Factors Associated with Mucosal Healing in Patients with Ulcerative Colitis in Clinical Remission
Publication in refereed journal


摘要Background:Mucosal healing (MH) has been associated with improved outcomes in ulcerative colitis but factors associated with MH are not well defined.Methods:Consecutive patients with ulcerative colitis in clinical remission (Mayo symptomatic subscore = 0) who had at least 1 colonoscopy since diagnosis from 6 centers were included. For patients who had at least 2 colonoscopies during follow-up, each colonoscopy was reviewed to define whether they had early MH (Mayo endoscopic subscore reduced to 0 within 3 yr of clinical remission). Factors associated with MH and early MH were determined using logistic regression.Results:Two hundred thirty-seven patients with ulcerative colitis (mean age 50.39 14.10 yr; 56.5% male) were included. Independent factors for MH were clinical remission >3 years (odds ratio [OR] 4.0; 95% confidence interval [CI], 1.2-13.1), mild/moderate mucosal inflammation (OR 3.3; 95% CI, 1.3-8.5), and immunosuppressant use (OR 4.6; 95% CI, 1.5-14.6). Among patients who had 2 of above factors, 74% achieved MH, whereas only 39% with <2 factors achieved MH (P < 0.001). Of patients in clinical remission <1 year, 1 to 3 years and >3 years, 30%, 45.9%, and 62.9% achieved MH, respectively. Immunosuppressant therapy was associated with early MH (P = 0.025). In multivariate analysis, patients with previous mild inflammation were more likely to achieve early MH than those with moderate/severe inflammation (OR 2.8; 95% CI, 1.2-6.2).Conclusions:A longer disease remission, previous less severe mucosal inflammation, and immunosuppressant use are associated with MH. Severity of mucosal inflammation and use of immunosuppressant are also associated with early MH.
著者Shi HY, Chan FKL, Tsang SWC, Hui YT, Sze SF, Ching JYL, Chung T, Iu CYY, Lo FH, Shan EHS, Li MKK, Wu JCY, Sung JJY, Ng SC
期刊名稱Inflammatory Bowel Diseases
頁次840 - 846
關鍵詞duration of clinical remission; immunosuppressant; mucosal healing; severity of mucosal inflammation; ulcerative colitis
Web of Science 學科類別Gastroenterology & Hepatology

上次更新時間 2021-25-10 於 00:25