Gastroduodenal involvement in asymptomatic Crohn's disease patients in two areas of emerging disease Asia and Eastern Europe /

BACKGROUND: The incidence of Crohn's disease (CD) is increasing in Asia and Eastern Europe. Limited studies have reported on the frequency of upper gastrointestinal (GI) involvement in patients with CD in non-Western countries. This prospective study compared the rate of macroscopic and microsc...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Farkas Klaudia
Chan Heyson
Rutka Mariann
Szepes Zoltán
Nagy Ferenc
Tiszlavicz László
Nyári Tibor András
Tang Whitney
Wong Grace
Tang Raymond
Lo Angeline
Cheung Christina
Wong Sunny
Lui Rashid
Molnár Tamás
C Ng Siew
Dokumentumtípus: Cikk
Megjelent: 2016
Sorozat:JOURNAL OF CROHNS & COLITIS 10 No. 12
doi:10.1093/ecco-jcc/jjw113

mtmt:3082598
Online Access:http://publicatio.bibl.u-szeged.hu/10498
LEADER 02966nab a2200397 i 4500
001 publ10498
005 20190607090459.0
008 170210s2016 hu o 0|| zxx d
022 |a 1873-9946 
024 7 |a 10.1093/ecco-jcc/jjw113  |2 doi 
024 7 |a 3082598  |2 mtmt 
040 |a SZTE Publicatio Repozitórium  |b hun 
041 |a zxx 
100 1 |a Farkas Klaudia 
245 1 0 |a Gastroduodenal involvement in asymptomatic Crohn's disease patients in two areas of emerging disease  |h [elektronikus dokumentum] :  |b Asia and Eastern Europe /  |c  Farkas Klaudia 
260 |c 2016 
300 |a 1401-1406 
490 0 |a JOURNAL OF CROHNS & COLITIS  |v 10 No. 12 
520 3 |a BACKGROUND: The incidence of Crohn's disease (CD) is increasing in Asia and Eastern Europe. Limited studies have reported on the frequency of upper gastrointestinal (GI) involvement in patients with CD in non-Western countries. This prospective study compared the rate of macroscopic and microscopic upper GI manifestations and Helicobacter pylori (H. pylori) positivity in asymptomatic CD patients in Asia and Eastern Europe. METHODS: Consecutive asymptomatic CD patients were prospectively recruited for upper GI endoscopy between 2013 and 2015 in Hong Kong and in Hungary. Endoscopy and biopsy findings were recorded and histology was performed to assess for H. pylori and microscopic signs characteristic for CD, using standardized diagnostic criteria. RESULTS: One hundred and eighty CD patients (100 Hong Kong; 80 Hungary; 70.6% male; mean age, 38.5 years) and 189 controls (100 Hong Kong; 89 Hungary; 57.7% male; mean age 41 years) were included. Gastroduodenal involvement of CD was significantly higher in Hungary than in Hong Kong (16.5% vs 2.0%, p</=0.001). H. pylori positivity was significantly higher in Hungarian than Chinese CD patients (13.9% vs. 4.0%, p</=0.001). Granulomas were detected in 1% in Hong Kong and 7.6% in Hungary (p</=0.001). Chinese CD subjects had a significantly lower H. pylori positivity compared with controls (6% vs. 15%; p</=0.001). CONCLUSION: Upper GI CD was significantly higher in Eastern Europe compared with Asia. The detection of granuloma in Hungary was similar to the literature data, whereas focal gastritis was lower than expected in both cohorts. 
700 0 1 |a Chan Heyson  |e aut 
700 0 1 |a Rutka Mariann  |e aut 
700 0 1 |a Szepes Zoltán  |e aut 
700 0 1 |a Nagy Ferenc  |e aut 
700 0 1 |a Tiszlavicz László  |e aut 
700 0 1 |a Nyári Tibor András  |e aut 
700 0 1 |a Tang Whitney  |e aut 
700 0 1 |a Wong Grace  |e aut 
700 0 1 |a Tang Raymond  |e aut 
700 0 1 |a Lo Angeline  |e aut 
700 0 1 |a Cheung Christina  |e aut 
700 0 1 |a Wong Sunny  |e aut 
700 0 1 |a Lui Rashid  |e aut 
700 0 1 |a Molnár Tamás  |e aut 
700 0 2 |a C Ng Siew  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/10498/1/JCC_2016_accepted_u.pdf  |z Dokumentum-elérés  
856 4 0 |u http://publicatio.bibl.u-szeged.hu/10498/7/jjw113.pdf  |z Dokumentum-elérés