[Colonic involvement in ileal Crohn's disease].
OBJECTIVE
To determine the risk and predictive factors for colonic extension in patients with ileal Crohn's disease.


METHODS
One hundred and fifty patients with ileal Crohn's disease and no specific colonic lesions on initial colonoscopy were studied retrospectively (median follow-up: 51 months).


RESULTS
Twelve patients (8%) developed colonic lesions. Ten-year cumulated risks (95% confidence interval) for colonic extension were 17.2% (range: 5.8-28.6) in the whole group, and 22.4% (range: 8.7-36.1) in the group of 86 patients with repeated colonoscopy. Young age at diagnosis was the only factor predicting colonic extension. Seven patients with colonic extension required immunosuppressive therapy but none underwent surgery.


CONCLUSIONS
Ileal Crohn's disease has a low tendency for colonic extension. Colonic extension has no major prognostic implications.
Service de Gastroentérologie et de Nutrition, Hôpital Rothschild, Paris.
S
S
Peschard
F
F
Carbonnel
L
L
Beaugerie
H H
HH
D'Almagne Serrano
F
F
Carrat
J P
JP
Gendre
J
J
Cosnes
D000293:Adolescent; D000328:Adult; D002648:Child; D003108:Colonic Diseases / Q000453:epidemiology / Q000209:etiology*; D003424:Crohn Disease / Q000150:complications*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011379:Prognosis
Etude de l'extension colique des maladies de Crohn iléales.