A Neglected Issue in Ulcerative Colitis: Mesenteric Lymph Nodes
Abstract
:1. Introduction
2. Experimental Section
2.1. Study Population
2.2. Radiologic Measurements and Analysis
2.2.1. Multidetector Computed Tomography Imaging Protocol and Image Analysis
2.2.2. Region of Interest (ROI) Measurements
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Conflicts of Interest
References
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Active UC (n = 61) | Inactive UC (n = 39) | p | |
---|---|---|---|
Age (years) | 47 ± 16 | 46 ± 13 | 0.56 |
Male, n (%) | 40 (66) | 25 (64) | 0.88 |
Disease duration (months) | 13 (4–50) | 45 (30–77) | <0.01 |
Extent of UC, n (%) | 0.03 | ||
Distal extension | 29 (48) | 27 (69) | |
Proctitis/sigmoiditis | 8 (13) | 14 (36) | |
Left sided | 21 (35) | 13 (33) | |
Proximal extension | 32 (52) | 12 (31) | |
Extensive | 17 (28) | 8 (21) | |
Pancolitis | 15 (24) | 4 (10) | |
Treatment, n (%) | 0.12 | ||
Mesalazine alone | 33 (54) | 28 (72) | |
Immunosuppressive * | 28 (46) | 11 (28) | |
Corticosteroid | 9 (15) | 3 (8) | |
Azathioprine | 18 (29) | 7 (18) | |
Anti TNF | 1 (2) | 1 (2) |
Active UC (n = 61) | Inactive UC (n = 39) | p | |
---|---|---|---|
Hemoglobin (g/dL) | 12.5 ± 2.3 | 14.0 ± 2.1 | <0.01 |
Leucocyte count (/mm3) | 8260 (6330–11,050) | 6825 (5995–8995) | 0.02 |
Platelet count (/mm3) | 357 ± 137 | 281 ± 81 | <0.01 |
ESR (mm/h) | 23 (14–39) | 8 (5–15) | <0.01 |
CRP | 6.0 (3.3–16.6) | 3.2 (3.1–6.0) | <0.01 |
Fasting glucose | 94 (84–109) | 88.5 (84–103) | 0.42 |
BUN | 27 ± 10 | 31 ± 11 | 0.14 |
Creatinine | 0.76 ± 0.19 | 0.81 ± 0.23 | 0.32 |
ALT | 21 (16–28) | 22.5 (19–28) | 0.28 |
Albumin | 4.0 ± 0.6 | 4.4 ± 0.4 | <0.01 |
Radiological LN characteristics | |||
LN dimension (mm) | 7.0 ± 1.9 | 6.8 ± 2.9 | 0.23 |
LN attenuation (HU) | 49 (37–60) | 58 (31.5–68.5) | 0.31 |
Proximal Active Disease (n = 32) | Proximal Inactive Disease (n = 12) | Distal Active Disease (n = 29) | Distal Inactive Disease (n = 27) | |
---|---|---|---|---|
LN dimension (mm) | 7.3 ± 1.9 | 7.1 ± 2.7 | 6.8 ± 1.8 | 6.6 ± 2.9 |
LN attenuation (HU) | 47.5 (40–60) | 21 (12–60.5) | 54 (29–63) | 59 (43.5–71) |
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Sahin, A.; Artas, H.; Eroglu, Y.; Tunc, N.; Oguz, G.; Demirel, U.; Poyrazoglu, O.K.; Yalniz, M.; Bahcecioglu, I.H. A Neglected Issue in Ulcerative Colitis: Mesenteric Lymph Nodes. J. Clin. Med. 2018, 7, 142. https://doi.org/10.3390/jcm7060142
Sahin A, Artas H, Eroglu Y, Tunc N, Oguz G, Demirel U, Poyrazoglu OK, Yalniz M, Bahcecioglu IH. A Neglected Issue in Ulcerative Colitis: Mesenteric Lymph Nodes. Journal of Clinical Medicine. 2018; 7(6):142. https://doi.org/10.3390/jcm7060142
Chicago/Turabian StyleSahin, Abdurrahman, Hakan Artas, Yesim Eroglu, Nurettin Tunc, Gulcan Oguz, Ulvi Demirel, Orhan Kursat Poyrazoglu, Mehmet Yalniz, and Ibrahim Halil Bahcecioglu. 2018. "A Neglected Issue in Ulcerative Colitis: Mesenteric Lymph Nodes" Journal of Clinical Medicine 7, no. 6: 142. https://doi.org/10.3390/jcm7060142