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. 2021 Jan 27;13(1):1–6. doi: 10.4240/wjgs.v13.i1.1

Table 1.

Features of ileal/ileocolonic Crohn’s disease, isolated colonic Crohn’s disease, and ulcerative colitis

Characteristics Ileal and ileocolonic CD Isolated colonic CD Ulcerative colitis
Sex Slight female predominance (55%) Female predominance (65%) Equal or slight male predominance
Genetics Crohn’s-associated genotype including NOD2/CARD15 Genotype midway between CD and UC UC-associated genotype including HLA-DRB1*01:03
Serology ASCA commonly positive; pANCA usually negative ASCA less commonly positive than ileal CD; pANCA positive ASCA usually negative; pANCA commonly positive
Mucosa-associated microbiota Marked changes commonly including increased proteobacteria (e.g., E. coli) and fusobacteria Intermediate changes similar to ileal/ileocolonic CD but less consistent Modest changes, including slight increase in E. coli
Response to mesalazine No efficacy No efficacy Good efficacy
Response to anti-TNF Good efficacy Good efficacy, probably better than for ileal/ileocolonic CD Good efficacy
Response to exclusive enteral nutrition Good efficacy Probably good efficacy No efficacy
Surgery rate and type Required in majority Required in minority. High failure for pouch-anal reconstruction Required in minority. Low failure for pouch-anal reconstruction

CD: Crohn’s disease; ASCA: Anti-Saccharomyces cerevisiae; HLA: Human leucocyte antigen; pANCA: Perinuclear antineutrophil cytoplasmic antibodies; TNF: Tumor necrosis factor; UC: Ulcerative colitis.