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Table 3 Baseline characteristics at time of EBD, endoscopic treatment, follow-up time, and the outcome of patients undergoing follow-up endoscopy (n = 71)

From: Mucosal healing of small intestinal stricture is associated with improved prognosis post-dilation in Crohn’s disease

 

Total

Presence of ulcer at the stricture

p value

No

Yes

Variables

71 (100.0%)

27 (38.0%)

44 (62.0%)

Baseline

Sex, n (%)

 Men

58 (81.7%)

22 (81.5%)

36 (81.8%)

1.000

 Women

13 (18.3%)

5 (18.5%)

8 (18.2%)

 

Median age at diagnosis of CD, years (range)

28 (3, 63)

32 (12, 63)

27 (3, 60)

 

Age at diagnosis of CD, n (%)

 < 17

8 (11.3%)

4 (14.8%)

4 (9.1%)

0.645

 17–40

49 (69.0%)

17 (63.0%)

32 (72.7%)

 

 > 40

14 (19.7%)

6 (22.2%)

8 (18.2%)

 

Median disease duration, years (range)

5.41 (0.00, 32.58)

3.53 (0.12, 31.99)

7.41 (0.00, 32.58)

 

Smoking, n (%)

 Never

48 (67.6%)

17 (63.0%)

31 (70.5%)

0.439

 Current

13 (18.3%)

7 (25.9%)

6 (13.6%)

 

 Ex-smoker

10 (14.1%)

3 (11.1%)

7 (15.9%)

 

Previous intestinal resection, n (%)

 No

43 (60.6%)

22 (81.5%)

21 (47.7%)

0.006*

 Yes

28 (39.4%)

5 (18.5%)

23 (52.3%)

 

Perianal involvement, n (%)

 No

48 (67.6%)

22 (81.5%)

26 (59.1%)

0.068

 Yes

23 (32.4%)

5 (18.5%)

18 (40.9%)

 

Disease location, n (%)

 L1

40 (56.3%)

17 (63.0%)

23 (52.3%)

0.378

 L3

31 (43.7%)

10 (37.0%)

21 (47.7%)

 

Median CDAI score, (range)

76.8 (0.00, 269.2)

68.99 (3.94, 198.2)

79.2 (0.00, 269.2)

 

CDAI score, n (%)

 < 150

62 (87.3%)

25 (92.6%)

37 (84.1%)

0.467

 ≥ 150

9 (12.7%)

2 (7.4%)

7 (15.9%)

 

Median CRP at time of EBD, mg/L (range)

0.8 (0.2, 66.4)

0.8 (0.2, 13.2)

0.8 (0.2, 66.4)

 

CRP at time of EBD, n (%)

 ≤ 4 mg/L

56 (78.9%)

25 (92.6%)

31 (70.5%)

0.036*

 > 4 mg/L

15 (21.1%)

2 (7.4%)

13 (29.5%)

 

Endoscopic findings

Stricture length, n (%)

 < 2 cm

67 (94.4%)

24 (88.9%)

43 (97.7%)

0.151

 ≥ 2 cm

4 (5.6%)

3 (11.1%)

1 (2.3%)

 

Anastomotic site stricture, n (%)

 No

64 (90.1%)

25 (92.6%)

39 (88.6%)

0.701

 Yes

7 (9.9%)

2 (7.4%)

5 (11.4%)

 

Location of stricture, n (%)

 TI

16 (22.5%)

6 (22.2%)

10 (22.7%)

0.777

 PI

50 (70.4%)

20 (74.1%)

30 (68.2%)

 

 J

5 (7.0%)

1 (3.7%)

4 (9.1%)

 

Concomitant treatment

Corticosteroid, n (%)

 No

62 (87.3%)

23 (85.2%)

39 (88.6%)

0.723

 Yes

9 (12.7%)

4 (14.8%)

5 (11.4%)

 

5-aminosalicylate, n (%)

 No

25 (35.2%)

10 (37.0%)

15 (34.1%)

0.801

 Yes

46 (64.8%)

17 (63.0%)

29 (65.9%)

 

Anti-TNF, n (%)

 No

35 (49.3%)

13 (48.1%)

22 (50.0%)

0.880

 Yes

36 (50.7%)

14 (51.9%)

22 (50.0%)

 

Immunomodulator, n (%)

 No

45 (63.4%)

18 (66.7%)

27 (61.4%)

0.801

 Yes

26 (36.6%)

9 (33.3%)

17 (38.6%)

 

Anti-TNF + Immunomodulator, n (%)

 No

59 (83.1%)

23 (85.2%)

36 (81.8%)

1.000

 Yes

12 (16.9%)

4 (14.8%)

8 (18.2%)

 

Endoscopic treatment and follow-up time

Balloon dilation diameter, n (%)

 < 15 mm

35 (49.3%)

7 (25.9%)

28 (63.6%)

0.003*

 ≥ 15 mm

36 (50.7%)

20 (74.1%)

16 (36.4%)

 

Median time between EBD and follow-up endoscopy, days (range)

371 (89, 1843)

369 (130, 1843)

372 (89, 1163)

0.619§

Outcome

Redilation at follow-up endoscopy

 No

18 (25.4%)

12 (44.4%)

6 (13.6%)

0.005*

 Yes

53 (74.6%)

15 (55.6%)

38 (86.4%)

 
  1. EBD endoscopic balloon dilation, CD Crohn's disease, CDAI Crohn's disease activity index, CRP C-reactive protein, TI terminal ileum, PI proximal ileum, J jejunum, TNF tumor necrosis factor
  2. Fisher's exact test
  3. Chi-square test
  4. §Wilcoxon rank sum test
  5. *p < 0.05