Therapeutic efficacy of leukocytapheresis in a pregnant woman with severe active ulcerative colitis.

Abstract:

:Leukocytapheresis has recently been used to induce remission in patients with ulcerative colitis (UC) who fail to respond to corticosteroids. We could not find a report in the literature on leukocytapheresis for UC with gestational exacerbation. We have recently encountered this unique condition and report the details here. A 30-year-old Japanese woman with left-sided severe UC was corticosteroid-dependent and had recurrence of the active disease during tapering of corticosteroid. She declined any dose increase and the use of any immunosuppressive agent because she was in the 13th week of pregnancy. Then, concomitant leukocytapheresis was performed without increasing the corticosteroid dose. Recovery was rapid and dramatic. Mucous and bloody stool decreased after the first session, and she had remission 2 weeks later. She underwent a total of four sessions without complications. After 6 weeks, she was discharged from our hospital and underwent maintenance treatment as an outpatient with mesalazine and corticosteroid tapering. Subsequently, she gave birth to a healthy baby girl by an uncomplicated vaginal delivery while keeping the remitted stage of UC.

journal_name

Digestion

journal_title

Digestion

authors

Okada H,Makidono C,Takenaka R,Hiraoka S,Fujiwara A,Kato J,Kawahara Y,Kawamoto H,Mizuno M,Shiratori Y

doi

10.1159/000095478

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

15-8

issue

1

eissn

0012-2823

issn

1421-9867

pii

95478

journal_volume

74

pub_type

杂志文章
  • Hydrokinetic activity of secretion and secretin analogues, modified in the N-terminal sequence, and of vasoactive intestinal peptide in the dog pancreas.

    abstract::In the dog pancreas in vivo, the biological activity of secretin and vasoactive intestinal peptide was compared to that of secretin analogues modified in their N-terminal hexapeptide and to X-secretion (alpha, beta-Asp3-secretin) and Y-secretin (a conversion product of X-secretin consisting of about 15% secretin and 8...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198600

    authors: Lehnert P,Forell MM,Jaeger E,Moroder L,Wünsch E

    更新日期:1981-01-01 00:00:00

  • Interaction of growth hormone-releasing factor and somatostatin on ulcer healing and mucosal growth in rats: role of gastrin and epidermal growth factor.

    abstract::Growth hormone-releasing factor (GRF) was reported to possess the growth-promoting action on the gastroduodenal mucosa that can be augmented by removal of endogenous somatostatin. Since mucosal proliferation was considered to contribute to healing of chronic gastroduodenal ulcerations, we designed the study to determi...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199763

    authors: Konturek SJ,Brzozowski T,Dembinski A,Warzecha Z,Konturek PK,Yanaihara N

    更新日期:1988-01-01 00:00:00

  • Progress in new diagnosis and therapeutic strategy for gastrointestinal malignancy: focus on new molecular-targeted treatments.

    abstract::The core symposiums of the Japanese Gastroenterological Association (JGA) annual scientific meetings focus on similar topics from year to year. The main topics of these symposiums for the last 3 years were centered on progress in new diagnostics and therapeutic strategies for gastrointestinal malignancy, with a specia...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000368762

    authors: Sugiyama T

    更新日期:2015-01-01 00:00:00

  • Fate of pancreatic enzymes in the human intestinal lumen in health and pancreatic insufficiency.

    abstract::The activities of pancreatic enzymes decrease during their passage from the duodenum to the terminal ileum, but degradation rates of individual enzymes are different. Whereas lipase activity is lost most rapidly, proteases and amylase are more stable. The mechanism by which lipase activity is destroyed is proteolysis,...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000201097

    authors: Layer P,Gröger G

    更新日期:1993-01-01 00:00:00

  • Efficacy of prokinetics with a split-dose of polyethylene glycol in bowel preparation for morning colonoscopy: a randomized controlled trial.

    abstract:BACKGROUND/AIMS:Currently, a split-dose of polyethylene glycol (PEG) is the mainstay of bowel preparation due to its tolerability, bowel-cleansing action, and safety. However, bowel preparation with PEG is suboptimal because residual fluid reduces the polyp detection rate and requires a more thorough colon inspection. ...

    journal_title:Digestion

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000339780

    authors: Kim HJ,Kim TO,Shin BC,Woo JG,Seo EH,Joo HR,Heo NY,Park J,Park SH,Yang SY,Moon YS,Shin JY,Lee NY

    更新日期:2012-01-01 00:00:00

  • Two common reasons of malabsorption syndromes: celiac disease and Whipple's disease.

    abstract::Malabsorption syndromes are commonly caused by pathological interferences of normal digestive processes. In the last several years major advances in the diagnosis and treatment of these syndromes has emerged. This review will focus on diseases in which the mucosal phase of the digestive process is predominately distur...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000100501

    authors: Sun DF,Fang JY

    更新日期:2006-01-01 00:00:00

  • Physiological study of pH stability and sensitivity to pepsin of human gastric lipase.

    abstract:BACKGROUND/AIMS:The aim of this study was to exactly determine the pH stability of human gastric lipase (HGL) and to investigate the mechanism underlying the inactivation of HGL which occurs in gastric juice. METHODS:Samples of human gastric juice and purified HGL were incubated at various pH values ranging from 0.5 t...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000057708

    authors: Ville E,Carrière F,Renou C,Laugier R

    更新日期:2002-01-01 00:00:00

  • Factors relevant to the prognosis of chronic duodenal ulcer.

    abstract::The aim of the study was to define the effects of sex, age, smoking, alcohol, analgesic ingestion, and treatment method whereby healing was initially induced on the prognosis of patients with a chronic duodenal ulcer (DU). 122 patients were assessed 1 year after the endoscopic demonstration of a DU. Two outcome variab...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199171

    authors: Piper DW,McIntosh JH,Hudson HM

    更新日期:1985-01-01 00:00:00

  • Leaky gut in patients with diarrhea-predominant irritable bowel syndrome and inactive ulcerative colitis.

    abstract:BACKGROUND/AIMS:Defective epithelial barrier has been implicated in the pathogenesis of irritable bowel syndrome (IBS) and inflammatory bowel diseases. The aim of this study was to investigate gut permeability in patients with inactive ulcerative colitis (UC) and in patients with IBS. METHODS:IBS patients of the diarr...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000333083

    authors: Gecse K,Róka R,Séra T,Rosztóczy A,Annaházi A,Izbéki F,Nagy F,Molnár T,Szepes Z,Pávics L,Bueno L,Wittmann T

    更新日期:2012-01-01 00:00:00

  • Somatostatin is an essential paracrine link in acid inhibition of gastrin secretion.

    abstract::We studied the functional coupling between antral somatostatin and gastrin cells in pigs using isolated perfused preparations of the antrum with intact supply of the vagus nerves. Luminal acidification significantly inhibited gastrin secretion to 61 +/- 3% of basal secretion and increased somatostatin output 9-fold. I...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000200882

    authors: Holst JJ,Orskov C,Seier-Poulsen S

    更新日期:1992-01-01 00:00:00

  • Short bowel syndrome.

    abstract::Nine patients with short bowel syndrome and high intestinal output received octreotide either intravenously (50-100 micrograms t.i.d.) or subcutaneously (100 micrograms b.i.d.) on 2 test days. In the 6 patients with net secretory output, there was a reduction in mean daily intestinal output of 0.5-5.0 kg; total daily ...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000200267

    authors: Nightingale JM,Walker ER,Burnham WR,Farthing MJ,Lennard-Jones JE

    更新日期:1990-01-01 00:00:00

  • Asthma and gastroesophageal reflux: clinical evaluation of esophago-bronchial reflex and proximal reflux.

    abstract:AIMS:To evaluate the prevalence of proximal reflux and esophago-bronchial reflex (EBR) in patients with asthma, and to compare the symptom spectrum, esophageal acid sensitivity, pH monitoring, and the endoscopic and manometric parameters of EBR-positive and -negative patients with asthma. PATIENTS AND METHODS:Forty-th...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000146083

    authors: Rosztóczy A,Makk L,Izbéki F,Róka R,Somfay A,Wittmann T

    更新日期:2008-01-01 00:00:00

  • Polyamine uptake across the basolateral membrane of the enterocyte is mediated by a high-affinity carrier: a study using isolated basolateral membrane vesicles.

    abstract:BACKGROUND/AIMS:Polyamine uptake from the circulation plays an important role in the maintenance of the intracellular polyamine content during extensive proliferation in intestinal mucosal cells. METHODS:Isolated basolateral membrane vesicles of the rabbit enterocyte were used to characterize polyamine transport acros...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000007468

    authors: Milovic V,Caspary WF,Stein J

    更新日期:1998-01-01 00:00:00

  • Critical flicker frequency as a marker of hepatic encephalopathy in patients before and after transjugular intrahepatic portosystemic shunt.

    abstract:BACKGROUND:Overt hepatic encephalopathy (HE) following insertion of a transjugular intrahepatic portosystemic shunt (TIPS) is a problem in some patients. In contrast to overt HE, minimal HE (MHE) following TIPS is studied to a limited degree only. We therefore evaluated the incidence of MHE in patients following TIPS i...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000288522

    authors: Biecker E,Hausdörfer I,Grünhage F,Strunk H,Sauerbruch T

    更新日期:2011-01-01 00:00:00

  • Conscious Sedation Using Midazolam and Sequential Flumazenil in Cirrhotic Patients for Prophylactic Endoscopic Variceal Ligation.

    abstract:BACKGROUND/AIMS:This study investigated the safety of endoscopic variceal ligation (EVL) under conscious sedation with midazolam and sequential flumazenil after procedure in these patients. METHODS:A total of 279 patients who underwent secondary prophylactic EVL at our institution between April 2012 and June 2014, wer...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000440715

    authors: Kim SI,Jin YJ,Lee SH,Lee JW,Lee DH,Lee D

    更新日期:2015-01-01 00:00:00

  • Biliary copper excretion in man and the rat.

    abstract::The form in which copper is bound in bile was studied in bile from patients with Wilson's disease, control subjects and rats. Bile was labelled with 64Cu. Sephadex column chromatography using gels G-200--G-10 showed a major 64Cu and protein peak of about 5,000 daltons and a minor peak of about 8,000 daltons. A high-mo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198027

    authors: Frommer DJ

    更新日期:1977-01-01 00:00:00

  • Effect of fasting on diarrhoea in collagenous colitis.

    abstract:BACKGROUND/AIM:Diarrhoea in collagenous colitis has been considered as secretory though the pathophysiology has been studied thoroughly in only a few patients. The result of fasting is one way to distinguish between secretory and osmotic diarrhoea. Our aim was to investigate the effect of fasting on diarrhoea in collag...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000051928

    authors: Bohr J,Järnerot G,Tysk C,Jones I,Eriksson S

    更新日期:2002-01-01 00:00:00

  • Effects of proton pump inhibitors on pediatric inflammatory esophagogastric polyps.

    abstract:BACKGROUND:The aim of this study was to investigate the effects of proton pump inhibitors on symptomatic inflammatory esophagogastric polyps (IEPs) in a pediatric cohort and to determine the optimal duration of treatment. METHODS:The 11 patients with IEPs were managed with lansoprazole. Follow-up endoscopies were perf...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000327909

    authors: Choi KE,Kim MJ,Lee JH,Lee JS,Lee JH,Choe YH

    更新日期:2012-01-01 00:00:00

  • Serum Exosomal Dicer Is a Useful Biomarker for Early Detection of Differentiated Gastric Adenocarcinoma.

    abstract:BACKGROUND AND AIM:A recent basic study identified that Dicer is contained in exosomes derived from cancer cells and plays crucial roles in microRNA maturation and cancer development. Based on this novel basic concept, we analyzed the usefulness of serum exosomal Dicer as a diagnostic biomarker for gastrointestinal can...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000510993

    authors: Okuda Y,Shimura T,Iwasaki H,Katano T,Kitagawa M,Nishigaki R,Fukusada S,Natsume M,Tanaka M,Nishie H,Ozeki K,Yamada T,Kataoka H

    更新日期:2020-10-13 00:00:00

  • Endoscopic mucosal resection for middle and large colorectal polyps with a double-loop snare.

    abstract:BACKGROUND/AIMS:This study aimed to analyze the endoscopic mucosal resection (EMR) with a novel uniquely shaped, double-loop snare (Dualoop, Medico's Hirata Inc., Tokyo, Japan) for colorectal polyps. METHODS:This was a clinical trial conducted in two referral centers, Kyoto Prefectural University of Medicine and Natio...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000368044

    authors: Yoshida N,Saito Y,Hirose R,Ogiso K,Inada Y,Yagi N,Naito Y,Otake Y,Nakajima T,Matsuda T,Yanagisawa A,Itoh Y

    更新日期:2014-01-01 00:00:00

  • Pancreatic secretory response to sham feeding in humans.

    abstract::We studied the pancreatic secretory response to sham feeding alone or during secretin infusion with and without administration of atropine in 10 human subjects. The magnitude of the response to sham feeding was compared to the response to cholecystokinin octapeptide. Sham feeding alone did not significantly increase p...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198753

    authors: Defilippi C,Solomon TE,Valenzuela JE

    更新日期:1982-01-01 00:00:00

  • Surgical management of carcinoid tumors: role of debulking and surgery for patients with advanced disease.

    abstract::Surgery is the only potentially curative treatment for patients with carcinoid tumors. Patients with localized disease even with lymph node metastases can be resected for potential cure. Patients with distant metastatic disease have been reported to be cured by resection of all tumor. However, long-term follow-up of t...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000201209

    authors: Norton JA

    更新日期:1994-01-01 00:00:00

  • Fasting and postprandial serum bile acid concentrations in normal persons using an improved GLC method.

    abstract::An improved GLC method was employed to study individual serum bile acids in 14 control subjects after a 12-hour fast followed by a standard fatty meal. Peripheral venous blood samples were obtained at 15-min intervals for up to 2 h in 7 subjects, and 4 h in 2 subjects. The fasting total bile acids, and cholic:chenodeo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198094

    authors: Pennington CR,Ross PE,Bouchier IA

    更新日期:1978-01-01 00:00:00

  • Comparison of lactulose and glucose breath test for diagnosis of small intestinal bacterial overgrowth in patients with irritable bowel syndrome.

    abstract:BACKGROUND AND AIMS:Validity of the lactulose breath test (LBT) to diagnose small intestinal bacterial overgrowth (SIBO) has been questioned. Therefore, a study was planned to compare LBT with glucose breath test (GBT) to diagnose SIBO in irritable bowel syndrome (IBS) patients and controls. METHODS:175 diarrhea-predo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000336174

    authors: Rana SV,Sharma S,Kaur J,Sinha SK,Singh K

    更新日期:2012-01-01 00:00:00

  • Long-term outcome after double-balloon endoscopy in patients with obscure gastrointestinal bleeding.

    abstract:BACKGROUND AND AIMS:There are limited data concerning the clinical outcome of patients with obscure gastrointestinal bleeding (OGIB) after double-balloon endoscopy (DBE). The aim of the present study was to evaluate the long-term outcome of patients with OGIB after DBE. PATIENTS AND METHODS:Eighty-seven consecutive pa...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000313360

    authors: Fujita M,Manabe N,Honda K,Tarumi K,Murao T,Katada S,Kimura Y,Matsumoto H,Kamada T,Shiotani A,Hata J,Haruma K

    更新日期:2010-01-01 00:00:00

  • Effect of graded doses of secretin on parathormone serum levels in man.

    abstract::5 healthy volunteers were submitted to i.v. infusion for 45 min of graded doses of commercial GIH secretin (0.01, 0.025, 0.05, 0.5, 1 and 2 CU/kg h-1). Parathormone serum levels were measured before and during the infusion. All the dosages of exogenous secretin were followed by a significant increase in serum PTH leve...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198678

    authors: Piubello W,Cominacini L,Vantini I,Brocco G,Benini L,Cavallini G,Lo Cascio V,Scuro LA

    更新日期:1981-01-01 00:00:00

  • Metal absorption and the intestinal mucus layer.

    abstract::The luminal mucus layer of the rat's small intestine was separated from the mucosa by filling the lumen with agar jelly. When the rats were fasted overnight and given 59Fe or 65Zn by stomach tube the mucus isolated by this technique contained more isotope and more sialic acid than fed controls, and more of the isotope...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199480

    authors: Quarterman J

    更新日期:1987-01-01 00:00:00

  • Level of intended sedation.

    abstract::Sedation and analgesia is the standard of care during diagnostic and therapeutic endoscopic gastrointestinal procedures in most areas of the world. Unsedated endoscopy is feasible in selected patients, but requires commitment on the part of both the patient and the provider. The American Society of Anesthesiologists h...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000285504

    authors: Paspatis GA,Tribonias G,Paraskeva K

    更新日期:2010-01-01 00:00:00

  • Effect of the central nervous system on mucosal growth and apoptosis in the small intestine.

    abstract::Recently our studies have demonstrated that the central nervous system regulates in part mucosal cell growth and apoptosis in the rat small intestine. Ornithine decarboxylase (ODC) activity is a key enzyme for polyamine synthesis which plays an important role for the intestinal mucosal growth. We have demonstrated tha...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000051921

    authors: Fujimoto K,Iwakiri R,Utsumi H,Kojima M,Ishibashi S,Wu B,Sakata H,Noda T

    更新日期:2001-01-01 00:00:00

  • Higher Frequency of Reflux Symptoms and Acid-Related Dyspepsia in Women than Men Regardless of Endoscopic Esophagitis: Analysis of 3,505 Japanese Subjects Undergoing Medical Health Checkups.

    abstract:BACKGROUND/AIMS:This study aimed at (i) clarifying the factors associated with high scores on the modified frequency scale for the symptoms of gastroesophageal reflux disease (FSSG) among 3,505 relatively healthy subjects undergoing routine medical health checkups with gastrointestinal endoscopy and (ii) comparing risk...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000445713

    authors: Takeshita E,Sakata Y,Hara M,Akutagawa K,Sakata N,Endo H,Ohyama T,Matsunaga K,Yoshioka T,Kawakubo H,Tanaka Y,Shirai S,Ito Y,Tsuruoka N,Iwakiri R,Kusano M,Fujimoto K

    更新日期:2016-01-01 00:00:00