Usefulness of magnetic resonance enterography in the clinical decision-making process for patients with inflammatory bowel disease.

Autor:	Ramos López L; Servicio de Aparato Digestivo, Hospital Universitario de Canarias, Tenerife, Spain., Hernández Camba A; Servicio de Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz De Tenerife, Spain. Electronic address: dr.alejandrohc@gmail.com., Rodríguez-Lago I; Servicio de Aparato Digestivo, Hospital de Galdakao, Galdakao, Spain., Carrillo Palau M; Servicio de Aparato Digestivo, Hospital Universitario de Canarias, Tenerife, Spain., Cejas Dorta L; Servicio de Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz De Tenerife, Spain., Elorza A; Servicio de Aparato Digestivo, Hospital de Galdakao, Galdakao, Spain., Alonso Abreu I; Servicio de Aparato Digestivo, Hospital Universitario de Canarias, Tenerife, Spain., Vela M; Servicio de Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz De Tenerife, Spain., Hidalgo A; Servicio de Aparato Digestivo, Hospital de Galdakao, Galdakao, Spain., Hernández Álvarez-Builla N; Servicio de Aparato Digestivo, Hospital Universitario de Canarias, Tenerife, Spain., Rodríguez GE; Servicio de Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz De Tenerife, Spain., Rodríguez Y; Servicio de Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz De Tenerife, Spain., Tardillo C; Servicio de Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz De Tenerife, Spain., Díaz-Flórez L; Servicio de Radiología, Hospital Universitario de Canarias, Tenerife, Spain., Eiroa D; Servicio de Radiología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz De Tenerife, Spain., Aduna M; Osatek, Hospital de Galdakao, Galdakao, Spain., Garrido MS; Servicio de Radiología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz De Tenerife, Spain., Larena JA; Osatek, Hospital de Galdakao, Galdakao, Spain., Cabriada JL; Servicio de Aparato Digestivo, Hospital de Galdakao, Galdakao, Spain., Quintero Carrion E; Servicio de Aparato Digestivo, Hospital Universitario de Canarias, Tenerife, Spain.
Jazyk:	English; Spanish; Castilian
Zdroj:	Gastroenterologia y hepatologia [Gastroenterol Hepatol] 2020 Oct; Vol. 43 (8), pp. 439-445. Date of Electronic Publication: 2020 Apr 27.
DOI:	10.1016/j.gastrohep.2020.03.007
Abstrakt:	Objective: To evaluate the impact of magnetic resonance enterography (MRE) diagnosis on clinical decision-making regarding treatment choice and maintenance of treatment over time in patients with inflammatory bowel disease (IBD). Methods: A cohort of patients who underwent MRE for IBD assessment between 2011 and 2014 was analyzed. From clinical records, we retrospectively retrieved their demographic data and clinical data on their IBD at the time of MRE, the results of MRE and the patient's clinical course. Medical management decisions made during the three months following MRE and at the 15-month follow-up were assessed. Results: In total, 474 MREs were reviewed. In the first three-month period, MRE results led to changes in the medical management of 266 patients (56.1%). Of those, maintenance therapy was altered in 140 patients (68.3%) (90.7% step-up and 9.3% top-down strategy), 65 (24.4%) were prescribed a course of steroids and 61 (22.9%) underwent surgery. MRE confirmed a CD diagnosis in 14/41 patients (34.1%) previously diagnosed with indeterminate colitis or ulcerative colitis and in 4/18 patients (22.2%) with suspected IBD. At the 15-month follow-up, treatment remained unchanged in 289 patients (65.8%). Conclusions: These results suggest that MRE is a diagnostic tool that provides valid information for the clinical-decision making process for patients with CD. (Copyright © 2020 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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