Enteroclysis findings of intestinal Behcet disease: a comparative study with Crohn disease

Abstract

EC should be the radiologic method to evaluate the intestinal pathology in symptomatic BD patients. The main EC finding in BD was ulceration mostly in the aphthous form. The EC findings in BD, even in longstanding cases, are usually mild when compared with those seen in CD.

Gastrointestinal Manifestations of Behçet’s Disease

“…Multiple superficial ulcers located predominantly in the terminal ileum in Turkish patients [48] differed from the single, large, deep ulcers with distinct borders described in the Far East. In the latter case, the colonic ulcers in BD have been classified as volcano-type, geographic, and aphthous.…”

“…Perforation is more common in BD than in CD since the latter is characterized by intense fibrosis. Scalloping, ulceronodular patterns, and complications such as abscess formation are not observed in intestinal BD [48]. The findings in BD are generally milder than those seen in CD.…”

“…A nonspecific pattern of small bowel malabsorption can be seen [46] as can cecal contraction, widening of the ileocecal valve, fold thickening in the terminal ileum, and an apparent ileocecal mass with ulceration [47]. Enteroclysis showed pathology in 71% of patients that did not correlate with disease duration [48]. Intestinal BD has been diagnosed by capsule endoscopy, revealing aphthous ulcers and pseudopolypoid lesions [49].…”

Current MR-Enterography In The Diagnosis Of Crohn’s Disease, An Update.

“…Behcet's disease often presents aftos lineer ulcerations in the terminal ileum and ileoceccal valve, also regard genital-oral and orbital ulcerations but histopathological differentiation from Crohn's disease, can be necessary in most of the cases due to their similar involvement patterns (14,26,28).…”

“…Chronic disease without active inflammation; Bowel wall thickening and enhancement on postgadolinium T1W images plus low signal intensity on T2W-FS images with possible stenosis and obstruction due to fibrosis, chronic disease with active inflammatory exacerbations; these conditions can overlap with active inflammation, require longitudinal repeated scanning (7,12,14,20,(26)(27)(28)(29)(30) (Figure 5a-b, Figure 6a MRI, extra-enteric complications of Crohn's disease or other causes of abdominal pain visualized on MRI, including liver or gallbladder disease (sclerosing cholangitis), mesenteric vascular thrombi, abdominal masses, tumors,and pancreatic abnormalities (7,14,(16)(17)(18)(19)(20)(21)26). MRE may also be used for the following clinical applications in Crohn's disease: Evaluation of the extent of small bowel disease at diagnosis, evaluation of disease burden in symptomatic patients to direct therapeutic management, evaluation of fibrostenotic disease,which may respond better to surgery than to the conservative medical therapy, confirmation of clinical remission and consideration for escalation of medical therapy if there is persistent submucosal disease despite clinical remissions, evaluation of intra-abdominal complications, including fistulae, tethering, stenosis, and abscesses, evaluation of perianal disease (7,9,11,(16)(17)(18)20,31).…”