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Rošić Despalatović B, Babić M, Bratanić A, Tonkić A, Ardalić Ž, Vilović K. The Impact of Phenotype of Inflammatory Bowel Diseases, Inflammation Activity and Therapy on Mucosal Mature Cd83 + Dendritic Cell. J Clin Med 2024; 13:2070. [PMID: 38610835 PMCID: PMC11012704 DOI: 10.3390/jcm13072070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 03/08/2024] [Accepted: 04/02/2024] [Indexed: 04/14/2024] Open
Abstract
Background: Crohn's disease (CD) and ulcerative colitis (UC) are well-defined phenotypes of chronic inflammatory bowel diseases (IBDs). A mechanism of inflammation in these diseases is partially controlled by the intestinal dendritic cell (DC). In this study, we observed a mature CD83+ DC in colonic bioptic samples, and its correlation with disease phenotype and activity. Methods: The study included 219 subjects: 100 with UC, 44 with CD and 75 healthy subjects. Colonic biopsy specimens were incubated with the primary antibody Anti-CD83. Intraepithelial CD83+ DCs were counted per 100 enterocytes. The presence of CD83+ DC was analysed according to the type of IBD, histopathologic inflammation activity and treatment outcome. Results: The presence of mature CD83+ DCs (0, ≥1) differed according to disease types of IBD (p = 0.001), histologic inflammation activity (p = 0.049) and applied therapy (p = 0.001). The odds for CD83+ DC presence were 5.2 times higher in the CD group than in the control/UC group. The odds for CD83+ DC presence were 2.6 times higher in subjects without inflammation or chronic inflammation than with acute inflammation. They were also 3.7 times higher in subjects without therapy. The cut-off value 0.5 CD83+ DC (Rock analysis area = 0.699; SE 0.046; p < 0.001; 95% CI: 0.609-0.788) had been assessed as a differentiation marker between UC and CD. Conclusion: Presence of CD83+ DC could be used as a possible parameter in distinction between UC and CD, as well as a predictor of inflammation activity and treatment outcome.
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Affiliation(s)
| | - Marija Babić
- Medical School, University of Split, 21000 Split, Croatia;
| | - Andre Bratanić
- Department of Gastroenterology and Hepatology, University Hospital Split, 21000 Split, Croatia; (A.T.); (Ž.A.)
| | - Ante Tonkić
- Department of Gastroenterology and Hepatology, University Hospital Split, 21000 Split, Croatia; (A.T.); (Ž.A.)
| | - Žarko Ardalić
- Department of Gastroenterology and Hepatology, University Hospital Split, 21000 Split, Croatia; (A.T.); (Ž.A.)
| | - Katarina Vilović
- Department of Pathology, University Hospital Split, 21000 Split, Croatia;
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Vrca I, Burčul F, Blažević I, Bratanić A, Bilušić T. Comparison of gastrointestinal stability of isothiocyanates from Tropaeolum Majus L. Altum using in vitro and ex vivo digestion methods. Croat j food sci technol (Online) 2021. [DOI: 10.17508/cjfst.2021.13.2.04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Tropaeolum majus L. is an annual herbaceous plant and a member of the
Tropaeolaceae family, which belongs to the Brassicales order. It is an excellent
source of flavonoids, carotenoids, phenolic acids, vitamin C, and it is a plant
that contains the glucosinolate glucotropaeolin. The major degradation product
of glucotropaeolin is benzyl isothiocyanate which is known for its various
biological activities. In this study, an essential oil was isolated from the seeds
of the Tropaeolum majus L. altum plant by microwave-assisted distillation and
analysed using the GC-MS technique. Two compounds were identified, benzyl
isothiocyanate as the major one (97.81%), and 2-phenylacetonitrile as a minor
one (0.80%). Tropaeolum majus L. altum essential oil and pure benzyl isothiocyanate were then submitted to the two-phase in vitro and ex vivo digestion simulations. The
analysis performed by the GC-MS/MS technique showed greater stability of
benzyl isothiocyanate from essential oil after in vitro (97.57%), and ex vivo
(73.47%) gastric phases of the simulated digestion methods, compared to its
stability after in vitro (71.17%) and ex vivo (54.90%) intestinal phases. A
similar trend was shown for pure benzyl isothiocyanate.
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Affiliation(s)
- Ivana Vrca
- University of Split, Faculty of Chemistry and Technology, Ruđera Boškovića 35, 21 000 Split, Croatia
| | - Franko Burčul
- University of Split, Faculty of Chemistry and Technology, Ruđera Boškovića 35, 21 000 Split, Croatia
| | - Ivica Blažević
- University of Split, Faculty of Chemistry and Technology, Ruđera Boškovića 35, 21 000 Split, Croatia
| | - Andre Bratanić
- Division of Gastroenterology and Hepatology, University Hospital Split, Spinčićeva 1, 21000 Split, Croatia
| | - Tea Bilušić
- University of Split, Faculty of Chemistry and Technology, Ruđera Boškovića 35, 21 000 Split, Croatia
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Drvenica I, Blažević I, Bošković P, Bratanić A, Bugarski B, Bilusic T. Sinigrin Encapsulation in Liposomes: Influence on In Vitro Digestion and Antioxidant Potential. POL J FOOD NUTR SCI 2021. [DOI: 10.31883/pjfns/143574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Liović N, Bratanić A, Zorić Z, Pedisić S, Režek Jambrak A, Krešić G, Bilušić T. The effect of freeze‐drying, pasteurisation and high‐intensity ultrasound on gastrointestinal stability and antioxidant activity of blueberry phenolics. Int J Food Sci Technol 2021. [DOI: 10.1111/ijfs.14831] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Nikolina Liović
- Department of Food and Nutrition Faculty of Tourism and Hospitality Management University of Rijeka Primorska 42 Opatija51410Croatia
| | - Andre Bratanić
- Department of Gastroenterology and Hepatology University Hospital Split Spinčićeva 1 Split21000Croatia
| | - Zoran Zorić
- Centre for Food Technology and Biotechnology in Zadar Faculty of Food Technology and Biotechnology P. Kasandrića 6 Zadar23000Croatia
| | - Sandra Pedisić
- Centre for Food Technology and Biotechnology in Zadar Faculty of Food Technology and Biotechnology P. Kasandrića 6 Zadar23000Croatia
| | - Anet Režek Jambrak
- Faculty of Food Technology and Biotechnology University of Zagreb Pierottijeva 6 Zagreb10000Croatia
| | - Greta Krešić
- Department of Food and Nutrition Faculty of Tourism and Hospitality Management University of Rijeka Primorska 42 Opatija51410Croatia
| | - Tea Bilušić
- Faculty of Chemistry and Technology University of Split Ruđera Boškovića 35 Split21000Croatia
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Bilušić T, Drvenica I, Kalušević A, Marijanović Z, Jerković I, Mužek MN, Bratanić A, Skroza D, Zorić Z, Pedisić S, Nedović V, Režek Jambrak A. Influences of freeze‐ and spray‐drying vs. encapsulation with soy and whey proteins on gastrointestinal stability and antioxidant activity of Mediterranean aromatic herbs. Int J Food Sci Technol 2020. [DOI: 10.1111/ijfs.14774] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Tea Bilušić
- Faculty of Chemistry and Technology University of Split Ruđera Boškovića 35 Split21000Croatia
| | - Ivana Drvenica
- Institute for Medical Research University of Belgrade Dr Subotića 4 Belgrade11000Serbia
| | - Ana Kalušević
- Academy of Applied Studies Belgrade Zorana Đinđića 152 Belgrade11070Serbia
| | - Zvonimir Marijanović
- Faculty of Chemistry and Technology University of Split Ruđera Boškovića 35 Split21000Croatia
| | - Igor Jerković
- Faculty of Chemistry and Technology University of Split Ruđera Boškovića 35 Split21000Croatia
| | - Mario Nikola Mužek
- Faculty of Chemistry and Technology University of Split Ruđera Boškovića 35 Split21000Croatia
| | - Andre Bratanić
- Division of Gastroenterology and Hepatology University Hospital Split Spinčićeva 1 Split21000Croatia
| | - Danijela Skroza
- Faculty of Chemistry and Technology University of Split Ruđera Boškovića 35 Split21000Croatia
| | - Zoran Zorić
- Faculty of Food Technology and Biotechnology University of Zagreb Pierottijeva 6 Zagreb10000Croatia
| | - Sandra Pedisić
- Faculty of Food Technology and Biotechnology University of Zagreb Pierottijeva 6 Zagreb10000Croatia
| | - Viktor Nedović
- Faculty of Agriculture University of Belgrade Nemanjina 6 Belgrade‐Zemun11080Serbia
| | - Anet Režek Jambrak
- Faculty of Food Technology and Biotechnology University of Zagreb Pierottijeva 6 Zagreb10000Croatia
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Despalatović BR, Babić M, Bratanić A, Tonkić A, Vilović K. Difference in Presence and Number of CD83 + Dendritic Cells in Patients with Ulcerative Colitis and Crohn's Disease. Sci Rep 2020; 10:10055. [PMID: 32572123 PMCID: PMC7308349 DOI: 10.1038/s41598-020-67149-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Accepted: 05/29/2020] [Indexed: 12/16/2022] Open
Abstract
Different pathophysiological models provide insight into the important role of CD83+ dendritic cells (DCs) in the pathogenesis of Crohn's disease (CD) and ulcerative colitis (UC). There were 154 subjects included in this study: 60 with UC, 19 with CD and 75 in the control group. Colonic biopsy was performed in all subjects. Specimens were incubated with a primary anti-CD83 antibody. Intraepithelial DCs per 100 enterocytes were counted. The results were analysed according to demographic data, type of IBD and histological inflammation pattern. The odds ratio for CD83+ DCs=0 in the UC group was 3.4 times higher than that in the control group (OR = 3.4; 95% CI: 1.63-7.14; p = 0.001), and the odds ratio for CD83+ DCs ≥1 in the CD group was 5.3 times higher than that in the UC group (OR = 5.3; 95% CI: 1.4-20.2; p = 0.014). The odds ratio for CD83+ DCs=0 in the acute inflammation group was 2.7 times higher than that in the group without inflammation (OR = 2.7; 95% CI: 1.2-5.9; p = 0.011). In the group of patients with CD and acute inflammation (n = 11), there was only one subject without CD83+ DCs (p = 0,024). These results suggest an association of CD83+ DCs with the type of IBD and the histological inflammation pattern.
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Affiliation(s)
| | - Marija Babić
- Medical School, University of Split, Split, Croatia
| | - Andre Bratanić
- Department of Gastroenterology and Hepatology, University Hospital Split, Split, Croatia.
| | - Ante Tonkić
- Department of Gastroenterology and Hepatology, University Hospital Split, Split, Croatia
| | - Katarina Vilović
- Department of Pathology, University Hospital Split, Split, Croatia
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Meštrović A, Žaja I, Ardalić Ž, Vrebalov-Cindro P, Šustić I, Puljiz M, Bratanić A, Bonacin D. A Patient with Ulcerative Colitis Complicated by Systemic Vein Thrombosis. Case Rep Gastroenterol 2018; 12:322-326. [PMID: 30022923 PMCID: PMC6047562 DOI: 10.1159/000488191] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 02/28/2018] [Indexed: 11/21/2022] Open
Abstract
Crohn's disease and ulcerative colitis (UC) patients have an increased risk for thromboembolic complications, the most common of them are deep venous thrombosis and pulmonary embolism. Other locations and genetic mutations of coagulation factors are not so common in these patients. Here we present a case of a young woman with exacerbation of previously diagnosed mild UC complicated by multiple thrombotic incidents due to MTHFR gene mutation.
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Affiliation(s)
- Antonio Meštrović
- Department of Gastroenterology and Hepatology, University Hospital Centre, Split, Croatia
| | - Ivan Žaja
- Department of Gastroenterology and Hepatology, University Hospital Centre, Split, Croatia
| | - Žarko Ardalić
- Department of Gastroenterology and Hepatology, University Hospital Centre, Split, Croatia
| | - Pavle Vrebalov-Cindro
- Department of Gastroenterology and Hepatology, University Hospital Centre, Split, Croatia
| | - Ivan Šustić
- Department of Gastroenterology and Hepatology, University Hospital Centre, Split, Croatia
| | - Marko Puljiz
- School of Medicine, University of Split, Split, Croatia
| | - Andre Bratanić
- Department of Gastroenterology and Hepatology, University Hospital Centre, Split, Croatia
| | - Damir Bonacin
- Department of Gastroenterology and Hepatology, University Hospital Centre, Split, Croatia
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Despalatović BR, Bratanić A, Radić M, Jurišić Z, Tonkić A. Epidemiological trends of inflammatory bowel disease (IBD) in Split-Dalmatia County, Croatia from 2006 to 2014. Eur J Intern Med 2017; 46:e17-e19. [PMID: 28882418 DOI: 10.1016/j.ejim.2017.08.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2017] [Revised: 08/05/2017] [Accepted: 08/29/2017] [Indexed: 12/22/2022]
Affiliation(s)
| | - Andre Bratanić
- Division of Gastroenterology and Hepatology, University Hospital Center, Split, Croatia
| | - Mislav Radić
- Division of Rheumatology and Clinical Immunology, Split University Hospital Center, Split, Croatia
| | - Zrinka Jurišić
- Division of Cardiology, Split University Hospital Center, Split, Croatia
| | - Ante Tonkić
- Division of Gastroenterology and Hepatology, University Hospital Center, Split, Croatia
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Ljubičić N, Pavić T, Budimir I, Puljiz Ž, Bišćanin A, Bratanić A, Nikolić M, Hrabar D, Troskot B. North vs south differences in acute peptic ulcer hemorrhage in Croatia: hospitalization incidence trends, clinical features, and 30-day case fatality. Croat Med J 2015; 55:647-54. [PMID: 25559836 PMCID: PMC4295080 DOI: 10.3325/cmj.2014.55.647] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Aim To assess the seven-year trends of hospitalization incidence due to acute peptic ulcer hemorrhage (APUH) and associated risk factors, and examine the differences in these trends between two regions in Croatia. Methods The study collected sociodemographic, clinical, and endoscopic data on 2204 patients with endoscopically confirmed APUH who were admitted to the Clinical Hospital Center “Sestre Milosrdnice,” Zagreb and Clinical Hospital Center Split between January 1, 2005 and December 31, 2011. We determined hospitalization incidence rates, 30-day case fatality rate, clinical outcomes, and incidence-associated factors. Results No differences were observed in APUH hospitalization incidence rates between the regions. Age-standardized one-year cumulative APUH hospitalization incidence rate calculated using the European Standard Population was significantly higher in Zagreb than in Split region (43.2/100 000 vs 29.2/100,000). A significantly higher APUH hospitalization incidence rates were observed in the above 65 years age group. Overall 30-day case fatality rate was 4.9%. Conclusion The hospitalization incidence of APUH in two populations did not change over the observational period and it was significantly higher in the Zagreb region. The incidence of acute duodenal ulcer hemorrhage also remained unchanged, whereas the incidence of acute gastric ulcer hemorrhage increased. The results of this study allow us to monitor epidemiological indicators of APUH and compare data with other countries.
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Affiliation(s)
- Neven Ljubičić
- Neven Ljubičić, Department of Internal Medicine, "Sestre Milosrdnice" Clinical Hospital Center, University of Zagreb School of Medicine and School of Dental Medicine, Vinogradska 29, Zagreb 10000, Croatia,
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Ljubičić N, Budimir I, Pavić T, Bišćanin A, Puljiz Z, Bratanić A, Troskot B, Zekanović D. Mortality in high-risk patients with bleeding Mallory-Weiss syndrome is similar to that of peptic ulcer bleeding. Results of a prospective database study. Scand J Gastroenterol 2014; 49:458-64. [PMID: 24495010 DOI: 10.3109/00365521.2013.846404] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVE The aim of this study was to identify the predictive factors influencing mortality in patients with bleeding Mallory-Weiss syndrome in comparison with peptic ulcer bleeding. MATERIAL AND METHODS Between January 2005 and December 2009, 281 patients with endoscopically confirmed Mallory-Weiss syndrome and 1530 patients with peptic ulcer bleeding were consecutively evaluated. The 30-day mortality and clinical outcome were related to the patients' demographic data, endoscopic, and clinical characteristics. RESULTS The one-year cumulative incidence for bleeding Mallory-Weiss syndrome was 7.3 cases/100,000 people and for peptic ulcer bleeding 40.4 cases/100,000 people. The age-standardized incidence for both bleeding Mallory-Weiss syndrome and peptic ulcer bleeding remained unchanged during the observational five-year period. The majority of patients with bleeding Mallory-Weiss syndrome were male patients with significant overall comorbidities (ASA class 3-4). Overall 30-day mortality rate was 5.3% for patients with bleeding Mallory-Weiss syndrome and 4.6% for patients with peptic ulcer bleeding (p = 0.578). In both patients with bleeding Mallory-Weiss syndrome and peptic ulcer bleeding, mortality was significantly higher in patients over 65 years of age and those with significant overall comorbidities (ASA class 3-4). CONCLUSION The incidence of bleeding Mallory-Weiss syndrome and peptic ulcer bleeding has not changed over a five-year observational period. The overall 30-day mortality was almost equal for both bleeding Mallory-Weiss syndrome and peptic ulcer bleeding and was positively correlated to older age and underlying comorbid illnesses.
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Affiliation(s)
- Neven Ljubičić
- Department of Internal Medicine, Division of Gastroenterology, "Sestre milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb , Zagreb 10000, Vinogradska 29 , Croatia
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11
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Ljubičić N, Puljiz Z, Budimir I, Bišćanin A, Bratanić A, Pavić T, Nikolić M, Hrabar D, Supanc V. The influence of etiologic factors on clinical outcome in patients with peptic ulcer bleeding. Dig Dis Sci 2012; 57:3195-204. [PMID: 22736015 DOI: 10.1007/s10620-012-2273-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2012] [Accepted: 06/04/2012] [Indexed: 12/09/2022]
Abstract
BACKGROUND Peptic ulcer bleeding remains an important cause of morbidity and mortality. AIM The aim of this study was to evaluate the prevalence of non-steroidal anti-inflammatory drugs (NSAID) use, Helicobacter pylori infection and non-H. pylori-non-NSAIDs causes of peptic ulcer bleeding and to identify the predictive factors influencing the rebleeding rate and in-hospital mortality in patients with bleeding peptic ulcer. METHODS A total of 1,530 patients with endoscopically confirmed peptic ulcer bleeding were evaluated consecutively between January 2005 and December 2009. The 30-day mortality and clinical outcome were related to patient's demographic data, endoscopic and clinical characteristics. RESULTS The age-standardized 1-year cumulative incidence for peptic ulcer bleeding was 40.4 cases/100,000 people. The proportion of patients over 65 years increased from 45.7 % in 2005 to 61.4 % in 2009 (p = 0.007). Overall 30-day mortality rate was 4.6 %, not significantly different for conservatively and surgically treated patients (4.9 vs. 4.1 %, p = 0.87). Mortality was significantly higher in patients over 65 years of age and those with in-hospital bleeding recurrence. Patients with non-H. pylori-non-NSAID idiopathic ulcers had significantly higher 30-day mortality rate than those with H. pylori ulcers and NSAID-H. pylori ulcers (7.1 vs. 0 vs. 0.8 %, p = 0.001 and p = 0.007, respectively). There was no statistically significant difference between patients with NSAID ulcers and non-H. pylori-non-NSAID idiopathic ulcers in terms of 30-day mortality rate (5.3 vs. 7.1 %, p = 0.445). CONCLUSION The incidence of peptic ulcer bleeding has not changed over a 5-year observational period. The overall 30-day mortality was positively correlated to older age, underlying comorbid illnesses, in-hospital bleeding recurrence and the absence of H. pylori infection.
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Affiliation(s)
- Neven Ljubičić
- Division of Gastroenterology, Department of Internal Medicine, Medical and Dental Faculty, Sestre Milosrdnice University Hospital Center, University of Zagreb, Vinogradska 29, 10000, Zagreb, Croatia.
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Bonacin D, Fabijanić D, Radić M, Puljiz Ž, Trgo G, Bratanić A, Hozo I, Tocilj J. Gastroesophageal reflux disease and pulmonary function: a potential role of the dead space extension. Med Sci Monit 2012; 18:CR271-5. [PMID: 22534705 PMCID: PMC3560634 DOI: 10.12659/msm.882731] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND To evaluate the differences in the existence and size of dead space in patients with and without Gastroesophageal Reflux Disease (GERD and non-GERD) expressed through the size of intrapulmonary shunt (QS/QT). MATERIAL/METHODS The study enrolled 86 subjects - 43 patients referred for endoscopy because of symptoms of GERD (heartburn, acid regurgitation, dysfagia) and 43 healthy subjects with similar anthropometric characteristics without GERD symptoms. Based on endoscopy findings, patients were classified into the erosive reflux disease (ERD) group and non-erosive reflux disease (NERD) group. Spirometry values, single-breath diffusing capacity of the lung for carbon monoxide (DLCO) and intrapulmonary shunt (venous shunt - QS/QT) determined by the oxygen method were measured in all participants. RESULTS Statistically significant differences between GERD and non-GERD groups in FVC (p=0.034), FEV1 (p=0.002), FEV1/FVC (p=0.001), and PEF (p=0.001) were observed. There were no statistically significant differences in FEF 25% (p=0.859), FEF 50% (p=0.850), and FEF 75% (p=0.058). Values of DLCO (p=0.006) and DLCO/VA (p=0.001) were significantly lower and QS/QT was significantly higher (p=0.001) in the GERD group than in the non-GERD group. However, in both groups the average values of DLCO and DLCO/VA expressed as a percentage of predictive values were within normal range, while the value of QS/QT in the GERD group showed pathological (6.0%) mean value (normal value ≤ 5.0%). There were no significant differences in respiratory function test results between patients with ERD and NERD. CONCLUSIONS Our results suggest that microaspiration of stomach contents may cause surfactant damage, development of microatelectasis, and dead space expansion with consequent increase of intrapulmonary (venous) shunt.
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Affiliation(s)
- Damir Bonacin
- Department of Gastroenterology and Hepatology, University Hospital Split, Split, Croatia
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Puljiz Z, Petričević M, Bratanić A, Barišić I, Puljiz M, Karin Z. An unusually large liver lipoma. Med Glas (Zenica) 2012; 9:411-414. [PMID: 22926389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 04/30/2012] [Accepted: 05/15/2012] [Indexed: 06/01/2023]
Abstract
Liver lipoma is an extremely rare tumor. Its nature and behavior is not well known since available information is based mostly on individual case reports. This report presents a case of liver lipoma mimicking malignant liver tumor. The patient was 72-year female with 5-year history of right upper abdominal quadrant pain. Diagnostic work-up revealed a large liver tumor mass, suspicious of malignancy. However, patohistological analysis found it to be lipoma. Because of extremely low incidence of liver lipoma, especially large ones, appropriate diagnostic work-up is very important for its differentiation from malignant tumors.
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Affiliation(s)
- Zeljko Puljiz
- Department of Gastroenterology, University Hospital Split, Split, Croatia
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