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  • Title: [The radiologic picture of pathomorphological changes in the intestinal wall in Crohn disease in relation to the course of the disease].
    Author: Oberstein A, Jaeger V, Prämassing W, Gutjahr G.
    Journal: Rofo; 1991 Mar; 154(3):246-51. PubMed ID: 1849291.
    Abstract:
    Crohn's disease has highly variable presentation in the x-ray examination depending on the stage of the gut wall inflammation. Our series showed that the lesions concern mainly the ileocecal region with involvement of the terminal ileum in 72.4% and of the cecum in 56.2% of the cases. In patients who required only conservative treatment mainly "cobble stone"-lesions, pseudopolyps and pseudodiverticuli could be demonstrated. Patients who needed surgical therapy showed in the first place stenosis, spicules and fistulae. Of all the studied patients 59% had to be assigned to surgery and of these 62% showed signs of relapse. The recurrence of disease occurred in 88% at the site of the anastomosis mainly in the first two years after operation. Differences in the frequency of relapse after the first or the second operation could not be seen.
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