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Original Article
- IBD
- Magnetic resonance enterography predicts the prognosis of Crohn's disease
- Ji Hoon Lee, Yong Eun Park, Nieun Seo, Hyun Jung Lee, Soo Jung Park, Tae Il Kim, Won Ho Kim, Joon Seok Lim, Jae Hee Cheon
- Intest Res 2018;16(3):445-457. Published online July 27, 2018
- DOI: https://doi.org/10.5217/ir.2018.16.3.445
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Abstract
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ePub <b>Background/Aims</b><br/> Magnetic resonance enterography (MRE) has emerged as an important tool in the diagnosis and follow-up of Crohn's disease (CD). The aim of this study was to evaluate whether MRE findings could predict the prognosis of CD.
Methods In this retrospective study, a total of 173 patients with clinical remission of CD (n=61) or active CD (n=112) were identified. The outcomes of clinical relapse, admission, surgery, and need for other medications according to the MRE findings were evaluated.
Results The presence of active inflammation on MRE was observed in 93 (83%) patients with clinically active CD and in 44 (72.1%) patients with clinical remission of CD, without a statistically significant difference (
P =0.091). In multivariate analysis, active inflammation on MRE increased the risk for clinical relapse (hazard ratio [HR], 6.985; 95% confidence interval [CI], 1.024–47.649) in patients with clinical remission of CD. In patients with clinically active CD, active inflammation on MRE increased the risk for CD-related hospitalization (HR, 2.970; 95% CI, 1.006–8.772).Conclusions The presence of active inflammation on MRE was significantly associated with poor prognosis both in patients with clinical remission of CD and in those with active CD.
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Citations
Citations to this article as recorded by
- Magnetic Resonance Enterography Predicts Long‐Term Outcomes in Crohn's Disease: A Systematic Review and Meta‐Analysis
Shanshan Wu, Jiayi Yang, Seniu Jizhi, Aniu Liu, Xingyu Chen, Zhonglu Chen, Shumei Zheng
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NMR in Biomedicine.2025;[Epub] CrossRef - Magnetic resonance enterography for predicting poor prognosis in Crohn’s disease: a systematic review with meta-analysis
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Therapeutic Advances in Gastroenterology.2025;[Epub] CrossRef - Prognostic Value of Enterography Findings in Crohn’s Disease: A Systematic Review and Meta-Analysis
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- Magnetic Resonance Enterography Predicts Long‐Term Outcomes in Crohn's Disease: A Systematic Review and Meta‐Analysis
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Case Report
- Recurrent Acute Pericarditis Induced by 5-aminosalicylates in a Patient with Inflammatory Bowel Disease
- A Ra Choi, Mi Na Kim, Ji Hoon Lee, Yong Kang Lee, Yoon Hea Park, Hye Sun Shin, Tak Geun Oh, Hee Jin Park, Min Suk Park, Seungtaek Lim, Soo Jung Park, Sung Pil Hong, Tae Il Kim, Won Ho Kim, Jae Hee Cheon
- Intest Res 2012;10(3):289-294. Published online July 31, 2012
- DOI: https://doi.org/10.5217/ir.2012.10.3.289
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Abstract
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- Inflammatory bowel disease (IBD) is an idiopathic chronic inflammation of the intestines. IBD treatment may require anti-inflammatory agents such as sulfasalazine or 5-aminosalicylate (5-ASA) and immunomodulators to control the symptoms. However, these agents have a variety of common adverse effects such as nausea, vomiting, skin rash, leukopenia, thrombocytopenia, and infections. Moreover, rare side effects such as nephrotic syndrome, pneumonitis, and pericarditis can occur. A 21-year-old male was admitted to the hospital due to acute chest pain, fever, and sweating. The patient had a history of Crohn's disease and had been taking mesalazine for 3 weeks. Chest x-ray, echocardiography, and clinical manifestations revealed that the patient had acute pericarditis. However, we did not recognize the relationship between these findings and 5-ASA at that time. Two years later, the patient took 5-ASA again, and similar symptoms occurred, which led us to confirm that he suffered from pericarditis induced by this drug. We report a case of acute recurrent pericarditis that developed after taking 5-ASA for IBD treatment with a review of the literature. (Intest Res 2012;10: 0-294)
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