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首页> 外文期刊>International journal of colorectal disease. >Segmental colitis associated with diverticulosis: A 5-year follow-up
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Segmental colitis associated with diverticulosis: A 5-year follow-up

机译：与憩室相关的节段性结肠炎：5年的随访

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Background and aims Literature data about the outcome of segmental colitis associated with diverticulosis (SCAD) are scarce. Our aim was to assess the clinical outcome of SCAD according to the type of disease. Patients/methods Twenty-seven SCAD patients underwent a 5-year follow-up (13 males, 14 females; mean age, 63.71 years; range, 50-85 years). Eleven patients were affected by type A, eight by type B, four by type C and four by type D SCAD. During the follow-up, all type B, C, and D patients were under continuous medical treatment. Five type A patients refused any maintaining treatment, but accepted to undergo the clinical, endoscopic, and histological follow-up. Results/findings Five type A patients taking therapy (83.33%), two type A not taking therapy (50%), all type C patients (100%), five type B patients (62.5%) and none of type D (0%) were under continuous remission at the end of the follow-up. All type D patients required further steroid course to obtain remission, and two patients required azathioprine to maintain remission. Interpretations/conclusions SCAD B and D patients fail to maintain long-term remission, often requiring immunosuppressive treatment. SCAD A and C patients show a more benign course; however, long-term treatment guarantees longer remission also in those patients.
机译：背景技术关于与憩室病症相关的节段结肠炎结果的文献数据是稀缺的。我们的目的是根据疾病类型评估奶渣的临床结果。患者/方法二十七名苏达患者经历了5年的随访（13名男性，14名女性;平均年龄，63.71岁;范围，50-85岁）。 11名患者受到A，八型型，4型通过C型和4型施用C型患者的影响。在随访期间，所有B型B，C和D患者都在连续治疗。五型患者拒绝任何维持治疗，但接受接受临床，内窥镜和组织学随访。结果/调查结果五型患者采取治疗（83.33％），两种类型A不服药（50％），所有型患者（100％），五型患者（62.5％），D型（0％） ）在随访结束时持续缓解。所有类型的D患者都需要进一步的类固醇课程获得缓解，并且两名患者需要副唑唑保持缓解。解释/结论SCAD B和D患者未能维持长期缓解，通常需要免疫抑制治疗。斯科尔A和C患者表现出更加良性的课程;然而，长期治疗在这些患者中也保证了更长的缓解。

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