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文献詳細

雑誌文献

medicina45巻5号

2008年05月発行

文献概要

今月の主題 炎症性腸疾患と機能性腸疾患─病態の理解と求められる対応 炎症性腸疾患の長期予後とQOLの向上に向けて

炎症性腸疾患における日常生活指導

著者: 蘆田知史1

所属機関: 1札幌東徳洲会病院IBDセンター

ページ範囲:P.869 - P.871

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ポイント

●日常生活指導はIBDのQOLや経過を改善するうえで有用である.

●喫煙は特にCrohn病の症例で禁煙を指導する.

●食事指導は全体的なエネルギー摂取量を考慮する必要がある.

●服薬指導はSASP/5-ASAの服用量についても注意を払う.

参考文献

1)Cosnes J, et al:Gender differences in the response of colitis to smoking. Clin Gastroenterol Hepatol 2:41-48, 2004
2)Srivasta ED, et al:Smoking and ulcerative colitis;A community study. Int J Colorectal Dis 8:71-74, 1993
3)Calkins BM:A meta-analysis of the role of smoking in inflammatory bowel disease. Dig Dis Sci 34:1841-1854, 1989
4)Mahid SS, et al:Smoking and inflammatory bowel disease;A meta-analysis. Mayo Clin Proc 81:1462-1471, 2006
5)Motley RJ, et al:Time relationships between cessation of smoking and onset of ulcerative colitis. Digestion 37:125-127, 1987
6)Boyko EJ, et al:Risk of ulcerative colitis among former and current cigarette smokers. N Engl J Med 316:707-710, 1987
7)Mokbel M, et al:Effect of smoking on the long-term course of ulcerative colitis. Gastroenterol Clin Biol 22:858-862, 1998
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9)Rudra T, et al:Does smoking improve colitis? Scand J Gastroenterol Suppl 170:61-63;discussion 66-68, 1989
10)Beaugerie L, et al:Impact of cessation of smoking on the course of ulcerative colitis. Am J Gastroenterol 96:2113-2116, 2001
11)Mahid SS, et al:Active and passive smoking in childhood is related to the development of inflammatory bowel disease. Inflamm Bowel Dis 13:431-438 779-782, 2007
12)Lakatos L, et al:Striking elevation in incidence and prevalence of inflammatory bowel disease in a province of western Hungary between 1977-2001. World J Gastroenterol 10:404-409, 2004
13)Persson PG, et al:Inflammatory bowel disease and tobacco smoke;A case-control study. Gut 31:1377-1381, 1990
14)Picco MF, Bayless TM:Tobacco consumption and disease duration are associated with fistulizing and stricturing behaviors in the first 8 years of Crohn's disease. Am J Gastroenterol 98:363-368, 2003
15)Louis E, et al:Early development of stricturing or penetrating pattern in Crohn's disease is influenced by disease location, number of flares, and smoking but not by NOD2/CARD15 genotype. Gut 52:552-557, 2003
16)Cosnes J, et al:Effects of cigarette smoking on the long-term course of Crohn's disease. Gastroenterology 110:424-431, 1996
17)Cosnes J, et al:Effects of current and former cigarette smoking on the clinical course of Crohn's disease. Aliment Pharmacol Ther 13:1403-1411, 1999
18)Cottone M, et al:Smoking habits and recurrence in Crohn's disease. Gastroenterology 106:643-648, 1994

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1189

印刷版ISSN:0025-7699

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