Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experience
Abstract Background Crohn’s disease (CD) is a chronic disorder with frequent complications. The objective of this study was to assess the predictive factors of finding a complication of CD using abdominopelvic CT-scan in patients with a visit to the emergency department. Methods Patients with at lea...
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doaj-2abb5fee1b9842299e8cb1e48dade5942021-10-10T11:18:43ZengBMCBMC Emergency Medicine1471-227X2021-10-012111810.1186/s12873-021-00512-5Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experienceMikael Verdalle-Cazes0Cloé Charpentier1Coralie Benard2Luc-Marie Joly3Jean-Nicolas Dacher4Guillaume Savoye5Céline Savoye-Collet6Department of Radiology, Normandie University, UNIROUEN, Quantif-LITIS EA 4108, Rouen University Hospital-Charles NicolleDepartment of Gastroenterology, Rouen University Hospital-Charles NicolleDepartment of Gastroenterology, Rouen University Hospital-Charles NicolleDepartment of Emergency, Rouen University Hospital-Charles NicolleDepartment of Radiology, Rouen University Hospital-Charles NicolleDepartment of Gastroenterology, Normandie University, UNIROUEN, INSERM U1073, Rouen University Hospital-Charles NicolleDepartment of Radiology, Normandie University, UNIROUEN, Quantif-LITIS EA 4108, Rouen University Hospital-Charles NicolleAbstract Background Crohn’s disease (CD) is a chronic disorder with frequent complications. The objective of this study was to assess the predictive factors of finding a complication of CD using abdominopelvic CT-scan in patients with a visit to the emergency department. Methods Patients with at least one visit to the gastroenterology department of our University hospital during the year with a CD were retrospectively included. All visits to the emergency department of the hospital during the follow-up of these patients were identified. Results A total of 638 patients were included and 318 (49.8%) had at least one visit to the emergency department since the beginning of their follow-up. Abdominopelvic CT-scan was performed in 141 (23.7%) of the 595 visits for digestive symptoms. Only 4.3% of these CT-scans were considered as normal; there was luminal inflammation without complication in 24.8%, abscess, fistula or perforation in 22.7%, mechanical bowel obstruction in 36.9% and diagnosis unrelated to CD in 11.3%. In univariate analysis, stricturing phenotype (OR, 2.48; 95% CI, 1.16–5.29; p = 0.02) and previous surgery (OR, 2.90; 95% CI, 1.37–6.14; p = 0.005) were predictive factors of finding a complication of CD using abdominopelvic CT-scan, whereas no independent predictive factor was statistically significant in multivariate analysis. Conclusion In CD patients consulting in emergency department, CT-scan examination was performed in 24% of visits for digestive symptoms and complications of CD were found in 60%. Complications were more frequent in patients with stricturing phenotype and previous surgery.https://doi.org/10.1186/s12873-021-00512-5Crohn’s diseaseEmergency departmentAbdominopelvic CT-scan |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mikael Verdalle-Cazes Cloé Charpentier Coralie Benard Luc-Marie Joly Jean-Nicolas Dacher Guillaume Savoye Céline Savoye-Collet |
spellingShingle |
Mikael Verdalle-Cazes Cloé Charpentier Coralie Benard Luc-Marie Joly Jean-Nicolas Dacher Guillaume Savoye Céline Savoye-Collet Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experience BMC Emergency Medicine Crohn’s disease Emergency department Abdominopelvic CT-scan |
author_facet |
Mikael Verdalle-Cazes Cloé Charpentier Coralie Benard Luc-Marie Joly Jean-Nicolas Dacher Guillaume Savoye Céline Savoye-Collet |
author_sort |
Mikael Verdalle-Cazes |
title |
Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experience |
title_short |
Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experience |
title_full |
Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experience |
title_fullStr |
Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experience |
title_full_unstemmed |
Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experience |
title_sort |
abdominopelvic ct-scan in emergency departments for patients with suspected complications of crohn’s disease: a single tertiary center experience |
publisher |
BMC |
series |
BMC Emergency Medicine |
issn |
1471-227X |
publishDate |
2021-10-01 |
description |
Abstract Background Crohn’s disease (CD) is a chronic disorder with frequent complications. The objective of this study was to assess the predictive factors of finding a complication of CD using abdominopelvic CT-scan in patients with a visit to the emergency department. Methods Patients with at least one visit to the gastroenterology department of our University hospital during the year with a CD were retrospectively included. All visits to the emergency department of the hospital during the follow-up of these patients were identified. Results A total of 638 patients were included and 318 (49.8%) had at least one visit to the emergency department since the beginning of their follow-up. Abdominopelvic CT-scan was performed in 141 (23.7%) of the 595 visits for digestive symptoms. Only 4.3% of these CT-scans were considered as normal; there was luminal inflammation without complication in 24.8%, abscess, fistula or perforation in 22.7%, mechanical bowel obstruction in 36.9% and diagnosis unrelated to CD in 11.3%. In univariate analysis, stricturing phenotype (OR, 2.48; 95% CI, 1.16–5.29; p = 0.02) and previous surgery (OR, 2.90; 95% CI, 1.37–6.14; p = 0.005) were predictive factors of finding a complication of CD using abdominopelvic CT-scan, whereas no independent predictive factor was statistically significant in multivariate analysis. Conclusion In CD patients consulting in emergency department, CT-scan examination was performed in 24% of visits for digestive symptoms and complications of CD were found in 60%. Complications were more frequent in patients with stricturing phenotype and previous surgery. |
topic |
Crohn’s disease Emergency department Abdominopelvic CT-scan |
url |
https://doi.org/10.1186/s12873-021-00512-5 |
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