Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/18637
Title: Antineutrophil cytoplasmic antibodies in sera from colectomised ulcerative colitis patients and its relation to the presence of pouchitis.
Author: Esteve i Comas, Maria
Mallolas Masferrer, Josep
Klaasen, J.
Abad Lacruz, Agueda
González-Huix Lladó, Ferràn
Cabré i Gelada, Eduard
Fernández Bañares, Fernando
Bertrán, X.
Condom i Mundó, Enric
Martí Ragué, J.
Gassull, Miquel Àngel
Keywords: Colitis ulcerosa
Malalties inflamatòries intestinals
Autoanticossos
Ulcerative colitis
Inflammatory bowel diseases
Autoantibodies
Issue Date: 1996
Publisher: BMJ Group
Abstract: 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.
Note: Reproducció digital del document publicat a: http://dx.doi.org/10.1136/gut.38.6.894
It is part of: Gut, 1996, vol. 38, núm. 6, p. 894-898
URI: http://hdl.handle.net/2445/18637
ISSN: 0017-5749
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)

Files in This Item:
File Description SizeFormat 
531399.pdf918.7 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.