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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Morphometric Assessment of Chronic Inflammatory Cells in Colonic Biopsies of Patients with Irritable Bowel Syndrome
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Morphometric Assessment of Chronic Inflammatory Cells in Colonic Biopsies of Patients with Irritable Bowel Syndrome

机译:肠易激综合征患者结肠活检中慢性炎症细胞的形态计量学评估

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Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder which has a complex pathophysiology including the role of inflammation being recently studied.Aim: To assess the role of mast cells and Intraepithelial Lymphocytes (IELs) in IBS patients by morphometry.Materials and Methods: In this study, 148 cases of IBS using the Rome III criteria and 28 controls were taken. IBS patients were divided into two subgroups of Post Infectious (PI) and Non Post Infectious (NPI) subgroups on the basis of past history of episodes of gastroenteritis. All of them underwent full length colonoscopy and biopsy from the descending colon. Histopathology of these two were compared with special attention to morphometric count of IELs by ?pin hole? method and mast cells using toluidine blue highlighting.Results: Biopsies were unremarkable in 23(15.54%) patients, whereas 125 (84.46%) patients were diagnosed as Non Specific Colitis (NSC). The difference in IEL counts and mast cell counts were extremely significant (p<0.0001) in controls vs patients, controls vs PI-IBS patients and PI-IBS vs NPI-IBS subgroup whereas the difference was significant (p<0.001) in controls vs. NPI-IBS subgroup.Conclusion: The present study concluded that mast cells and IELs show a significant difference between IBS and non IBS cases, and could have an important role to play in the pathophysiology of IBS.
机译:肠易激综合症(IBS)是一种功能性胃肠道疾病,具有复杂的病理生理学,包括最近正在研究的炎症作用。目的:通过形态学评估肥大细胞和上皮内淋巴细胞(IEL)在IBS患者中的作用。 b>材料与方法:在这项研究中,采用罗马三世标准的148例IBS患者和28例对照者。根据肠胃炎发作的既往史,IBS患者被分为感染后(PI)和非感染后(NPI)两个亚组。他们都接受了结肠结肠镜检查并从降结肠进行活检。比较这两个组织病理学,并特别注意通过“针孔法”对IEL的形态计量计数。结果:活检在23例(15.54%)患者中无显着性,而125例(84.46%)患者被诊断为非特异性结肠炎(NSC)。对照组与患者,对照组与PI-IBS患者以及PI-IBS与NPI-IBS亚组的IEL计数和肥大细胞计数之间的差异非常显着(p <0.0001),而对照组与患者之间的差异则显着(p <0.001) NPI-IBS亚组结论:本研究得出的结论是,肥大细胞和IELs在IBS和非IBS病例之间显示出显着差异,并且可能在IBS的病理生理中发挥重要作用。

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