Table 1.
Clinical characteristics | N, % (Total N = 26) |
---|---|
Demographic features | |
Age, year | 27.5 (24–34) |
Male | 21, 80.8% |
Cigrette consumption | 6, 23.1% |
Present smoker | 1, 3.8% |
Former smoker | 5, 19.3% |
Clinical features | |
Montreal classification* | |
A classification | |
A1 | 7, 26.9% |
A2 | 16, 61.5% |
A3 | 3, 11.5% |
L classification | |
L1 | 6, 23.1% |
L3 | 20, 76.9% |
B classification | |
B3 | 10, 38.5% |
B2 + 3 | 16, 61.5% |
P classification | |
O | 12, 46.2% |
P | 14, 53.8% |
Features of fistula | |
History of abdominal infection | 13, 50.0% |
History of abdominal abscess | 6, 23.1% |
Complex fistula** | 13, 50.0% |
Multiple fistula tract | 11, 42.3% |
Type of fistula | |
Enteric fistula | 19, 73.1% |
Enterovesical fistula | 6, 23.1% |
Enterocutaneous/enteroumbilical fistula | 1, 3.8% |
Entero-retroperitoneal fistula | 2, 7.7% |
Location of fistula | |
Ileum | 10, 38.5% |
Colon | 3, 11.5% |
Ileum and colon | 13, 50.0% |
Complicated with abdominal infection | 13, 50.0% |
Low body mass index (BMI < 18.5 kg/m2) | 8, 30.8% |
Decreased serum albumin (Alb < 35 g/L) | 4, 15.4% |
Elevated ESR*** | 11, 42.3% |
Increased hsCRP level (hsCRP > 3 mg/L) | 17, 65.4% |
Baseline disease activity | |
Clinical remission | 4, 15.4% |
Mild active | 9, 34.6% |
Moderate active | 13, 50.0% |
Severe active | 0, 0 |
Imaging features (CT) | |
Intestine stricturing | 14, 53.8% |
Intestine wall thickening and strengthening | 16, 61.5% |
Mesenteric vessel thickening | 7, 26.9% |
Mesenteric lymph nodes enlarging | 18, 69.2% |
MRI evaluation | 5, 3.8% |
Baseline treatment | |
Total elemental enteric nutrition feeding | 14, 53.8% |
Glucocorticoids | 24, 92.3% |
5-Aminosalicylic acids | 23, 88.5% |
Immunosuppressants | 13, 50.0% |
Therapeutic drug monitoring and dose adjustment | 12, 46.2% |
*Montreal classification: A: age, A1: < 17 years, A2: 17–40 years, and A3: > 40 years; L: location affected, L1: ileum, L2: colon, L3: ileum and colon; B: behavior, B3: penetrating, B2 + 3 stricturing and penetrating, P: perianal lesions, O: no perianal lesion
**Complex fistula: defined as multiple fistula tract or abdominal abscess
***Elevated ESR: ESR > 20 mm/h for females, > 15 mm/h for males