Evidence map›Paper›PMID 39074035›Full record

ArticleUnited European gastroenterology journal2024

Prevalence of stricturing, penetrating complications and extraintestinal manifestations in inflammatory bowel disease detected on cross-sectional imaging in a tertiary care setting.

Sudheer Kumar Vuyyuru, Virginia Solitano, Achuthan Aruljothy, Maan Alkhattabi, Melanie Beaton, Jamie Gregor, Zahra Kassam, Harry Marshall, Darryl Ramsewak, Rocio Sedano and 2 more

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sudheer Kumar VuyyuruDepartment of Medicine, Division of Gastroenterology, Western University Schulich School of Medicine, London, Ontario, Canada.
Virginia SolitanoDepartment of Medicine, Division of Gastroenterology, Western University Schulich School of Medicine, London, Ontario, Canada.
Achuthan AruljothyDepartment of Medicine, Division of Gastroenterology, Western University Schulich School of Medicine, London, Ontario, Canada.
Maan AlkhattabiDepartment of Medicine, Faculty of Medicine, King Abdulaziz University- Rabigh Campus, Jeddah, Saudi Arabia.
Melanie BeatonDepartment of Medicine, Division of Gastroenterology, Western University Schulich School of Medicine, London, Ontario, Canada.
Jamie GregorDepartment of Medicine, Division of Gastroenterology, Western University Schulich School of Medicine, London, Ontario, Canada.
Zahra KassamDepartment of Medical Imaging, Western University, London, Ontario, Canada.
Harry MarshallDepartment of Medical Imaging, Western University, London, Ontario, Canada.ORCID 0000-0002-0350-4947
Darryl RamsewakDepartment of Medical Imaging, Western University, London, Ontario, Canada.
Rocio SedanoDepartment of Medicine, Division of Gastroenterology, Western University Schulich School of Medicine, London, Ontario, Canada.
Michael SeyDepartment of Medicine, Division of Gastroenterology, Western University Schulich School of Medicine, London, Ontario, Canada.
Vipul JairathDepartment of Medicine, Division of Gastroenterology, Western University Schulich School of Medicine, London, Ontario, Canada.ORCID 0000-0002-1092-0033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStricturing, penetrating complications and extraintestinal manifestations (EIMs) are frequent in patients with inflammatory bowel disease (IBD). There is limited data on the prevalence of these complications in patients with IBD. Therefore, we aimed to assess the burden of these complications detected incidentally on cross-sectional imaging.

methodsA retrospective study conducted at two tertiary care centers in London, Ontario. Patients (≥18 years) with a confirmed diagnosis of IBD who underwent CT enterography (CTE) or MR enterography (MRE) between 1 Jan 2010 and 31 Dec 2018 were included. Categorical variables were reported as proportions and the mean and standard deviations were reported for continuous variables.

resultsA total of 615 imaging tests (MRE: 67.3% [414/615]) were performed in 557 IBD patients (CD: 91.4% [509/557], UC: 8.6% [48/557]). 38.2% (213/557) of patients were male, with mean age of 45.6 years (±15.8), and median disease duration of 11.0 years (±12.5). Among patients with CD, 33.2% (169/509) had strictures, with 7.8% having two or more strictures and 66.3% considered inflammatory. A fistula was reported in 10.6% (54/509), the most common being perianal fistula (27.8% [15/54]), followed by enterocutaneous fistula (16.8% [9/54]), and enteroenteric fistula (16.8% [9/54]). Additionally, 7.4% (41/557) of patients with IBD were found to have an EIM on cross-sectional imaging, with the most prevalent EIM being cholelithiasis (63.4% [26/41]), followed by sacroiliitis (24.4% [10/41]), primary sclerosing cholangitis (4.8% [2/41]) and nephrolithiasis (4.8% [2/41]).

conclusionsApproximately 40% of patients with CD undergoing cross-sectional imaging had evidence of a stricture or fistulizing disease, with 7% of patients with IBD having a detectable EIM. These results highlight the burden of disease and the need for specific therapies for these disease phenotypes.

Indexed as

Inflammatory Bowel DiseasesTomography, X-Ray ComputedAdultCholangitis, SclerosingColitis, UlcerativeConstriction, PathologicCrohn DiseaseCross-Sectional StudiesFemaleHumansIncidental FindingsIntestinal FistulaIntestinal ObstructionMagnetic Resonance ImagingMaleMiddle Agedcomputed tomography enterographyCrohn's diseasedisease behaviorEIMsIBDIMIDsmagnetic resonance enterographyMREstenosingulcerative colitis

Identifiers

PMID39074035
PMCPMC11497656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.