Crypts in Asymmetric Branching in Patients With Ulcerative Colitis in Remission

Rubio CA, Vieth M, Lang-Schwarz C (2022)


Publication Type: Journal article

Publication year: 2022

Journal

Book Volume: 42

Pages Range: 4493-4497

Journal Issue: 9

DOI: 10.21873/anticanres.15950

Abstract

BACKGROUND/AIM: To report the frequency of crypts in asymmetric branching (CAB) in biopsies from all colorectal segments in patients with ulcerative colitis in remission (UCR). PATIENTS AND METHODS: Biopsies in 100 UC patients were investigated: 50 with UCR and 50 with ongoing long-lasting UC (LLU; i.e., controls). RESULTS: The frequency of CAB was significantly lower in UCR than in LLUC, both in the right colon and left colorectum. CAB frequency was not influenced by two important confounders: the age and sex of patients. CONCLUSION: CAB is a pathologic aberration of colorectal cryptogenesis evoked by chronic mucosal inflammation. When chronic inflammation waned in UCR, the production of CAB plummeted or ceased. Chronic inflammation and protracted disease-duration in LLUC increase the risk for colorectal dysplasia or carcinoma. Importantly, dysplastic CAB were recently detected in LLUC-associated dysplasia. Whether the abrogation of CAB is instrumental in reducing the neoplastic risk in UCR patients, deserves further investigation.

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APA:

Rubio, C.A., Vieth, M., & Lang-Schwarz, C. (2022). Crypts in Asymmetric Branching in Patients With Ulcerative Colitis in Remission. Anticancer Research, 42(9), 4493-4497. https://doi.org/10.21873/anticanres.15950

MLA:

Rubio, Carlos A., Michael Vieth, and Corinna Lang-Schwarz. "Crypts in Asymmetric Branching in Patients With Ulcerative Colitis in Remission." Anticancer Research 42.9 (2022): 4493-4497.

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