Recent upper gastrointestinal panendoscopy increases the risk of pyogenic liver abscess
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  • 英文篇名:Recent upper gastrointestinal panendoscopy increases the risk of pyogenic liver abscess
  • 作者:Ming-Jen ; Tsai ; Chin-Li ; Lu ; Ying ; C ; Huang ; Chung ; Hsien ; Liu ; Wan-Ting ; Huang ; Kai-Yuan ; Cheng ; Solomon ; Chih-Cheng ; Chen
  • 英文作者:Ming-Jen Tsai;Chin-Li Lu;Ying C Huang;Chung Hsien Liu;Wan-Ting Huang;Kai-Yuan Cheng;Solomon Chih-Cheng Chen;Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital;Department of Sports Management, Chia Nan University of Pharmacy and Science;Department of Public Health, College of Medicine, National Cheng-Kung University;Department of Emergency Medicine, Medical Center and School of Medicine, Kaohsiung Medical University;Department of Medical Research, Ditmanson Medical Foundation Chia-Yi Christian Hospital;Heng Chun Christian Hospital;Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University;
  • 英文关键词:Appendicitis;;Colonoscopy;;Diverticulitis;;Gastrointestinal endoscopy;;Panendoscopy;;Pyogenic liver abscess
  • 中文刊名:ZXXY
  • 英文刊名:世界胃肠病学杂志(英文版)
  • 机构:Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital;Department of Sports Management, Chia Nan University of Pharmacy and Science;Department of Public Health, College of Medicine, National Cheng-Kung University;Department of Emergency Medicine, Medical Center and School of Medicine, Kaohsiung Medical University;Department of Medical Research, Ditmanson Medical Foundation Chia-Yi Christian Hospital;Heng Chun Christian Hospital;Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University;
  • 出版日期:2017-04-28
  • 出版单位:World Journal of Gastroenterology
  • 年:2017
  • 期:v.23
  • 语种:英文;
  • 页:ZXXY201716014
  • 页数:9
  • CN:16
  • 分类号:144-152
摘要
AIM To investigate the association between a recent gastrointestinal(GI) endoscopy and the subsequent risk of pyogenic liver abscess(PLA).METHODS We designed a nested case control study. Using the Taiwan National Health Insurance Research Database, 2135 patients with a first diagnosis of PLA were identified from 1998 to 2011. Another 10675 patients without PLA matched by age and sex were selected as reference controls. We identified and compared the possible risk factors for PLA and GI endoscopies performed before the index date(when PLA was diagnosed) between the two cohorts. Multivariate analysis was conducted to examine the risk of PLA within the 90 d after the GI endoscopies.RESULTS Patients with a history of diabetes [adjusted odds ratio(a OR) = 4.92, 95%CI: 1.78-13.61], end-stage renal disease(a OR = 3.98, 95%CI: 1.45-10.91), biliary tract infection(a OR = 2.68, 95%CI: 2.11-3.40), liver cirrhosis(a OR = 2.19, 95%CI: 1.39-3.46), GI malignancies(a OR = 5.68, 95%CI: 4.23-7.64), appendicitis(a OR = 3.16, 95%CI: 2.27-4.41), diverticulitis(a OR = 1.64, 95%CI: 1.01-2.64), and recent endoscopic retrograde cholangiopancreatography(a OR = 27.04, 95%CI: 11.65-62.72) were significantly associated with an increased risk of PLA. After adjusting for the above risk factors and the frequency of outpatient department visits and abdominal ultrasounds during 90 d before the index date, an upper GI panendoscopy(a OR = 2.75, 95%CI: 2.05-3.69) but not a lower GI endoscopy(a OR = 1.07, 95%CI: 0.62-1.86) was significantly associated with PLA.CONCLUSION An upper GI panendoscopy performed before 90 d may increase the risk of PLA.
        AIM To investigate the association between a recent gastrointestinal(GI) endoscopy and the subsequent risk of pyogenic liver abscess(PLA).METHODS We designed a nested case control study. Using the Taiwan National Health Insurance Research Database, 2135 patients with a first diagnosis of PLA were identified from 1998 to 2011. Another 10675 patients without PLA matched by age and sex were selected as reference controls. We identified and compared the possible risk factors for PLA and GI endoscopies performed before the index date(when PLA was diagnosed) between the two cohorts. Multivariate analysis was conducted to examine the risk of PLA within the 90 d after the GI endoscopies.RESULTS Patients with a history of diabetes [adjusted odds ratio(a OR) = 4.92, 95%CI: 1.78-13.61], end-stage renal disease(a OR = 3.98, 95%CI: 1.45-10.91), biliary tract infection(a OR = 2.68, 95%CI: 2.11-3.40), liver cirrhosis(a OR = 2.19, 95%CI: 1.39-3.46), GI malignancies(a OR = 5.68, 95%CI: 4.23-7.64), appendicitis(a OR = 3.16, 95%CI: 2.27-4.41), diverticulitis(a OR = 1.64, 95%CI: 1.01-2.64), and recent endoscopic retrograde cholangiopancreatography(a OR = 27.04, 95%CI: 11.65-62.72) were significantly associated with an increased risk of PLA. After adjusting for the above risk factors and the frequency of outpatient department visits and abdominal ultrasounds during 90 d before the index date, an upper GI panendoscopy(a OR = 2.75, 95%CI: 2.05-3.69) but not a lower GI endoscopy(a OR = 1.07, 95%CI: 0.62-1.86) was significantly associated with PLA.CONCLUSION An upper GI panendoscopy performed before 90 d may increase the risk of PLA.
引文
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