{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T13:22:30Z","timestamp":1762521750454},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,2,24]],"date-time":"2015-02-24T00:00:00Z","timestamp":1424736000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Imaging techniques are accurate and reliable in diagnosing inflammatory bowel disease (IBD). However, the main disadvantage of computed tomography (<jats:styled-content style=\"fixed-case\">CT)<\/jats:styled-content> compared with magnetic resonance imaging (<jats:styled-content style=\"fixed-case\">MRI)<\/jats:styled-content> is radiation exposure and the potential risk of cancer, especially since <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> patients are at increased risk of malignancies. This study aims to quantify and characterize effective radiation exposure of <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort of <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> patients were retrospectively enrolled in the Cl\u00ednica las Condes IBD registry between 2011 and 2013. High cumulative radiation exposure (CED) was defined as \u2265\u221250 mSv.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 325 <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> patients were enrolled in our registry, including 243 (74.8%) with <jats:styled-content style=\"fixed-case\">UC<\/jats:styled-content> and 82 (25.2%) with <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>. The patients with <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> were more commonly to reach a high CED seen compared with those with <jats:styled-content style=\"fixed-case\">UC<\/jats:styled-content> (19.5% <jats:italic>vs<\/jats:italic> 2.5%). Higher exposure to radiation was associated with longer duration of disease, ileal involvement, stricturing behavior, treatments with steroids and biological agents and <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\u2010related hospitalization or surgery. Abdominopelvic <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> and enteroclysis <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> accounted for 93.6% of total <jats:styled-content style=\"fixed-case\">CED<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A high percentage of <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> patients are exposed to high <jats:styled-content style=\"fixed-case\">CED<\/jats:styled-content>. Radiation\u2010free cross\u2010sectional examinations, such as <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>, should be used, especially in young patients, those who have undergone prior surgery and those with severe <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.12213","type":"journal-article","created":{"date-parts":[[2014,11,25]],"date-time":"2014-11-25T04:01:40Z","timestamp":1416888100000},"page":"83-89","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Ionizing radiation exposure in patients with inflammatory bowel disease: Are we overexposing our patients?"],"prefix":"10.1111","volume":"16","author":[{"given":"Camila","family":"Estay","sequence":"first","affiliation":[{"name":"Academic Research Unit Cl\u00ednica las Condes  Santiago Chile"},{"name":"Resident of Internal Medicine Universidad de Los Andes  Santiago 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