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Increased Risk of Herpes Zoster Infection in Patients With Inflammatory Bowel Diseases in Korea
Chang, Kiju,Lee, Ho-Su,Kim, Ye-Jee,Kim, Seon-Ok,Kim, Sung-Han,Lee, Sun-Ho,Song, Eun Mi,Hwang, Sung Wook,Park, Sang Hyoung,Yang, Dong-Hoon,Ye, Byong Duk,Byeon, Jeong-Sik,Myung, Seung-Jae,Yang, Suk-Kyun Elsevier 2018 Clinical gastroenterology and hepatology Vol.16 No.12
<P><B>Background & Aims</B></P> <P>Few data are available on risk of herpes zoster (HZ) infection in Asian patients with inflammatory bowel diseases (IBD). We investigated whether patients with IBD in Korea have an increased risk of HZ and sought to identify risk factors for infection.</P> <P><B>Methods</B></P> <P>We performed a nationwide population-based study and a hospital-based, nested case–control study. Using the 2009–2013 data from the Korean national health insurance claims database, we calculated incidence rates and standardized incidence ratios (SIRs) of HZ infection in patients with IBD compared with the entire Korean population. In the nested case–control study, within a hospital-based cohort, 300 patients with IBD and HZ infection were matched with 895 patients with IBD without HZ.</P> <P><B>Results</B></P> <P>In the nationwide population-based study, the incidence rate and SIR of HZ infection in patients with IBD were 18.34/1000 person-years and 1.48 (95% CI, 1.42–1.54), respectively. The SIR for HZ infection was higher in patients with Crohn’s disease than in patients with ulcerative colitis (1.90 vs 1.36; <I>P</I> < .001) and higher in male patients than female patients (1.63 vs 1.33; <I>P</I> < .001). The incidence rate of HZ increased with age (<I>P</I> trend < .001), whereas the SIR of HZ infection decreased with age (<I>P</I> trend < .001). In the nested case–control study, corticosteroid use was associated with HZ infection (for ulcerative colitis, adjusted odds ratio, 2.44; 95% CI, 1.18–5.05 and for Crohn’s disease, adjusted odds ratio, 2.70; 95% CI 1.25–5.83).</P> <P><B>Conclusions</B></P> <P>In a population-based study in Korea, we found patients with IBD to have an increased risk for HZ infection—especially among patients who are male, younger, or have Crohn’s disease. Corticosteroid use increases risk of HZ infection in patients with IBD.</P>
( Sun-ho Lee ),( Kiju Chang ),( Ki Seok Seo ),( Yun Kyung Cho ),( Eun Mi Song ),( Sung Wook Hwang ),( Dong-hoon Yang ),( Byong Duk Ye ),( Jeong-sik Byeon ),( Seung-jae Myung ),( Suk-kyun Yang ),( Sang 대한장연구학회 2020 Intestinal Research Vol.18 No.2
Background/Aims: The use of complementary and alternative medicine (CAM) is a global phenomenon, including inflammatory bowel disease (IBD) patients. We aimed to assess the change in prevalence and patterns of CAM use, and attitudes towards CAM over an 8-year time interval (2006 vs. 2014) among IBD patients in Korea. Methods: A total of 221 IBD patients (CD=142, UC=79) were asked to complete a questionnaire regarding CAM at two time points: at enrollment (2006) and 8 years later (2014/2015). Results: The proportion of patients ever using CAM increased significantly from 60.2% in 2006 to 79.6% in 2014 (P<0.001), while the proportion of current CAM users increased slightly (35.7% to 38.0%, P=0.635); 21.7% used CAM consistently at both time points. The proportion of patients who felt CAM was less effective (P<0.001) and more expensive (P=0.04) than conventional treatments increased over time. Also, the proportion among ever CAM users who perceived a positive effect from CAM significantly decreased in 2014 compared to 2006 (P=0.004). Higher education (adjusted odds ratio [aOR], 2.10), prior side effects to conventional therapies (aOR, 2.23), and prior use of corticosteroids (aOR, 2.51) were associated with CAM use. Interestingly, use of CAM before IBD diagnosis (aOR, 2.73) was significantly associated with consistent CAM use. Conclusions: Although the attitudes toward CAM have become less favorable, the majority of IBD patients have experienced CAM with an overall increase of current CAM users over time. Moreover, more than half of current CAM users used CAM consistently over time. (Intest Res 2020;18:192-199)
Colonic Pseudo-obstruction With Transition Zone: A Peculiar Eastern Severe Dysmotility
Eun Mi Song,Jong Wook Kim,Sun-Ho Lee,Kiju Chang,Sung Wook Hwang,Sang Hyoung Park,Dong-Hoon Yang,Kee Wook Jung,Byong Duk Ye,Jeong-Sik Byeon,Suk-Kyun Yang,Hyo Jeong Lee,Chang Sik Yu,Chan Wook Kim,Seong 대한소화기 기능성질환∙운동학회 2019 Journal of Neurogastroenterology and Motility (JNM Vol.25 No.1
Background/Aims Previous studies from Korea have described chronic intestinal pseudo-obstruction (CIPO) patients with transition zone (TZ) in the colon. In this study, we evaluated the pathological characteristics and their association with long-term outcomes in Korean colonic pseudo-obstruction (CPO) patients with TZ. Methods We enrolled 39 CPO patients who were refractory to medical treatment and underwent colectomy between November 1989 and April 2016 (median age at symptoms onset: 45 [interquartile range, 29–57] years, males 46.2%). The TZ was defined as a colonic segment connecting a proximally dilated and distally non-dilated segment. Detailed pathologic analysis was performed. Results Among the 39 patients, 37 (94.9%) presented with TZ and 2 (5.1%) showed no definitive TZ. Median ganglion cell density in the TZ adjusted for the colonic circumference was significantly decreased compared to that in proximal dilated and distal non-dilated segments in TZ (+) patients (9.2 vs 254.3 and 150.5, P < 0.001). Among the TZ (+) patients, 6 showed additional pathologic findings including eosinophilic ganglionitis (n = 2), ulcers with combined cytomegalovirus infection (n = 2), diffuse ischemic changes (n = 1), and heterotropic myenteric plexus (n = 1). During follow-up (median, 61 months), 32 (82.1%) TZ (+) patients recovered without symptom recurrence after surgery. The presence of pathological features other than hypoganglionosis was an independent predictor of symptom recurrence after surgery (P = 0.046). Conclusions Hypoganglionosis can be identified in the TZ of most Korean CPO patients. Detection of other pathological features in addition to TZ-associated hypoganglionosis was associated with poor post-operative outcomes.