ID | 64442 |
フルテキストURL | |
著者 |
Kawano, Seiji
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
ORCID
Oka, Shiro
Department of Gastroenterology and Metabolism, Hiroshima University Hospital
Shiotani, Akiko
Department of Internal Medicine, Division of Gastroenterology, Kawasaki Medical School
Hashimoto, Shinichi
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine
Takahashi, Sakuma
Department of Gastroenterology, Kagawa Prefectural Central Hospital
Handa, Osamu
Department of Internal Medicine, Division of Gastroenterology, Kawasaki Medical School
Takami, Taro
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine
Inaba, Tomoki
Department of Gastroenterology, Kagawa Prefectural Central Hospital
Okada, Hiroyuki
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Kaken ID
publons
researchmap
Tanaka, Shinji
Department of Gastroenterology and Metabolism, Hiroshima University Hospital
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抄録 | Crohn's disease (CD) is a chronic inflammatory disease that develops at a young age and frequently leads to intestinal resection. Capsule endoscopy (CE) can directly and non-invasively inspect the entire small bowel mucosa. We suspected that CE could be a good diagnostic tool for detecting CD in young patients. The aim of this study was to investigate the safety and efficacy of CE in patients with newly diagnosed CD and to evaluate the CE findings, especially in the upper small bowel of young patients. We retrospectively investigated 32 patients with newly diagnosed CD from 5 institutions. Patient characteristics, clinical course, and characteristics of CE findings were analyzed. The total small intestine observation rate was 93%, and the retention rate was 3% (1/32). No abnormality was identified by ileocolonoscopy in 46% (15/32), and transition of small bowel lesions (TSL) was found in 35% (12/34) of the patients. The frequency of longitudinal ulcers and cobblestones in the upper small intestine was significantly higher in younger patients (<= 20 years). Moreover, positive findings in the upper small intestine were predominantly observed in younger patients (<= 20 years). CE for patients with newly diagnosed CD was safe and useful, especially for the detection of upper small bowel lesions in young patients.
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キーワード | capsule endoscopy
Crohn's disease
upper small intestine
young patients
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発行日 | 2022-12-16
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出版物タイトル |
Medicine
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巻 | 101巻
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号 | 50号
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出版者 | Lippincott, Williams & Wilkins
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開始ページ | e32424
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ISSN | 0025-7974
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2022 the Author(s).
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1097/MD.0000000000032424
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ライセンス | https://creativecommons.org/licenses/by-nc/4.0/
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