4.4 Article

Persistent Reactive Thrombocytosis May Increase the Risk of Coronary Artery Disease Among Inflammatory Bowel Disease Patients

Journal

DIGESTIVE DISEASES AND SCIENCES
Volume 60, Issue 10, Pages 3062-3068

Publisher

SPRINGER
DOI: 10.1007/s10620-015-3701-1

Keywords

Platelets; Inflammatory bowel disease; Coronary artery disease; Ulcerative colitis; Crohn's disease

Ask authors/readers for more resources

IBD patients are at increased risk of coronary artery disease in the absence of traditional risk factors. However, the disease-related risk factors remain poorly understood although increased inflammation seems to increase cardiovascular disease risk in IBD. Thrombocytes are involved in the pathogenesis of coronary artery disease, and a subset of IBD patients have reactive thrombocytosis. The aim of our study was to investigate the effect of persistent reactive thrombocytosis on the development of coronary artery disease in IBD. We evaluated a retrospective cohort of 2525 IBD patients who were evaluated at the Henry Ford hospital from 2000 to 2004. We performed a case-control study comparing patients with persistent thrombocytosis and patients without persistent thrombocytosis. Cases (n = 36) and controls (n = 72) were matched for age and gender. Coronary artery disease incidence was compared between the two groups. Cases (n = 36) and controls (n = 72) were matched for age and gender. Cases and controls were similar in age at onset of IBD (41.5 vs. 35.5, p value 0.11) and smoking status (33.3 vs. 27.8 %, p value 0.66). Persistent thrombocytosis was less common among Caucasian patients (44.44 vs. 62.5 %, p value 0.09) and more common in patients who had exposure to steroids during the study follow-up period. Coronary artery disease occurred in 13 (36.1 %) patients with persistent thrombocytosis compared to only seven (9.7 %) patients in the control group. Persistent reactive thrombocytosis among IBD patients is associated with increased risk of coronary artery disease. Further studies should characterize the clinical and molecular associations of this phenomenon and determine appropriate therapeutic measures.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Immunology

Takotsubo Cardiomyopathy Following Liver Transplantation: A Report of 2 Cases

Omar Shamaa, Syed-Mohammed Jafri, M. Tayseer Shamaa, Kimberly Brown, Deepak Venkat

Summary: This retrospective study reviewed cases of takotsubo cardiomyopathy following liver transplant and found two cases with different complications and treatment outcomes. Further studies are needed to establish a definite correlation between pulmonary hypertension and the development of takotsubo cardiomyopathy.

TRANSPLANTATION PROCEEDINGS (2021)

Article Immunology

Risk Factors and Outcomes of Intracardiac Thrombosis During Orthotopic Liver Transplantation

Waleed Al-Darzi, Yusuf Alalwan, Firas Askar, Omar Sadiq, Deepak Venkat, Humberto Gonzalez, Dragos Galusca, Atsushi Yoshida, Syed-Mohammed Jafri

Summary: This study retrospectively analyzed 388 patients who underwent orthotopic liver transplantation at an urban transplant center, identifying 6 cases of intracardiac thrombosis. Treatment of intracardiac thrombosis remains challenging, but using a combination of thrombolytics and heparin may achieve better results.

TRANSPLANTATION PROCEEDINGS (2021)

Article Medicine, General & Internal

A Placebo-Controlled Trial of Subcutaneous Semaglutide in Nonalcoholic Steatohepatitis

Philip N. Newsome, Kristine Buchholtz, Kenneth Cusi, Martin Linder, Takeshi Okanoue, Vlad Ratziu, Arun J. Sanyal, Anne-Sophie Sejling, Stephen A. Harrison

Summary: This phase 2 trial demonstrated that treatment with semaglutide resulted in a significantly higher percentage of patients with NASH resolution compared to placebo in patients with NASH, but did not show a significant between-group difference in the percentage of patients with an improvement in fibrosis stage.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

Article Gastroenterology & Hepatology

Endoscopic Retrograde Cholangiopancreatography (ERCP) in Patients With Liver Cirrhosis Analysis of Trends and Outcomes From the National Inpatient Sample Database

Shantanu Solanki, Asim Kichloo, Dushyant S. Dahiya, Dhanshree Solanki, Jagmeet Singh, Farah Wani, Michael Albosta, Subash Ghimire, Khwaja F. Haq, Hafiz M. A. Khan, Syed-Mohammed Jafri, Mohammad Arsalan Siddiqui, Tobias Zuchelli

Summary: This study assessed the outcomes of patients with liver cirrhosis who underwent therapeutic or diagnostic ERCP and found that therapeutic ERCP may increase the risk of pancreatitis and postprocedure hemorrhage, while diagnostic ERCP may increase the risk of pancreatitis and cholecystitis in patients with cirrhosis. Comorbidities in cirrhosis patients may increase the risk of post-ERCP complications and mortality.

JOURNAL OF CLINICAL GASTROENTEROLOGY (2022)

Article Surgery

Availability of PEth testing is associated with reduced eligibility for liver transplant among patients with alcohol-related liver disease

Ranya Selim, Yueren Zhou, Loralee B. Rupp, Sheri Trudeau, Sandra Naffouj, Omar Shamaa, Abdelwahab Ahmed, Syed-Mohammed Jafri, Stuart C. Gordon, Antu Segal, Humberto C. Gonzalez

Summary: This study evaluated the impact of PEth testing on the termination and delisting of liver transplant evaluation. The results showed that the availability of PEth testing led to a higher rate of exclusion of patients from eligibility for liver transplant.

CLINICAL TRANSPLANTATION (2022)

Article Gastroenterology & Hepatology

Risk factors and outcomes associated with recurrent autoimmune hepatitis following liver transplantation

Aldo J. Montano-Loza, Vincenzo Ronca, Maryam Ebadi, Bettina E. Hansen, Gideon Hirschfield, Saleh Elwir, Mohamad Alsaed, Piotr Milkiewicz, Maciej K. Janik, Hanns-Ulrich Marschall, Maria Antonella Burza, Cumali Efe, Ali Riza Caliskan, Murat Harputluoglu, Gokhan Kabacam, Debora Terrabuio, Fernanda de Quadros Onofrio, Nazia Selzner, Alan Bonder, Albert Pares, Laura Llovet, Murat Akyildiz, Cigdem Arikan, Michael P. Manns, Richard Taubert, Anna-Lena Weber, Thomas D. Schiano, Brandy Haydel, Piotr Czubkowski, Piotr Socha, Natalia Oldak, Nobuhisa Akamatsu, Atsushi Tanaka, Cynthia Levy, Eric F. Martin, Aparna Goel, Mai Sedki, Irena Jankowska, Toru Ikegami, Maria Rodriguez, Martina Sterneck, Christina Weiler-Normann, Christoph Schramm, Maria Francesca Donato, Ansgar Lohse, Raul J. Andrade, Vilas R. Patwardhan, Bart van Hoek, Maaike Biewenga, Andreas E. Kremer, Yoshihide Ueda, Mark Deneau, Mark Pedersen, Marlyn J. Mayo, Annarosa Floreani, Patrizia Burra, Maria Francesca Secchi, Benedetta Terziroli Beretta-Piccoli, Marco Sciveres, Giuseppe Maggiore, Syed-Mohammed Jafri, Dominique Debray, Muriel Girard, Florence Lacaille, Ellina Lytvyak, Andrew L. Mason, Michael Heneghan, Ye Htun Oo

Summary: Recurrence of autoimmune hepatitis (AIH) is common after liver transplantation, and it is associated with younger age at transplantation, the use of mycophenolate mofetil post-transplant, sex mismatch, and high pre-transplant IgG levels. Recurrent AIH is associated with impaired graft and overall survival. Better characterization, prevention, and treatment strategies are needed for the management of recurrent AIH.

JOURNAL OF HEPATOLOGY (2022)

Article Immunology

The outcomes of Clostridioides difficile infection in inpatient liver transplant population

Waseem Amjad, Waqas Qureshi, Adnan Malik, Ritu Singh, Syed-Mohammed Jafri

Summary: CDI in liver transplant patients is associated with higher rates of re-admission, in-hospital mortality, healthcare costs, and longer length of stay. The most common cause of re-admission is recurrent CDI, highlighting potential concerns over the efficacy of standard first-line therapy.

TRANSPLANT INFECTIOUS DISEASE (2022)

Article Gastroenterology & Hepatology

Heterogeneity in Center Practices in Liver Transplantation for Alcohol-Associated Liver Disease in the United States

Nicholas Lim, Allison J. Kwong, Syed-Mohammed Jafri, Michelle T. Jesse, Michael Kriss, Kavitha Nair, Anjana Pillai, Alexandra Shingina, Qing Tang, Archita P. Desai

Summary: The survey of LT centers in the United States revealed variations in management strategies for alcohol-related liver disease, with an increasing acceptance of LT for severe alcohol-associated hepatitis. Monitoring protocols for alcohol use before and after LT also varied among centers.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2022)

Editorial Material Immunology

The Effect of the COVID-19 Pandemic in Intestinal Rehabilitation and Transplant Patients: Initial Results of the Intestinal Rehabilitation and Transplant Association's International Survey

Maria Segovia, Maria Florencia Fernandez, Carolina Rumbo, Chiara Zanfi, Gustaf Herlenius, Adam Testro, Lisa Sharkey, Felix Braun, Syed-Mohammed Jafri, Hector Vilca Melendez, Rodrigo Sanchez Claria, Laurens J. Ceulemans, Taizo Hibi, Hector Solar, Diego Ramisch, Gillian Noel, Jason Yap, Gerard Dijkstra, Thomas Schiano, Peter Friend, Florence Lacaille, Debra Sudan, George Mazariegos, Simon Horslen, Gabriel E. Gondolesi

TRANSPLANTATION (2022)

Article Immunology

Hepatitis E Diagnosis and Management After Liver, Kidney, or Heart Transplant: A Single-Center Experience

Maximilian Carter, Kassandra Solsrud, Sirisha Yeddula, Mary Grace Fitzmaurice, Ashina Singh, Shunji Nagai, Syed-Mohammed Jafri

Summary: This study retrospectively evaluated HEV diagnosis and treatment after liver, kidney, and heart transplant. Ribavirin antiviral therapy and reducing immunosuppression were found to be effective treatments for HEV infections. Larger multicenter studies are needed to confirm the risks and benefits of using ribavirin antiviral therapy as first-line treatment for HEV posttransplant.

TRANSPLANTATION PROCEEDINGS (2022)

Article Gastroenterology & Hepatology

Band Ligation Can Be Used to Treat Barrett's Esophagus and Concurrent Esophageal Varices: A Case Series

Colin Hartgerink, Faisal M. Nimri, Tobias Zuchelli, Syed-Mohammed Jafri, Cyrus Piraka

Summary: This case series demonstrates the effectiveness of band ligation in the treatment of Barrett's esophagus and esophageal varices. It shows successful eradication of the pathology and positive outcomes in addressing dysplasia.

DIGESTIVE DISEASES AND SCIENCES (2023)

Article Immunology

An analysis of the outcomes of Clostridioides difficile occurring in intestinal transplant recipients requiring hospitalization

Waseem Amjad, Thomas Schiano, Maria C. Segovia, Adnan Malik, Joshua Weiner, Simon Horslen, Syed-Mohammed Jafri

Summary: This study investigated the impact of Clostridioides difficile infection (CDI) in patients with a history of intestinal transplantation. The results showed that CDI is commonly observed in intestinal transplant patients and is associated with longer hospital stays and increased costs. Additionally, CDI is the most common cause of readmission in these patients.

TRANSPLANT INFECTIOUS DISEASE (2023)

Article Pharmacology & Pharmacy

Developments in pharmacotherapeutic agents for hepatitis B - how close are we to a functional cure?

Naoshin Khan, Mohamed Ramzi Almajed, Mary Grace Fitzmaurice, Syed-Mohammed Jafri

Summary: This review provides an overview of the global prevalence and potential complications of hepatitis B virus (HBV). Current therapies are effective in chronic treatment but rarely provide a functional cure. Newer therapies involving direct antiviral agents and immune modulators show promise in achieving a functional cure of HBV.

EXPERT OPINION ON PHARMACOTHERAPY (2023)

Article Immunology

Cytomegalovirus Infection Management in Multivisceral and Intestinal Transplant: A Dual Institution Study

Emily E. Currier, Yervant Ichkanian, Mohamad Dabaja, Maria Cristina Segovia, Yuval Patel, Shunji Nagai, Debra L. Sudan, Syed-Mohammed Jafri

Summary: Intestinal and multivisceral transplantation, originally used in pediatric patients, are relatively new procedures in adults. Despite improved success rates after transplantation, infectious complications and rejection continue to cause morbidity and mortality. This retrospective study analyzed adult transplant recipients from two institutions and found a high incidence of CMV infection, highlighting the need for a universal treatment protocol.

TRANSPLANTATION PROCEEDINGS (2023)

Article Medicine, General & Internal

Hepatitis C Cirrhosis, Hepatitis B Superimposed Infection, and the Emergence of an Acute Portal Vein Thrombosis: A Case Report

Lauren Kasmikha, Naoshin Khan, Mohamed Ramzi Almajed, Abigail Entz, Syed-Mohammed Jafri

Summary: Acute portal vein thrombosis (PVT) is a serious complication in patients with liver cirrhosis, especially in cases of superimposed viral infections such as hepatitis B (HBV) and hepatitis C (HCV). This case study highlights the development of acute PVT in a patient with HCV cirrhosis and superimposed HBV infection during hospitalization. The diagnosis of PVT can be challenging, but repeat imaging and consideration of differentials are crucial in such cases. Anticoagulation should be individualized for cirrhotic patients with PVT to prevent and treat this condition, emphasizing the importance of prompt diagnosis, early intervention, and close monitoring.

CUREUS JOURNAL OF MEDICAL SCIENCE (2023)

No Data Available