P183 Development of a new simple ultrasound activity score for intestinal Behçet's Disease Article Swipe
Katsuki Yaguchi
,
Reiko Kunisaki
,
Sumito Sato
,
M Izumi
,
Y Fukuno
,
T Ebina
,
Yusuke Matsune
,
T Hama
,
Misa Onishi
,
K Kobayashi
,
Shunsuke Shibui
,
Kenichiro Toritani
,
Daisuke Nishida
,
Mao Matsubayashi
,
Yoshinori Nakamori
,
Masafumi Nishio
,
Shotaro Umezawa
,
Tsuyoshi Ogashiwa
,
T Sasaki
,
Atsuko Fujii
,
Hideaki Kimura
,
K Numata
,
Shin Maeda
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/ecco-jcc/jjac190.0313
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/ecco-jcc/jjac190.0313
Background Intestinal Behçet's disease (BD) is a relapsing-remitting disease typically associated with punched-out ulcers in the ileocecal region. Optimal monitoring of disease activity is necessary; however, ileocolonoscopy cannot be performed on a regular basis as it is invasive, resource-intensive and causes considerable patient discomfort. Furthermore, there are risks of intestinal bleeding and perforation caused by pretreatment laxatives and air insufflation during the examination. Hence, other follow-up examinations are required. Intestinal ultrasonography (IUS) is a minimally invasive imaging method, but there are no previous reports of comparisons between IUS and endoscopy for intestinal BD. This study aimed to evaluate the usefulness of IUS in assessing the activity of ileocecal ulcers in intestinal BD. Methods This retrospective single-centre study included patients with intestinal BD who underwent colonoscopy and IUS within 2 weeks, from 2007 to 2020. Correlations between the corresponding endoscopic activity using the Sakita–Miwa classification and six IUS variables (bowel wall thickness [BWT], vascularity, bowel wall stratification, intramural and extramural abscesses, fistulas and mesenteric lymphadenopathy) were assessed and used to select the variables that should be included in the new simple score. IUS findings were also compared with biomarker (C-reactive protein [CRP]) concentrations and clinical severity indices (Crohn’s disease activity index and disease activity index for intestinal BD [DAIBD]). Results Seventy-nine IUS examinations from 53 patients were included. Univariate analysis revealed that CRP and DAIBD and the IUS findings BWT, vascularity and bowel wall stratification and intramural and extramural abscesses differed significantly according to endoscopic ulcer activity. Multivariate analysis using a logistic regression model revealed that only BWT and vascularity were statistically different; therefore, a new simple score ([2*BWT] + [5*vascularity]) was constructed. Receiver operating characteristic curve analysis revealed an area under the curve of 0.91 for detecting endoscopic activity, which was superior to those of CRP (0.80; P=0.069), Crohn’s disease activity index (0.69; P=0.002) and DAIBD (0.67; P<0.001). Conclusion A new simple ultrasound activity index for intestinal BD comprising BWT and vascularity was constructed and correlated well with endoscopic disease activity. This is the first report describing the usefulness of IUS for intestinal BD, and we believe the findings will have many implications in clinical practice.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ecco-jcc/jjac190.0313
- https://academic.oup.com/ecco-jcc/article-pdf/17/Supplement_1/i336/48952362/jjac190.0313.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4318539860
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4318539860Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/ecco-jcc/jjac190.0313Digital Object Identifier
- Title
-
P183 Development of a new simple ultrasound activity score for intestinal Behçet's DiseaseWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-01-30Full publication date if available
- Authors
-
Katsuki Yaguchi, Reiko Kunisaki, Sumito Sato, M Izumi, Y Fukuno, T Ebina, Yusuke Matsune, T Hama, Misa Onishi, K Kobayashi, Shunsuke Shibui, Kenichiro Toritani, Daisuke Nishida, Mao Matsubayashi, Yoshinori Nakamori, Masafumi Nishio, Shotaro Umezawa, Tsuyoshi Ogashiwa, T Sasaki, Atsuko Fujii, Hideaki Kimura, K Numata, Shin MaedaList of authors in order
- Landing page
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https://doi.org/10.1093/ecco-jcc/jjac190.0313Publisher landing page
- PDF URL
-
https://academic.oup.com/ecco-jcc/article-pdf/17/Supplement_1/i336/48952362/jjac190.0313.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/ecco-jcc/article-pdf/17/Supplement_1/i336/48952362/jjac190.0313.pdfDirect OA link when available
- Concepts
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Medicine, Vascularity, Gastroenterology, Internal medicine, Colonoscopy, Univariate analysis, Inflammatory bowel disease, Retrospective cohort study, Perforation, Crohn's disease, Ultrasound, Disease, Radiology, Multivariate analysis, Colorectal cancer, Cancer, Punching, Materials science, MetallurgyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| primary_location.pdf_url | https://academic.oup.com/ecco-jcc/article-pdf/17/Supplement_1/i336/48952362/jjac190.0313.pdf |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | Journal of Crohn's and Colitis |
| primary_location.landing_page_url | https://doi.org/10.1093/ecco-jcc/jjac190.0313 |
| publication_date | 2023-01-30 |
| publication_year | 2023 |
| referenced_works_count | 0 |
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