ISRN gastroenterologyPub Date : 2012-01-01Epub Date: 2012-06-04DOI: 10.5402/2012/826323
Angharad R Morgan, Wen-Jiun Lam, Dug-Yeo Han, Alan G Fraser, Lynnette R Ferguson
{"title":"DNase1: No Association with Crohn's Disease in a New Zealand Population.","authors":"Angharad R Morgan, Wen-Jiun Lam, Dug-Yeo Han, Alan G Fraser, Lynnette R Ferguson","doi":"10.5402/2012/826323","DOIUrl":"https://doi.org/10.5402/2012/826323","url":null,"abstract":"<p><p>DNase1 has been implicated in a number of immune disorders and is an excellent candidate gene for Crohn's disease (CD). We investigated whether DNase1 SNPs rs1053874 and rs8176938 were associated with CD in a well-characterized New Zealand dataset consisting of 447 cases and 716 controls. Furthermore, we measured serum DNase1 activity levels in a number of CD patients and controls. We did not find any evidence of association for either DNase1 genetic variation or DNase1 activity levels with CD. The lack of association indicates that DNase1 does not play a significant role in predisposing to CD in the New Zealand population.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2012 ","pages":"826323"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/826323","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30693087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN gastroenterologyPub Date : 2012-01-01Epub Date: 2012-06-25DOI: 10.5402/2012/463689
Mahreema Jawairia, Ghulamullah Shahzad, Paul Mustacchia
{"title":"Eosinophilic gastrointestinal diseases: review and update.","authors":"Mahreema Jawairia, Ghulamullah Shahzad, Paul Mustacchia","doi":"10.5402/2012/463689","DOIUrl":"https://doi.org/10.5402/2012/463689","url":null,"abstract":"<p><p>Eosinophilic gastrointestinal disorders (EGIDs) are a progressively more frequent diverse group of intestinal diseases. The intention of this paper is to present the newest developments in the care of patients with EGIDs and to sum up a rising literature defining the clinical features and mechanistic elements of eosinophils and their intricate associations with the gastrointestinal tract. Clinicians ought to stay sensitive to EGIDs as a diagnostic likelihood for patients with general gastrointestinal symptoms. Further research is warranted to establish various methods leading to dysfunction coupled with eosinophilic gastrointestinal inflammation.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2012 ","pages":"463689"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/463689","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30760163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN gastroenterologyPub Date : 2011-01-01Epub Date: 2011-06-13DOI: 10.5402/2011/405390
Christian A Engell, Vinh Philip Pham, Robert S Holzman, Judith A Aberg
{"title":"Virologic Outcome of Using Tenofovir/Emtricitabine to Treat Hepatitis B in HIV-Coinfected Patients.","authors":"Christian A Engell, Vinh Philip Pham, Robert S Holzman, Judith A Aberg","doi":"10.5402/2011/405390","DOIUrl":"https://doi.org/10.5402/2011/405390","url":null,"abstract":"<p><p>Goal. To study the effect of combination antiviral therapy with tenofovir and emtricitabine or lamivudine with and without prior monotherapy with lamivudine. Study. We reviewed charts of 31 HIV-/HBV-coinfected patients. Twelve 3TC-naïve patients initially received tenofovir plus emtricitabine. Nineteen epivir experienced patients who had previously failed epivir were given tenofovir plus emtricitabine. Results. Baseline median HBV DNA was similar in the epivir-naïve (5.8×10(7) copies/mL) and experienced group (7.3×10(7) copies/mL, P = .65). The median time to complete suppression of HBV was 466 days in the naïve group and 877 days in the experienced (P = .001). After 12 months, 6/10 (60%) naïve patients and 3/14 (21%) experienced patients had HBV DNA below the detectionlimit (P = .067). After 24 months, 5/5 (100%) naïve patients and 4/13 (31%) experienced patients had an undetectable HBV DNA level (P = .015). Conclusions. The median time to suppression of HBV DNA was significantly shorter among treatment naïve patients. There was a significantly greater proportion of naïve patients with suppressed HBV DNA at 24 months. Our results support using initial dual therapy in those with HIV/HBV coinfection.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2011 ","pages":"405390"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/405390","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30057446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN gastroenterologyPub Date : 2011-01-01Epub Date: 2011-06-26DOI: 10.5402/2011/394734
Yeong Yeh Lee, Sharifah Emilia Tuan Sharif, Syed Hassan Syed Abd Aziz, S Mahendra Raj
{"title":"Barrett's Esophagus in an Area with an Exceptionally Low Prevalence of Helicobacter pylori Infection.","authors":"Yeong Yeh Lee, Sharifah Emilia Tuan Sharif, Syed Hassan Syed Abd Aziz, S Mahendra Raj","doi":"10.5402/2011/394734","DOIUrl":"https://doi.org/10.5402/2011/394734","url":null,"abstract":"<p><p>Objective. This study was undertaken to gain an insight into the relationship between Helicobacter pylori (H. pylori) infection, Barrett's esophagus and reflux esophagitis in an area of exceptionally low prevalence of H. pylori infection. Methods. A total of 1895 consecutive upper endoscopies performed between January 2005 and July 2007 were reviewed. 120 cases of columnar-lined esophagus and endoscopic esophagitis were evaluated. H. pylori infection was determined using the urease test and/or histology. Results. The rate of endoscopic esophagitis was 5.49% (80 Malays, 24 non-Malays) while histological reflux esophagitis was found in 3.75% (56 Malays, 15 non-Malays). Barrett's esophagus was present in 0.79% (11 Malays, 4 non-Malays). H. pylori infection was present in 8/120 or 6.67% subjects. Conclusion. The low rate of Barrett's esophagus in this population does not support the hypothesis that the absence of H. pylori infection is more than a minor risk factor for Barrett's esophagus.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2011 ","pages":"394734"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/394734","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30057444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term followup with evaluation of the surgical and functional results of the ileal pouch reservoir in restorative proctocolectomy for ulcerative colitis.","authors":"Ola Røkke, Knut Iversen, Torill Olsen, Sølvi-Mai Ristesund, Geir Egil Eide, Gitta Erika Turowski","doi":"10.5402/2011/625842","DOIUrl":"https://doi.org/10.5402/2011/625842","url":null,"abstract":"<p><p>Aims. Evaluate the early and long term surgical and functional results of the ileal pouch-reservoir (IPAA) in patients with intractable ulcerative colitis. Material and Methods. Followup of 134 consecutive patients with W-or J-ileal pouch by diseases-specific and general health (SF-36) questionnaire. In the first 44 patients, early and late followup was performed. Results. Followup was performed 7.4 years (0.5-17 years) after construction of W (n = 9) and J (n = 125) ileal pouch, which had similar results. There were 14.9% early and 43.6% late complications with 12.7% early and 19.5% late reoperations. Protecting loop-ileostomy used in 54 patients (43.9%), did not protect against complications. Thirteen reservoirs (9.8%) were resected (n = 8) or deactivated (n = 5) due to functional failure. Operation time, postoperative complications and pouchitis were determinators for reservoir failure and reduced quality of life. The functional results at followup of 44 patients at 2.5 years (0.8-6.7 years) and 11.5 years (8.2-19.2 years) were remarkably similar. Conclusions. IPAA is a good option for most patients when medication fails. 10% experience failure with inferior quality of life. Protective stoma will not reduce failure rates. After an initial time period, reservoir function will not change over time.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2011 ","pages":"625842"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/625842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30200408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN gastroenterologyPub Date : 2011-01-01Epub Date: 2011-07-06DOI: 10.5402/2011/756292
Jan Józefczuk, Bogdan Marian Woźniewicz
{"title":"Diagnosis and therapy of microscopic colitis with presence of foamy macrophages in children.","authors":"Jan Józefczuk, Bogdan Marian Woźniewicz","doi":"10.5402/2011/756292","DOIUrl":"10.5402/2011/756292","url":null,"abstract":"<p><p>We discuss the diagnosis of and efficacy 5-amino-2-hydroxybenzoic acid (5-ASA), Saccharomyces boulardii, or magnesium in therapy of microscopic colitis with presence of foamy macrophages. A basis for diagnosis and inclusion to the analysed group was presence of characteristic foamy macrophages in histopathological examination of hematoxylin and eosin-stained specimens collected from the large intestine, reviewed under ×200 or ×320 magnification. No statistically significant improvement was found following the use of 5-amino-2-dihydroxybenzoic acid in therapy of the disease. The use of Saccharomyces boulardii was associated with statistically significant improvement in clinical, endoscopic, and histopathological condition. Use of magnesium caused a histological, statistically significant improvement but failed to have any effect on the clinical and endoscopic presentation. In the group of children in whom no therapeutic intervention was provided, a statistically significant spontaneous clinical improvement was observed, but no statistically significant changes in endoscopic and microscopic condition were found.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2011 ","pages":"756292"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30200921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN gastroenterologyPub Date : 2011-01-01Epub Date: 2010-11-07DOI: 10.5402/2011/757141
Lekha Saha, Chander Shekhar Gautam
{"title":"The effect of amlodipine alone and in combination with atenolol on bowel habit in patients with hypertension: an observation.","authors":"Lekha Saha, Chander Shekhar Gautam","doi":"10.5402/2011/757141","DOIUrl":"https://doi.org/10.5402/2011/757141","url":null,"abstract":"<p><p>The prevalence of hypertension increases with advancing age. The management of hypertension especially in the elderly has its own limitations. Verapamil is not recommended in the elderly on account of high incidences of troublesome constipation. Amlodipine has become very popular with the cardiologists and general physicians. Survey of literature has not yielded any citation where the troublesome effect of amlodipine on the gastrointestinal tract has been reported. In an experimental study on isolated rabbit intestine we have demonstrated that amlodipine dose-dependently inhibit the spontaneous activity of the intestinal tract. With this background the present observational study was planned. A total of 100 hypertensive patients were included in the present study. Fifty patients were on amlodipine alone and 50 patients on combination of amlodipine and atenolol. The main parameter analyzed was the frequency and consistency of stool before and after intake of drug. The relative risk (RR) of developing constipation was 4.00 with 95% CI 0.8930 to 17.917 in amlodipine alone group. From this study it can be concluded that the relative risk of developing constipation is 4 times more in patients who are taking amlodipine alone as compared to those patients who are on combination of amlodipine and atenolol.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2011 ","pages":"757141"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/757141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30200922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN gastroenterologyPub Date : 2011-01-01Epub Date: 2011-07-13DOI: 10.5402/2011/489065
Wael N Sayej, Razan Alkhouri, Robert D Baker, Raza Patel, Susan S Baker
{"title":"Esophagitis in children with celiac disease.","authors":"Wael N Sayej, Razan Alkhouri, Robert D Baker, Raza Patel, Susan S Baker","doi":"10.5402/2011/489065","DOIUrl":"https://doi.org/10.5402/2011/489065","url":null,"abstract":"<p><p>Objectives. To our knowledge, the occurrence of esophagitis in children with celiac disease (CD) has never been evaluated. The aim of this study is to determine the prevalence of esophagitis in children with CD. Patients and Methods. Between 2003 and 2007, children with biopsy confirmed CD were retrospectively identified. Biopsy reports were reviewed for esophageal inflammation. Biopsy reports of 2218 endoscopies performed during the same period were also evaluated for inflammation. Results. Forty-nine children diagnosed with CD (47% boys). Nineteen of 49 (39%) patients with CD had esophagitis (95% CI 0.23-0.5). Thirty percent of boys and 46% of girls with CD had esophagitis (95% CI 0.12-0.40). Overall, 45% of patients who underwent upper endoscopy had esophagitis. The prevalence of esophagitis in CD (39%) compared to the prevalence of esophagitis (45%) in our practice was not significantly different, P = 0.2526. Conclusion. There was no difference in the prevalence of esophagitis between children diagnosed with CD at the time of their diagnostic EGD and the prevalence of esophagitis in children without CD. A prospective study to determine whether the esophagitis should be treated with acid suppression or whether the esophagitis heals with the gluten-free diet is warranted.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2011 ","pages":"489065"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/489065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30202761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN gastroenterologyPub Date : 2011-01-01Epub Date: 2011-06-21DOI: 10.5402/2011/507389
Simon Henry Pålsson, Ib Rasmussen, Patrik Lundström, Johanna Osterberg, Gabriel Sandblom
{"title":"Registration of health-related quality of life in a cohort of patients undergoing cholecystectomy.","authors":"Simon Henry Pålsson, Ib Rasmussen, Patrik Lundström, Johanna Osterberg, Gabriel Sandblom","doi":"10.5402/2011/507389","DOIUrl":"https://doi.org/10.5402/2011/507389","url":null,"abstract":"<p><p>Background. Assessment of gallstone surgery's impact on quality of life (QoL) requires a reliable instrument with sufficient responsiveness. The instrument should also enable estimation of each individual's expected condition in an unaffected state. Materials and Methods. The Swedish Register for Gallstone Surgery and ERCP (GallRiks) registers indications, complications, results, and QoL-outcome of gallstone surgery. In 2008, 68 hospitals were registered in GallRiks. Between 2007 and 2008, SF-36 (a short form health survey) was filled in 1-2 weeks pre- and 6-9 months postoperatively at five of the units. Expected scores were determined from an age- and gender-matched Swedish population (AGMSP). Results. Of the 330 patients, 212 responded to SF36 pre- and postoperatively (RR = 64%; 212/330). Standardized response means ranged from 0.20 to 0.93 for the SF-36 subscores. Highest responsiveness was seen for bodily pain. Preoperatively, all subscores were significantly lower than in the AGMSP (all P < .05). Six months postoperatively, there was no significant difference between any of the observed and expected quality of life subscales. Conclusion. SF-36 is a useful instrument for measuring the impact of gallstone surgery on QoL. The postinterventional health status equalled or even exceeded the AGMSP for all subscales.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2011 ","pages":"507389"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/507389","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30202762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN gastroenterologyPub Date : 2011-01-01Epub Date: 2010-10-11DOI: 10.5402/2011/206103
H A Hutchings, K Wareham, J N Baxter, P Atherton, J G C Kingham, P Duane, L Thomas, M Thomas, C L Ch'ng, J G Williams
{"title":"A Randomised, Cross-Over, Placebo-Controlled Study of Aloe vera in Patients with Irritable Bowel Syndrome: Effects on Patient Quality of Life.","authors":"H A Hutchings, K Wareham, J N Baxter, P Atherton, J G C Kingham, P Duane, L Thomas, M Thomas, C L Ch'ng, J G Williams","doi":"10.5402/2011/206103","DOIUrl":"10.5402/2011/206103","url":null,"abstract":"<p><p>Background. Irritable bowel syndrome (IBS) is a chronic, difficult to treat condition. The efficacy of Aloe vera in treating IBS symptoms is not yet proven. The purpose of this study was to determine if Aloe vera is effective in improving quality of life. Methods. A multicentre, randomised, double-blind, cross-over placebo controlled study design. Patients were randomised to Aloe vera, wash-out, placebo or placebo, washout, Aloe vera. Each preparation (60 mL) was taken orally twice a day. Patient quality of life was measured using the Gastrointestinal Symptoms Rating Score, Irritable Bowel Syndrome Quality of Life, EuroQol and the Short-Form-12 at baseline and treatment periods 1 and 2. Results. A total of 110 patients were randomised, but only 47 completed all questionnaires and both study arms. Statistical analysis showed no difference between the placebo and Aloe vera treatment in quality of life. Discussion. This study was unable to show that Aloe vera was superior to placebo in improving quality of life. Drop outs and other confounding factors may have impacted on the power of the study to detect a clinically important difference. Conclusion. This study failed to find Aloe vera superior to placebo in improving quality of life proven Irritable Bowel Syndrome patients.</p>","PeriodicalId":89397,"journal":{"name":"ISRN gastroenterology","volume":"2011 ","pages":"206103"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30056914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}