keyword
https://read.qxmd.com/read/38544907/subcutaneous-vedolizumab-treatment-in-a-real-world-inflammatory-bowel-disease-cohort-switched-from-intravenous-vedolizumab-eighteen-month-prospective-follow-up-study
#21
JOURNAL ARTICLE
Thea H Wiken, Marte L Høivik, Karoline Anisdahl, Lydia Buer, David J Warren, Nils Bolstad, Milada Hagen, Bjørn A Moum, Asle W Medhus
BACKGROUND: Vedolizumab has since 2021 been available as a subcutaneous formulation. We aimed to assess 18-month drug persistence and possible predictive factors associated with discontinuation, safety, serum drug profile, drug dosing, and disease activity in a real-world cohort of patients with inflammatory bowel disease switched from intravenous to subcutaneous vedolizumab maintenance treatment. METHODS: Eligible patients were switched to subcutaneous vedolizumab and followed for 18 months or until discontinuation of subcutaneous treatment...
January 2024: Crohn's & colitis 360
https://read.qxmd.com/read/38540970/diagnostic-accuracy-of-fecal-calprotectin-in-discriminating-organic-inflammatory-gastrointestinal-diseases-and-functional-gastrointestinal-disorders-in-older-patients
#22
JOURNAL ARTICLE
Antonella Gallo, Marcello Covino, Silvia Baroni, Sara Camilli, Francesca Ibba, Silvia Andaloro, Maria Chiara Agnitelli, Fiammetta Maria Rognoni, Francesco Landi, Massimo Montalto
Fecal calprotectin (FC) has been largely recognized as a surrogate marker of intestinal neutrophilic inflammation, very reliable in distinguishing between inflammatory bowel diseases and functional gastrointestinal (GI) disorders. Aging has been suggested to influence FC results and their diagnostic accuracy; however, no studies are specifically targeted on this focus. In a retrospective study, we evaluated the eventual age-differences of the diagnostic accuracy of FC in discriminating between organic-inflammatory GI diseases and functional GI disorders...
February 21, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38540089/enhancing-calprotectin-s-predictive-power-as-a-biomarker-of-endoscopic-activity-in-ulcerative-colitis-a-machine-learning-use-case
#23
JOURNAL ARTICLE
Mihaela Dranga, Cătălina Mihai, Otilia Gavrilescu, Cristina Cijevschi Prelipcean, Iolanda Valentina Popa
Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by periods of exacerbation and remission, making disease monitoring and management challenging. Endoscopy, the gold standard for assessing disease activity and severity, involves invasive procedures and is associated with patient discomfort and risks. Using machine learning (ML) to combine fecal calprotectin with other clinical or biological tests can significantly enhance the non-invasive prediction of endoscopic disease activity (EDA) in UC...
February 20, 2024: Biomedicines
https://read.qxmd.com/read/38537201/prospective-evaluation-of-serum-free-thiols-in-inflammatory-bowel-disease-a-candidate-to-replace-c-reactive-protein-for-disease-activity-assessment
#24
JOURNAL ARTICLE
Anuj Bohra, Nicholas Batt, Krishneel Dutt, Pavel Sluka, Olga Niewiadomski, Abhinav Vasudevan, Daniel R Van Langenberg
BACKGROUND: Serum free thiols (SFTs) reflecting oxidative stress appear to correlate with inflammatory bowel disease (IBD) activity. We aimed to evaluate the performance of SFTs concentrations vs endoscopic and histological activity, compare SFTs with established biomarkers, and identify clinical and laboratory parameters independently associated with SFT levels in IBD patients. METHODS: Patients with confirmed IBD undergoing routine ileocolonoscopy for activity assessment were prospectively recruited, with serum samples obtained concurrently for SFTs and routine bloods, plus fecal calprotectin and immunochemical tests were collected ±30 days from ileocolonoscopy...
March 27, 2024: Inflammatory Bowel Diseases
https://read.qxmd.com/read/38533825/the-effect-of-an-electronic-medical-record-based-clinical-decision-support-system-on-adherence-to-clinical-protocols-in-inflammatory-bowel-disease-care-interrupted-time-series-study
#25
JOURNAL ARTICLE
Reed Taylor Sutton, Kaitlyn Delaney Chappell, David Pincock, Daniel Sadowski, Daniel C Baumgart, Karen Ivy Kroeker
BACKGROUND: Clinical decision support systems (CDSSs) embedded in electronic medical records (EMRs), also called electronic health records, have the potential to improve the adoption of clinical guidelines. The University of Alberta Inflammatory Bowel Disease (IBD) Group developed a CDSS for patients with IBD who might be experiencing disease flare and deployed it within a clinical information system in 2 continuous time periods. OBJECTIVE: This study aims to evaluate the impact of the IBD CDSS on the adherence of health care providers (ie, physicians and nurses) to institutionally agreed clinical management protocols...
March 22, 2024: JMIR Medical Informatics
https://read.qxmd.com/read/38532957/evaluation-of-fecal-inflammatory-biomarkers-to-identify-bacterial-diarrhea-episodes-systematic-review-and-protocol-for-the-enterics-for-global-health-shigella-surveillance-study
#26
JOURNAL ARTICLE
Courtney Babb, Henry Badji, Md Taufiqur Rahman Bhuiyan, Jennifer Cornick, Sonia Qureshi, Catherine Sonye, Wagner V Shapiama Lopez, Mehreen Adnan, Hannah E Atlas, Kehkashan Begum, Stephanie A Brennhofer, Bubacarr E Ceesay, Abdoulie K Ceesay, Nigel A Cunliffe, Paul F Garcia Bardales, Shahinur Haque, Bri'Anna Horne, M Jahangir Hossain, Junaid Iqbal, Md Taufiqul Islam, Sadia Islam, Farhana Khanam, Karen L Kotloff, Thandizo Malemia, Katia Manzanares Villanueva, Gertrude Malola Million, Vitumbiko Munthali, John Benjamin Ochieng, Billy Ogwel, Maribel Paredes Olortegui, Richard Omore, Patricia B Pavlinac, James A Platts-Mills, Khandra T Sears, Ousman Secka, Sharon M Tennant, Pablo Peñataro Yori, Mohammad Tahir Yousafzai, Khuzwayo C Jere, Margaret N Kosek, Stephen Munga, Usman N Ikumapayi, Firdausi Qadri, Farah Naz Qamar, Elizabeth T Rogawski McQuade
BACKGROUND: The measurement of fecal inflammatory biomarkers among individuals presenting to care with diarrhea could improve the identification of bacterial diarrheal episodes that would benefit from antibiotic therapy. We reviewed prior literature in this area and describe our proposed methods to evaluate 4 biomarkers in the Enterics for Global Health (EFGH) Shigella surveillance study. METHODS: We systematically reviewed studies since 1970 from PubMed and Embase that assessed the diagnostic characteristics of inflammatory biomarkers to identify bacterial diarrhea episodes...
March 2024: Open Forum Infectious Diseases
https://read.qxmd.com/read/38531068/real-world-effectiveness-of-ustekinumab-in-ulcerative-colitis-in-a-united-states-multicenter-cohort-consortium
#27
JOURNAL ARTICLE
Andres J Yarur, Ryan Ungaro, Katherine Huang, Wenfei Wang, Priya Sasankan, Mir Zulqarnain, Amanda M Johnson, Geoffrey Bader, Carl Kay, Nicholas Costable, David Dulaney, Marc Fenster, Poonam Beniwal-Patel, Gaurav Syal, Anish Patel, Edward Loftus, Joel Pekow, Benjamin Cohen, Parakkal Deepak
BACKGROUND: Pivotal trials have shown that ustekinumab is effective in ulcerative colitis (UC). However, the population included in these trials do not represent the cohort of patients treated in the real world. In this study, we aimed to describe the effectiveness and safety of ustekinumab in a clinical cohort of patients with UC. METHODS: We performed a multicenter retrospective cohort study and included patients with active UC starting ustekinumab. Variables collected included demographics, clinical data, and disease activity (measured using partial Mayo score [PMS] and endoscopic Mayo score) at follow-up...
March 26, 2024: Inflammatory Bowel Diseases
https://read.qxmd.com/read/38525200/american-gastroenterological-association-proposed-fecal-calprotectin-cutoff-of-50-ug-g-is-associated-with-endoscopic-recurrence-in-a-real-world-cohort-of-patients-with-crohn-s-disease-post-ileocolic-resection
#28
JOURNAL ARTICLE
Terry Li, Ravi Shah, Benjamin Click, Benjamin L Cohen, Edward Barnes, Abel Joseph, Salam Bachour, Jessica Hu, Susell Contreras, Elizabeth Li, Jordan Axelrad
BACKGROUND: Fecal calprotectin (FC) is a reliable predictor of active bowel inflammation in postoperative Crohn's disease (CD), but cutoffs vary between studies. Recent guidelines recommend a cutoff of <50 ug/g to avoid routine endoscopy in patients at low pretest probability for CD recurrence. We evaluated the performance of this threshold in a real-world CD cohort after ileocolic resection (ICR). METHODS: In this retrospective study, patients with CD post-ICR between 2009 to 2020 with FC > 60 days but < 1 year of surgery were included from a multicenter database...
January 2024: Crohn's & colitis 360
https://read.qxmd.com/read/38520737/continuous-monitoring-of-crp-il-6-and-calprotectin-in-inflammatory-bowel-disease-using-a-perspiration-based-wearable-device
#29
JOURNAL ARTICLE
Sarah Shahub, Ruchita Mahesh Kumar, Kai-Chun Lin, Ivneet Banga, Natalie K Choi, Nicole M Garcia, Sriram Muthukumar, David T Rubin, Shalini Prasad
BACKGROUND: Wearable sensor devices represent a noninvasive technology to continuously track biomarkers linked to inflammatory bowel disease (IBD). We assessed the inflammatory markers associated with IBD in human perspiration. METHODS: Participants with IBD were monitored for 40 to 130 minutes with a proprietary wearable sensor device used to measure C-reactive protein, interleukin-6, and calprotectin. Sensor response using electrochemical impedance spectroscopy and serum samples were measured on the same day...
March 23, 2024: Inflammatory Bowel Diseases
https://read.qxmd.com/read/38505560/gut-microbiota-and-metabolites-in-patients-with-covid-19-are-altered-by-the-type-of-sars-cov-2-variant
#30
JOURNAL ARTICLE
Yoshihiro Yokoyama, Tomoko Ichiki, Tsukasa Yamakawa, Yoshihisa Tsuji, Koji Kuronuma, Satoshi Takahashi, Eichi Narimatsu, Akio Katanuma, Hiroshi Nakase
INTRODUCTION: Patients with COVID-19 have dysbiosis of the intestinal microbiota with altered metabolites in the stool. However, it remains unclear whether the differences among SARS-CoV-2 variants lead to differences in intestinal microbiota and metabolites. Thus, we compared the microbiome and metabolome changes for each SARS-CoV-2 variant in patients with COVID-19. MATERIALS AND METHODS: We conducted a multicenter observational study of patients with COVID-19 and performed fecal microbiome, metabolome, and calprotectin analyses and compared the results among the different SARS-CoV-2 variants...
2024: Frontiers in Microbiology
https://read.qxmd.com/read/38505463/non-celiac-enteropathy-and-olmesartan-an-essential-consideration
#31
Sotirios G Doukas, Panagiotis G Doukas, Sugirdhana Velpari
Emerging evidence has shed light on non-celiac causes of enteropathy in recent years, presenting a diagnostic challenge for clinicians. This study discusses the diagnostic challenges related to non-celiac enteropathy, specifically focusing on olmesartan-induced enteropathy (OIE). A 73-year-old lady presented to the emergency department with a six-month history of watery diarrhea exacerbated by food intake and significant weight loss. The patient at admission was found to be dehydrated with severe hypokalemia and hypocalcemia...
February 2024: Curēus
https://read.qxmd.com/read/38493448/single-measurement-of-bowel-wall-thickness-using-intestinal-ultrasonography-in-children-with-ulcerative-colitis
#32
JOURNAL ARTICLE
Masano Otani, Takeru Okuhira, Atsushi Yoden, Emiri Kaji, Keisuke Inoue, Tomoki Aomatsu, Kimitaka Takitani, Akira Ashida
BACKGROUND: Endoscopic monitoring of disease activity in patients with ulcerative colitis (UC) is important. However, frequent colonoscopic examinations are difficult to perform because of their invasiveness, especially in children. Bowel wall thickness (BWT) measurement using intestinal ultrasonography and fecal calprotectin (FC) measurement are useful noninvasive evaluation methods. METHODS: We retrospectively analyzed BWT and FC levels and evaluated the Mayo endoscopic subscore (MES) using colonoscopy in pediatric patients with UC during the same period...
2024: Pediatrics International: Official Journal of the Japan Pediatric Society
https://read.qxmd.com/read/38493274/low-dose-aspirin-use-does-not-increase-disease-activity-in-pregnant-patients-with-inflammatory-bowel-disease
#33
JOURNAL ARTICLE
Chelsea A DeBolt, Zoë S Gottlieb, Manasa G Rao, Shaelyn Johnson, Patricia Rekawek, Richa Deshpande, Rachel Meislin, Jill Berkin, Angela Bianco, Maria Teresa Mella, Marla C Dubinsky
BACKGROUND: The adverse effects of non-steroidal anti-inflammatory (NSAID) drugs on the gastrointestinal system are well recognized, but the effect of NSAID use on disease activity patients with inflammatory bowel disease (IBD) remains unresolved. Low-dose aspirin (LDA) is recommended for all pregnant patients with risk factors for developing preeclampsia, including autoimmune conditions. As recognition of risk factors for preeclampsia improves, the preventative use of LDA is likely to increase...
March 16, 2024: Digestive Diseases and Sciences
https://read.qxmd.com/read/38491401/values-of-serum-intestinal-fatty-acid-binding-protein-fecal-calprotectin-and-fecal-human-%C3%AE-defensin-2-for-predicting-necrotizing-enterocolitis
#34
JOURNAL ARTICLE
Sujia Liu, Yongle Liu, Shuhua Lai, Yingling Xie, Wenlong Xiu, Changyi Yang
BACKGROUND: This study aimed to assess the diagnostic potential of serum intestinal fatty acid-binding protein (I-FABP), fecal calprotectin (FC), and fecal human β-defensin 2 (hBD2) in predicting necrotizing enterocolitis (NEC) in preterm infants. METHODS: A prospective cohort of neonates with a gestational age < 32 weeks, suspected of NEC, was enrolled between June 2021 and December 2022. Serum I-FABP, FC, and fecal hBD2 levels were measured upon NEC suspicion, and diagnosis was confirmed through radiological examination or surgical intervention...
March 16, 2024: BMC Pediatrics
https://read.qxmd.com/read/38486305/italian-guidelines-for-the-management-of-irritable-bowel-syndrome-in-children-and-adolescents-joint-consensus-from-the-italian-societies-of-gastroenterology-hepatology-and-pediatric-nutrition-sigenp-pediatrics-sip-gastroenterology-and-endoscopy-sige-and-neurogastroenterology
#35
REVIEW
Giovanni Di Nardo, Giovanni Barbara, Osvaldo Borrelli, Cesare Cremon, Valentina Giorgio, Luigi Greco, Michele La Pietra, Giovanni Marasco, Licia Pensabene, Marisa Piccirillo, Claudio Romano, Silvia Salvatore, Michele Saviano, Vincenzo Stanghellini, Caterina Strisciuglio, Renato Tambucci, Rossella Turco, Letizia Zenzeri, Annamaria Staiano
The irritable bowel syndrome (IBS) is a functional gastrointestinal disorder (FGID), whose prevalence has widely increased in pediatric population during the past two decades. The exact pathophysiological mechanism underlying IBS is still uncertain, thus resulting in challenging diagnosis and management. Experts from 4 Italian Societies participated in a Delphi consensus, searching medical literature and voting process on 22 statements on both diagnosis and management of IBS in children. Recommendations and levels of evidence were evaluated according to the grading of recommendations, assessment, development, and evaluation (GRADE) criteria...
March 14, 2024: Italian Journal of Pediatrics
https://read.qxmd.com/read/38483770/combined-gray-scale-ultrasonography-and-doppler-diagnostic-tools-with-strain-elastography-in-assessment-of-inflammatory-bowel-disease-in-pediatrics-patients
#36
JOURNAL ARTICLE
Enas Mamdooh Awad Allah Mohamed, Ayman Emil Eskander, Reham Osama Mahmoud, Hadeel Mohamed Seif Eldin Ali
BACKGROUND: Intestinal changes in inflammatory bowel disease (IBD) are frequently observed on ultrasound. Invasive diagnostic procedures are often employed to differentiate between the main types of IBD and detect complications. Ultrasound Strain Elastography (SE) is a promising non-invasive technique for detecting intestinal changes and assessing inflammatory activity in pediatric IBD. AIM OF THE STUDY: This research aims to evaluate the diagnostic performance of conventional ultrasound, color Doppler, and SE in assessing inflammatory bowel disease in pediatric patients, both separately and in combination as additional tools...
March 14, 2024: Journal of Ultrasound
https://read.qxmd.com/read/38483287/non-invasive-markers-of-inflammation-and-protein-loss-augment-diagnosis-of-pediatric-celiac-disease
#37
JOURNAL ARTICLE
Kimberly A Sutton, Mai He, Changqing Ma, Ta-Chiang Liu, William A Faubion, Julie Hoffmann, Laura Linneman, Cynthia Rodriguez, Lori R Holtz
BACKGROUND: Circulating tissue transglutaminase IgA (TTG IgA) concentration is a sensitive and specific indicator of celiac disease, but discrepancies between serologic and histologic findings occur. We hypothesized that fecal markers of inflammation and protein loss would be greater in patients with untreated celiac disease than in healthy controls. Our study aims to evaluate multiple fecal and plasma markers in celiac disease and correlate these findings with serologic and histologic findings as non-invasive means of evaluating disease activity...
March 14, 2024: Clinical and Translational Gastroenterology
https://read.qxmd.com/read/38477410/combination-biologic-therapy-in-pediatric-inflammatory-bowel-disease-safety-and-efficacy-over-a-minimum-12-month-follow-up-period
#38
JOURNAL ARTICLE
Magdalena Wlazlo, Monika Meglicka, Anna Wiernicka, Marcin Osiecki, Malgorzata Matuszczyk, Jaroslaw Kierkus
OBJECTIVES: The severe course of inflammatory bowel diseases (IBDs) refractory to advanced therapies in children results in the search for new therapeutic methods. The aim of this study was to evaluate the efficacy and safety of dual therapy with biologics in a cohort of children with IBD. METHODS: Retrospective analysis of data from 29 children with a diagnosis of IBD, 19 with ulcerative colitis (66%), 10 with Crohn's disease (CD) (34%) qualified for dual biological therapy (DBT)...
March 13, 2024: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/38469431/vancomycin-and-ustekinumab-combination-therapy-in-acute-ulcerative-colitis
#39
Khue M Nguyen, Emily K Wright
The role of antibiotics in the treatment of ulcerative colitis is limited. We present a case of a 25-year-old woman who presented with a flare of ulcerative colitis after an episode of infectious gastroenteritis on a background of known primary sclerosing cholangitis. After the flare, she experienced persistent abdominal pain and diarrhea associated with elevated fecal calprotectin and deep rectosigmoid ulcerations on endoscopy. After unsuccessful trials of vedolizumab, infliximab, and tofacitinib, the patient was commenced on ustekinumab, tacrolimus, and oral vancomycin...
March 2024: ACG Case Reports Journal
https://read.qxmd.com/read/38457117/food-related-quality-of-life-and-its-predictors-in-inflammatory-bowel-disease
#40
JOURNAL ARTICLE
Raquel Oliveira, Viviana Martins, Helena Tavares de Sousa, Joana Roseira
BACKGROUND: Inflammatory bowel disease (IBD) is associated with dietary restrictions and food- and drink-driven daily life limitations. Food-related quality of life (FR-QoL) is still an under-addressed issue in IBD. AIM: We aimed to study determinants of FR-QoL in an IBD cohort, namely objective measures of disease activity. METHODS: A cross-sectional case-control study was conducted in a Tertiary Hospital, including adult patients with IBD (cases) and blood donors or subjects referred for colorectal polypectomies (controls)...
March 8, 2024: Digestive Diseases and Sciences
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