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논문 기본 정보

자료유형
학술저널
저자정보
Yagi Sen (Department of Internal Medicine Saiseikai Matsuyama Hospital) Furukawa Shinya (Health Services Center Ehime University) Shiraishi Kana (Department of Gastroenterology and Metabology Ehime University Graduate School of Medicine) Miyake Teruki (Department of Gastroenterology and Metabology Ehime University Graduate School of Medicine) Tange Kazuhiro (Department of Inflammatory Bowel Diseases and Therapeutics Ehime University Graduate School of Medicine) Hashimoto Yu (Department of Gastroenterology and Metabology Ehime University Graduate School of Medicine) Kitahata Shogo (Department of Gastroenterology Ehime Prefectural Central Hospital) Kawamura Tomoe (Department of Gastroenterology Ehime Prefectural Central Hospital) Ninomiya Tomoyuki (Department of Gastroenterology Ehime Prefectural Central Hospital) Mori Kenichirou (Department of Internal Medicine Iyo Hospital) Suzuki Seiyuu (Department of Gastroenterology Sumitomo Besshi Hospital) Shibata Naozumi (Department of Gastroenterology Ehime Prefectural Niihama Hospital) Murakami Hidehiro (Department of Internal Medicine Saiseikai Matsuyama Hospital) Ohashi Katsuhisa (OHASHI Clinic participate in Gastro-Enterology and Ano-Proctology) Hasebe Aki (Department of Gastroenterology Shikoku Cancer Center) Tomida Hideomi (Endoscopy Center Ehime University Hospital) Yamamoto Yasunori (Endoscopy Center Ehime University Hospital) Takeshita Eiji (Department of Inflammatory Bowel Diseases and Therapeutics Ehime University Graduate School of Medicine) Ikeda Yoshio (Endoscopy Center Ehime University Hospital) Hiasa Yoichi (Department of Gastroenterology and Metabology Ehime University Graduate School of Medicine)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.39 No.2
발행연도
2023.4
수록면
155 - 163 (9page)
DOI
10.3393/ac.2021.01032.0147

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Purpose: The albumin-to-globulin ratio (AGR) is a recognized chronic inflammation marker. No evidence regarding the relationship between AGR level and ulcerative colitis (UC) exists. The aim of this study was to evaluate the association between AGR and clinical outcomes among Japanese subjects with UC. Methods: The study subjects consisted of 273 Japanese individuals with UC. AGR was divided into 4 categories (low, moderate, high, and very high). The definition of complete mucosal healing (MH) was based on the Mayo endoscopic subscore of 0. Clinical remission (CR) was defined as no rectal bleeding and no abnormally high stool frequency (<3 times per day). Results: The percentage of MH was 26.4%. High AGR and very high AGR were significantly positively correlated with CR (adjusted odds ratio [OR], 5.85; 95% confidence interval [CI], 2.52–14.18 and adjusted OR, 4.97; 95% CI, 2.14–12.04) and complete MH (adjusted OR, 4.03; 95% CI, 1.56–11.51 and adjusted OR, 5.22; 95% CI, 1.97–14.89), respectively after adjustment for confounding factors (P for trend=0.001). Only in the low C-reactive protein (CRP) group (≤0.1 mg/dL), very high AGR was significantly positively correlated with complete MH but not CR (adjusted OR, 4.38; 95% CI, 1.06–21.77; P for trend=0.017). In the high CRP group, no correlation between AGR and complete MH was found. Conclusion: Among Japanese patients with UC, AGR may be independently positively correlated with complete MH. In particular, among UC patients with low CRP, AGR might be a useful complementary marker for complete MH.

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