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Antineutrophil cytoplasmic antibodies in sera from colectomised ulcerative colitis patients and its relation to the presence of pouchitis.

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dc.creator Esteve i Comas, Maria
dc.creator Mallolas Masferrer, Josep
dc.creator Klaassen, J.
dc.creator Abad Lacruz, Agueda
dc.creator González-Huix Lladó, Ferran
dc.creator Cabré i Gelada, Eduard
dc.creator Fernández Bañares, Fernando
dc.creator Bertrán, X.
dc.creator Condom i Mundó, Enric
dc.creator Martí Ragué, Joan
dc.creator Gassull, Miquel Àngel
dc.date 2011-07-07T11:33:16Z
dc.date 2011-07-07T11:33:16Z
dc.date 1996
dc.date.accessioned 2024-12-16T10:27:13Z
dc.date.available 2024-12-16T10:27:13Z
dc.identifier 0017-5749
dc.identifier http://hdl.handle.net/2445/18637
dc.identifier 531399
dc.identifier 8984029
dc.identifier.uri http://fima-docencia.ub.edu:8080/xmlui/handle/123456789/22099
dc.description BACKGROUND: Few studies have evaluated the influence of colectomy on antineutrophil cytoplasmic antibody (ANCA) positivity in ulcerative colitis (UC). In small series of patients it has been suggested that ANCA positivity in UC might be predictive for development of pouchitis after colectomy. AIMS: To assess the prevalence of ANCA in UC patients treated by colectomy and a Brooke's ileostomy (UC-BI) or ileal pouch anal anastomosis (UC-IPAA), and the relation between the presence of ANCA, the type of surgery, and the presence of pouchitis. SUBJECTS: 63 UC patients treated by colectomy (32 with UC-BI and 31 with UC-IPAA), 54 UC, and 24 controls. METHODS: Samples were obtained at least two years after colectomy. ANCA were detected by indirect immunofluorescent assay. RESULTS: There were no differences between patients with (36.3%) or without pouchitis (35.0%) and between patients with UC (55%), UC-BI (40.6%), and UC-IPAA (35.4%). However, ANCA prevalence significantly decreases in the whole group of operated patients (38.0%) compared with non-operated UC (p = 0.044). CONCLUSIONS: The prevalence of ANCA in operated patients was significantly lower than in non-operated UC, suggesting that it might be related either to the presence of inflamed or diseased tissue. ANCA persistence is not related to the surgical procedure and it should not be used as a marker for predicting the development of pouchitis.
dc.format 4 p.
dc.format application/pdf
dc.language eng
dc.publisher BMJ Group
dc.relation Reproducció digital del document publicat a: http://dx.doi.org/10.1136/gut.38.6.894
dc.relation Gut, 1996, vol. 38, núm. 6, p. 894-898
dc.relation http://dx.doi.org/10.1136/gut.38.6.894
dc.rights (c) BMJ Publishing Group Ltd and British Society of Gastroenterology, 1996
dc.rights info:eu-repo/semantics/openAccess
dc.source Articles publicats en revistes (Ciències Clíniques)
dc.subject Colitis ulcerosa
dc.subject Malalties inflamatòries intestinals
dc.subject Autoanticossos
dc.subject Ulcerative colitis
dc.subject Inflammatory bowel diseases
dc.subject Autoantibodies
dc.title Antineutrophil cytoplasmic antibodies in sera from colectomised ulcerative colitis patients and its relation to the presence of pouchitis.
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion


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