Objectives The aim of this study was to compare the enteroclysis findings in Behcet’s disease (BD) and Crohn?s disease (CD).
Methods From 1997 to 2000, seventeen patients with clinical suspicion of intestinal BD were examined by enteroclysis and radiological findings were compared to those seen in 50 Crohn?s cases.
Results Twelve of 17 patients with BD showed findings of intestinal involvement in enteroclysis (70.58%). Disease duration and duration of intestinal involvement were 3–19 years (median 8.09 years) and 1 month-8 years (median 3.02 years) respectively. The findings were aphtous ulceration (n = 10), linear ulceration (n = 4), deep ulceration (n = 1), coarse granular pattern (n = 1), thickened folds (n = 5), wall thickening (n = 2), pseudopolypoid appereance of the ileocecal valve (n = 6), long segment involvement (n = 1), perforation and reccurrence at the side of anastomosis after right hemicolectomy (n = 1). In 50 Crohn?s cases, disease duration were 3 months-22 years (median 4.14 years). Ten cases were in the early,11 in the intermediate and 29 in the advanced radiological stage with or without complication.
Enteroclysis is the method of choice with a high accuracy rate (70.58%) for symptomatic patients to detect the intestinal pathology in BD.
The enteroclysis findings in BD even when longstanding were usually mild when compared to those seen in CD. The main finding in BD was superficial ulceration. Deep ulceration common in CD was seen in only one patient with BD.