Can asymptomatic Chron’s disease be diagnosed in patients with iron deficiency anemia by CT-enterograhpy?

U. Avcıoğlu, A. İdil Soylu
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Abstract

It is difficult to diagnose Crohn's disease in the asymptomatic period. The aim of this study is to evaluate the diagnostic utility of CT enterography (CTE) in the diagnosis of asymptomatic Crohn's disease (CD) with small intestine involment in patients with iron deficiency anemia (IDA). 250 patients who underwent CTE examination between 2017 and 2018 were retrospectively scanned. 45 patients who had endoscopic examinations and diagnosed with IDA were included in the study. While one or more pathological findings to explain IDA were observed in 31 (68%) patients with endoscopic examinations, findings that could be explained as CD sequelae were observed in 4 (8.8%) patients. No lesions were observed by CTE in 10 (22.2%) patients. Diagnosis is difficult in mild forms of Crohn’s disease or in periods of remission. In this period, CTE can contribute to the diagnosis as it can also show extraluminal findings.
缺铁性贫血患者的无症状慢性疾病可以通过ct肠图诊断吗?
在无症状期很难诊断克罗恩病。本研究的目的是评估CT肠造影(CTE)对缺铁性贫血(IDA)患者无症状克罗恩病(CD)伴小肠累及的诊断价值。在2017年至2018年期间接受CTE检查的250名患者进行了回顾性扫描。45例经内窥镜检查并诊断为IDA的患者纳入研究。虽然在31例(68%)内镜检查患者中观察到一种或多种病理结果可以解释IDA,但在4例(8.8%)患者中观察到可以解释为CD后遗症的结果。10例(22.2%)患者CTE未见病变。诊断是困难的,在轻度形式的克罗恩病或在缓解期。在此期间,CTE可以帮助诊断,因为它也可以显示腔外发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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