Phenotypes defined by the "Vienna Classification" in 100 Hungarian patients with Crohn's disease

• Published in: Revista española de enfermedades digestivas Vol. 95; no. 8; pp. 527 - 533
• Main Authors: Nemetz, A, Molnar, T, Zagoni, T, Kovacs, A, Tulassay, Z, Nagy, F, Salvador Peña, A
• Format: Journal Article
• Language: English; Spanish
• Published: 01-08-2003
• ISSN: 1130-0108

BACKGROUNDstandardisation of subgroup in Crohńs disease (CD) could help to design, and to compare studies performed in different populations. However, due to the lack of a uniformly used classification, data is scarce and difficult to interpret on the frequency of specific subtypes and disease behaviour in different ethnicities.METHODSanalysis was performed using the Vienna classification on an unselected Hungarian population of 100 CD patients diagnosed according to Lennard- Jones criteria at least three years before the data was collected.RESULTSdisease behaviour and location was strongly associated (p= 0.008); ileocolonic location presented most commonly with penetrating disease (49%), while colonic location with non-stricturing, non-penetrating disease behaviour (48%). Operations were more frequent in patienys with penetrating disease (p<0,0001). Among patients with extraintestinal manifestations penetrating disease was more common (49 vs 30%) and structuring less frequent (16 vs 38%) than in the group of patients who did not have extraintestinal symptoms (p=0.001). In patients whose disease involved the colon, among those with structuring disease, than men (OR=4.18 CI=1. 07-16.32). Morever, less operation were performed in women, than in men (OR=2.3 CI=1.02-5.19). Smoking had influence on the disease location and severity, while not on the disease behaviour.CONCLUSIONSthese results point to different disease characteristics between men and women. They support the concept that distinct phenotypes have different complications and prognosis. Therefore, the Vienna classification provides a simple tool to standardise.