{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:04:23Z","timestamp":1790687063108,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T00:00:00Z","timestamp":1491177600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the contribution of <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> for the management of patients with severe acute exacerbation of colitis (<jats:styled-content style=\"fixed-case\">SAC<\/jats:styled-content>) complicating inflammatory bowel disease (<jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content>); in particular, its contribution to surgical decision making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All patients who were admitted to our institution for <jats:styled-content style=\"fixed-case\">SAC<\/jats:styled-content> complicating <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> were divided into two groups: group A (those who received surgical treatment); and group B (those who received medical treatment). Admission <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> results were compared between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2006 to 2015, 54 patients [26 male; median age 39 (17\u201371) years] presenting with <jats:styled-content style=\"fixed-case\">SAC<\/jats:styled-content> were placed in either group A (<jats:italic>n<\/jats:italic>\u00a0=\u00a041; 76%) or group B (<jats:italic>n<\/jats:italic>\u00a0=\u00a013; 24%). Surgical patients in group A more frequently had altered general status (50 <jats:italic>vs<\/jats:italic> 17%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.01). Physical examination, Lichtiger score, endoscopic findings and laboratory results were similar between the groups. There was no significant difference in <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> data between the groups with respect to extent of the colitis (pan\u2010colitis in 54 and 69%, respectively,\u00a0<jats:italic>P<\/jats:italic>\u00a0=\u00a00.35), median colonic thickness [10 (4\u201316) <jats:italic>vs<\/jats:italic> 8 (6\u201311) mm, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.15], target enhancement (88 <jats:italic>vs<\/jats:italic> 77%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.38) and occurrence of toxic megacolon (2 <jats:italic>vs<\/jats:italic> 0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Admission <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> is not helpful in surgical decision making in <jats:styled-content style=\"fixed-case\">SAC<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13640","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T01:47:06Z","timestamp":1488160026000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Is abdominal <scp>CT<\/scp> useful for the management of patients with severe acute colitis complicating inflammatory bowel disease? A study in 54 consecutive patients"],"prefix":"10.1111","volume":"19","author":[{"given":"D.","family":"Mege","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Beaujon Hospital Assistance Publique\u2010H\u00f4pitaux de Paris Universit\u00e9 Paris VII Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Monsinjon","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Beaujon Hospital Assistance Publique\u2010H\u00f4pitaux de Paris Universit\u00e9 Paris VII Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Zappa","sequence":"additional","affiliation":[{"name":"Department of Radiology Beaujon Hospital Assistance Publique\u2010H\u00f4pitaux de Paris Universit\u00e9 Paris VII Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Stefanescu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology 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