bowel mucosa is very helpful. Direct confirmation of warfarin-induced spontaneous intramural hematoma of the small bowel is possible using double-balloon enteroscopy. We report a case of warfarin-induced spontaneous intramural hematoma with a review of the relevant literature. (Intest Res 2011;9:162-165)
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- 17 Download
Original Article
- Comparative Value of Colonic Tissue Culture and Stool Culture for Diagnosis of Acute Infectious Colitis
- Chang Soo Eun, Dong Soo Han, Jong Pyo Kim, Hang Lak Lee, Jin Bae Kim, Joon Yong Park, Yong Chul Jeon, Joo Hyun Sohn, Joon Soo Hahm
- Intest Res 2004;2(2):83-88. Published online December 22, 2004
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Abstract
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- Background/Aims
Although the diagnosis of acute infectious diarrhea can be easily suggested by clinical features, identification of the causative organism is mandatory for both accurate diagnoses and epidemiological investigations. The aim of this study was to compare the accuracy of culture of biopsy specimens obtained during colonoscopy with that of stool culture in acute infectious colitis. Methods: From March 1996 to July 2001, forty-five patients who were suspected of having acute infectious colitis were enrolled. In all patients, fecal specimens and colonic tissues excised during colonoscopy were both obtained and then cultured. Results: In stool examinations, WBC and occult blood were positive in 15 (33.3%) and 14 (31.1%) cases, respectively. In culture study, some causative microorganisms were identified in 18 (40%) of the 45 cases investigated. Most common pathogen was Salmonella species (12 cases). Whereas culture of the colonic tissue biopsy specimens was positive for bacteria in 10 of 45 cases (22.2%), stool culture revealed pathogen in 13 of 45 cases (28.9%). In 5 cases, both stool and colonic tissue biopsy specimens were positive for bacteria. Conclusions: Our findings suggest that both colonic tissue culture and stool culture may have a complementary role in diagnosis of acute infectious colitis. (Intestinal Research 2004;2:83-88)
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- 19 Download
Case Report
- A Case of NSAIDs Induced Small Bowel Ulcer Diagnosed by Capsule Endoscopy
- Jae Il Park, Dong Soo Han, Hang Lak Lee, Jin Bae Kim, Jong Pyo Kim, Joo Hyun Sohn, Joon Soo Hahm, Gyung Jo Kim
- Intest Res 2004;2(1):43-45. Published online April 16, 2004
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- The current prevalence of obscure bleeding among all cases of gastrointestinal bleeding was about 5%, most often the site of hemorrhage is suspected to be the small bowel. Bleeding sites located in the small bowel are difficult to detect with conventional radiological methods. Also, endoscopic examination of the small bowel is limited by its significant length and distance from accessible orifices. Nowadays, capsule endoscopy has been developed to facilitate examination of small bowel disorders, including gastrointestinal bleeding. We report a case of NSAIDs induced small bowel ulcer bleeding diagnosed by capsule endoscopy. (Intestinal Research 2004;2:43-45)
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- 14 Download
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