Postoperative joint symptoms: a risk factor for pouchitis in ulcerative colitis patients.

Abstract:

BACKGROUND:The prevalence and significance of joint symptoms appearing in patients with ulcerative colitis (UC) following a colectomy are unclear. AIM:We investigated the relationship between joint symptoms during steroid tapering following an ileal pouch-anal anastomosis (IPAA) and the cumulative risk for developing pouchitis. PATIENTS AND METHODS:The medical records of 571 patients who underwent an IPAA with a mucosectomy were retrospectively reviewed to evaluate their joint symptoms. A diagnosis of pouchitis was obtained using the Pouchitis Disease Activity Index (PDAI) and the cumulative risk of pouchitis was estimated using a Kaplan-Meier life table analysis. RESULTS:Joint symptoms during steroid tapering were reported by 126 (22.0%) of the UC patients and each of those had involvement of the small joints of the hand. The main symptoms were pain and stiffness, especially in the morning. The cumulative risk for developing pouchitis after 10 years was found to be 20% in patients who experienced joint symptoms during steroid tapering and 10% in those without those symptoms (p = 0.001). CONCLUSION:The presence of joint symptoms during steroid tapering is a significant risk factor for the development of pouchitis in patients who have undergone an IPAA for UC.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Nakamura M,Ikeuchi H,Nakano H,Uchino M,Noda M,Yanagi H,Yamamura T

doi

10.1159/000093495

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

60-4

issue

1-2

eissn

0253-4886

issn

1421-9883

pii

93495

journal_volume

23

pub_type

杂志文章
  • Prospective comparison of endoscopic ultrasound and endoscopic retrograde cholangiopancreatography in the preoperative assessment of masses in the pancreatic head.

    abstract:AIMS:To compare the diagnostic value of endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) in the differentiation of malignant from benign masses in the pancreatic head. METHODS:Within 14 months 95 prospective patients with masses in the pancreatic head were assigned for preoperative...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000051942

    authors: Glasbrenner B,Schwarz M,Pauls S,Preclik G,Beger HG,Adler G

    更新日期:2000-01-01 00:00:00

  • Ablation Strategies for Locally Advanced Pancreatic Cancer.

    abstract::With the advent of novel and somewhat effective chemotherapy against pancreas cancer, several groups developed a new interest on locally advanced pancreatic cancer (LAPC). Unresectable tumors constitute up to 80% of pancreatic cancer (PC) at the time of diagnosis and are associated with a 5-year overall survival of le...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000445021

    authors: Linecker M,Pfammatter T,Kambakamba P,DeOliveira ML

    更新日期:2016-01-01 00:00:00

  • Does primary anastomosis with diversion have any advantages over Hartmann's procedure in acute diverticulitis?.

    abstract:BACKGROUND:The optimal treatment for acute complicated diverticulitis is still a matter of debate. We evaluated outcomes of primary anastomosis with proximal diversion (PAD) versus Hartman's procedure (HP) in acute diverticulitis. METHODS:Using the National Inpatient Sample database, we examined the clinical data of p...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000342549

    authors: Masoomi H,Stamos MJ,Carmichael JC,Nguyen B,Buchberg B,Mills S

    更新日期:2012-01-01 00:00:00

  • Chyle leakage and early enteral feeding following pancreatico-duodenectomy: management options.

    abstract:BACKGROUND:Chyle leaks are a rare complication following abdominal surgery. The aim of this study is to describe the management of chyle leaks following surgery for pancreatico-duodenal malignancy. METHODS:Data were collated from a consecutive series of 105 patients who had undergone a pancreatico-duodenectomy for mal...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000108324

    authors: Malik HZ,Crozier J,Murray L,Carter R

    更新日期:2007-01-01 00:00:00

  • Systemic Inflammation Score as a Predictor of Pneumonia after Radical Resection of Gastric Cancer: Analysis of a Multi-Institutional Dataset.

    abstract:BACKGROUND:Curative treatment for gastric cancer (GC) comprising gastrectomy with systematic lymph node dissection can result in postoperative complications. Postoperative pneumonia is sometimes fatal, like surgery-related complications such as anastomotic leakage. In this retrospective study, we analyzed a multi-insti...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000506940

    authors: Shoka M,Kanda M,Ito S,Mochizuki Y,Teramoto H,Ishigure K,Murai T,Asada T,Ishiyama A,Matsushita H,Tanaka C,Kobayashi D,Fujiwara M,Murotani K,Kodera Y

    更新日期:2020-01-01 00:00:00

  • Rectal cancer: the role of radiotherapy.

    abstract::Surgery is the definitive tool in the management of patients with rectal carcinoma. Early failure of treatment remains problematic and is manifest in local recurrence. Development of surgical techniques and inclusion of other treatment modalities aim to reduce the incidence of local recurrence and improve survival. Th...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000085355

    authors: Lidder PG,Hosie KB

    更新日期:2005-01-01 00:00:00

  • Emergency Laparoscopic Sigmoidectomy for Perforated Diverticulitis with Generalised Peritonitis: A Systematic Review.

    abstract:BACKGROUND:Laparoscopic sigmoidectomy for diverticulitis has initially been confined to the elective setting. However, open acute sigmoidectomy for perforated diverticulitis is associated with high morbidity rates that might be reduced after laparoscopic surgery. The aim of this systematic review was to assess the feas...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000441150

    authors: Vennix S,Boersema GS,Buskens CJ,Menon AG,Tanis PJ,Lange JF,Bemelman WA

    更新日期:2016-01-01 00:00:00

  • Percutaneous radiofrequency ablation of colorectal hepatic metastases - initial experience. An adjunct technique to systemic chemotherapy for those with inoperable colorectal hepatic metastases.

    abstract:BACKGROUND AND AIM:Most patients with hepatic metastases from colorectal carcinoma are unsuitable for resection. Radiofrequency ablation (RFA) has been applied to such lesions at laparotomy. This study aimed to evaluate the less invasive approach of percutaneous RFA. METHOD:Patients with unresectable liver metastases ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000080886

    authors: White TJ,Roy-Choudhury SH,Breen DJ,Cast J,Maraveyas A,Smyth EF,Hartley JE,Monson JR

    更新日期:2004-01-01 00:00:00

  • Safety of Proctocolectomy for Ulcerative Colitis Under Elective and Non-Elective Circumstances: Preoperative Corticosteroid Treatment Worsens Outcome.

    abstract:BACKGROUND/AIMS:Approximately 20% of patients undergoing surgery for ulcerative colitis will retain their rectum. A single-stage proctocolectomy could be an appropriate procedure in patients who are definitely not candidates for a later restorative procedure, but it is generally not advised in acutely ill patients. The...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000381033

    authors: Balachandran R,Tøttrup A

    更新日期:2015-01-01 00:00:00

  • Function and dysfunction of the sphincter of Oddi.

    abstract::In this review, the function of the sphincter of Oddi (SO) is detailed in terms of normal motility, neural and hormonal control of SO function, coordination between gallbladder and SO motility, and correlation of motility of the SO and the duodenum. In addition, SO function tests, such as the morphine Prostigmin test ...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000286464

    authors: Tanaka M

    更新日期:2010-01-01 00:00:00

  • The validity of predicting prognosis by the lymph node ratio in node-positive colon cancer.

    abstract:BACKGROUND/AIMS:Because the TNM system disregards the number of lymph nodes dissected and inter-individual differences exist in the number of regional lymph nodes, the lymph node ratio (LNR), which is estimated by dividing the number of metastatic lymph nodes by the number of dissected lymph nodes, has been proposed as...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000355444

    authors: Sugimoto K,Sakamoto K,Tomiki Y,Goto M,Kojima Y,Komiyama H

    更新日期:2013-01-01 00:00:00

  • Preoperative biliary drainage before resection in obstructive jaundice.

    abstract:BACKGROUND:Surgery for patients with malignant obstructive jaundice carries high morbidity and mortality rates. Preoperative biliary drainage (PBD) has been used in an attempt to improve the outcome in these patients. AIM:To review the evidence in the literature on whether PBD improves postoperative morbidity and mort...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000050105

    authors: Aly EA,Johnson CD

    更新日期:2001-01-01 00:00:00

  • Glucagonoma syndrome: survival 24 years following diagnosis.

    abstract::The symptoms of necrolytic migratory erythema, diabetes, stomatitis, weight loss and diarrhoea represent the glucagonoma syndrome which has been recognized since the early 1970s. Because of its rarity (1 case/20-200 million population) late diagnosis is frequent which leads to a poor prognosis. The case described, ori...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018696

    authors: Nightingale KJ,Davies MG,Kingsnorth AN

    更新日期:1999-01-01 00:00:00

  • Short-term outcomes of laparoscopic intersphincteric resection for lower rectal cancer and comparison with open approach.

    abstract:BACKGROUND/AIMS:To evaluate the short-term surgical outcomes of laparoscopic intersphincteric resection (ISR) for lower rectal cancer, and to compare them with a case-control series of open ISR. METHODS:Between July 2002 and March 2011, 29 patients with lower rectal cancer underwent laparoscopic ISR, and 22 of 29 pati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000332007

    authors: Yamamoto S,Fujita S,Akasu T,Inada R,Takawa M,Moriya Y

    更新日期:2011-01-01 00:00:00

  • Effects of perioperative treatment with TNP-470 on the resistance of colonic anastomoses in rats.

    abstract:AIMS:The present study was designed to evaluate the effects of perioperative treatment with TNP-470 on the resistance of colonic anastomoses. TNP-470 is a drug that was developed as an inhibitor of angiogenesis. METHODS:A colonic anastomosis was constructed in Sprague-Dawley rats. From 4 days before surgery to 4 days ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018820

    authors: García-Olmo DC,Payá J,García-Olmo D

    更新日期:2000-01-01 00:00:00

  • Carcinoma of pelvic pouch following restorative proctocolectomy: report of a case and review of the literature.

    abstract::One of the possible long-term complications following an ileoanal pouch procedure is the development of malignancy in the mucosa of the rectal stump. Only 10 such cases have been reported so far. We report the case of a 23-year-old male who had ulcerative colitis with high-grade dysplasia and underwent an ileoanal pou...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000068855

    authors: Negi SS,Chaudhary A,Gondal R

    更新日期:2003-01-01 00:00:00

  • Endoscope-assisted thoracoscopic technique for esophageal bronchogenic cyst which presented elevated CA125.

    abstract::A 26-year-old male was admitted to our hospital with a complaint of mild dysphagia. Preoperative examinations revealed a cystic lesion at the lower esophagus, thought to be a bronchogenic cyst. The patient underwent successful thoracoscopic tumor extirpation, assisted by endoscopy, without undergoing major thoracotomy...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000094751

    authors: Akutsu Y,Matsubara H,Hayashi H,Okazumi S,Aoki T,Kozu T,Ochiai T

    更新日期:2006-01-01 00:00:00

  • Truncal vagotomy, antrectomy and Roux-en-Y gastrojejunostomy in the treatment of duodenogastric reflux disease.

    abstract:BACKGROUND/AIMS:The surgical treatment of duodenogastric reflux (DGR), resistant to medical therapy, in patients with intact stomach is difficult to standardize. The aim of this study is to present our experience on 5 patients, all cholecystectomized, with severe DGR disease treated surgically. METHODS:Out of a group ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018583

    authors: Civello IM,Brisinda G,Palermo A,Agresti M,Minelli S,Sganga G,Maria G

    更新日期:1998-01-01 00:00:00

  • Vanishing Pancreatic Cysts during Follow-Up: Another Step Towards De-Emphasizing Cyst Size as a Major Clinical Predictor of Malignancy.

    abstract:INTRODUCTION:In the management of pancreatic cystic neoplasms (PCN), size plays a crucial role as the expression of disease progression. While many evidences regarding the natural history of growing pancreatic cysts exist, almost no data are available regarding cysts with a reduction in size. METHODS:Radiological and ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000485199

    authors: Marchegiani G,Andrianello S,Perri G,Bonamini D,De Robertis R,Malleo G,Bassi C,Salvia R

    更新日期:2018-01-01 00:00:00

  • Optimal Timing of Removal of Epidural and Urethral Catheters to Avoid Postoperative Urinary Retention Undergoing Abdominal Surgery.

    abstract:BACKGROUND/AIMS:Postoperative urinary retention (POUR) is one of the most frequent complications of epidural anesthesia. This study aims to clarify risk factors of POUR and to estimate the appropriate timing of urethral catheter removal. METHODS:Between September and December 2014, a retrospective cohort study was con...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000490199

    authors: Hayami S,Ueno M,Kawai M,Kuriyama T,Kawamata T,Yamaue H

    更新日期:2019-01-01 00:00:00

  • Long-term results of percutaneous radiofrequency ablation of unresectable colorectal hepatic metastases: final outcomes.

    abstract:INTRODUCTION:Percutaneous radiofrequency ablation (PcRFA) provides alternative means of treating patients with unresectable colorectal liver metastases. We previously reported our initial experience in 30 patients treated with PcRFA. We present the final long-term results in these 30 patients. METHODS:The final outcom...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000107717

    authors: Suppiah A,White TJ,Roy-Choudhury SH,Breen DJ,Cast J,Maraveyas A,Hartley JE,Monson JR

    更新日期:2007-01-01 00:00:00

  • Surgical treatment of achalasia: current status and controversies.

    abstract:OBJECTIVE:To review the current management of achalasia, and the controversies regarding the different treatment options. METHODS:A review of the literature was performed. The key words used were esophageal achalasia, Heller myotomy, endoscopic balloon dilatation, laparoscopic Heller myotomy, and fundoplication. RESU...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000079341

    authors: Abir F,Modlin I,Kidd M,Bell R

    更新日期:2004-01-01 00:00:00

  • Isolated duodeno-pancreatic involvement due to metastatic dysgerminoma ovary and its management by a modified pancreatico-duodenal resection.

    abstract::Dysgerminomas of the ovary rarely metastasize to abdominal viscera and when they do, the involvement is a part of a disseminated disease. A 30-year-old woman developed isolated duodenopancreatic dysgerminoma 14 years after salpingo-oophorectomy. The clinical picture was complicated by the presence of tuberculous lesio...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050198

    authors: Ramesh H,Philip M,Jacob G,Lekha V,Venugopal A,Mahadevan P

    更新日期:2001-01-01 00:00:00

  • Buttressing of the staple line in gastrointestinal anastomoses: overview of new technology designed to reduce perioperative complications.

    abstract:BACKGROUND:Mechanical stapling devices are widely used in all fields of surgery as they can cut and sew tissue in a quick and easy manner. However, complications like bleeding or leakage at the staple line are frequently encountered and can have devastating consequences. Recent developments have led to the introduction...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000096648

    authors: Yo LS,Consten EC,Quarles van Ufford HM,Gooszen HG,Gagner M

    更新日期:2006-01-01 00:00:00

  • Feasibility of Endoscopic Submucosal Dissection for Early Esophageal Squamous Cell Carcinoma with Relative Indications.

    abstract:BACKGROUNDS:Endoscopic submucosal dissection (ESD) has been widely performed in the treatment of early esophageal squamous cell carcinoma (ESCC). Few studies have compared the long-term outcomes of esophageal ESD based on absolute indications and relative indications. The aim of the current study was to investigate the...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000507437

    authors: Liu Y,Qian D,Tang B,Fan C,Yu J,Lin H,Bai J,Zhao X

    更新日期:2021-01-01 00:00:00

  • Fatal intestinal perforation secondary to fragmentation of a Celestin tube.

    abstract:BACKGROUND/AIMS:Oesophageal intubation remains one of the principal methods of palliation for an obstructing oesophageal carcinoma. We present a case which illustrates a rare but fatal complication of this procedure. METHODS:A 60-year-old female with oesophageal cancer presented with total dysphagia 9 months following...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018886

    authors: Evans JD,Halloran CM,Mansour P,Zeiderman MR

    更新日期:2000-01-01 00:00:00

  • Is It Time to Expand the Role of Total Pancreatectomy for IPMN?

    abstract::Intraductal papillary mucinous neoplasms (IPMN) are cystic precursors to pancreatic cancer believed to arise within a widespread neoplastic field defect. The tendency for some patients to present with multifocal disease and/or develop additional lesions over time argues in favor of a field defect and complicates surgi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000445019

    authors: Griffin JF,Poruk KE,Wolfgang CL

    更新日期:2016-01-01 00:00:00

  • Nutritional Recovery after Open and Laparoscopic Distal Gastrectomy for Early Gastric Cancer: A Prospective Multicenter Comparative Trial (CCOG1204).

    abstract:BACKGROUND:Little information from prospective clinical trials is available on the influences of surgical approaches on postoperative body compositions and nutritional status. We designed a prospective non-randomized trial to compare postoperative chronological changes in body composition and nutritional status between...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000458714

    authors: Matsushita H,Tanaka C,Murotani K,Misawa K,Ito S,Ito Y,Kanda M,Mochizuki Y,Ishigure K,Yaguchi T,Teramoto J,Nakayama H,Kawase Y,Fujiwara M,Kodera Y

    更新日期:2018-01-01 00:00:00

  • Hyperintense basal ganglia on T1-weighted magnetic resonance images following postoperative parenteral nutrition in a pancreatoduodenectomized patient.

    abstract::The authors reported the magnetic resonance imaging (MRI) detection of manganese (Mn) deposition in the basal ganglia of a pancreatoduodenectomized patient following 30-day parenteral nutrition. A multi-trace element supplement solution including 20 micromol Mn/day was parenterally administered for 30 days postoperati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018830

    authors: Iwase K,Kondoh H,Higaki J,Tanaka Y,Yoshikawa M,Hori S,Osuga K,Kamiike W

    更新日期:2000-01-01 00:00:00

  • Management and Outcome of 64 Patients with Pancreatic Serous Cystic Neoplasms.

    abstract:BACKGROUND:The optimal management approach to pancreatic serous cystic neoplasms (SCNs) is still evolving. METHODS:Consecutive patients with SCN managed at the Liverpool Pancreas Cancer Centre between 2000 and 2013 were retrospectively reviewed. RESULTS:There were 64 patients consisting of 39 women (60.9%) and 25 men...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000442094

    authors: Gomatos IP,Halloran C,Ghaneh P,Raraty M,Polydoros F,Campbell F,Evans J,Sutton R,Garry J,Whelan P,Neoptolemos JP

    更新日期:2016-01-01 00:00:00