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The Early Onset of Disease May Be a Risk Factor for Decreased Bone Mineral Density in Patients with Inflammatory Bowel Disease
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Hwa Jong Kim, Su Jin Hong, Young Woo Jeon, Jae Pil Han, Seung Hyo Han, Jee Heon Kang, Jae Woong Tae, Hee Sook Lim, Hee Kyung Kim, Bong Min Ko, Moon Sung Lee
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Clin Endosc 2013;46(1):71-76. Published online January 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.1.71
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 Abstract
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- Background/Aims
The pathogenesis of bone loss in patients with inflammatory bowel disease (IBD) is complex, multifactorial, and only partly understood. We aimed to examine the extent and risk factors of bone mass reduction and to analyze the impact of early onset of a disease before attaining peak bone mass in IBD patients. MethodsWe compared the risk factors for osteoporosis and BMD at the lumbar spine and the hip bone in IBD patients. ResultsA total of 44 patients with IBD were enrolled. Twenty-one and 23 patients were diagnosed as IBD before and after the age of 30 and designated as group A and group B, respectively. Group A had significant bone mass reduction at the lumbar spine than group B (BMD, 1.01±0.10 vs. 1.14±0.17, p<0.01; T-score, -1.22±0.84 vs. -0.08±1.39, p<0.01; Z-score, -1.11±0.81 vs. -0.03±1.32, p<0.01, respectively). Multivariate analysis showed that patients diagnosed as IBD before the age of 30 had possible risk factor of bone mass reduction (hazard ratio, 3.96; p=0.06). ConclusionsBone mass reduction was more severe in patients who were diagnosed with IBD before the age of 30 than in those diagnosed after the age of 30.
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Citations
Citations to this article as recorded by  - Small and Large Intestine (II): Inflammatory Bowel Disease, Short Bowel Syndrome, and Malignant Tumors of the Digestive Tract
Yolanda Ber, Santiago García-Lopez, Carla J. Gargallo-Puyuelo, Fernando Gomollón
Nutrients.2021; 13(7): 2325. CrossRef - Infliximab for very early‐onset inflammatory bowel disease: A tertiary center experience in Japan
Ichiro Takeuchi, Yoichiro Kaburaki, Katsuhiro Arai, Hirotaka Shimizu, Yuri Hirano, Satoru Nagata, Toshiaki Shimizu
Journal of Gastroenterology and Hepatology.2020; 35(4): 593. CrossRef - Advances in nutritional therapy in inflammatory bowel diseases: Review
Andrzej Wędrychowicz
World Journal of Gastroenterology.2016; 22(3): 1045. CrossRef - Nutritional aspect of pediatric inflammatory bowel disease: its clinical importance
Seung Kim, Hong Koh
Korean Journal of Pediatrics.2015; 58(10): 363. CrossRef - Biomarkers of Cartilage and Surrounding Joint Tissue
Anne S Siebuhr, Yi He, Natasja S Gudmann, Aurelie Gram, Cecilie F Kjelgaard-Petersen, Per Qvist, Morten A Karsdal, Anne C Bay-Jensen
Biomarkers in Medicine.2014; 8(5): 713. CrossRef - Crohn's disease and growth deficiency in children and adolescents
Marco Gasparetto
World Journal of Gastroenterology.2014; 20(37): 13219. CrossRef - Can Early Onset of Disease Be One of the Risk Factors for Low Bone Mineral Density in Patients with Inflammatory Bowel Disease?
Kwang An Kwon, Yang Suh Ku
Clinical Endoscopy.2013; 46(1): 5. CrossRef
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Correlation of Narrow Band Imaging with Magnifying Colonoscopy and Histology in Colorectal Tumors
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Hee Yong Yoo, Moon Sung Lee, Bong Min Ko, Hee Kyung Kim, Hyung Su Ahn, Seung Hyo Han, Jun Yong Bae, Seul Ki Min, Jong Chan Lee, Chang Beom Ryu
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Clin Endosc 2011;44(1):44-50. Published online September 30, 2011
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DOI: https://doi.org/10.5946/ce.2011.44.1.44
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Abstract
PDFPubReaderePub
- Background/Aims
Narrow band imaging (NBI) is a new technique that uses optical filters for imaging of mucosal morphology. The aim of this study was to correlate findings of NBI with magnifying colonoscopy and histology for prediction of neoplastic colorectal lesion. MethodsBetween September 2005 and December 2007, 107 colon polyps from 68 patients were detected by conventional colonoscopy and subsequently evaluated by NBI with magnifying colonoscopy and analyzed for a pit pattern and a capillary pattern. More analysis was done regarding thickness and irregularity of capillary features. ResultsPit pattern with NBI magnification to discriminate between neoplastic and non-neoplastic lesions had a sensitivity of 88.9% and a specificity of 87.5%; capillary pattern yielded test performance characteristics of 91.9% and 87.5%. In respect of capillary thickness, invisible capillaries were found significantly more often in hyperplastic lesions. All thick capillaries were found in neoplastic polyps, and found significantly more often in carcinomas with submucosal massive invasion (sm-m) (p<0.01). In respect of capillary irregularity, invisible capillaries were found significantly more often in hyperplasic lesions, and severely irregular capillaries were found significantly more often in sm-m lesions (p<0.01). ConclusionsObservation of capillary thickness and irregularity by NBI magnification is useful for correlating histological grade with carcinoma, especially with depth of submucosal invasion.
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Citations
Citations to this article as recorded by - Multidisciplinary Treatment Strategy for Early Colon Cancer: A Review-An English Version
Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
Journal of the Anus, Rectum and Colon.2022; 6(4): 203. CrossRef - Clinical practice guideline for endoscopic resection of early gastrointestinal cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong
Intestinal Research.2021; 19(2): 127. CrossRef - Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong
Clinical Endoscopy.2020; 53(2): 142. CrossRef - Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2020; 20(2): 117. CrossRef - Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong
The Korean Journal of Gastroenterology.2020; 75(5): 264. CrossRef - Optical Technologies for Endoscopic Real-Time Histologic Assessment of Colorectal Polyps: A Meta-Analysis
Sam E. Mason, Liam Poynter, Zoltan Takats, Ara Darzi, James M. Kinross
American Journal of Gastroenterology.2019; 114(8): 1219. CrossRef - Effectiveness of systematic training in the application of narrow‐band imaging international colorectal endoscopic (NICE) classification for optical diagnosis of colorectal polyps: Experience from a single center in China
Yinhe Sikong, Xiangchun Lin, Kuiliang Liu, Jing Wu, Wu Lin, Nan Wei, Guojun Jiang, Weiping Tai, Hui Su, Hong Liu, Mingming Meng
Digestive Endoscopy.2016; 28(5): 583. CrossRef - Observation of microvessels and invasion in early colorectal neoplasms on narrow band imaging
Ling Yin Zhu, Lin Ren, Zhizheng Ge, Xiao Bo Li
European Journal of Gastroenterology & Hepatology.2014; 26(12): 1428. CrossRef - Diagnostic performance of narrowed spectrum endoscopy, autofluorescence imaging, and confocal laser endomicroscopy for optical diagnosis of colonic polyps: a meta-analysis
Linda K Wanders, James E East, Sanne E Uitentuis, Mariska M G Leeflang, Evelien Dekker
The Lancet Oncology.2013; 14(13): 1337. CrossRef - Colonic Polyps
Cesare Hassan, Alessandro Repici, Angelo Zullo, Vijay Kanakadandi, Prateek Sharma
Gastrointestinal Endoscopy Clinics of North America.2013; 23(3): 663. CrossRef - Introduction: What Are New Roles of Current Colonoscopy?
Hyung Wook Kim
Clinical Endoscopy.2013; 46(2): 118. CrossRef - New Paradigms for Colonoscopic Management of Diminutive Colorectal Polyps: Predict, Resect, and Discard or Do Not Resect?
Cesare Hassan, Alessandro Repici, Angelo Zullo, Prateek Sharma
Clinical Endoscopy.2013; 46(2): 130. CrossRef
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