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Severe immune checkpoint inhibitor-associated gastritis: A case series and literature review

https://asahikawa-med.repo.nii.ac.jp/records/2000529
https://asahikawa-med.repo.nii.ac.jp/records/2000529
1d63bef4-272e-47ed-8951-43aaa1e63ff3
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35845030.pdf 35845030.pdf (1.2 MB)
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Item type 学術雑誌論文 / Journal Article_02(1)
公開日 2025-06-18
タイトル
タイトル Severe immune checkpoint inhibitor-associated gastritis: A case series and literature review
言語 en
言語
言語 eng
資源タイプ
資源タイプ journal article
bibliographic_information en : Endoscopy international open

巻 10, 号 7, p. E982-E989, 発行日 2022-07-15
ISSN
収録物識別子タイプ EISSN
収録物識別子 2196-9736
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1055/a-1839-4303
リンクURL
内容記述タイプ Other
内容記述 https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1839-4303
言語 en
item_1716186501932
関連タイプ isIdenticalTo
識別子タイプ PMID
関連識別子 35845030
item_5_description_33
内容記述タイプ Abstract
内容記述 Background and study aims Recent advances in cancer treatment have involved the clinical application of immune checkpoint inhibitors (ICIs) for various type of cancers. The adverse events associated with ICIs are generally referred to as immune-related adverse events (irAEs). Gastrointestinal irAEs are a major disorder, but gastritis is not frequently observed. The aims of this study were to elucidate the clinical, endoscopic, and histological characteristics of irAE gastritis. Patients and methods Information on patients treated with ICIs were collected from a single institute over 3 years. IrAE gastritis was identified based on the clinical course and endoscopic and histopathological findings. Of the 359 patients treated with ICIs, four cases of irAE gastritis were identified in clinical records from the endoscopy unit. The endoscopic and histopathological findings were analyzed, and further immunohistochemical studies with immune subtype markers and programmed cell death ligand-1 (PD-L1) antibody were conducted. Results Among four patients with irAE gastritis, the remarkable endoscopic characteristics were network-pattern erosion, erythematous and edematous mucosa with thick purulent discharge, and fragile mucosa. Corresponding histological features were fibrinopurulent exudate, severe inflammatory cell infiltration, and epithalaxia, respectively. The PD-L1 expression rate was ≥ 1 % in the gastric tissue of all patients with gastritis. These patients were treated with prednisolone (PSL) and their symptoms improved within a few days to 2 weeks. Conclusions IrAE gastritis were characterized by specific endoscopic findings. The appropriate endoscopic diagnosis may lead to effective treatment with PSL.
言語 en
注記
内容記述タイプ Other
注記 This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
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出版タイプ VoR
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