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Perinatal events and the risk of developing primary sclerosing cholangitis

World Journal of Gastroenterology 2006年第37期12卷 6037-6040页

作者： Annika Bergquist Scott M Montgomery Ulrika Lund Anders Ekbom rolf olsson Stefan Lindgren Hanne Prytz rolf Hultcrarltz Ulrika Broomé Department of Gastroenterology and Hepatology Karolinska University Hospital Huddinge Karolinska Institute Stockholm Sweden Clinical Epidemiology Unit Department of Medicine Karolinska University Hospital Solna Karolinska Institute Stockholm Sweden Department of Medicine Sahlgrenska University Hospital Gothenburg Sweden Gastroenterology and Hepatology Division Department of Medicine University Hospital Malmoe Sweden Division of Gastroenterology and Hepatology University Hospital Lund Sweden Department of Gastroenterology and Hepatology Karolinska Institute and Hospital. Solna. Stockholm. Sweden 不详

AIM: To investigate whether perinatal events, intrauterine or postpartum, are associated with the development of primary sclerosing cholangitis (PSC) later in life. METHODS: Birth records from 97 patients with adult PSC in Sweden were reviewed. Information on perinatal events including medications and complications during pregnancy, gestation length, birth weight and length were collected. Two control children of the same sex were selected for each subject. Conditional multiple logistic regression was used to assess associations of the perinatal measures with development of PSC. RESULTS: No significant associations were found between gestational age, birth length, breastfeeding, and the majority of medical complications including infections or medication during pregnancy for the mothers or postpartum for the children. Vaginal bleeding and peripheral oedema showed associations with PSC, with matched odds ratios of 5.70 (95% CI, 1.13-28.83) and 2.28 (95% CI, 1.04-5.03), respectively. CONCLUSION: The associations of vaginal bleeding and oedema with subsequent PSC cannot readily beexplained, so our fi ndings do not strongly support the hypothesis of a signifi cant role of perinatal events as a risk for the development of PSC later in life.

关键词： Inflammatory bowel disease Perinatal factors Sclerosing cholangitis

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