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Clin Trans Gastroenterology: 回肠储袋中的粘膜相关微生物群可能导致粪便频率等临床症状的增加

2019-06-26 不详 MedSci原创

储袋炎是回肠袋-肛门吻合术(IPAA)后常见的并发症。然而,症状与内窥镜检查时储袋外观之间的相关性很差,并且许多患者在没有明显炎症的情况下可能具有使人痛苦的症状。尚不清楚这些临床症状是否与微生物群独立相关。这项工作的目的是检查袋活动评分系统的各个临床组成部分是否与特定的微生物群相关联。

简介:  
储袋炎是回肠袋-肛门吻合术(IPAA)后常见的并发症。然而,症状与内窥镜检查时储袋外观之间的相关性很差,并且许多患者在没有明显炎症的情况下可能具有使人痛苦的症状。尚不清楚这些临床症状是否与微生物群独立相关。这项工作的目的是检查袋活动评分系统的各个临床组成部分是否与特定的微生物群相关联。

方法:
本项研究纳入来自IPAA后233名患者(50%男性)的储袋活组织检查数据。所有患者均进行临床表型分析,并使用Pouch活动量表的临床和内窥镜组件对患者进行分类。根据储袋炎疾病活动指数评分所述,对症状进行评分,检查24小时大便次数,尿急,尿失禁和直肠出血情况。

结果:
在没有炎症的情况下,24小时内报告的大便次数增加与拟杆菌相对丰度的减少有关,24小时大便频率的增加与生物膜形成的增加有关。

讨论:
本项研究表明在IPAA患者中,储袋的粘膜相关微生物群的组成可能导致临床症状,特别是大便频率的增加,而与内镜疾病活动无关。

原始出处:

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    2020-02-11 许安
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    2019-08-26 bsmagic9140
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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504711, encodeId=b4421504e11b0, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Fri Jun 28 08:04:00 CST 2019, time=2019-06-28, status=1, ipAttribution=)]
    2020-02-05 wjcjjian
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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504711, encodeId=b4421504e11b0, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Fri Jun 28 08:04:00 CST 2019, time=2019-06-28, status=1, ipAttribution=)]
  5. 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  6. 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content=<a href='/topic/show?id=2cee50e22c6' target=_blank style='color:#2F92EE;'>#微生物群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50722, encryptionId=2cee50e22c6, topicName=微生物群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3609256, createdName=zhu_jun9837, createdTime=Fri Jun 28 08:04:00 CST 2019, time=2019-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466862, encodeId=33171466862ee, content=<a href='/topic/show?id=edd5e630426' target=_blank style='color:#2F92EE;'>#粪便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76304, encryptionId=edd5e630426, topicName=粪便)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=03cc6863823, createdName=Homburg, createdTime=Fri Jun 28 08:04:00 CST 2019, time=2019-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504711, encodeId=b4421504e11b0, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Fri Jun 28 08:04:00 CST 2019, time=2019-06-28, status=1, ipAttribution=)]
    2019-08-30 guoyibin
  7. 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  8. 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  9. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504711, encodeId=b4421504e11b0, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Fri Jun 28 08:04:00 CST 2019, time=2019-06-28, status=1, ipAttribution=)]
    2019-06-28 Homburg
  10. 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