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Inflammatory bowel diseases in Indo-Canadians: Treatment and complications

Treatment and complications: Medications included 5- aminosalicylates, steroids and immunosuppressants as well as antimicrobial agents. In most patients, more than one medi­cation was administered during the course of their treatment, particularly for Crohn’s disease. For both groups, most were treated with corticosteroids and/or immunosuppressants dur­ing a mean follow-up period of five to six years. Some [...]

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Inflammatory bowel diseases in Indo-Canadians: RESULTS

Patient population: In this prospectively studied population cohort of Indo-Canadians residing in the metropolitan area of Vancouver, a clinical diagnosis of ulcerative colitis was es­tablished in 62 of 84 patients (almost 75%) with IBD; the other 22 patients had Crohn’s disease (Table 1). This distri­bution contrasts with the results of a prospectively studied population of [...]

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Inflammatory bowel diseases in Indo-Canadians: Laboratory studies

Laboratory studies: For each patient, all blood samples were collected into vacutainer glass tubes (Becton Dickinson, Franklin, New Jersey) by a laboratory technologist without knowledge of the patient’s clinical history, investigation re­sults or diagnosis. Blood was also obtained for hematological studies (hemoglobin, white blood cell count and platelet count), erythrocyte sedimentation rate, antinuclear antibod­ies, liver [...]

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Inflammatory bowel diseases in Indo-Canadians: PATIENTS AND METHODS

Patient groups: Each patient had an established diagnosis of idiopathic ulcerative colitis or Crohn’s disease in the small and/or large intestine based on clinical, radiological, endo- scopic and histological criteria, and negative microbiological studies. Ulcerative colitis was diagnosed when a diffuse inflammatory process involving the rectum and extending proximally within the colon was present. As [...]

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Inflammatory bowel diseases in Indo-Canadians

Previous studies have demonstrated that some anti­neutrophil cytoplasmic autoantibodies (ANCA) may be detected in patients with inflammatory bowel disorders, par­ticularly in those with ulcerative colitis. Recently, in a prospective study of 500 Canadian patients with inflamma­tory bowel disease (IBD) who were evaluated at the Univer­sity of British Columbia, 38.8% were positive for ANCA – 66.3% [...]

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Omeprazole once or twice daily with clarithromycin and metronidazole: DISCUSSION

Whether omeprazole was given once or twice daily in combi­nation with clarithromycin and metronidazole, this one- week treatment regimen achieved 80% ITT, 85% APT and 86% to 87% PP Hpylori eradication. Due to small sample size, statistically significant differences may have been missed. However, because the results were exactly the same in both study arms, [...]

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Omeprazole once or twice daily with clarithromycin and metronidazole: RESULTS

A total of 103 patients were initially enrolled in the study. Of these, 51 were in the omeprazole once daily arm and 52 were allocated to the omeprazole twice daily arm. Three patients were lost to follow-up immediately after the first visit and were excluded because it was not known whether any medi­cations had been [...]

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