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- IBD
- Evaluation of nutritional status using bioelectrical impedance analysis in patients with inflammatory bowel disease
- Seung Hyuk Kim, You Sun Kim, Si Hyeong Lee, Hyun Mi Lee, Won Eui Yoon, Seo Hyun Kim, Hee Jun Myung, Jeong Seop Moon
- Intest Res 2022;20(3):321-328. Published online July 20, 2021
- DOI: https://doi.org/10.5217/ir.2021.00022
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Abstract
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ePub - Background/Aims
Nutritional status influences quality of life among patients with inflammatory bowel disease (IBD), although there is no clear method to evaluate nutritional status in this setting. Therefore, this study examined whether bioelectrical impedance analysis (BIA) could be used to evaluate the nutritional status of patients with IBD.
Methods
We retrospectively analyzed data from 139 Korean patients with IBD who were treated between November 2018 and November 2019. Patients were categorized as having active or inactive IBD based on the Harvey-Bradshaw index (a score of ≥5 indicates active Crohn’s disease) and the partial Mayo scoring index (a score of ≥2 indicates active ulcerative colitis). BIA results and serum nutritional markers were analyzed according to disease activity.
Results
The mean patient age was 45.11±17.71 years. The study included 47 patients with ulcerative colitis and 92 patients with Crohn’s disease. Relative to the group with active disease (n=72), the group with inactive disease (n=67) had significantly higher values for hemoglobin (P<0.001), total protein (P<0.001), and albumin (P<0.001). Furthermore, the group with inactive disease had higher BIA values for body moisture (P=0.047), muscle mass (P=0.046), skeletal muscle mass (P=0.042), body mass index (P=0.027), and mineral content (P=0.034). Moreover, the serum nutritional markers were positively correlated with the BIA results.
Conclusions
Nutritional markers evaluated using BIA were correlated with serum nutritional markers and inversely correlated with disease activity. Therefore, we suggest that BIA may be a useful tool that can help existing nutritional tests monitor the nutritional status of IBD patients. -
Citations
Citations to this article as recorded by
- Comparison of body composition change, measured with bioelectrical impedance analysis, between singleton and twin pregnancy: A prospective cohort study
Bo Young Choi, Sae Yeon Jung, Hee Kyeong Lee, Min Jung Lee, Hyeon Ji Kim, Jee Yoon Park, Kyung Joon Oh
European Journal of Obstetrics & Gynecology and Reproductive Biology.2025; 306: 154. CrossRef - Association of regional adiposity distribution with risk of autoimmune diseases
Rui Fan, Zhihan Zhang, Qinlian Huang, Linqi Liu, Wenjun Que, Dan Lu, Sisi Jing, Yaoqi Gan, Shiyi Liu, Fei Xiao
Clinical Rheumatology.2025;[Epub] CrossRef - An Assessment of the Nutritional Status in Patients with Inflammatory Bowel Disease—A Matched-Pair Case–Control Study
Małgorzata Godala, Ewelina Gaszyńska, Konrad Walczak, Ewa Małecka-Wojciesko
Nutrients.2025; 17(8): 1369. CrossRef - BODY FAT COMPOSITION IN PATIENTS WITH INFLAMMATORY BOWEL DISEASES: A COMPARATIVE STUDY BETWEEN SKINFOLDS AND ULTRASONOGRAPHY
Isadora Sayuri Macedo TUMA, Maria Paula Carlin CAMBI, Thyago Proença de MORAES, Daniéla Oliveira MAGRO, Paulo Gustavo KOTZE
Arquivos de Gastroenterologia.2024;[Epub] CrossRef - Navigating the Intersection: Sarcopenia and Sarcopenic Obesity in Inflammatory Bowel Disease
Valentin Calvez, Guia Becherucci, Carlo Covello, Giulia Piccirilli, Irene Mignini, Giorgio Esposto, Lucrezia Laterza, Maria Elena Ainora, Franco Scaldaferri, Antonio Gasbarrini, Maria Assunta Zocco
Biomedicines.2024; 12(6): 1218. CrossRef - Association between inflammatory bowel disease and osteoporosis in European and East Asian populations: exploring causality, mediation by nutritional status, and shared genetic architecture
Jian Kang, Xize Wu, Yue Li, Shuangli Zhao, Shixuan Wang, Dongdong Yu
Frontiers in Immunology.2024;[Epub] CrossRef - Micronutrient Deficiency and Muscular Status in Inflammatory Bowel Disease
Joonhee Han, Hyun Joo Song, Min Sook Kang, Hogyung Jun, Heung Up Kim, Ki Soo Kang, Donghyoun Lee
Nutrients.2024; 16(21): 3763. CrossRef - Evaluation of Nutritional Characteristics Reveals Similar Prevalence of Malnutrition in Patients with Ulcerative Colitis and Crohn’s Disease
Arshdeep Singh, Vandana Midha, Ramit Mahajan, Shruti Verma, Chandan Kakkar, Jasmine Grover, Dharmatma Singh, Ramandeep Kaur, Abhishek Masih, Namita Bansal, Catherine Wall, Ajit Sood
Digestive Diseases and Sciences.2023; 68(2): 580. CrossRef - Response to Ustekinumab Therapy Is Associated with an Improvement of Nutritional Status in Patients with Crohn’s Disease
Lorenzo Bertani, Claudia D’Alessandro, Marco Fornili, Francesca Coppini, Federico Zanzi, Luca Carmisciano, Francesca Geri, Giovanni Baiano Svizzero, Emma Maria Rosi, Alice De Bernardi, Linda Ceccarelli, Maria Gloria Mumolo, Laura Baglietto, Massimo Bellin
Journal of Clinical Medicine.2023; 12(19): 6118. CrossRef - Clinical Implications of Dietary Probiotic Supplement (Associated with L-Glutamine and Biotin) in Ulcerative Colitis Patients’ Body Composition and Quality of Life
Flavia Maria Pavel, Simona Gabriela Bungau, Delia Mirela Tit, Timea Claudia Ghitea, Ruxandra Cristina Marin, Andrei-Flavius Radu, Radu Dumitru Moleriu, Tiberia Ilias, Cristian Bustea, Cosmin Mihai Vesa
Nutrients.2023; 15(24): 5049. CrossRef
- Comparison of body composition change, measured with bioelectrical impedance analysis, between singleton and twin pregnancy: A prospective cohort study
- 6,229 View
- 550 Download
- 10 Web of Science
- 10 Crossref
- IBD
- Vitamin D deficiency is associated with disease activity in patients with Crohn’s disease
- Kyoung Ho Ko, You Sun Kim, Bo Kyung Lee, Jong Hyun Choi, Yong Moon Woo, Jin Young Kim, Jeong Seop Moon
- Intest Res 2019;17(1):70-77. Published online October 10, 2018
- DOI: https://doi.org/10.5217/ir.2018.00022
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Abstract
PDFPubReaderePub
- Background/Aims
Previous data suggest that vitamin D has a significant role in inflammatory bowel disease (IBD). We investigated the incidence of vitamin D deficiency in Korean patients with IBD and the correlation between serum vitamin D level and disease activity.
Methods
We retrospectively analyzed the medical records of patients with IBD whose serum vitamin D levels were checked. Deficiency of 25-hydroxyvitamin D was defined as <20 ng/mL. Disease activity was evaluated using the partial Mayo score for ulcerative colitis (≥2 defined as active disease) and Harvey-Bradshaw index for Crohn’s disease (≥4 defined as active disease).
Results
We enrolled 87 patients with IBD (ulcerative colitis [UC], 45; Crohn’s disease [CD], 42). Among them, 65.5% (57/87) were men, with a mean age of 44.9±15.1 years (range, 18–75 years). The mean duration of disease was 4.7±4.8 years (range, 0.1–17.1 years). Vitamin D deficiency was found in 73.6% (64/87) of patients with IBD. Patients with IBD (mean vitamin D level, 16.3±9.0 ng/mL) showed lower vitamin D level than the healthy control group (mean vitamin D level, 20.4±7.0 ng/mL), with no statistically significant difference (P=0.136). Disease activity was inversely correlated with vitamin D deficiency in patients with CD (P=0.007). However, no correlation was observed in patients with UC (P=0.134).
Conclusions
Approximately 75% of Korean patients with IBD showed vitamin D deficiency state. Vitamin D deficiency is associated with disease activity, particularly in patients with CD. -
Citations
Citations to this article as recorded by- Correlation of Socioeconomic and Environmental Factors With Incidence of Crohn Disease in Children and Adolescents: Systematic Review and Meta-Regression
Jens Weidner, Ingmar Glauche, Ulf Manuwald, Ivana Kern, Ines Reinecke, Franziska Bathelt, Makan Amin, Fan Dong, Ulrike Rothe, Joachim Kugler
JMIR Public Health and Surveillance.2024; 10: e48682. CrossRef - Micronutrient Deficiency and Muscular Status in Inflammatory Bowel Disease
Joonhee Han, Hyun Joo Song, Min Sook Kang, Hogyung Jun, Heung Up Kim, Ki Soo Kang, Donghyoun Lee
Nutrients.2024; 16(21): 3763. CrossRef - Is Serum 25-Hydroxyvitamin D Level Associated with Severity of COVID-19? A Retrospective Study
Munachimso Kizito Mbata, Mireille Hunziker, Anja Makhdoomi, Giorgia Lüthi-Corridori, Maria Boesing, Stéphanie Giezendanner, Jürgen Muser, Anne B. Leuppi-Taegtmeyer, Jörg D. Leuppi
Journal of Clinical Medicine.2023; 12(17): 5520. CrossRef - Genotype Prevalence of Lactose Deficiency, Vitamin D Deficiency, and the Vitamin D Receptor in a Chilean Inflammatory Bowel Disease Cohort: Insights from an Observational Study
Tamara Pérez-Jeldres, M. Bustamante, Roberto Segovia-Melero, Nataly Aguilar, Fabien Magne, Gabriel Ascui, Denisse Uribe, Lorena Azócar, Cristián Hernández-Rocha, Ricardo Estela, Verónica Silva, Andrés De La Vega, Elizabeth Arriagada, Mauricio Gonzalez, Gi
International Journal of Molecular Sciences.2023; 24(19): 14866. CrossRef - The correlation between serum 25-hydroxyvitamin D level and ulcerative colitis: a systematic review and meta-analysis
Chenyu Liu, Xin Liu, Haitao Shi, Fenrong Chen, Linlang Sun, Xin Gao, Yan Wang
European Journal of Gastroenterology & Hepatology.2023; 35(12): 1375. CrossRef - Prevalence and relevant factors of micronutrient deficiencies in hospitalized patients with inflammatory bowel disease
Xiaojuan Li, Yedong Hu, Xiaodan Shi, Xinyan Zhu, Fei Liu
Nutrition.2022; 99-100: 111671. CrossRef - The Role of Vitamin D in Immune System and Inflammatory Bowel Disease
Zengrong Wu, Deliang Liu, Feihong Deng
Journal of Inflammation Research.2022; Volume 15: 3167. CrossRef - Evaluation of nutritional status using bioelectrical impedance analysis in patients with inflammatory bowel disease
Seung Hyuk Kim, You Sun Kim, Si Hyeong Lee, Hyun Mi Lee, Won Eui Yoon, Seo Hyun Kim, Hee Jun Myung, Jeong Seop Moon
Intestinal Research.2022; 20(3): 321. CrossRef - The Crosstalk between Vitamin D and Pediatric Digestive Disorders
Cristina Oana Mărginean, Lorena Elena Meliț, Reka Borka Balas, Anca Meda Văsieșiu, Tudor Fleșeriu
Diagnostics.2022; 12(10): 2328. CrossRef - Intestinal vitamin D receptor signaling ameliorates dextran sulfate sodium‐induced colitis by suppressing necroptosis of intestinal epithelial cells
Yongyan Shi, Xuewei Cui, Yanli Sun, Qun Zhao, Tianjing Liu
The FASEB Journal.2020; 34(10): 13494. CrossRef Relationship Between Vitamin D Deficiency and Disease Activity in Patients with Inflammatory Bowel Disease in Ahvaz, Iran
Esmat Rasouli, Narges Sadeghi, Abazar Parsi, Seyed Jalal Hashemi, Morteza Nayebi, Aliakbar Shayesteh
Clinical and Experimental Gastroenterology.2020; Volume 13: 419. CrossRef- Inflammatory Bowel Disease and Vitamin D
Ki Bae Kim, Hyoung Woo Kim, Jun Su Lee, Soon Man Yoon
The Korean Journal of Gastroenterology.2020; 76(6): 275. CrossRef - Implications of the Westernized Diet in the Onset and Progression of IBD
Fernando Rizzello, Enzo Spisni, Elisabetta Giovanardi, Veronica Imbesi, Marco Salice, Patrizia Alvisi, Maria Chiara Valerii, Paolo Gionchetti
Nutrients.2019; 11(5): 1033. CrossRef - Vitamin D deficiency associated with Crohn’s disease and ulcerative colitis: a meta-analysis of 55 observational studies
Xi-Xi Li, Yang Liu, Jie Luo, Zhen-Dong Huang, Chao Zhang, Yan Fu
Journal of Translational Medicine.2019;[Epub] CrossRef - Vitamin D Deficiency is Associated with Increased Disease Activity in Patients with Inflammatory Bowel Disease
Johannes Hausmann, Alica Kubesch, Mana Amiri, Natalie Filmann, Irina Blumenstein
Journal of Clinical Medicine.2019; 8(9): 1319. CrossRef - The Association of Disease Activity, BMI and Phase Angle with Vitamin D Deficiency in Patients with IBD
Maria Chiara Mentella, Franco Scaldaferri, Marco Pizzoferrato, Antonio Gasbarrini, Giacinto Abele Donato Miggiano
Nutrients.2019; 11(11): 2583. CrossRef
- Correlation of Socioeconomic and Environmental Factors With Incidence of Crohn Disease in Children and Adolescents: Systematic Review and Meta-Regression
- 8,337 View
- 306 Download
- 19 Web of Science
- 16 Crossref
- Infection
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Rapid and accurate diagnosis of
Clostridium difficile infection by real-time polymerase chain reaction - Pil Hun Song, Jung Hwa Min, You Sun Kim, Soo Yeon Jo, Eun Jin Kim, Kyung Jin Lee, Jeonghun Lee, Hyun Sung, Jeong Seop Moon, Dong Hee Whang
- Intest Res 2018;16(1):109-115. Published online January 18, 2018
- DOI: https://doi.org/10.5217/ir.2018.16.1.109
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Abstract
PDFPubReaderePub
<b>Background/Aims</b><br/> The incidence and severity of
Clostridium difficile infection (CDI) have increased worldwide, resulting in a need for rapid and accurate diagnostic methods.Methods A retrospective study was conducted to compare CDI diagnosis methods between January 2014 and December 2014. The stool samples, which were obtained in presumptive CDI patients, were compared for their diagnostic accuracy and rapidity, including real-time polymerase chain reaction (PCR) of toxin genes,
C. difficile toxin assay, and culture forC. difficile .Results A total of 207 cases from 116 patients were enrolled in this study and 117 cases (56.5%) were diagnosed as having CDI. Among the 117 cases, the sensitivities of real-time PCR,
C. difficile toxin assay, and culture forC. difficile were 87.2% (102 cases; 95% CI, 80.7%–92.8%), 48.7% (57 cases; 95% CI, 41.0%–59.8%), and 65.0% (76 cases; 95% CI, 60.2%–78.5%), respectively (P <0.005). Notably, 34 cases (29.0%) were diagnosed with CDI by real-time PCR only. The time required to obtain results was 2.27 hours (136.62±82.51 minutes) for real-time PCR, 83.67 hours (5,020.66±3,816.38 minutes) for toxin assay, and 105.79 hours (6,347.68±3,331.46 minutes) for culture (P <0.005), respectively.Conclusions We confirmed that real-time PCR of toxin genes is the most effective diagnostic method for accurate and early diagnosis of CDI. It also helps to diagnose hypervirulent CDI, such as ribotype 027 infection.
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Citations
Citations to this article as recorded by- Usefulness of Stool Multiplex Polymerase Chain Reaction Assays in Patients with Acute Diarrhea
Seo Hyun Kim, You Sun Kim, Seung Hyuk Kim, Won Eui Yoon, Hee Jun Myung, Jeong Seop Moon, Dong Hee Whang
The Korean Journal of Gastroenterology.2022; 79(3): 118. CrossRef - Persistent Leg Drainage in a Pediatric Trauma Patient
Ashley Howard, Michelle R. Rychalsky, Thomas S. Murray
Pediatric Infectious Disease Journal.2021; 40(6): 597. CrossRef - Real-Time Detection and Motion Recognition of Human Moving Objects Based on Deep Learning and Multi-Scale Feature Fusion in Video
Meimei Gong, Yiming Shu
IEEE Access.2020; 8: 25811. CrossRef - Temporal change of risk factors in hospital-acquired Clostridioides difficile infection using time-trend analysis
Jiyoun Song, Bevin Cohen, Philip Zachariah, Jianfang Liu, Elaine L. Larson
Infection Control & Hospital Epidemiology.2020; 41(9): 1048. CrossRef - Incidence and Characteristics ofClostridioides difficileInfection in Children
Heera Jeong, Ji-Man Kang, Jong Gyun Ahn
Pediatric Infection & Vaccine.2020; 27(3): 158. CrossRef - RecurrentClostridium difficileInfection: Risk Factors, Treatment, and Prevention
Jung Hoon Song, You Sun Kim
Gut and Liver.2019; 13(1): 16. CrossRef - Is Clostridium difficile infection a real threat in patients with ulcerative colitis? A prospective, multicenter study in Korea
Dae Bum Kim, Kang-Moon Lee, Sang Hyoung Park, You Sun Kim, Eun Soo Kim, Jun Lee, Sung-Ae Jung, Geom Seog Seo, Ji Min Lee
Intestinal Research.2018; 16(2): 267. CrossRef
- Usefulness of Stool Multiplex Polymerase Chain Reaction Assays in Patients with Acute Diarrhea
- 8,728 View
- 94 Download
- 7 Web of Science
- 7 Crossref
- Risk Factors for Delayed Post-Polypectomy Bleeding
- Min Jung Kwon, You Sun Kim, Song I Bae, Young Il Park, Kyung Jin Lee, Jung Hwa Min, Soo Yeon Jo, Mi Young Kim, Hye Jin Jung, Seong Yeon Jeong, Won Jae Yoon, Jin Nam Kim, Jeong Seop Moon
- Intest Res 2015;13(2):160-165. Published online April 27, 2015
- DOI: https://doi.org/10.5217/ir.2015.13.2.160
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Abstract
PDFPubReader
<b>Background/Aims</b><br/> Among the many complications that can occur following therapeutic endoscopy, bleeding is the most serious, which occurs in 1.0-6.1% of all colonoscopic polypectomies. The aim of this study was to identify risk factors of delayed post-polypectomy bleeding (PPB).
Methods We retrospectively reviewed the data of patients who underwent colonoscopic polypectomy between January 2003 and December 2012. We compared patients who experienced delayed PPB with those who did not. The control-to-patient ratio was 3:1. The clinical data analyzed included polyp size, number, location, and shape, patient' body mass index (BMI), preventive hemostasis, and endoscopist experience.
Results Of 1,745 patients undergoing colonoscopic polypectomy, 21 (1.2%) experienced significant delayed PPB. We selected 63 age- and sex-matched controls. Multivariate logistic regression analysis showed that polyps >10 mm (odds ratio [OR], 2.605; 95% confidence interval [CI], 1.035-4.528;
P =0.049), a pedunculated polyp (OR, 3.517; 95% CI, 1.428-7.176;P =0.045), a polyp located in the right hemicolon (OR, 3.10; 95% CI, 1.291-5.761;P =0.013), and a high BMI (OR, 3.681; 95% CI, 1.876-8.613;P =0.013) were significantly associated with delayed PPB.Conclusions Although delayed PPB is a rare event, more caution is needed during colonoscopic polypectomies performed in patients with high BMI or large polyps, pedunculated polyps, or polyps located in the right hemicolon.
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Citations
Citations to this article as recorded by- The Use of Clips to Prevent Post-Polypectomy Bleeding: A Clinical Review
Matthew A. O’Mara, Peter G. Emanuel, Aaron Tabibzadeh, Robert J. Duve, Jonathan S. Galati, Gregory Laynor, Samantha Gross, Seth A. Gross
Journal of Clinical Gastroenterology.2024; 58(8): 739. CrossRef - Is endoscopic hemostasis safe and effective for delayed post-polypectomy bleeding?
Jae-Yong Cho, Yunho Jung, Han Hee Lee, Jung-Wook Kim, Kee Myung Lee, Hyun Lim, Geun-Hyuk Choi, Seong Woo Choi, Bo-In Lee
International Journal of Gastrointestinal Intervention.2024; 13(4): 122. CrossRef - Colonic polypectomy in 2024: hot or cold?
K Ferdinande, L Desomer, D De Looze, D.J. Tate
Acta Gastro Enterologica Belgica.2024; 87(4): 505. CrossRef - Cost-Effectiveness of Earlier or More Intensive Colorectal Cancer Screening in Overweight and Obese Patients
Aaron Yeoh, Ajitha Mannalithara, Uri Ladabaum
Clinical Gastroenterology and Hepatology.2023; 21(2): 507. CrossRef - Prophylactic clipping to prevent delayed colonic post-polypectomy bleeding: meta-analysis of randomized and observational studies
Kirles Bishay, Zhao Wu Meng, Levi Frehlich, Matthew T. James, Gilaad G. Kaplan, Michael J. Bourke, Robert J. Hilsden, Steven J. Heitman, Nauzer Forbes
Surgical Endoscopy.2022; 36(2): 1251. CrossRef - Establishment of a model for predicting delayed post-polypectomy bleeding: A real-world retrospective study
Yu Lu, Xiaoying Zhou, Han Chen, Chao Ding, Xinmin Si
Frontiers in Medicine.2022;[Epub] CrossRef - Blood group O is a risk factor for delayed post-polypectomy bleeding
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Takuya Okugawa, Tadayuki Oshima, Keisuke Nakai, Hirotsugu Eda, Akio Tamura, Ken Hara, Tomohiro Ogawa, Tomoaki Kono, Takashi Kondo, Katsuyuki Tozawa, Masashi Fukushima, Toshihiko Tomita, Hirokazu Fukui, Jiro Watari, Hiroto Miwa
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Teppei Tagawa, Masayoshi Yamada, Takeyoshi Minagawa, Masanori Sekiguchi, Kenichi Konda, Hirohito Tanaka, Hiroyuki Takamaru, Masau Sekiguchi, Taku Sakamoto, Takahisa Matsuda, Aya Kuchiba, Hitoshi Yoshida, Yutaka Saito
Gastrointestinal Endoscopy.2021; 94(4): 803. CrossRef - Delayed Bleeding After Endoscopic Resection of Colorectal Polyps: Identifying High-Risk Patients
Oliver Bendall, Joel James, Katarzyna M Pawlak, Sauid Ishaq, J Andy Tau, Noriko Suzuki, Steven Bollipo, Keith Siau
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Journal of Gastroenterology and Hepatology.2017; 32(11): 1846. CrossRef - Clinical outcome of endoscopic management in delayed postpolypectomy bleeding
Jeong-Mi Lee, Wan Soo Kim, Min Seob Kwak, Sung-Wook Hwang, Dong-Hoon Yang, Seung-Jae Myung, Suk-Kyun Yang, Jeong-Sik Byeon
Intestinal Research.2017; 15(2): 221. CrossRef - Are Hemorrhoids Associated with False-Positive Fecal Immunochemical Test Results?
Nam Hee Kim, Jung Ho Park, Dong Il Park, Chong Il Sohn, Kyuyong Choi, Yoon Suk Jung
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Duk Hwan Kim
Clinical Endoscopy.2017; 50(3): 217. CrossRef - Serum CEA and CA 19-9 Levels are Associated with the Presence and Severity of Colorectal Neoplasia
Nam Hee Kim, Mi Yeon Lee, Jung Ho Park, Dong Il Park, Chong Il Sohn, Kyuyong Choi, Yoon Suk Jung
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Douglas K. Rex, Thomas F. Imperiale
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Thomas F. Imperiale, Douglas K. Rex
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Douglas K. Rex, John J. Vargo
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D. Heresbach
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- The Use of Clips to Prevent Post-Polypectomy Bleeding: A Clinical Review
- 18,488 View
- 82 Download
- 37 Web of Science
- 33 Crossref
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Long-Term Clinical Outcome of
Clostridium difficile Infection in Hospitalized Patients: A Single Center Study - Young Seok Doh, You Sun Kim, Hye Jin Jung, Young Il Park, Jin Won Mo, Hyun Sung, Kyung Jin Lee, Young Ki Seo, Jeong Seop Moon, Seong Woo Hong
- Intest Res 2014;12(4):299-305. Published online October 27, 2014
- DOI: https://doi.org/10.5217/ir.2014.12.4.299
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Abstract
PDFPubReaderePub
<b>Background/Aims</b><br/> Antibiotic usage and increasingly aging populations have led to increased incidence of
Clostridium difficile infection (CDI) in worldwide. Recent studies in Korea have also reported increasing CDI incidence; however, there have been no reports on the long-term outcomes of CDI. We therefore investigated the long-term clinical outcomes of patients with CDI, including delayed recurrence, associated risk factors and mortality.Methods Hospitalized patients diagnosed with CDI at Seoul Paik Hospital between January 2007 and December 2008 were included. Their medical records were retrospectively investigated. 'Delayed recurrence' was defined as a relapse 8 weeks after a successful initial treatment. Multivariate logistic regression analysis was performed to identify risk factors for the delayed recurrence. Kaplan-Meier curves were used to analyze mortality rates.
Results A total of 120 patients were enrolled; among them, 87 were followed-up for at least 1 year, with a mean follow-up period of 34.1±25.1 months. Delayed recurrence was observed in 17 patients (19.5%), and significant risk factors were age (over 70 years,
P =0.049), nasogastric tube insertion (P =0.008), and proton pump inhibitor or H2-blocker treatments (P =0.028). The 12- and 24-month mortality rates were 24.6% and 32.5%, respectively. No deaths were directly attributed to CDI.Conclusions Delayed recurrence of CDI was not rare, occurring in 19.5% of the study population. Although CDI-related mortality was not reported, 2-year (32.5%) mortality rate of CDI patients implies that a CDI diagnosis may predict severe morbidity and poor prognosis of the underlying disease.
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Global, regional, and national burdens of
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infection over recent decades: a trend analysis informed by the Global Burden of Disease Study
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- DOI: https://doi.org/10.5217/ir.2014.12.1.74
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Abstract
PDFPubReader
Nearly 80% of patients with Crohn's disease (CD) require surgical treatment for complications or failure of medical management. We managed a 31-year-old man with CD who presented with a post-operative fistula. The patient had undergone surgery due to multiple strictures and a fistula. However, a new fistula developed that connected to the intraperitoneal abscess. Intravenous antibiotics were started and multiple percutaneous drainage tubes were inserted to treat the abdominal abscess. However, the amount of drainage was consistently high, even one month after the operation. To treat the postoperative fistula, 5 mg/kg of infliximab was started, and the amount of drainage decreased dramatically to less than 10 cc a day. Some studies have reported that infliximab decreases the recurrence of CD after surgery. The effect of infliximab on post-operative fistulas in patients with CD has not been sufficiently studied. Our results indicated that the use of infliximab to treat post-operative fistula should be explored further in future clinical studies.
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Yoon Suk Jung, Dong Il Park, Young Ho Kim, Ji Hyun Lee, Pyoung Ju Seo, Jae Hee Cheon, Hyoun Woo Kang, Ji Won Kim
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- A Case of Ulcerative Colitis Patient with Colonic Stenosis and Enterocutaneous Fistula
- Seong Yeon Jeong, You Sun Kim, Kyeong Sam Ok, Sun Ok Kwon, Jin Nam Kim, Jeong Seop Moon, Yun Kyung Kang, Seong Woo Hong
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- DOI: https://doi.org/10.5217/ir.2012.10.4.388
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Abstract
PDF
- Ulcerative colitis (UC) is one of the chronic inflammatory bowel diseases (IBD), characterized by a diffuse mucosal inflammation limited to the colon. Complications of UC include stricture, colorectal cancer, and toxic colitis. UC patients rarely present with a stenosis or fistula, and strictures develop in less than 5% of patients with UC. We present a patient with UC, accompanied by unusual complications that involved not only a stricture but also a fistula and abscess. A 49-year-old female was presented with a left flank pain and fever that had begun two weeks before admission. She had received a diagnosis of UC 20 years ago and had it treated for 2 years in a local hospital. However, she arbitrarily stopped visiting the hospital and relied on home remedies. An abdominopelvic CT scan revealed luminal narrowing and extra-peritoneal fistula formation in the descending colon. Fistula was connected with a subcutaneous abscess in the left flank. She had undergone total colectomy and ileo-anal anastomosis. On the pathologic exam, the long standing UC with severe stenosis was observed without malignant change. It cannot be emphasized enough that a correct therapeutic approach and an appropriate follow-up schedule are very important for patients with UC. (Intest Res 2012;10:388-391)
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Original Articles
- Clinical Significance of Erosive or Ulcerative Lesions Isolated in Terminal Ileum
- Sun Ok Kwon, You Sun Kim, Myoung Ki Oh, Sun Young Kim, In Hye Cha, Seong Yeon Jeong, Joo Yeon Cho, Jin Nam Kim, Jeong Seop Moon
- Intest Res 2012;10(4):350-356. Published online October 31, 2012
- DOI: https://doi.org/10.5217/ir.2012.10.4.350
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Abstract
PDF
- Background/Aims
Although terminal ileal erosive or ulcerative lesions are frequently observed on colonoscopic examination, their clinical significance are unclear. We evaluated clinical course and significance of isolated terminal ileal erosive or ulcerative lesions. Methods: We retrospectively analyzed clinical features, number, size and histologic findings of 186 patients with isolated terminal ileal erosive or ulcerative lesions on colonoscopic examination from December 2003 to February 2012. Results: The indications for colonoscopy included screening for colorectal cancer or surveillance in 122 patients (65.6%), evaluations for symptoms in 64 patients (34.4%). Of the 186 patients, 170 underwent biopsy at the terminal ileal lesions. Histologic findings were mostly non-specific chronic inflammation except two cases of Crohn's disease, one case of cytomegalovirus ileitis, and one case of intestinal tuberculosis. Forty six patients underwent follow-up colonoscopy and the mean duration was 17.8±14.2 months (range, 1-64 months). Of those who showed non-specific ileitis (44 patients), 35 (79.5%) showed resolution of lesions without specific treatment. In the remaining 9 (20.5%) patients, lesions were continued and two patients were diagnosed as Crohn's disease and Behcet's ileitis, respectively. There were no significant differences in the duration of follow-up, presence of symptoms, number and size of terminal ileal lesions between the patients who resolved and not resolved. Conclusions: Most isolated terminal ileal erosive or ulcerative lesions reveal non-specific histological findings and have a propensity to resolve without treatment. However, in small portions of patients, isolated terminal ileal lesions need careful attention because it is possible to be early inflammatory bowel diseases. (Intest Res 2012;10:350-356)
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- Clinical Characteristics of Colonic Diverticular Disease Diagnosed with Colonoscopy
- Jung Hoon Song, Jin Gook Huh, You Sun Kim, Jin Ho Lee, Won Cheol Jang, Kyung Sun Ok, Soo Hyung Ryu, Jung Hwan Lee, Jeong Seop Moon
- Intest Res 2008;6(2):110-115. Published online December 30, 2008
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Abstract
PDF
- Background/Aims
Although colonic diverticular disease is less common in Koreans than in Western people, its incidence has been on the increase in Korea. We investigated the clinical characteristics and related complications of colonic diverticular disease in Koreans. Methods: We retrospectively reviewed the medical records of 9,006 patients who underwent colonoscopy at the Seoul Paik hospital between July 2002 and January 2008. Results: Of the 9,006 patients, there were 654 cases (7.3%) of colonic diverticulosis (472 men, 182 women). The mean age of the patients was 54.6±12.0 years. The right colon was involved in 535 cases, the left colon was involved in 86 cases and both the left and right colon was involved in 33 cases. Among the patients, a single diverticulum was seen in 253 cases and two or more diverticuli were seen in 401 cases. Related complications were diverticulitis (11 cases, 1.7%) and diverticular bleeding (3 cases, 0.5%). Conclusions: The incidence of colonic diverticular disease in Korea shows an increasing trend. Colonic diverticular lesions are frequently found in the right colon. (Intest Res 2008;6:110-115)
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- Clinical Value of Endoscopic Resection of Large Colonic PolypsUsing a Detachable Snare
- Jin Gook Huh, You Sun Kim, Sun Ok Kwon, Won Cheol Jang, Kyung Sun Ok, Tae Yeob Jeong, Soo Hyung Rye, Jung Hwan Lee, Jeong Seop Moon
- Intest Res 2007;5(2):151-157. Published online December 30, 2007
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Abstract
PDF
- Background/Aims
A large colonic polyp is a challenge for endoscopists due to the risk of serious hemorrhage, perforation or incomplete resection. We examined whether endoscopic resection of large polyps using a detachable snare is a feasible and safe procedure. We also examined the sizes of a polyp that could be removed. Methods: We retrospectively reviewed 65 cases of endoscopic resection of large colonic polyps using a detachable snare. Results: The sizes of the polyps included 3.5 cm (n=3), 3.0 to 3.4 cm (n=8), 2.0 to 2.9 cm (n=16) and 1.0 to 1.9 cm (n=38). The mean polyp size was 1.8 cm. The pathologic diagnoses of the resected polyps included 20 adenocarcinomas (30.8%), 38 adenomas (58.5%), three hyperplastic polyps, two inflammatory polyps, one hamartomatous polyp and one lymphangioma. The complete resection rate was 98.5% (64/65). There were no complications such as perforation, delayed bleeding or the need for additional surgery. Six complications of immediate bleeding (9.2%) developed after resection, but the bleeding was easily controlled by endoscopic treatment. Conclusions: According to our study, endoscopic resection of large polyps using a detachable snare can reduce not only complications of bleeding but also incomplete resection. Therefore, polyp size alone is rarely a contraindication to the endoscopic resection of a colonic polyp. (Intest Res 2007;5:151-157)
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- Comparative Value of Sigmoidoscopy and Stool Cytotoxin-A Assay for Diagnosis of Pseudomembranous Colitis
- Jin Kwang Lee, Joo Yeon Cho, You Sun Kim, Seong Eun Kim, Soo Hyung Ryu, Jung Whan Lee, Jeong Seop Moon
- Intest Res 2005;3(1):61-67. Published online June 30, 2005
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Abstract
PDF
- Background/Aims
Stool cytotoxin-A assay has been used clinically and commonly for diagnosis of C. difficile associated diarrhea (CDAD). However, the incidence and severity of CDAD show increasing tendency with frequent use of antibiotics, rapid diagnosis is required for severe CDAD. Therefore, we compared diagnostic value of sigmoidoscopy with that of stool cytotoxin-A assay for diagnosis of pseudomembranous colitis (PMC). Methods: During the period from April 2004 to April 2005, a total of 28 cases of suspected CDAD were analyzed prospectively. Both flexible sigmoidoscopy and enzyme immunoassay for stool cytotoxin-A assay were performed and compared with diagnostic yield. The clinical manifestation and used antibiotics were analyzed. Results: The PMC was developed frequently in old age and had clinical symptoms such as diarrhea, abdominal pain and mild fever. The diagnostic yield of stool cytotoxin-A assay was 36.8% while the sigmoidoscopy was 73.6% without significance. With the stool cytotoxin-A assay, the diagnosis for CDAD including PMC was delayed to mean 4.7 days. Conclusions: With increasing use of antibiotics, the incidence and severity of CDAD were increasing. The rapid diagnosis by sigmoidoscopy is more helpful to management of severe CDAD such as PMC than stool cytotoxin-A assay. (Intest Res 2005;3:61-67)
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