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  1. Article ; Online: Simultaneous Development of Ulcerative Colitis in the Sigmoidocolon Autotransplant Neovagina and the Residual Colorectum.

    Matsune, Yusuke / Yaguchi, Katsuki / Saito, Shin / Sakakibara, Hideya / Inayama, Yoshiaki / Kimura, Hideaki / Kunisaki, Reiko

    Inflammatory bowel diseases

    2021  Volume 28, Issue 2, Page(s) e18–e20

    MeSH term(s) Autografts ; Colitis, Ulcerative/surgery ; Humans ; Transplantation, Autologous
    Language English
    Publishing date 2021-08-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 1340971-2
    ISSN 1536-4844 ; 1078-0998
    ISSN (online) 1536-4844
    ISSN 1078-0998
    DOI 10.1093/ibd/izab222
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Progression of ulcerative colitis following diversion colitis.

    Yaguchi, Katsuki / Matsune, Yusuke / Kunisaki, Reiko / Araki, Kentaro / Kimura, Hideaki / Inayama, Yoshiaki / Kumagai, Jiro / Maeda, Shin

    Clinical journal of gastroenterology

    2022  Volume 15, Issue 6, Page(s) 1088–1093

    Abstract: Diversion colitis and ulcerative colitis (UC) can be caused by different mechanisms; however, several case reports have described the development of typical UC following diversion colitis. A 63-year-old man underwent Hartmann's operation following a ... ...

    Abstract Diversion colitis and ulcerative colitis (UC) can be caused by different mechanisms; however, several case reports have described the development of typical UC following diversion colitis. A 63-year-old man underwent Hartmann's operation following a diagnosis of perforation of a sigmoid colon diverticulum and peritonitis. Stoma closure was performed 4 months later, and the portion of the sigmoid colon with the diverticulum was unintentionally left as a blind end. Following stoma closure, hematochezia worsened, and he was diagnosed as having developed diversion colitis only in the blind sigmoid colon. Intermittent use of topical mesalazine enemas controlled the bowel symptoms; however, 4 years after the stoma closure, bloody stools were observed again. Colonoscopy revealed coarse and friable granular mucosa with adherent mucopurulent exudate in the rectum, and mucosal erythematous edema with adherent mucopurulent exudate in the blind sigmoid colon. The histological findings indicated basal plasmacytosis, and goblet cell depletion and cryptitis in the lamina propria, which is characteristic of UC. To the best of our knowledge, this is the fourth description of a patient who developed UC following diversion colitis. Local inflammation may have triggered the development of UC through hematogenous or lymphogenous circulation of lymphocytes or autoantibodies.
    MeSH term(s) Male ; Humans ; Middle Aged ; Colitis, Ulcerative/pathology ; Colitis/pathology ; Diverticulum, Colon/complications ; Colonoscopy/adverse effects ; Mesalamine/therapeutic use
    Chemical Substances Mesalamine (4Q81I59GXC)
    Language English
    Publishing date 2022-09-06
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 2429411-1
    ISSN 1865-7265 ; 1865-7257
    ISSN (online) 1865-7265
    ISSN 1865-7257
    DOI 10.1007/s12328-022-01696-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Recent steroid use and the relapse risk in ulcerative colitis patients with endoscopic healing.

    Fukuda, Tomohiro / Yamazaki, Hajime / Miyatani, Yusuke / Sawada, Tsunaki / Shibuya, Naoki / Fukuo, Yuka / Kiyohara, Hiroki / Morikubo, Hiromu / Tominaga, Keiichi / Kakimoto, Kazuki / Imai, Takayuki / Yaguchi, Katsuki / Yamamoto, Shojiro / Ando, Katsuyoshi / Nishimata, Nobuaki / Yoshihara, Takeo / Andoh, Akira / Hibi, Toshifumi / Matsuoka, Katsuyoshi

    Alimentary pharmacology & therapeutics

    2024  

    Abstract: Background: Endoscopic healing (EH) is a therapeutic target in ulcerative colitis (UC). However, even patients who have achieved EH relapse frequently.: Aims: To investigate the association between recent steroid use and relapse risk in UC patients ... ...

    Abstract Background: Endoscopic healing (EH) is a therapeutic target in ulcerative colitis (UC). However, even patients who have achieved EH relapse frequently.
    Aims: To investigate the association between recent steroid use and relapse risk in UC patients with EH.
    Methods: This multi-centre cohort study included 1212 UC patients with confirmed EH (Mayo endoscopic subscore ≤1). We excluded patients with current systemic steroid use or history of advanced therapy. We divided patients into a recent steroid group (last systemic steroid use within 1 year; n = 59) and a non-recent or steroid-naïve group (n = 1153). We followed the patients for 2 years to evaluate relapse, defined as induction of systemic steroids or advanced therapy. We used logistic regression to estimate the odds ratio (OR) of relapse.
    Results: Relapse occurred in 28.8% of the recent steroid group and 5.6% of the non-recent/steroid-naïve group (multi-variable-adjusted OR 5.53 [95% CI 2.85-10.7]). The risk of relapse decreased with time since the last steroid use: 28.8% for less than 1 year after steroid therapy, 22.9% for 1 year, 16.0% for 2 years and 7.9% beyond 3 years, approaching 4.0% in steroid-naïve patients. (p
    Conclusions: Even for patients with UC who achieved EH, the risk of relapse remains high following recent steroid therapy. Physicians need to consider the duration since last steroid use to stratify the relapse risk in UC patients with EH.
    Language English
    Publishing date 2024-04-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 639012-2
    ISSN 1365-2036 ; 0269-2813 ; 0953-0673
    ISSN (online) 1365-2036
    ISSN 0269-2813 ; 0953-0673
    DOI 10.1111/apt.18013
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  4. Article ; Online: Appropriate Preconception Corticosteroid-Free Remission Period in Pregnant Women With Ulcerative Colitis.

    Ikeda, Aya / Kunisaki, Reiko / Aoki, Shigeru / Yaguchi, Katsuki / Madarame, Akira / Nishio, Masafumi / Ogashiwa, Tsuyoshi / Nakamori, Yoshinori / Kimura, Hideaki / Suzuki, Ryoichi / Saigusa, Yusuke / Maeda, Shin

    Inflammatory bowel diseases

    2023  Volume 30, Issue 5, Page(s) 726–734

    Abstract: Background: In women with inflammatory bowel disease, at least 3 months of preconception corticosteroid-free remission (CFREM) is recommended by experts in current consensus statements. However, data are lacking on the appropriate preconception ... ...

    Abstract Background: In women with inflammatory bowel disease, at least 3 months of preconception corticosteroid-free remission (CFREM) is recommended by experts in current consensus statements. However, data are lacking on the appropriate preconception remission period. We investigated the appropriate preconception CFREM period in women with ulcerative colitis to reduce maternal disease activity and adverse pregnancy outcomes (ie, preterm birth, low birth weight, and small for gestational age).
    Methods: We retrospectively examined 141 pregnancies in women with ulcerative colitis at 2 institutions. We categorized the patients into 3 subgroups by their preconception CFREM period (≥3 months, >0 to <3 months, and non-CFREM). We also investigated disease activity during pregnancy and postpartum and adverse pregnancy outcomes in each group.
    Results: During pregnancy, the rate of active disease was significantly lower in the ≥3 months and >0 to <3 months CFREM groups compared with that in the non-CFREM group (P < .001 and P = .0257, respectively). Postpartum, the rate of active disease was significantly lower in the ≥3 months CFREM group compared with that in the non-CFREM group (P = .0087). The preconception CFREM period of ≥3 months was an independent inhibitory factor for active disease during pregnancy and postpartum (adjusted odds ratio, 0.15; P = .0035; and adjusted odds ratio, 0.33; P = .027, respectively). Adverse pregnancy outcomes were less common in the >3 months CFREM group compared with those in the other groups, but this difference was not significant.
    Conclusions: A preconception CFREM period of more than 3 months may be appropriate for better maternal and adverse pregnancy outcomes, as recommended in consensus statements.
    MeSH term(s) Humans ; Pregnancy ; Female ; Colitis, Ulcerative/drug therapy ; Retrospective Studies ; Adult ; Pregnancy Outcome ; Pregnancy Complications ; Remission Induction ; Preconception Care/methods ; Infant, Newborn ; Adrenal Cortex Hormones/therapeutic use ; Premature Birth ; Young Adult ; Postpartum Period
    Chemical Substances Adrenal Cortex Hormones
    Language English
    Publishing date 2023-01-25
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 1340971-2
    ISSN 1536-4844 ; 1078-0998
    ISSN (online) 1536-4844
    ISSN 1078-0998
    DOI 10.1093/ibd/izac270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: To Be in Remission or in Corticosteroid-free Remission: That Is the Question for Women With Inflammatory Bowel Disease at Conception.

    Kunisaki, Reiko / Ikeda, Aya / Yaguchi, Katsuki / Onishi, Misa / Shibui, Shunsuke / Nishida, Daisuke / Madarame, Akira / Toritani, Kenichiro / Nakamori, Yoshinori / Nishio, Masafumi / Ogashiwa, Tsuyoshi / Fujii, Ayako / Kimura, Hideaki / Suzuki, Ryoichi / Aoki, Shigeru / Maeda, Shin

    Inflammatory bowel diseases

    2023  Volume 29, Issue 6, Page(s) e20–e21

    MeSH term(s) Pregnancy ; Female ; Humans ; Colitis, Ulcerative ; Pregnant Women ; Inflammatory Bowel Diseases/drug therapy ; Crohn Disease ; Adrenal Cortex Hormones/therapeutic use
    Chemical Substances Adrenal Cortex Hormones
    Language English
    Publishing date 2023-03-06
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 1340971-2
    ISSN 1536-4844 ; 1078-0998
    ISSN (online) 1536-4844
    ISSN 1078-0998
    DOI 10.1093/ibd/izad023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Fulminant Amebic Enteritis in the Perinatal Period.

    Azuma, Daisuke / Kunisaki, Reiko / Yukawa, Tatsu / Yaguchi, Katsuki / Watanabe, Mamoru / Shibui, Shunsuke / Nakamori, Yoshinori / Toyoda, Junya / Tanabe, Mikiko / Maeda, Koki / Inayama, Yoshiaki / Kimura, Hideaki / Maeda, Shin

    Internal medicine (Tokyo, Japan)

    2022  Volume 62, Issue 16, Page(s) 2341–2348

    Abstract: Pregnancy is a known risk factor for amebic enteritis, which develops into potentially fatal fulminant amebic enteritis in some cases. We describe a case of a 27-year-old non-immunosuppressed pregnant woman with fulminant amebic enteritis complicated ... ...

    Abstract Pregnancy is a known risk factor for amebic enteritis, which develops into potentially fatal fulminant amebic enteritis in some cases. We describe a case of a 27-year-old non-immunosuppressed pregnant woman with fulminant amebic enteritis complicated with cytomegalovirus enteritis. She improved with intensive care and intravenous metronidazole and ganciclovir but eventually required subtotal colectomy for intestinal stenosis. It is difficult to diagnose amebic enteritis, especially in a non-endemic area. Amebic enteritis must be considered as a differential diagnosis for refractory diarrhea with bloody stools in women in the perinatal period, even those without immunosuppression.
    MeSH term(s) Pregnancy ; Humans ; Female ; Adult ; Dysentery, Amebic/complications ; Metronidazole ; Ganciclovir ; Risk Factors ; Enteritis/complications ; Enteritis/diagnosis
    Chemical Substances Metronidazole (140QMO216E) ; Ganciclovir (P9G3CKZ4P5)
    Language English
    Publishing date 2022-12-28
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 32371-8
    ISSN 1349-7235 ; 0021-5120 ; 0918-2918
    ISSN (online) 1349-7235
    ISSN 0021-5120 ; 0918-2918
    DOI 10.2169/internalmedicine.0839-22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Correlation between the macroscopic severity of Crohn's disease in resected intestine and bowel wall thickness evaluated by water-immersion ultrasonography.

    Yaguchi, Katsuki / Sasaki, Tomohiko / Ogashiwa, Tsuyoshi / Nishio, Masafumi / Hashimoto, Yu / Ikeda, Aya / Izumi, Misato / Hanzawa, Akiho / Shibata, Naomi / Yonezawa, Hiromi / Sakamaki, Kentaro / Tateishi, Yoko / Numata, Kazushi / Maeda, Shin / Kimura, Hideaki / Kunisaki, Reiko

    Scandinavian journal of gastroenterology

    2019  Volume 54, Issue 11, Page(s) 1331–1338

    Abstract: Objectives: ...

    Abstract Objectives:
    MeSH term(s) Adult ; Colon/pathology ; Colon/surgery ; Correlation of Data ; Crohn Disease/diagnostic imaging ; Crohn Disease/pathology ; Crohn Disease/surgery ; Female ; Humans ; Intestine, Small/pathology ; Intestine, Small/surgery ; Male ; Middle Aged ; Retrospective Studies ; Severity of Illness Index ; Ultrasonography/methods ; Water ; Young Adult
    Chemical Substances Water (059QF0KO0R)
    Language English
    Publishing date 2019-10-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 82042-8
    ISSN 1502-7708 ; 0036-5521
    ISSN (online) 1502-7708
    ISSN 0036-5521
    DOI 10.1080/00365521.2019.1683224
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  8. Article: Consistency of Trans-Abdominal and Water-Immersion Ultrasound Images of Diseased Intestinal Segments in Crohn's Disease.

    Wang, Feiqian / Numata, Kazushi / Yonezawa, Hiromi / Sato, Kana / Ishii, Yoshito / Yaguchi, Katsuki / Kume, Nao / Hashimoto, Yu / Nishio, Masafumi / Nakamori, Yoshinori / Ikeda, Aya / Madarame, Akira / Hirayama, Atsuhiro / Ogashiwa, Tsuyoshi / Sasaki, Tomohiko / Jin, Misato / Hanzawa, Akiho / Shibata, Naomi / Hashimorto, Shinichi /
    Saigusa, Yusuke / Inayama, Yoshiaki / Maeda, Shin / Kimura, Hideaki / Kunisaki, Reiko

    Diagnostics (Basel, Switzerland)

    2020  Volume 10, Issue 5

    Abstract: The aim of this study is to clarify whether trans-abdominal ultrasound (TAUS) can reflect actual intestinal conditions in Crohn's disease (CD) as effectively as water-immersion ultrasound (WIUS) does. This retrospective study enrolled 29 CD patients with ...

    Abstract The aim of this study is to clarify whether trans-abdominal ultrasound (TAUS) can reflect actual intestinal conditions in Crohn's disease (CD) as effectively as water-immersion ultrasound (WIUS) does. This retrospective study enrolled 29 CD patients with 113 intestinal lesions. Five ultrasound (US) parameters (distinct presence/indistinct presence/disappearance of wall stratification in the submucosal and mucosal layers; thickened submucosal layer; irregular mucosal surface; increased fat wrapping around the bowel wall; and fistula signs) that may indicate different states in CD were determined by TAUS and WIUS for the same lesion. Using WIUS as a reference standard, the sensitivity, specificity, and accuracy of TAUS were calculated. The degree of agreement between TAUS and WIUS was evaluated by the
    Language English
    Publishing date 2020-04-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics10050267
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A Case of Familial Adenomatous Polyposis with Multiple Helicobacter-negative Early Gastric Cancers Treated by Endoscopic Submucosal Dissection.

    Yaguchi, Katsuki / Makazu, Makomo / Hirasawa, Kingo / Sugimori, Makoto / Kobayashi, Ryosuke / Sato, Chiko / Ikeda, Ryosuke / Fukuchi, Takehide / Ishii, Yasuaki / Kaneko, Hiroaki / Shibata, Wataru / Yamanaka, Shoji / Inayama, Yoshiaki / Maeda, Shin

    Internal medicine (Tokyo, Japan)

    2017  

    Abstract: Stomach cancer rarely develops in patients with familial adenomatous polyposis (FAP), and Helicobacter pylori infection may increase the risk of FAP-related gastric cancer. We describe the case of a 64-year-old woman who developed multiple synchronous ... ...

    Abstract Stomach cancer rarely develops in patients with familial adenomatous polyposis (FAP), and Helicobacter pylori infection may increase the risk of FAP-related gastric cancer. We describe the case of a 64-year-old woman who developed multiple synchronous early gastric cancers without H. pylori infection. Nine cancer lesions were successfully treated by endoscopic submucosal dissection. An immunohistochemical analysis revealed that the tumors were positive for MUC2, MUC6, and CDX2, but negative for MUC5AC, suggesting that the tumors were gastrointestinal mixed type. Periodical endoscopic surveillance is important for the detection of cancers at an early stage.
    Language English
    Publishing date 2017-10-11
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 32371-8
    ISSN 1349-7235 ; 0021-5120 ; 0918-2918
    ISSN (online) 1349-7235
    ISSN 0021-5120 ; 0918-2918
    DOI 10.2169/internalmedicine.8735-16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Incidence and Outcomes of Central Venous Catheter-related Blood Stream Infection in Patients with Inflammatory Bowel Disease in Routine Clinical Practice Setting.

    Shibata, Wataru / Sohara, Masako / Wu, Rongrong / Kobayashi, Kota / Yagi, Shin / Yaguchi, Katsuki / Iizuka, Yuki / Iwasa, Miho / Nakahata, Hitomi / Yamaguchi, Tadashi / Matsumoto, Hiromi / Okada, Mao / Taniguchi, Kenshiro / Hayashi, Aki / Inazawa, Shin / Inagaki, Naoko / Sasaki, Tomohiko / Koh, Ryonho / Kinoshita, Hiroto /
    Nishio, Masafumi / Ogashiwa, Tsuyoshi / Ookawara, Ai / Miyajima, Eiji / Oba, Mari / Ohge, Hiroki / Maeda, Shin / Kimura, Hideaki / Kunisaki, Reiko

    Inflammatory bowel diseases

    2017  Volume 23, Issue 11, Page(s) 2042–2047

    Abstract: Background: Patients with inflammatory bowel disease (IBD) occasionally require central venous catheter (CVC) placement to support a therapeutic plan. Given that CVC can predispose patients to infection, this investigation was undertaken to assess the ... ...

    Abstract Background: Patients with inflammatory bowel disease (IBD) occasionally require central venous catheter (CVC) placement to support a therapeutic plan. Given that CVC can predispose patients to infection, this investigation was undertaken to assess the incidence, risk factors, and outcomes of CVC-related blood stream infection (CRBSI) in patients with IBD during routine clinical practice.
    Methods: Data were compiled using retrospective chart reviews of 1367 patients treated at our IBD center between 2007 and 2012 during routine clinical practice. Among the 1367 patients, 314 who had received CVC placements were included. Patients with positive blood culture were considered as "definite" CRBSI, whereas "possible" CRBSI was defined as patients in whom fever alleviated within 48 hours post-CVC without any other infection. Patients' demographic variables including age, body mass index, serum albumin, duration of CVC placement, use of antibiotics, medications for IBD, and perioperative status between CRBSI and non-CRBSI subgroups were compared by applying a multivariate Poisson logistic regression model.
    Results: Among the 314 patients with CVC placement, there were 83 CRBSI cases (26.4%). The average time to the onset of CRBSI was 22.5 days (range 4-105 days). The jugular vein access was found to be the most serious risk of CRBSI (risk ratio 2.041 versus subclavian vein). All patients with CRBSI fully recovered.
    Conclusions: In this investigation, regardless of the patients' demographic features including immunosuppressive therapy, up to 30% of febrile IBD patients with CVC showed CRBSI. It is believed that CVC placement per se is a risk of CRBSI in patients with IBD.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bacteremia/epidemiology ; Bacteremia/etiology ; Catheter-Related Infections/epidemiology ; Central Venous Catheters/adverse effects ; Child ; Female ; Humans ; Incidence ; Inflammatory Bowel Diseases/therapy ; Japan/epidemiology ; Jugular Veins/physiopathology ; Length of Stay/statistics & numerical data ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Retrospective Studies ; Risk Factors ; Tertiary Care Centers ; Young Adult
    Language English
    Publishing date 2017-10-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 1340971-2
    ISSN 1536-4844 ; 1078-0998
    ISSN (online) 1536-4844
    ISSN 1078-0998
    DOI 10.1097/MIB.0000000000001230
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