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Chinese Journal of Inflammatory Bowel Diseases

2017  (1,  1)  to  Present  ISSN: 2096-367X

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Analysis on correlation of vitamin D receptor expression with autophagic flow injury of small intestinal epithelial cells in patients with inflammatory bowel disease

Mei WANG ; Wei HE ; Jianping CHEN

Chinese Journal of Inflammatory Bowel Diseases.2020;04(2):139-141. doi:10.3760/cma.j.cn101480-20190603-00081

Objective:To explore the correlation of vitamin D receptor (VDR) expression with autophagic flow injury of small intestinal epithelial cells in patients with inflammatory bowel disease (IBD) .Methods:The small intestinal mucosa from 41 patients with IBD and 13 normal control subjects was collected, which were set as IBD group and normal control group respectively. The expressions of VDR and autophagic flow - associated proteins LC3 and p62 of small intestinal epithelial cells were detected by immunohistochemistry. The correlations between VDR expression and LC3 or p62 were analyzed by Spearman method. Results:Compared with normal control group, the expression of VDR decreased obviously in IBD group, while the expressions of LC3 and p62 increased significantly (all P<0.0001) , which indicated the injured autophagic flow. The expression of VDR was negatively correlated with expression of LC3 ( r=-0.59, P<0.01) and p62 ( r=-0.62, P<0.01) . Conclusion:The lower expression of VDR may be correlated with the autophagic flow injury in IBD patients.

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Analysis on postoperative outcome of patients with ulcerative colitis after two- or three- stage laparoscopic total proctocolectomy plus ileal pouch anal anastomosis

Xiaoyan YANG ; Shasha TANG ; Wei ZHOU

Chinese Journal of Inflammatory Bowel Diseases.2020;04(2):104-108. doi:10.3760/cma.j.cn101480-20191018-00126

Objective:To investigate the postoperative clinical outcomes between two- and three-stage laparoscopic total proctocolectomy (TPC) plus ileal pouch anal anastomosis (IPAA) surgery in patients with ulcerative colitis (UC) .Methods:Clinical data of 63 UC patients undergoing IPAA surgery in Sir Run Run Shaw Hospital of School of Medicine of Zhejiang University from January 2014 to May 2019 were analyzed retrospectively. The postoperative complications and short-term outcomes of patients with different stages operations were observed.Results:The two-stage IPAA was performed on 32 patients and three-stage on 31. As compared to three-stage IPAA, the patients of two-stage IPAA had less intraoperative blood loss [100 (50-100) ml vs. 150 (100-160) ml], shorter operation time [322.5 (280.0-410.0) min vs. 516.5 (440.0-569.0) min], shorter postoperative hospital stay [11.50 (9.00-16.75) d vs. 17.00 (14.25-21.75) d] and lower hospital cost [57 208.2 (52 755.4-61 735.3) yuan vs. 77 340.3 (69 336.2-87 859.7) yuan], whose differences were all significant (all P<0.05) . The postoperative short-term complications were observed in 18 patients (28.6%) , including pouch bleeding in 2, small bowel obstruction in 11 and incision infection in 5. There were no pouch-related fistula, and no abdominal or pelvic infection. There was no significant difference in rate of postoperative complications between the two groups ( P>0.05) . Thirty-seven patients were followed up for a median period of 15.0 (7.5-27.0) months. The rates of patients who were satisfied with the present living quality were 68.0% and 66.7% in two-stage and three-stage respectively. Conclusions:IPAA is a safe and effective surgical procedure for UC, which could improve the living quality in a short time. The rate of postoperative complication of two-stage IPAA is similar to three-stage IPAA, while the hospital stay is shortened and the cost is decreased in the two-stage IPAA.

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A case of intestinal schistosomiasis misdiagnosed as Crohn′s disease

Mengran YAN ; Fang YU ; Lijun CAI ; Shuyuan XIAO

Chinese Journal of Inflammatory Bowel Diseases.2020;04(2):171-173. doi:10.3760/cma.j.cn101480-20190809-00105

Intestinal schistosomiasis is caused by infestation with schistosome, which is easy to be confused with inflammatory bowel disease, especially Crohn′s disease or malignant tumor. Such a case that was misdiagnosed as Crohn′s disease in Zhongnan hospital is described. Schistosome eggs, granuloma and eosinophil infiltration observed in resected specimens can help reaching the correct diagnosis.

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The diagnosis of the ischemic bowel disease

Yan HUANG ; Ling XUE ; Jinghong XU ; Xiuli LIU ; Weixun ZHOU

Chinese Journal of Inflammatory Bowel Diseases.2020;04(2):161-164. doi:10.3760/cma.j.cn101480-20200309-00024

This article presents the blood supply of intestine, and summarizes the etiology, clinical manifestations, endoscopic and pathologic morphology features of intestinal ischemic disease and several kinds of specific ischemia-associated intestinal diseases, which aims to raise awareness of the intestinal ischemic disease.

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Effect and mechanism of curcumin and resveratrol on macrophages of mice with ulcerative colitis

Lize ZHANG ; Dandan WANG ; Cuixia QIAO ; Hairui GAO ; Wenli YOU ; Gang ZHAO

Chinese Journal of Inflammatory Bowel Diseases.2020;04(2):131-138. doi:10.3760/cma.j.cn101480-20190606-00083

Objective:To explore the effects and related mechanisms of curcumin and resveratrol on macrophages of colon tissues in ulcerative colitis (UC) mice.Methods:Sixty BALB/c mice were randomly and equally divided into CON group, DSS group, DSS+Cur group, DSS+Res group, Eve+Cur group and Eve+Res group. There were 10 mice in each group. CON group was the normal control group and received no treatment. UC model of mice was established by giving 3% dextran sodium sulfate (DSS) to drink freely for 7 days in other 5 groups. UC model of mice was simply established in DSS group. The gavage administrations of 0.4 ml curcumin and 0.4 ml resveratrol were performed every day in the mice of DSS+Cur group and DSS+Res group respectively after establishing the UC model. The gavage administration of 0.4 ml mTOR inhibitor Everolimus was performed in Eve+Cur group after 0.4 ml curcumin gavage administration and also was performed in Eve+Res group after 0.4 ml resveratrol gavage administration every day. The mice were sacrificed after 7 days of administration. The macrophages of colon tissues were isolated and cultured in each group. The general conditions of the mice were observed and the DAI score was evaluated. In order to examine the effects of curcumin and resveratrol on macrophages, CCK-8 method was used to detect the proliferation and flow cytometry was used to detect the apoptosis of macrophages. Fluorescence quantitative PCR and Western blot were used to detect the mRNA and protein expressions of the autophagy-related factors LC3, Beclin-1 and Atg12. ELISA was used to detect the level of the inflammatory factors IL-6 and TNF-α in culture supernatants of macrophages. In order to explore the associated mechanism, ELISA was used to detect the influence of mTOR inhibitor Everolimus on IL-6 and TNF-α, fluorescence quantitative PCR and Western blot were used to detect the expressions of SIRT1/mTOR pathway-related factors mTOR and SIRT1 mRNA and protein.Results:No death was observed in all of the mice. Compared with CON group, the proliferative activity of macrophages was significantly higher, and the apoptosis rate decreased significantly, the mRNA and protein expressions of Atg12, Beclin-1 and LC3 increased significantly in DSS Group, DSS+Cur group and DSS+Res group (all P<0.05) . Compared with DSS group, the proliferative activity was significantly lower, the apoptosis rate increased obviously, the mRNA and protein expressions of Atg12, Beclin-1 and LC3 decreased significantly in DSS+Cur group and DSS+Res group (all P<0.05) . Compared with CON group, the DAI scores increased, the mRNA and protein expressions of mTOR and SIRT1 decreased significantly, the levels of IL-6 and TNF-α increased significantly in DSS group, DSS+Cur group, DSS+Res group, Eve+Cur group and Eve+Res group (all P<0.05) . Compared with DSS group, the DAI scores decreased, the mRNA and protein expressions of mTOR and SIRT1 increased significantly, the levels of IL-6 and TNF-α decreased significantly in DSS+Cur group and DSS+Res group (all P<0.05) . Compared with DSS+Cur group and DSS+Res Group, the DAI scores increased significantly, the mRNA and protein expressions of mTOR and SIRT1 decreased significantly, the levels of IL-6 and TNF-α increased significantly in Eve+Cur group and Eve+Res group (all P<0.05) . Conclusion:Curcumin and resveratrol can inhibit the macrophages proliferation of colon tissues in UC mice, promote the apoptosis and inhibit the development of inflammation and autophagy, which may be regulated by SIRT1/mTOR pathway.

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Research progress of inflammatory bowel disease related muscle leisions

Dan WU ; Yang YANG ; Yanling WEI ; Dongfeng CHEN

Chinese Journal of Inflammatory Bowel Diseases.2020;04(3):244-247. doi:10.3760/cma.j.cn101480-20190921-00120

Inflammatory bowel disease (IBD) , which includes ulcerative colitis (UC) and Crohn′s disease (CD) , is a nonspecific chronic intestinal inflammatory disease of unknown etiology. Extraintestinal manifestations are relatively common in IBD. Due to the insufficient understanding of IBD-related muscle lesions, patients are easily misdiagnosed or neglected by clinicians. In this review, we discuss the mechanism, research status and progress of IBD-related muscle lesions, in order to provide a better understanding of the diagnosis and treatment for the clinicians.

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The role of advanced oxidation protein products in epithelial mesenchymal transition of small intestinal epithelial cells

Yu ZHENG ; Zongqiang NIE ; Hongyuan CHEN ; Xiangyu WANG ; Haixiao HUANG ; Liangxiang HUANG ; Changqing ZENG

Chinese Journal of Inflammatory Bowel Diseases.2020;04(2):124-130. doi:10.3760/cma.j.cn101480-20200217-00015

Objective:To investigate the role of advanced oxidation protein products (AOPPs) in epithelial - mesenchymal transition (EMT) of small intestinal epithelial cells, and provide basis for the study of mechanism of intestinal fibrosis (IF) in intestinal bowel disease (IBD) .Methods:The small intestinal crypt epithelial cells IEC-6 were cultured in vitro. AOPPs was made by hypochlorous acid oxidation of rat serum albumin (RSA) in vitro. IEC-6 cells were divided into blank control group, AOPPs group and RSA group. The different concentrations (50, 100, 200, 400 μg/ml) of AOPPs were used to interfere with IEC-6 cells respectively in AOPPs group, 50, 100, 200, 400 μg/ml RSA were used to interfere with IEC-6 cells respectively in RSA group and no intervention in blank control group. The morphological changes of IEC-6 cells were observed and apoptosis was detected by flow cytometry in 3 groups 24 h after intervention. When the apoptosis rate was highest, the concentration of AOPPs were analyzed statistically and used to interfere IEC-6 for 48 and 72 h. The difference of apoptosis rate were analyzed between the different times. The mRNA expression of E-cadherin, Fibronectin, Snail, Slug and Collagen Ⅰ were detected in blank control group, AOPPs group and RSA group by fluorescence quantitative PCR.Results:AOPPs could induce the apoptosis of IEC-6 cells with time- and concentration-dependent effects ( P<0.05) . The apoptosis rate was (17.30 ± 1.03) %, which reached the peak by the intervention of 400 μg/ml AOPPs for 72 h. AOPPs significantly decreased the mRNA expression of E-cadherin in IEC-6 cells, significantly increased the mRNA expression of Fibronectin and CollagenⅠ, and significantly increased the mRNA expression of transcription factor Snail and Slug (all P<0.05) . Conclusions:AOPPs can promote the ECT of small intestinal epithelial cells and play a role in IF of IBD by inducing the apoptosis of IEC-6 cells, inhibiting of the transcription of E-cadherin, up-regulating the gene expression of the transcription factors Snail and Slug, while increasing the gene expression of Fibronectin and CollagenⅠ.

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Risks of new onset and recurrence of tumors in inflammatory bowel disease patients receiving anti-TNF agents

Mengshi CHEN ; Xiaocang CAO

Chinese Journal of Inflammatory Bowel Diseases.2020;04(2):142-145. doi:10.3760/cma.j.cn101480-20190519-00073

The risks of tumors in patients with inflammatory bowel disease (IBD) are significantly higher than that in normal people. It is still obscure whether anti-tumor necrosis factor (anti-TNF) agents increase the risks of malignant tumors in these patients and whether the patients with previous history of malignant tumors could use anti-TNF agents. It becomes an important issue for making clinical decisions.

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A case of Degos disease with intestinal microperforation

Weiwei ZHENG ; Mi WANG ; Yijuan LIN ; Xunru HUANG ; Zehao ZHUANG ; Chengdang WANG

Chinese Journal of Inflammatory Bowel Diseases.2020;04(2):168-170. doi:10.3760/cma.j.cn101480-20190605-00082

Degos disease is a rare multi-system necrotic vasculitis disease. Autoimmune abnormality, heredity, infection and coagulation abnormality may be involved in the disease. Usually skin manifestations would be the first manifestation of this disease. However, intestinal perforation and hemorrhage are the main causes of death, which are not easy to be recognized or diagnosed by gastroenterologist. A case of this rare disease with intestinal microperforation is reported for reference.

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Clinical application of endoscopic balloon dilation in the treatment of Crohn′s disease with intestinal stenosis

Yi LIU ; Mei WANG ; Ting SHEN ; Liang MA ; Jianping CHEN

Chinese Journal of Inflammatory Bowel Diseases.2020;04(3):235-239. doi:10.3760/cma.j.cn101480-20191225-00151

Objective:To evaluate the efficacy and safety of endoscopic balloon dilation (EBD) in the treatment of Crohn′s disease (CD) with intestinal stenosis.Methods:Clinical data of 8 CD patients with intestinal stenosis undergoing EBD in the First People′s Hospital of Changzhou from January 2018 to November 2019 were retrospectively summarized. Efficacy of short- and long-term, associated complications and outcomes of EBD were analyzed.Results:There were 18 stenoses in 8 patients, including 16 primary stenoses and 2 anastomotic stenoses. Two stenoses located in ileocecal valve, 7 in ileum, 6 in jejunum, 2 in transverse colon, 1 in duodenal bulb. The median number and average length of stenoses were 2 per patient and (3.15±0.37) mm respectively. A total of 12 times of EBD were performed in 8 patients, including 3 times in each of 2 patients. The dilation was performed successfully in 16 of 18 stenoses in the first EBD procedure. The technical successful rate of the first EBD was 88.9% (16/18) . One dilation of anastomotic stenosis in ileum was failed because of intestinal shift and angulation deformity, and the other dilation of ileum stenosis was failed because of its length ≥5 cm. The mean intestinal diameter of stenosis was (8.89±1.36) mm before dilation and (15.10±1.62) mm after dilation, whose difference was significant ( t = 9.40, P<0.01) . The abdominal obstruction was relieved in 7 patients after EBD and the CT reexamination showed that the intestinal obstruction was relieved or disappeared. The other 1 patient did not obtain the relief of abdominal symptom and received surgery in other hospital. No operation-related complications occurred in 8 patients. All the patients were followed up for 6 to 24 months, three times of EBD were performed in each of 2 patients within 1 year after the first EBD and the mean interval of EBD was 70 (53, 94) d. Conclusion:EBD is safe and effective in the treatment of CD with intestinal stenosis, and serious complication is rare.

Country

China

Publisher

Chinese Medical Journals Publishing House Co., Ltd.

ElectronicLinks

https://www.cjibd.org.cn/?lang=En

Editor-in-chief

Hu Pinjin and Wu Xiaojian

E-mail

cjibd@cmaph.org

Abbreviation

Vernacular Journal Title

中华炎性肠病杂志(中英文)

ISSN

2096-367X

EISSN

Year Approved

2025

Current Indexing Status

Currently Indexed

Start Year

2017

Description

Chinese Journal of Inflammatory Bowel Diseases was founded on April, 2017. It is the only medical journal of inflammatory bowel diseases in China. The sponsor is the Chinese Medical Association and the organizer is the Sixth Affiliated Hospital of Sun Yat-sen University. It is published bimonthly. The aim of it is to reflect progresses of basic and clinical studies of IBD and improve communication of home and abroad. The first editorial board was founded by hundreds of exports in field of inflammatory bowel diseases. The main column contains Editorials, Expert Opinions, Original Articles, Reviews and so on. The basic and clinical studies about gastrointestinal inflammatory diseases, including Cronh’s disease, ulcerative colitis and other intestinal inflammatory diseases, are the main contents of this journal. It covers Internal medicine, Surgery, Pediatrics, Medical imaging, Pathology and Nutriology.

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