Systematic review with meta-analysis: The prevalence, risk factors and outcomes of upper gastrointestinal tract Crohn's disease

Chin, Yip Han; Ng, Cheng Han; Lin, Snow Yunni; Jain, Sneha Rajiv; Kong, Gwyneth; Koh, Jeffery Wei Heng; Tan, Darren Jun Hao; Ong, David; Muthiah, Mark; Chong, Choon Seng; Foo, Fung Joon; Leong, Rupert W.; Chan, Webber

doi:10.1016/j.dld.2021.07.037

Cited by 11 publications

(16 citation statements)

References 57 publications

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“…The pooled prevalence of UGICD in Asian and Western countries did not have any significant difference; however, the prevalence of upper GI involvement in the Asian population was higher (18 vs 12%; P = 0.17). Similar findings regarding the higher prevalence of UGICD in Asia have also been reported in Chin and colleagues' review 9 and they are in accordance with the rapid increase in the incidence and prevalence of inflammatory bowel disease (IBD) in Asian countries over the recent decades. 45,46 The only significant difference between the pooled prevalence of measured parameters between Western and Asian patients with UGICD was the fact that stricturing phenotype (B2) was more common among Asian patients (0.44 vs 0.24; P < 0.001).…”

Section: Discussionsupporting

confidence: 86%

“…Although Chin et al 9 . conducted a systematic review on the prevalence of UGICD, its risk factors, and outcomes, they failed to include almost all of the available documents.…”

Section: Introductionmentioning

confidence: 99%

“…5 Several studies on the epidemiological characteristics of UGICD have been published in recent years. [6][7][8] Although Chin et al 9 conducted a systematic review on the prevalence of UGICD, its risk factors, and outcomes, they failed to include almost all of the available documents. They searched for reports only in PubMed and Embase databases and ignored possible gray literature available and other less Westernized databases such as Scopus and Google Scholar.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review and meta‐analysis of prevalence and clinical features of upper gastrointestinal (UGI) tract Crohn's disease in adults compared to non‐UGI types

et al. 2023

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Author Contribution: Vahid Mohamadi contributed to the concept and design, data acquisition, data analysis, statistical analysis, and manuscript preparation; Babak Tamizifar contributed to the concept, design, and literature search; Peyman Adibi contributed to manuscript editing and review; Maryam Hasdipour contributed to data collection and statistical analysis. Financial support: This study was not funded by any agency.

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Section: Discussionsupporting

confidence: 86%

“…Although Chin et al 9 . conducted a systematic review on the prevalence of UGICD, its risk factors, and outcomes, they failed to include almost all of the available documents.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A systematic review and meta‐analysis of prevalence and clinical features of upper gastrointestinal (UGI) tract Crohn's disease in adults compared to non‐UGI types

et al. 2023

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“…The L4 phenotype was also observed more frequently in patients with severe malnutrition when classified according to the GLIM. Several studies have suggested that patients with the L4 phenotype have a worse prognosis than those with other phenotypes, which manifests as an increased risk for complications, surgery, and further hospitalization ( 24 , 32 – 34 ). The small intestine is essential for the digestion and absorption of macro- and micronutrients ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

The GLIM Criteria Represent a More Appropriate Tool for Nutritional Assessment in Patients With Crohn's Disease

Peng

et al. 2022

Front. Nutr.

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BackgroundThe early recognition of malnutrition is essential for improving the prognosis of patients with Crohn's disease (CD). The Global Leadership Initiative on Malnutrition (GLIM) criteria represent a new consensus for the diagnosis of malnutrition but need to be validated in CD. The aims were to explore the related factors of malnutrition in CD and explore whether GLIM-positive patients who did not meet the Nutritional Risk Screening 2002 (NRS 2002) would benefit from nutritional treatment.MethodsThis study retrospectively enrolled patients with CD at the Gastroenterology Department of Xiangya Hospital Central South University between March 2020 and March 2021. After bioelectrical impedance analysis, all patients underwent nutritional screening and diagnosis using the NRS 2002 and GLIM criteria, respectively. Multivariable analysis was performed to evaluate risk factors related to malnutrition in patients with CD. A multivariable Cox hazard model was used to assess the association between nutritional therapy and prognostic outcomes.ResultsOf the 118 patients included, fifty were classified as having a high malnutrition risk according to the NRS 2002, while 76 were diagnosed with malnutrition by the GLIM criteria. Multivariate analysis showed that a high malnutrition risk was independently associated with the L4 phenotype [odds ratio (OR) (95% confidence interval (CI)) = 4.718 (1.108, 20.10), p = 0.036] and Crohn's Disease Activity Index (CDAI) [OR (95% CI) = 1.018 (1.007, 1.029), p = 0.002] based on the NRS 2002. The age at onset [OR (95% CI) = 0.828 (0.699, 0.980), p = 0.028] and CDAI [OR (95% CI) = 1.111 (1.034, 1.195), p = 0.004] were regarded as independent risk factors related to malnutrition, as determined by the GLIM criteria. Among 26 GLIM+/NRS− patients, significantly more patients who received nutritional support achieved 6-week remission than patients who did not (100 vs. 71.4%, p < 0.05). The 6-week remission risk in patients treated with nutrition therapy was more than 4-fold higher than those without nutritional therapy.ConclusionThe GLIM criteria could diagnose more malnourished patients with CD who are not positively screened by the NRS 2002, among whom nutritional support therapy would be beneficial for disease remission. The new criteria should be more appropriate for assessing the nutritional status of patients with CD.

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“…Rheumatological diseases such as systemic lupus erythematosus, systemic sclerosis, dermatomyositis, Sjǒgren's syndrome, and rheumatoid arthritis can cause chronic gastritis, which has nonspecific clinical manifestations including abdominal pain, nausea, vomiting, anorexia, and dysphagia 39 . CD may affect any part of the gastrointestinal tract from the oral cavity to the anus, with gastric involvement in approximately 7% of all patients, and it is more commonly seen in young patients 40 . Autoimmune pancreatitis can also cause gastritis, which is pathologically characterized by diffuse lymphoplasmacytic infiltration in the lamina propria of the gastric mucosa and an increased ratio of immunoglobulin G4 (IgG4) to IgG (particularly in the lower lamina propria layer), and sometimes, elevation of serum IgG4 concentration 41 …”

Section: Clinical Issues and Statementsmentioning

confidence: 99%

Guidelines for diagnosis and treatment of chronic gastritis inChina(2022,Shanghai)

Fang

2023

J of Digest Diseases

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Chronic gastritis is a commonly seen disease; clinicians have always attached to the importance of understanding its etiology and clinical manifestations, standardizing its diagnosis and treatment, and preventing its progression to cancers. Based on the consensus opinions on the diagnosis and treatment of chronic gastritis in the past three editions, and referring to the international consensuses and guidelines on the management of precancerous lesions of gastric mucosa, it is of clinical value and feasibility to formulate the guidelines for the diagnosis and treatment of chronic gastritis in line with China's national conditions. This guideline was initiated by the Chinese Society of Gastroenterology, with major members of the Cancer Collaboration Group of Chinese Society of Gastroenterology serving as the convenors and authors. Based on the internationally accepted principles and methods of guideline development and the extensive collection of opinions from gastroenterologists and physicians, 53 evidence-based recommendations are given for nine major clinical problems related to chronic gastritis, aiming to improve the diagnosis, treatment, and management of chronic gastritis.

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Systematic review with meta-analysis: The prevalence, risk factors and outcomes of upper gastrointestinal tract Crohn's disease

Cited by 11 publications

References 57 publications

A systematic review and meta‐analysis of prevalence and clinical features of upper gastrointestinal (UGI) tract Crohn's disease in adults compared to non‐UGI types

A systematic review and meta‐analysis of prevalence and clinical features of upper gastrointestinal (UGI) tract Crohn's disease in adults compared to non‐UGI types

The GLIM Criteria Represent a More Appropriate Tool for Nutritional Assessment in Patients With Crohn's Disease

Guidelines for diagnosis and treatment of chronic gastritis inChina(2022,Shanghai)

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