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https://www.readbyqxmd.com/read/29688902/crohn-s-disease-and-pemphigus-is-there-an-association-a-population-based-study
#1
Khalaf Kridin, Doron Comaneshter, Arnon D Cohen
BACKGROUND: Although the coexistence of Crohn's disease (CD) and pemphigus has been reported in several individuals, the association between the two conditions was not investigated systematically in the past. A recent association between pemphigus and ulcerative colitis has been reported. The study aims to estimate the association between pemphigus and CD using a large-scale real-life computerized database. PATIENTS AND METHODS: A cross-sectional study was carried out comparing pemphigus patients with age-matched, sex-matched, and ethnicity-matched control participants in terms of the prevalence of CD...
April 23, 2018: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29688802/infliximab-restores-colonic-barrier-to-adherent-invasive-e-coli-in-crohn-s-disease-via-effects-on-epithelial-lipid-rafts
#2
Olena Yakymenko, Ida Schoultz, Elisabeth Gullberg, Magnus Ström, Sven Almer, Conny Wallon, Arthur Wang, Åsa V Keita, Barry J Campbell, Derek M McKay, Johan D Söderholm
OBJECTIVE: Infliximab is important in the therapeutic arsenal of Crohn's disease (CD). However, its effect on mucosal barrier function is not fully understood. Adherent-invasive Escherichia coli (AIEC) are important in CD pathophysiology, but the transmucosal uptake routes are partly unknown. We investigated effects of infliximab on uptake of colon-specific AIEC HM427 across CD colonic mucosa. MATERIALS AND METHODS: Endoscopic biopsies from non-inflamed colon of seven patients with CD, before and after two infliximab infusions, and eight non-inflammation controls, were mounted in Ussing chambers...
April 24, 2018: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29688479/ustekinumab-treatment-in-crohn-s-disease-of-barnett-continent-intestinal-reservoir
#3
Freeha Khan, Bo Shen
No abstract text is available yet for this article.
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688478/agreement-between-crohn-s-disease-endoscopic-severity-scores-derived-from-live-video-recorded-and-central-readings
#4
Justin Côté-Daigneault, Farhad Peerani, Konstantinos Katsanos, Thomas Ullman, James Marion, Peter Legnani, Benjamin Cohen, Jean-Frédéric Colombel
No abstract text is available yet for this article.
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688473/detection-of-gut-dysbiosis-due-to-reduced-clostridium-subcluster-xiva-using-the-fecal-or-serum-bile-acid-profile
#5
Masashi Murakami, Junichi Iwamoto, Akira Honda, Takeshi Tsuji, Makoto Tamamushi, Hajime Ueda, Tadakuni Monma, Naoki Konishi, Shoichiro Yara, Takeshi Hirayama, Teruo Miyazaki, Yoshifumi Saito, Tadashi Ikegami, Yasushi Matsuzaki
Background: Dysbiosis, especially a reduced Clostridium subcluster XIVa (XIVa), has been reported in several gastrointestinal diseases. Since XIVa is thought to be the main bacterial cluster that metabolizes bile acids (BAs) in the human intestine, we hypothesized that the BA profile in feces, and possibly in serum, could be a convenient biomarker for intestinal XIVa activity. Methods: First, blood and feces were collected from 26 healthy controls and 20 patients with gastrointestinal diseases, and the relationships among fecal microbiomes and fecal and serum BA compositions were studied...
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688472/management-of-pouchitis-and-other-common-complications-of-the-pouch
#6
Robin L Dalal, Bo Shen, David A Schwartz
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) has become the preferred surgical treatment for refractory or complicated ulcerative colitis (UC) and familial adenomatous polyposis (FAP). Pouchitis is the most common complication of this procedure and can occur in about 50% of patients. Treatment of pouchitis depends on the phenotype of disease. Pouchitis can be classified as acute, chronic/refractory, or secondary pouchitis, which includes pouchitis occurring due to Crohn's disease (CD)...
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688470/diagnostic-accuracy-of-ultrasonography-in-the-detection-of-postsurgical-recurrence-in-crohn-s-disease-a-systematic-review-with-meta-analysis
#7
Antonio Rispo, Nicola Imperatore, Anna Testa, Olga Maria Nardone, Gaetano Luglio, Nicola Caporaso, Fabiana Castiglione
Background and aims: The postoperative course of Crohn's disease (CD) is best predicted by ileocolonoscopy. Ultrasonography (US) has been proposed as indicator for postsurgical recurrence (PSR), but further confirmation is needed. We performed a systemic review with meta-analysis to assess the pooled diagnostic accuracy of US in the evaluation of PSR. Methods: The systematic review was performed in PubMed/MEDLINE, EMBASE, SCOPUS, and Cochrane databases to identify studies assessing the US accuracy in PSR diagnosis...
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688466/quality-of-life-in-inflammatory-bowel-disease-a-systematic-review-and-meta-analyses-part-ii
#8
Simon R Knowles, Laurie Keefer, Helen Wilding, Catherine Hewitt, Lesley A Graff, Antonina Mikocka-Walus
Background: There has been burgeoning interest in quality of life (QoL) in inflammatory bowel disease (IBD) in recent decades, with hundreds of studies each year now assessing this outcome. This paper is part 2 of a systematic review evaluating 5 key QoL comparisons within IBD states and relative to others without IBD. Part 1 examined QoL comparing IBD and a healthy/general population and other medically ill groups. Part 2, presented here, examines within-disease comparisons of active/inactive disease, Ulcerative colitis (UC) / Crohn's disease (CD), and change in QoL over time...
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688465/low-incidence-of-dysplasia-and-colorectal-cancer-observed-among-inflammatory-bowel-disease-patients-with-prolonged-colonic-diversion
#9
Weston Bettner, Anthony Rizzo, Steven Brant, Sharon Dudley-Brown, Jonathan Efron, Sandy Fang, Susan Gearhart, Michael Marohn, Alyssa Parian, Maryam Kherad Pezhouh, Joanna Melia, Bashar Safar, Brindusa Truta, Elizabeth Wick, Mark Lazarev
Background: In inflammatory bowel disease (IBD), many scenarios call for fecal diversion, leaving behind defunctionalized bowel. The theoretical risk of colorectal cancer (CRC) in this segment is frequently cited as a reason for resection. To date, no studies have characterized the incidence of neoplasia in the diverted colorectal segments of IBD patients. Methods: A retrospective cohort analysis was conducted for IBD patients identified through a tertiary care center pathology database...
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688464/smoking-interacts-with-chrna5-a-nicotinic-acetylcholine-receptor-subunit-gene-to-influence-the-risk-of-ibd-related-surgery
#10
Kelly C Cushing, Adeeti Chiplunker, Allie Li, Yun Ju Sung, Taylor Geisman, Li-Shiun Chen, Sharon Cresci, Alexandra M Gutierrez
Background: Inflammatory bowel disease (IBD) is a chronic luminal disease with genetic and environmental factors affecting phenotype. This study evaluated the relationship between CHRNA5, a nicotinic receptor subunit gene, and smoking in predicting IBD-related surgery as well as the relationship between CHRNA5 and nicotine dependence. Methods: Participants completed a smoking questionnaire and were genotyped for CHRNA5 rs16969968. Demographic and clinical data were obtained from medical records...
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688413/sex-related-differences-in-patients-with-inflammatory-bowel-disease-results-of-2-prospective-cohort-studies
#11
Mirjam Severs, Lieke M Spekhorst, Marie-Josée J Mangen, Gerard Dijkstra, Mark Löwenberg, Frank Hoentjen, Andrea E van der Meulen-de Jong, Marieke Pierik, Cyriel Y Ponsioen, Gerd Bouma, Janneke C van der Woude, Mirthe E van der Valk, Marielle J L Romberg-Camps, Cees H M Clemens, Paul van de Meeberg, Nofel Mahmmod, Jeroen Jansen, Bindia Jharap, Rinse K Weersma, Bas Oldenburg, Eleonora A M Festen, Herma H Fidder
Background: The understanding of gender differences in inflammatory bowel disease (IBD) patients is an important step towards tailored treatment for the individual patient. The aim of this study was to compare disease phenotype, clinical manifestations, disease activity, and healthcare utilization between men and women with Crohn's disease (CD) and ulcerative colitis (UC). Methods: Two multicenter observational cohort studies with a prospective design were used to explore the differences between men and women regarding demographic and phenotypic characteristics and healthcare utilization...
April 21, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688409/methotrexate-for-the-treatment-of-pediatric-crohn-s-disease-a-systematic-review-and-meta-analysis
#12
Ruben J Colman, Rachel C Lawton, Marla C Dubinsky, David T Rubin
Background: Methotrexate (MTX) is an immunomodulator used for the treatment of pediatric inflammatory bowel disease (IBD). There are currently no RCTs that assess the treatment efficacy of methotrexate within the pediatric IBD patient population. This systematic review and meta-analysis assesses the efficacy of MTX therapy among the existing pediatric literature. Methods: A systematic literature search was performed using MEDLINE and the Cochrane library from inception until March 2016...
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688401/anal-fistulas-in-severe-perineal-crohn-s-disease-mri-assessment-in-the-determination-of-long-term-healing-rates
#13
Charlène Brochard, Amandine Landemaine, Alexandre Merlini L'Heritier, Marie Provost Dewitte, Belinda Tchoundjeu, Tanguy Rohou, Aurélien Garros, Guillaume Bouguen, Laurent Siproudhis
Background & Aims: The European Crohn's and Colitis Organization recommends magnetic resonance imaging (MRI) of anal fistulas to decide on the drug/surgery strategy. No evidence is available on the long-term impact of MRI features on fistula healing. The aim of this study was to evaluate the benefit of combined drug/surgery strategies for the treatment of perianal Crohn's fistulas based on MRI factors at referral. Methods: The clinical event (anal abscess, new fistula tract, cellulitis), therapeutic intervention (introduction/optimization of immunosuppressant/biologics, anal surgery, intestinal resection, stoma), and MRI data were prospectively recorded for patients with Crohn's disease (CD) and anal fistulas...
April 20, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688396/perspectives-of-ibd-china-is-crohn-s-and-colitis-foundation-model-a-solution-to-health-care-issues-for-the-country
#14
Yan Chen
The success of the Crohn's and Colitis Foundation of America (CCFA), now Crohn's and Colitis Foundation (CCF) has established a role model for developing countries with an increasing incidence of inflammatory bowel disease (IBD), including China. While there are shared etiopathogenetic pathways and clinical features in IBD between Eastern and Western countries, patients with IBD as well as health care professionals in China are facing distinctive challenges, including the fragmented and inconsistent health insurance, social support system, and three-tiered health care service...
April 21, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688336/nonalcoholic-fatty-liver-disease-in-inflammatory-bowel-disease-prevalence-and-risk-factors
#15
Principi Mariabeatrice, Iannone Andrea, Losurdo Giuseppe, Mangia Michela, Shahini Endrit, Albano Francesca, Salvatore Fabio Rizzi, Rosa Federica La Fortezza, Lovero Rosa, Contaldo Antonella, Barone Michele, Leandro Gioacchino, Ierardi Enzo, Di Leo Alfredo
Background: Nonalcoholic fatty liver disease (NAFLD) is common in inflammatory bowel diseases (IBD). Herein, NAFLD prevalence and risk factors in a large IBD cohort were evaluated and compared to that of a non-IBD sample. Methods: Crohn's disease/ulcerative colitis outpatients referred to IBD service of our Gastroenterology Unit were enrolled. Subjects affected by functional and motor gastrointestinal disorders, in whom IBD was ruled out, referred to general outpatient service in the same area, were considered as nonIBD group...
April 23, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29688090/high-and-low-body-mass-index-may-predict-severe-disease-course-in-children-with-inflammatory-bowel-disease
#16
Anat Yerushalmy-Feler, Amir Ben-Tov, Yael Weintraub, Achiya Amir, Tut Galai, Hadar Moran-Lev, Shlomi Cohen
OBJECTIVES: Inflammatory bowel disease (IBD) has been historically associated with underweight and malnutrition. The impact of both underweight and obesity on the clinical course of IBD in adults is controversial. This study described the association between body mass index (BMI) at diagnosis to disease course in children with IBD. METHODS: We reviewed the medical records of children with IBD from the database of the 'Dana-Dwek' Children's Hospital between 2010 and 2016...
April 24, 2018: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29687785/filiform-polyposis-in-ulcerative-colitis-a-rare-pediatric-case
#17
Nafiye Urgancı, Derya Kalyoncu
BACKGROUND: Filiform polyposis is a rare benign condition referred to as inflammatory polyposis, or pseudopolyposis that is usually found in association with Crohn's disease, ulcerative colitis or granulomatous colitis which is formed by non-specific mucosal and submucosal reactions to previous severe inflammation. It is characterized by multiple finger-like projections most commonly in the transverse and descending colon. CASE REPORT: A 15-year-old girl with UC who had filiform polyposis is presented...
April 24, 2018: Balkan Medical Journal
https://www.readbyqxmd.com/read/29687374/glasgow-prognostic-score-is-a-practical-predictive-index-for-postoperative-intra-abdominal-septic-complications-after-bowel-resection-in-crohn-s-disease-patients
#18
Yibin Zhu, Haili Xu, Wei Liu, Weilin Qi, Xiaoyan Yang, Lingna Ye, Qian Cao, Wei Zhou
PURPOSE: Postoperative intra-abdominal septic complications (IASCs) are not uncommon in patients with Crohn's disease (CD). The appropriate index to predict postoperative IASCs in these individuals remains unknown. This study investigates whether the inflammation-based Glasgow prognostic score (GPS) is predictive in the setting of postoperative IASC CD patients who underwent elective bowel resection. METHODS: A consecutive cohort of 163 CD patients who underwent elective intestinal resection from July 2012 to March 2016 was retrospectively analyzed...
April 23, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29687155/takayasu-arteritis-in-childhood-misdiagnoses-at-disease-onset-and-associated-diseases
#19
Gleice Clemente, Clovis A Silva, Silvana B Sacchetti, Virginia P L Ferriani, Sheila K Oliveira, Flavio Sztajnbok, Blanca E R G Bica, André Cavalcanti, Teresa Robazzi, Marcia Bandeira, Maria Teresa Terreri
Juvenile-Takayasu arteritis (j-TA) is a difficult diagnosis and some patients develop uncommon manifestations and associated diseases that may contribute to the delayed diagnosis. Our aim was to identify the misdiagnoses, the associated diseases and the atypical manifestations observed in a j-TA Brazilian multicentre study. 71 children and adolescents who met the classification criteria for j-TA were included. The misdiagnoses, the associated diseases and the atypical manifestations were evaluated. 19 (26.8%) patients had misdiagnoses...
April 23, 2018: Rheumatology International
https://www.readbyqxmd.com/read/29686731/a-review-of-magnetic-resonance-enterography-based-indices-for-quantification-of-crohn-s-disease-inflammation
#20
REVIEW
Noa Rozendorn, Marianne Michal Amitai, Rami Abraham Eliakim, Uri Kopylov, Eyal Klang
Magnetic resonance enterography (MRE) is a leading radiological modality in Crohn's disease (CD) and is used together with laboratory findings and endoscopic examinations for the evaluation of patients during initial diagnosis and follow up. Over the years, there has been great progress in the understanding of CD and there is a continuous strive to achieve better monitoring of patients and to develop new modalities which will predict disease course and thus help in clinical decisions making. An objective evaluation of CD using a quantification score is not a new concept and there are different clinical, endoscopies, radiological and combined indices which are used in clinical practice...
2018: Therapeutic Advances in Gastroenterology
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