Umehara Y, Kudo M, Kawasaki M. Endoscopic findings can predict the efficacy of leukocytapheresis for steroid-naive patients with moderately active ulcerative colitis. World J Gastroenterol 2008; 14(34): 5316-5321 [PMID: 18785285 DOI: 10.3748/wjg.14.5316]
Corresponding Author of This Article
Masatoshi Kudo, MD, PhD, Division of Gastroenterology and Hepatology, Department of Internal Medicine Kinki University School of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama 589-8511, Japan. m-kudo@med.kindai.ac.jp
Article-Type of This Article
Rapid Communication
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Table 2 Comparison of responders and non-responders 8 wk after the last LCAP session (mean ± SD)
Responders (n = 11)
Non-responders (n = 7)
P
Patient characteristic
Male/Female
7/4
4/3
NS
Age (yr)
39.7 ± 15.9
56.1 ± 17.5
NS
Duration of disease (yr)
5.7 ± 7.7
6.3 ± 9.7
NS
Pre-CAI
9.0 ± 2.0
11.1 ± 0.9
NS
Pre-CRP
1.0 ± 0.8
2.4 ± 2.7
NS
Clinical course
First attack
4
0
Relapse-remitting
6
0
Chronic continuous
1
7
< 0.001
Extent of disease
Entire
8
7
Left sided
2
0
Proctitis
1
0
NS
Endoscopic findings
Erosions
9
0
Geographic ulcers
2
4
Deep ulcers
0
3
< 0.005
Table 3 Comparison of the remission and relapse groups 48 wk after the last LCAP session (mean ± SD)
Remission (n = 5)
Relapse (n = 6)
P
Patient characteristic
Male/Female
2/3
5/1
NS
Age (yr)
45.4 ± 13.5
35.0 ± 16.1
NS
Duration of disease (yr)
3.5 ± 3.2
7.6 ± 9.6
NS
Pre-CAI
8.8 ± 1.7
9.1 ± 2.2
NS
Post-CAI
0.6 ± 0.4
1.8 ± 1.0
< 0.05
Pre-CRP
1.0 ± 0.9
1.0 ± 0.8
NS
Post-CRP
0.18 ± 0.14
0.32 ± 0.39
NS
Clinical course
First attack
3
1
Relapse-remitting
2
4
Chronic continuous
0
1
NS
Extent of disease
Entire
3
5
Left sided
1
1
Proctitis
1
0
NS
Endoscopic findings
Erosions
4
5
Geographic ulcers
1
1
Deep ulcers
0
0
NS
Table 4 Course of cases whose condition worsened during LCAP
Case 1
Case 2
Case 3
Additional therapy
PSL
PSL
CsA
GCV
GCV
Complication
-
CMV
CMV
Aspiration pneumonitis
Result
Operation
Operation
Dead
Citation: Umehara Y, Kudo M, Kawasaki M. Endoscopic findings can predict the efficacy of leukocytapheresis for steroid-naive patients with moderately active ulcerative colitis. World J Gastroenterol 2008; 14(34): 5316-5321