Ulcerative Colitis as an Independent Risk Factor for Hepatic Steatosis
Autor: | V. Cosco, Rosellina Margherita Mancina, Patrizia Doldo, Raffele Pagnotta, Tiziana Montalcini, C. Cosco, Daniele De Bonis, R. Spagnuolo, Arturo Pujia |
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Rok vydání: | 2020 |
Předmět: |
Adult
Liver Cirrhosis Male medicine.medical_specialty Severity of Illness Index Inflammatory bowel disease Gastroenterology 03 medical and health sciences 0302 clinical medicine Crohn Disease Non-alcoholic Fatty Liver Disease Risk Factors Internal medicine Nonalcoholic fatty liver disease Prevalence medicine Humans 030212 general & internal medicine Colitis Risk factor Advanced and Specialized Nursing business.industry Case-control study Middle Aged medicine.disease Ulcerative colitis digestive system diseases Case-Control Studies Elasticity Imaging Techniques Colitis Ulcerative Female 030211 gastroenterology & hepatology Steatosis business Transient elastography |
Zdroj: | Gastroenterology Nursing. 43:292-297 |
ISSN: | 1042-895X |
DOI: | 10.1097/sga.0000000000000461 |
Popis: | Inflammatory bowel disease (IBD) is an inflammatory condition of the gastrointestinal tract encompassing Crohn disease and ulcerative colitis, often associated with extraintestinal manifestations. Nonalcoholic fatty liver disease represents one of the described inflammatory bowel disease-related liver diseases. To understand the IBD contribution to nonalcoholic fatty liver disease onset, we compared liver fat content and fibrosis between IBD patients and healthy controls integrating medical and nursing expertise (integrated nursing approach). A total of 95 patients and 53 healthy volunteers were recruited. Only nondiabetic and nonobese individuals were included in the study. Liver evaluation was performed by an experienced nurse using transient elastography. We found that IBD patients had higher liver fat content than the control group (p = .003). Bonferroni post hoc analyses revealed that patients with Crohn disease or ulcerative colitis had higher liver fat than the control group. We also found that ulcerative colitis was associated with more than a 4-fold increased risk for mild steatosis and 7-fold increased risk for moderate/severe steatosis independently from other risk factors such as glucose and body mass index. In conclusion, we showed for the first time that ulcerative colitis is an independent risk factor for hepatic steatosis measured by transient elastography. |
Databáze: | OpenAIRE |
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