Prediction of the Clinical Course According to the Macroscopic Type by Colonoscopy in Behcet's Colitis

Song, In Sung; Kim, Chung Yong; Jung, Hyun Chae; Lee, Dong Ho; Choi, Kyu Wan; Lim, Seon Hee; Kim, Sun Mi; Park, Dong Young; Kim, Byung Kwan; Jung, Woon Tae; Han, Cheol Joo

Abstract

The intestinal lesion of Behcet's colitis shows aphthoid or punched-out ulceration. But these morphological characteristics are variable and the clinical course of Behcet's colitis is also diverse. There have been many case reports since 1962, but there is few study for clinical course or for morphological characteristics of intestinal lesion of Behcet's colitis. So we retrospectively investigated the clinical course of Behcet's colitis according to colonoscopic findings. Thirty-two patients with Behcet's colitis were investigated retrospectively from January 1984 to July l994. The patients who had at least two major stigmata of Behcet's syndrome with intestinal lesions were included, and whose colonoscopic films were available and whose follow-up studies were done. The studies used at their follow-up were colonoscopy and/or barium enema. In our study the patients ranged in age from 15 to 64 years old, with mean age of 37 years old; 28% were in 3rd decade. The mean follow-up period was 33 months.