Ulcerative colitis patients in clinical remission demonstrate correlations between fecal immunochemical test results, mucosal healing, and risk of relapse.

Abstract:

AIM:To assess the risk of relapse in ulcerative colitis (UC) patients in clinical remission using mucosal status and fecal immunochemical test (FIT) results. METHODS:The clinical outcomes of 194 UC patients in clinical remission who underwent colonoscopy were based on evaluations of Mayo endoscopic subscores (MESs) and FIT results. RESULTS:Patients with an MES of 0 (n = 94, 48%) showed a ten-fold lower risk of relapse than those with an MES of 1-3 (n = 100, 52%) (HR = 0.10, 95%CI: 0.05-0.19). A negative FIT result (fecal hemoglobin concentrations ≤ 100 ng/mL) was predictive of patients with an MES of 0, with a sensitivity of 0.94 and a specific of 0.76. Moreover, patients with a negative FIT score had a six-fold lower risk of clinical relapse than those with a positive score (HR = 0.17, 95%CI: 0.10-0.28). Inclusion of the distinguishing parameter, sustaining clinical remission > 12 mo, resulted in an even stronger correlation between negative FIT results and an MES of 0 with respect to the risk of clinical relapse (HR = 0.11, 95%CI: 0.04-0.23). CONCLUSION:Negative FIT results one year or more after remission induction correlate with complete mucosal healing (MES 0) and better prognosis. Performing FIT one year after remission induction may be useful for evaluating relapse risk.

journal_name

World J Gastroenterol

authors

Nakarai A,Kato J,Hiraoka S,Takashima S,Takei D,Inokuchi T,Sugihara Y,Takahara M,Harada K,Okada H

doi

10.3748/wjg.v22.i21.5079

subject

Has Abstract

pub_date

2016-06-07 00:00:00

pages

5079-87

issue

21

eissn

1007-9327

issn

2219-2840

journal_volume

22

pub_type

杂志文章
  • Selection criteria for liver resection in patients with hepatocellular carcinoma and chronic liver disease.

    abstract::Hepatocellular carcinoma (HCC) is one of the most common malignancies worldwide with an annual occurrence of one million new cases. An etiologic association between HBV infection and the development of HCC has been established with a relative risk 200-fold greater than in non-infected individuals. Hepatitis C virus is...

    journal_title:World journal of gastroenterology

    pub_type: 社论

    doi:10.3748/wjg.14.3452

    authors: Delis SG,Dervenis C

    更新日期:2008-06-14 00:00:00

  • Tumor-specific expression of shVEGF and suicide gene as a novel strategy for esophageal cancer therapy.

    abstract:AIM:To develop a potent and safe gene therapy for esophageal cancer. METHODS:An expression vector carrying fusion suicide gene (yCDglyTK) and shRNA against vascular endothelial growth factor (VEGF) was constructed and delivered into EC9706 esophageal cancer cells by calcium phosphate nanoparticles (CPNP). To achieve t...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v22.i23.5342

    authors: Liu T,Wu HJ,Liang Y,Liang XJ,Huang HC,Zhao YZ,Liao QC,Chen YQ,Leng AM,Yuan WJ,Zhang GY,Peng J,Chen YH

    更新日期:2016-06-21 00:00:00

  • Diagnosis of bowel diseases: the role of imaging and ultrasonography.

    abstract::Examinations with a visualisation of the anatomy and pathology of the gastrointestinal (GI) tract are often necessary for the diagnosis of GI diseases. Traditional radiology played a crucial role for many years. Endoscopy, despite some limitations, remains the main technique in the differential diagnosis and treatment...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v19.i14.2144

    authors: Roccarina D,Garcovich M,Ainora ME,Caracciolo G,Ponziani F,Gasbarrini A,Zocco MA

    更新日期:2013-01-01 00:00:00

  • Modified technique for combined liver-small bowel transplantation in pigs.

    abstract:AIM:As the conventional combined liver-small bowel transplantation is complicated with many postoperative complications, the aim of this study was to describe a modified technique for the combined liver-small bowel transplantation with preservation of the duodenum, partial head of pancreas and hepatic biliary system in...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v9.i7.1625

    authors: Yin ZY,Ni XD,Jiang F,Li N,Li YS,Li JS

    更新日期:2003-07-01 00:00:00

  • alpha,beta-amyrin, a natural triterpenoid ameliorates L-arginine-induced acute pancreatitis in rats.

    abstract:AIM:To study the beneficial effects of triterpene alpha,beta-amyrin and the underlying mechanisms in an experimental pancreatitis model. METHODS:Acute pancreatitis was induced in five groups of rats (n = 8) by L-arginine (2 x 2.5 g/kg, intraperitoneal, 1 h apart) and 1 h later, they received a single oral dose of alph...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v16.i34.4272

    authors: Melo CM,Carvalho KM,Neves JC,Morais TC,Rao VS,Santos FA,Brito GA,Chaves MH

    更新日期:2010-09-14 00:00:00

  • Pink-color sign in esophageal squamous neoplasia, and speculation regarding the underlying mechanism.

    abstract:AIM:To investigate the reasons for the occurrence of the pink-color sign of iodine-unstained lesions. METHODS:In chromoendoscopy, the pink-color sign of iodine-unstained lesions is recognized as useful for the diagnosis of esophageal squamous cell carcinoma. Patients with superficial esophageal neoplasms treated by en...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v19.i27.4300

    authors: Ishihara R,Kanzaki H,Iishi H,Nagai K,Matsui F,Yamashina T,Matsuura N,Ito T,Fujii M,Yamamoto S,Hanaoka N,Takeuchi Y,Higashino K,Uedo N,Tatsuta M,Tomita Y,Ishiguro S

    更新日期:2013-07-21 00:00:00

  • Severe splenic rupture after colorectal endoscopic submucosal dissection.

    abstract::Splenic rupture (SR) after colonoscopy is a very rare but potentially serious complication. Delayed diagnosis is common, and may increase morbidity and mortality associated. There is no clear relation between SR and difficult diagnostic or therapeutic procedures, but it has been suggested that loop formation and exces...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v20.i28.9618

    authors: Herreros de Tejada A,Giménez-Alvira L,Van den Brule E,Sánchez-Yuste R,Matallanos P,Blázquez E,Calleja JL,Abreu LE

    更新日期:2014-07-28 00:00:00

  • Size does not determine the grade of malignancy of early invasive colorectal cancer.

    abstract:AIM:To clarify the clinicopathological characteristics of small and large early invasive colorectal cancers (EI-CRCs), and to determine whether malignancy grade depends on size. METHODS:A total of 583 consecutive EI-CRCs treated by endoscopic mucosal resection or surgery at the National Cancer Center Hospital between ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.15.2708

    authors: Matsuda T,Saito Y,Fujii T,Uraoka T,Nakajima T,Kobayashi N,Emura F,Ono A,Shimoda T,Ikematsu H,Fu KI,Sano Y,Fujimori T

    更新日期:2009-06-14 00:00:00

  • Liver transplantation in the UK.

    abstract:INTRODUCTION:This paper provides a review of the practice of liver transplantation with the main emphasis on UK practice and indications for transplantation. REFERRAL AND ASSESSMENT:This section reviews the process of referral and assessment of patients with liver disease with reference to UK practice. DONOR ORGANS:T...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v7.i5.602

    authors: Bramhall SR,Minford E,Gunson B,Buckels JA

    更新日期:2001-10-01 00:00:00

  • Mutation of RET proto-oncogene in Hirschsprung's disease and intestinal neuronal dysplasia.

    abstract:AIM:To investigate the genetic relationship between Hirschsprung's disease (HD) and intestinal neuronal dysplasia (IND) in Chinese population. METHODS:Peripheral blood samples were obtained from 30 HD patients, 20 IND patients, 18 HD/IND combined patients and 20 normal individuals as control. Genomic DNA was extracted...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v12.i7.1136

    authors: Tou JF,Li MJ,Guan T,Li JC,Zhu XK,Feng ZG

    更新日期:2006-02-21 00:00:00

  • Aberrant EphB/ephrin-B expression in experimental gastric lesions and tumor cells.

    abstract:AIM:To determine whether the expression profiles of EphB receptor and ephrin-B ligand can be used as markers for dysplastic/oncogenic transformation in gastric mucosa. METHODS:The protein expression and localization of EphB and ephrin-B in normal, ulcerated regenerating, and dysplastic gastric mucosa were examined in ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v21.i2.453

    authors: Uchiyama S,Saeki N,Ogawa K

    更新日期:2015-01-14 00:00:00

  • Rupture of abdominal aortic aneurysm into sigmoid colon: a case report.

    abstract::Primary aorto-colic fistula is rarely reported in the literature. Although infrequently encountered, it is an important complication since it is usually fatal unless detected. Primary aorto-colic fistula is a spontaneous rupture of abdominal aortic aneurysm into the lumen of the adjacent colon loop. Here we report a c...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v12.i46.7549

    authors: Aksoy M,Yanar H,Taviloglu K,Ertekin C,Ayalp K,Yanar F,Guloglu R,Kurtoglu M

    更新日期:2006-12-14 00:00:00

  • Do clinical factors help to predict disease course in inflammatory bowel disease?

    abstract::While therapeutic strategies able to change the natural history of the disease are developing, it is of major importance to have available predictive factors for aggressive disease to try and target these therapeutic strategies. Clinical predictors have probably been the most broadly studied. In both Crohn's disease (...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v16.i21.2600

    authors: Louis E,Belaiche J,Reenaers C

    更新日期:2010-06-07 00:00:00

  • Combined small bowel and reduced auxiliary liver transplantation: case report.

    abstract:AIM:To present a case of combined small bowel and reduced auxiliary liver transplantation. METHODS:A 55-year-old patient with short bowel syndrome and TPN-related liver dysfunction received small bowel transplantation combined with a reduced auxiliary liver graft. A liver was added to restore the patient's liver funct...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v8.i5.956

    authors: Zhang WJ,Liu DG,Ye QF,Sha B,Zhen FJ,Guo H,Xia SS

    更新日期:2002-10-01 00:00:00

  • Stronger inhibition of gastric acid secretion by lafutidine, a novel H2 receptor antagonist, than by the proton pump inhibitor lansoprazole.

    abstract:AIM:To compare the antisecretory activity and plasma drug concentrations of a single oral dose of 10 mg lafutidine, a novel H2 receptor antagonist, with those of the proton pump inhibitor lansoprazole (LPZ) 30 mg. METHODS:Ten volunteers without H pylori infection participated in this crossover study comparing lafutidi...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,随机对照试验

    doi:10.3748/wjg.14.2406

    authors: Yamagishi H,Koike T,Ohara S,Horii T,Kikuchi R,Kobayashi S,Abe Y,Iijima K,Imatani A,Suzuki K,Hishinuma T,Goto J,Shimosegawa T

    更新日期:2008-04-21 00:00:00

  • Quantitative evaluation of diffusion-weighted magnetic resonance imaging of focal hepatic lesions.

    abstract:AIM:To explore the quantitative analysis of diffusion-weighted magnetic resonance imaging (DWMRI) in differential diagnosis of focal hepatic lesions. METHODS:DWMRI was performed in 149 hepatic lesions, including hepatocellular carcinoma (34 cases), hepatic metastases (37 cases), cavernous hemangioma (42 cases), hepati...

    journal_title:World journal of gastroenterology

    pub_type: 临床试验,杂志文章

    doi:10.3748/wjg.v11.i41.6535

    authors: Sun XJ,Quan XY,Huang FH,Xu YK

    更新日期:2005-11-07 00:00:00

  • Choroidal and cutaneous metastasis from gastric adenocarcinoma.

    abstract::Choroidal or cutaneous metastasis of gastric cancer is rare. Gastrointestinal cancer was found in only 4% in patients with uveal metastasis. Choroidal metastasis from gastric cancer was reported in two cases in earlier literature. The frequency of gastric cancer as a primary lesion was 6% in cutaneous metastasis of me...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v19.i9.1485

    authors: Kawai S,Nishida T,Hayashi Y,Ezaki H,Yamada T,Shinzaki S,Miyazaki M,Nakai K,Yakushijin T,Watabe K,Iijima H,Tsujii M,Nishida K,Takehara T

    更新日期:2013-03-07 00:00:00

  • Mutations in components of the Wnt signaling pathway in gastric cancer.

    abstract:AIM:To explore the contribution of AXIN1, AXIN2 and beta-catenin, components of Wnt signaling pathway, to the carcinogenesis of gastric cancer (GC), we examined AXIN1, AXIN2 exon7 and CTNNB1 (encoding beta-catenin) exon3 mutations in 70 GCs. METHODS:The presence of mutations was identified by polymerase chain reaction...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.14.1570

    authors: Pan KF,Liu WG,Zhang L,You WC,Lu YY

    更新日期:2008-03-14 00:00:00

  • Relationship between serum calcium and CA 19-9 levels in colorectal cancer.

    abstract:AIM:To examine the calcium metabolism of colorectal cancer (CRC) in patients with colorectal cancer and control patients. METHODS:Seventy newly diagnosed CRC patients were included. The healthy control group was age and gender matched (n=32). Particular attention was devoted to the relationship between serum calcium o...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v10.i13.1890

    authors: Fuszek P,Lakatos P,Tabak A,Papp J,Nagy Z,Takacs I,Horvath HC,Lakatos PL,Speer G

    更新日期:2004-07-01 00:00:00

  • Cryptogenic multifocal ulcerous stenosing enteritis: Radiologic features and clinical behavior.

    abstract:AIM:To investigate the characteristic radiologic findings of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) which can be differentiated from other similar bowel disease and to assess their clinical behavior. METHODS:Twenty pathologically and clinically confirmed CMUSE patients (males:females = 8:12; mean ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v23.i25.4615

    authors: Hwang J,Kim JS,Kim AY,Lim JS,Kim SH,Kim MJ,Kim MS,Song KD,Woo JY

    更新日期:2017-07-07 00:00:00

  • Intraductal papillary neoplasm of the bile duct developing in a patient with primary sclerosing cholangitis: a case report.

    abstract::We report a case of intraductal papillary neoplasm of the bile duct (IPNB) that developed in a patient with primary sclerosing cholangitis. A 46-year-old woman was admitted to our hospital with obstructive jaundice. The liver function tests demonstrated increased serum liver enzyme levels. Computed tomography showed d...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v20.i42.15925

    authors: Hachiya H,Kita J,Shiraki T,Iso Y,Shimoda M,Kubota K

    更新日期:2014-11-14 00:00:00

  • Positron emission tomography/computer tomography in guidance of extrahepatic hepatocellular carcinoma metastasis management.

    abstract::Hepatocellular carcinoma (HCC) is one of the most common primary cancers in the world. Surgery is the gold standard for treatment of patients with HCC. Recurrence and metastasis are the major obstacles to further improve the prognosis of HCC. Most recurrences are intrahepatic. However, 30% of the recurrences are extra...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v13.i40.5413

    authors: Sun L,Guan YS,Pan WM,Chen GB,Luo ZM,Wu H

    更新日期:2007-10-28 00:00:00

  • Early prediction of major depression in chronic hepatitis C patients during peg-interferon alpha-2b treatment by assessment of vegetative-depressive symptoms after four weeks.

    abstract:AIM:To study the predictive value of the vegetative-depressive symptoms of the Zung Depression Rating Scale for the occurrence of depression during treatment with peg-interferon alpha-2b of chronic hepatitis C (CHC) patients. METHODS:The predictive value of vegetative-depressive symptoms at 4 wk of treatment for the o...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.3748/wjg.v13.i43.5736

    authors: Robaeys G,De Bie J,Wichers MC,Bruckers L,Nevens F,Michielsen P,Van Ranst M,Buntinx F

    更新日期:2007-11-21 00:00:00

  • Intraductal papillary mucinous carcinoma with atypical manifestations: report of two cases.

    abstract::Intraductal papillary mucinous neoplasms (IPMNs) are a well-characterized group of mucin-producing cystic neoplasms of the clear malignant potential type. We report here two cases of intraductal papillary mucinous carcinoma (IPMC) with atypical manifestations. In one case, we discussed a pseudomyxoma peritonei caused ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v13.i10.1622

    authors: Lee SE,Jang JY,Yang SH,Kim SW

    更新日期:2007-03-14 00:00:00

  • Clostridium difficile-associated diarrhea after living donor liver transplantation.

    abstract:AIM:To assess the incidence and analyze the risk factors for Clostridium difficile-associated diarrhea (CDAD) after living donor liver transplantation (LDLT) in adult. METHODS:The microbiological data and medical records of 242 adult recipients that underwent LDLT at the Tokyo University Hospital were analyzed retrosp...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v13.i14.2072

    authors: Hashimoto M,Sugawara Y,Tamura S,Kaneko J,Matsui Y,Togashi J,Makuuch M

    更新日期:2007-04-14 00:00:00

  • Hemodynamics and vasoactive substance levels during renal congestion that occurs in the anhepatic phase of liver transplantation.

    abstract:AIM:To explore hemodynamics and vasoactive substance levels during renal vein congestion that occurs in the anhepatic phase of liver transplantation. METHODS:New Zealand rabbits received ligation of the hepatic pedicle, supra-hepatic vena cava and infra-hepatic vena cava [anhepatic phase group (APH); n = 8], the renal...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v21.i18.5482

    authors: Li ZX,Wang MC,Zhang YC,Mao J,Chen M,Ni R,Wei FX,Wang GN,Zhang LY

    更新日期:2015-05-14 00:00:00

  • Brucea javanica oil emulsion improves the effect of radiotherapy on esophageal cancer cells by inhibiting cyclin D1-CDK4/6 axis.

    abstract:BACKGROUND:Esophageal cancer is one of the most common cancers around the world, and it has high incidence and mortality rates. The conventional therapy for esophageal cancer is radiotherapy, although its effect is highly limited by the resistance of esophageal cancer cells. Thus, strong radiosensitizers can be very cr...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v25.i20.2463

    authors: Qiu ZH,Zhang WW,Zhang HH,Jiao GH

    更新日期:2019-05-28 00:00:00

  • Preventative effects of a probiotic, Lactobacillus salivarius ssp. salivarius, in the TNBS model of rat colitis.

    abstract:AIM:To investigate the intestinal anti-inflammatory effect and mechanism of a probiotic Lactobacillus salivarius ssp. salivarius CECT5713 in the TNBS model of rat colitis. METHODS:Female Wistar rats (180-200 g) were used in this study. A group of rats were administered orally the probiotic L. salivarius ssp. salivariu...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v11.i33.5185

    authors: Peran L,Camuesco D,Comalada M,Nieto A,Concha A,Diaz-Ropero MP,Olivares M,Xaus J,Zarzuelo A,Galvez J

    更新日期:2005-09-07 00:00:00

  • Innovative technique of needlescopic grasper-assisted single-incision laparoscopic common bile duct exploration: A comparative study.

    abstract:AIM:To investigate the safety and feasibility of needlescopic grasper-assisted single-incision laparoscopic common bile duct exploration (nSIL-CBDE) by comparing the surgical outcomes of this technique with those of conventional laparoscopic CBDE (CL-CBDE). METHODS:We retrospectively analyzed the clinical data of pati...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v21.i45.12857

    authors: Kim SJ,Kim KH,An CH,Kim JS

    更新日期:2015-12-07 00:00:00

  • Establishment of model of visceral pain due to colorectal distension and its behavioral assessment in rats.

    abstract:AIM:To establish a visceral pain model via colorectal distension (CRD) and to evaluate the efficiency of behavioral responses of CRD by measuring the score of abdominal withdrawal reflex (AWR) in rats. METHODS:Thirty-eight male SD rats weighing 180-240 g were used to establish the visceral pain model. The rat was inse...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v12.i17.2781

    authors: Yang JP,Yao M,Jiang XH,Wang LN

    更新日期:2006-05-07 00:00:00