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논문 기본 정보

자료유형
학술저널
저자정보
Shaozhong Huang (Renji Hospital Shanghai Jiao Tong University School of Medicine) Jiayi Ma (Renji Hospital Shanghai Jiao Tong University School of Medicine) Mingming Zhu (Renji Hospital Shanghai Jiao Tong University School of Medicine) Zhihua Ran (Renji Hospital Shanghai Jiao Tong University School of Medicine)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.15 No.1
발행연도
2017.1
수록면
103 - 108 (6page)

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Background/Aims: Inflammatory bowel disease (IBD) primarily involves the intestinal tract and can affect vitamin absorption. This study was designed to assess the prevalence of vitamin B12 and folate deficiencies in patients with IBD, and to identifythe risk factors associated with abnormal serum vitamin B12 and folate levels. Methods: We evaluated the medical records of195 patients with Crohn’s disease (CD) and 62 patients with ulcerative colitis (UC), and selected 118 healthy subjects for thecontrol group. Results: There were more CD patients with vitamin B12 deficiency than UC patients (14.9% vs. 3.2%, P =0.014)and controls (14.9% vs. 4.2%, P =0.003). The prevalence of folate deficiency was higher in CD patients than in controls (13.3% vs. 3.4%, P =0.004). There were no significant differences in the serum vitamin B12 and folate statuses of the UC and control groups. Patients with prior ileal or ileocolic resection showed a higher prevalence of abnormal vitamin B12 levels than those withoutprior resection (n=6/16, n=23/179; P =0.018). A disease duration within 5 years was a risk factor of abnormal folate levels in CDpatients. Conclusions: This study showed that vitamin B12 and folate deficiencies were more common in patients with CDthan in UC patients and controls. Prior ileal or ileocolonic resection was a risk factor of serum vitamin B12 abnormalities, and adisease duration within 5 years was a risk factor of low serum folate levels in CD patients.

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