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©The Author(s) 2023.
World J Gastrointest Surg. Mar 27, 2023; 15(3): 420-429
Published online Mar 27, 2023. doi: 10.4240/wjgs.v15.i3.420
Published online Mar 27, 2023. doi: 10.4240/wjgs.v15.i3.420
Table 1 Basic information on patients (n = 43)
| Variables | Data |
| Characteristics | |
| Sex (Male/female) | 34/9 |
| Age (yr), mean ± SD | 43.6 ± 2.7 |
| Smoking (No/Yes) | 23/20 |
| Drinking (No/Yes) | 26/17 |
| Clinical data | |
| Crohn’s disease/ulcerative colitis | 27/16 |
| Location | |
| Crohn disease (L1/L2/L3/L4) | 9/0/18/0 |
| Ulcerative colitis (E1/E2/E3) | 0/2/14 |
| Severity of illness (Mild/moderate/severe) | 10/21/12 |
| Cause of surgery | |
| Patient required | 3 |
| Non-response to intern medicine therapy | 9 |
| Medical required | 31 |
| Intestinal obstruction | 18 |
| Fistula | 5 |
| Definite diagnosis requires | 1 |
| Gastrointestinal bleeding | 3 |
| Intestinal stenosis | 1 |
| Gastrointestinal perforation | 2 |
| Carcinogenesis | 1 |
| Pre-op aminosalicylic acid (No/Yes) | 8/35 |
| Pre-op corticosteroids (No/Yes) | 24/19 |
| Pre-op immunosuppressive therapy (No/Yes) | 34/9 |
| Surgical procedures (Laparoscopic/open surgery) | 14/29 |
| Course (d), mean ± SD | 73.6 ± 11.7 |
| Indicators to be explored | |
| Latent Epstein-Barr virus infection (Negative/positive) | 33/10 |
Table 2 Vital signs, clinical manifestations and biochemical data of the patients (n = 43)
| Variables | Data |
| Vital signs | |
| Heart rate (time/min), mean ± SD | 87.2 ± 3.1 |
| Systolic pressure (mmHg), median (Q1, Q3) | 101.0 (94.5, 113.0) |
| Diastolic pressure (mmHg), mean ± SD | 66.2 ± 1.7 |
| Clinical manifestations | |
| Fever (No/Yes) | 26/17 |
| Abdominal pain (No/Yes) | 1/42 |
| Diarrhea (No/Yes) | 14/29 |
| Fecal occult blood (No/Yes) | 23/20 |
| Mucus or bloody purulent stool (No/Yes) | 28/15 |
| Lose weight (≥ 5 kg) (No/Yes) | 4/39 |
| Abdominal mass (No/Yes) | 29/14 |
| Toxic megacolon (No/Yes) | 41/2 |
| Gastrointestinal hemorrhage (No/Yes) | 29/14 |
| Intestinal obstruction (No/Yes) | 19/24 |
| Intestinal perforation (No/Yes) | 34/9 |
| Perianal disease (No/Yes) | 35/8 |
| Extraintestinal manifestations (No/Yes) | 27/16 |
| Oral ulcer (Yes) | 13 |
| Pyoderma gangrenosum (Yes) | 1 |
| Peripheral spondyloarthritis (Yes) | 6 |
| Others (Yes) | 2 |
| Biochemical data | |
| White blood cell (× 109/L), mean ± SD | 6.7 ± 0.6 |
| Neutrophil count (× 109/L), mean ± SD | 4.6 ± 0.5 |
| Hemoglobin (g/L), mean ± SD | 103.6 ± 4.5 |
| Platelets (× 109/L), mean ± SD | 343.2 ± 25.7 |
| Alanine aminotransferase (U/L), median (Q1, Q3) | 11.0 (8.0, 14.0) |
| Aspartate aminotransferase (U/L), median (Q1, Q3) | 14.0 (10.3, 18.8) |
| Albumin (g/L), mean ± SD | 30.6 ± 1.5 |
| Lactate dehydrogenase (U/L), median (Q1, Q3) | 127.0 (102.0, 140.0) |
| Creatinine (μmol/L), mean ± SD | 60.7 ± 3.0 |
| Potassium (mmol/L), mean ± SD | 3.8 ± 0.1 |
| Prothrombin time (s), mean ± SD | 12.2 ± 0.2 |
| Activated partial thromboplastin time (s), median (Q1, Q3) | 29.3 (26.5, 32.9) |
| C-reactive protein (g/L), median (Q1, Q3) | 26.3 (16.3, 71.4) |
Table 3 Summary of factors related to latent Epstein-Barr virus infection
| Variables | Epstein-Barr virus-negative | Epstein-Barr virus-positive | Statistical value (t/χ2) | P value |
| Systolic pressure (mmHg), mean ± SD | 106.56 ± 11.51 | 94.33 ± 7.71 | 2.991 (t) | 0.0051 |
| Variety of disease | 7.965 (Adjusted) | 0.0051 | ||
| Crohn disease | 25 | 2 | ||
| Ulcerative colitis | 8 | 8 | ||
| Severity of illness | 12.293 (Likelihood ratio) | 0.0021 | ||
| Mild | 8 | 2 | ||
| Moderate | 20 | 1 | ||
| Severe | 5 | 7 | ||
| Pre-op corticosteroids | 5.017 (Adjusted) | 0.0251 | ||
| No | 22 | 2 | ||
| Yes | 11 | 8 |
Table 4 Data comparison between patients with mild/moderate or severe inflammatory bowel disease
| Variables | Mild/moderate (n = 31) | Severe (n = 12) | Statistical value (t/χ2) | P value |
| Systolic pressure (mmHg), mean ± SD | 107.33 ± 11.698 | 94.45 ± 7.71 | 3.482 (t) | 0.0011 |
| Variety of disease | 12.542 (Adjusted) | 0.0001 | ||
| Crohn disease | 25 | 2 | ||
| Ulcerative colitis | 6 | 10 | ||
| Pre-op corticosteroids | 6.408 | 0.0111 | ||
| No | 21 | 3 | ||
| Yes | 10 | 9 | ||
| Latent Epstein-Barr virus infection | 8.911 (Adjusted) | 0.0031 | ||
| Negative | 28 | 5 | ||
| Positive | 3 | 7 |
- Citation: Wei HT, Xue XW, Ling Q, Wang PY, Zhou WX. Positive correlation between latent Epstein-Barr virus infection and severity of illness in inflammatory bowel disease patients. World J Gastrointest Surg 2023; 15(3): 420-429
- URL: https://www.wjgnet.com/1948-9366/full/v15/i3/420.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i3.420
