Indications for Mode of Delivery in Pregnant Women with Inflammatory Bowel Disease
Background: Reasons for the increased incidence of cesarean delivery among women with inflammatory bowel disease remain unclear. We assessed cesarean delivery incidence and factors influencing mode of delivery in women with inflammatory bowel disease.
Methods: We performed a 10-year retrospective cohort study of nulliparous women who delivered a singleton infant at our institution. We compared the risk of each mode of delivery in women with Crohn's disease and ulcerative colitis with women without inflammatory bowel disease. We assessed mode of delivery indications for patients with inflammatory bowel disease and whether ...
Source: Inflammatory Bowel Diseases - April 28, 2017 Category: Gastroenterology Tags: IBD Live Articles Source Type: research
Defining the Most Appropriate Delivery Mode in Women with Inflammatory Bowel Disease: A Systematic Review
Conclusions: New long-term data from well-designed studies are needed, but our review suggests that systematic CS in patients suffering from IBD should probably be limited to women at risk of perineal tears and obstetric injuries, with an active PCD, or with ileal pouch anal anastomosis. (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - April 28, 2017 Category: Gastroenterology Tags: IBD Live Articles Source Type: research
Patient Health Communication Mediating Effects Between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease
Background: To investigate the effects of patient health communication regarding their inflammatory bowel disease (IBD) to their health care providers and significant others in their daily life as a mediator in the relationship between gastrointestinal symptoms and gastrointestinal worry in pediatric patients.
Methods: The Pediatric Quality of Life Inventory Gastrointestinal Symptoms, Gastrointestinal Worry, and Communication Scales, and Pediatric Quality of Life Inventory 4.0 Generic Core Scales were completed in a 9-site study by 252 pediatric patients with IBD. Gastrointestinal Symptoms Scales measuring stomach pain, c...
Source: Inflammatory Bowel Diseases - April 28, 2017 Category: Gastroenterology Tags: Future Directions and Methods in IBD Research Source Type: research
Indicators of Quality of Care in Inflammatory Bowel Disease: Seeking the Right Path for Patients
No abstract available (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - April 28, 2017 Category: Gastroenterology Tags: Commentary Source Type: research
Quality of Care and Outcomes Among Hospitalized Inflammatory Bowel Disease Patients: A Multicenter Retrospective Study
Background: Half of patients with inflammatory bowel disease (IBD) require hospitalization. We sought to characterize inpatient quality indicators of care and outcomes during IBD-related hospitalizations at 4 major IBD referral centers in Canada.
Methods: We conducted a multicenter retrospective cohort study of patients with IBD admitted from 2011 to 2013 to tertiary centers in Toronto, Montreal, Ottawa, and Vancouver. We assessed the following inpatient indicators of care: pharmacological venous thromboembolism (VTE) prophylaxis, Clostridium difficile testing, and medical rescue therapy for steroid-refractory ulcerative ...
Source: Inflammatory Bowel Diseases - April 28, 2017 Category: Gastroenterology Tags: Future Directions and Methods in IBD Research Source Type: research
IBD LIVE Series—Case 7: The Brain-Gut Connection and the Importance of Integrated Care in IBD
No abstract available (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - April 28, 2017 Category: Gastroenterology Tags: CME-MOC Article: IBD LIVE Source Type: research
Adherence to Postoperative Endoscopic Surveillance in Patients with Crohn's Disease
No abstract available (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Online Only: Letters to the Editor Source Type: research
Vedolizumab Is Safe and Effective in Elderly Patients with Inflammatory Bowel Disease
No abstract available (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Online Only: Letters to the Editor Source Type: research
Patients with Inflammatory Bowel Disease May Use Electronic Communication with Their Physicians More Frequently Than Those Without Inflammatory Bowel Disease
No abstract available (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Online Only: Letters to the Editor Source Type: research
Yersinia Enterocolitica Ileitis Mimicking Pediatric Crohn's Disease
No abstract available (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Online Only: Letters to the Editor Source Type: research
Do Thiopurines Reduce the Risk of Surgery in Elderly Onset Inflammatory Bowel Disease? A 20-Year National Population-Based Cohort Study
Conclusions: Risk of colectomy in EO-UC does not differ from AO-UC, but the risk of surgery in EO-CD is significantly lower than in AO-CD. Sustained thiopurine use of 12 months or more duration in EO-UC reduces the risk colectomy, but does not impact on the risk of surgery in EO-CD. These findings are important given the greater risk of thiopurine-associated lymphoma in the elderly. (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Original Clinical Articles Source Type: research
Frequency and Risk Factors of Clostridium difficile Infection in Hospitalized Patients With Pouchitis: A Population-based Study
Conclusions: It seems that CDI was limited to pouchitis with underlying IBD and rare in those with underlying FAP. Patients with nonalcoholic fatty liver disease, obesity, and obstructive sleep apnea are at an increased risk of C. difficile pouchitis among patients with IBD. (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Original Clinical Articles Source Type: research
A Real-life Population Pharmacokinetic Study Reveals Factors Associated with Clearance and Immunogenicity of Infliximab in Inflammatory Bowel Disease
Background: Several factors influencing the pharmacokinetics of infliximab (IFX) in inflammatory bowel disease (IBD) have been identified. We studied the impact of patient, disease, and treatment characteristics on clearance and immunogenicity of IFX in a real-world patient-with-IBD cohort.
Methods: Serum concentrations of IFX and antibodies to IFX (ATIs) were measured in patients with IBD at a single center using an enzyme-linked immunosorbent assay and radioimmunoassay. Patient, disease, and treatment characteristics were retrospectively collected along with laboratory values. Pharmacokinetics and ATI titer were analyze...
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Original Clinical Articles Source Type: research
A Fixed Stricture on Routine Cross-sectional Imaging Predicts Disease-Related Complications and Adverse Outcomes in Patients with Crohn's Disease
Conclusions: Information from radiologic studies, especially the presence of fixed strictures, can predict future CD complications. These findings, along with smoking and ongoing inflammation, should alert the clinician to the possibility of future complications. (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Original Clinical Articles Source Type: research
Maternal Infections That Would Warrant Antibiotic Use Antepartum or Peripartum Are Not a Risk Factor for the Development of IBD: A Population-Based Analysis
Conclusions: Maternal infections (and therefore antibiotic use) in the antepartum and peripartum periods do not affect the risk of development of IBD in offspring. (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - March 21, 2017 Category: Gastroenterology Tags: Original Clinical Articles Source Type: research
