[The radiologic picture of pathomorphological changes in the intestinal wall in Crohn disease in relation to the course of the disease].
Crohn's disease has highly variable presentation in the x-ray examination depending on the stage of the gut wall inflammation. Our series showed that the lesions concern mainly the ileocecal region with involvement of the terminal ileum in 72.4% and of the cecum in 56.2% of the cases. In patients who required only conservative treatment mainly "cobble stone"-lesions, pseudopolyps and pseudodiverticuli could be demonstrated. Patients who needed surgical therapy showed in the first place stenosis, spicules and fistulae. Of all the studied patients 59% had to be assigned to surgery and of these 62% showed signs of relapse. The recurrence of disease occurred in 88% at the site of the anastomosis mainly in the first two years after operation. Differences in the frequency of relapse after the first or the second operation could not be seen.
Oberstein
A
A
Institut für Klinische Strahlenkunde, Universitätsklinikum Mainz.
Jaeger
V
V
Prämassing
W
W
Gutjahr
G
G
D000293:Adolescent; D000328:Adult; D002432:Cecum / Q000000981:diagnostic imaging* / Q000473:pathology; D002648:Child; D003424:Crohn Disease / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy; D005260:Female; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence; D012086:Reoperation
Radiologische Darstellung pathomorphologischer Veränderungen der Darmwand bei M. Crohn in Abhängigkeit vom Krankheitsverlauf.