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Total dosage of gardenia fruit used by patients with mesenteric phlebosclerosis.

Nagata Y, Watanabe T, Nagasaka K, Yamada M, Murai M, Takeuchi S, Murase M, Yazaki T, Murase T, Komatsu K, Kaizuka M, Sano M, Asano K, Ando C, Taniuchi N - BMC Complement Altern Med (2016)

Bottom Line: However, many GF users do not develop this disease and the association between GF and MP remains unclear.We summarized clinical findings of MP cases.This study indicated that excessive intake of GF contributes to and/or accelerates the development of MP suggesting that long-term usage of GF in excessive amounts increases the risk of MP.

View Article: PubMed Central - PubMed

Affiliation: Department of Oriental Traditional Medical Center, Suwa Central Hospital, 4300 Tamagawa, Chino, Nagano, 391-8503, Japan. ynagata@suwachuo.jp.

ABSTRACT

Background: Mesenteric phlebosclerosis (MP) is a disease characterized by fibrotic change or calcification of the mesenteric vein. Recently, there has been an increase in case reports of MP related to herbal medicine usage. Long-term intake of gardenia fruit (GF) is suspected as a possible cause. However, many GF users do not develop this disease and the association between GF and MP remains unclear. In this study, we investigated for the first time the dosage of GF used by patients with and without MP.

Methods: We used a medical chart review study design to assess the association between GF and MP. We reviewed patients with a history of intake of herbal medicines containing GF. Among these patients, we selected patients who were examined by colonoscopy and abdominal plain computed tomography (CT). We investigated the findings of colonoscopy, CT scan and histological examination. We assessed the total dosages of GF alongside the duration of ambulatory visit, the administration period of herbal medicine containing GF and pre-existing disease in order to compare MP cases and non-MP patients.

Results: Ten MP cases and 42 non-MP patients were analyzed. We summarized clinical findings of MP cases. All MP cases used more GF than non-MP patients and were administered more than approximately 5,000 grams of GF in cumulative dosage.

Conclusions: This study indicated that excessive intake of GF contributes to and/or accelerates the development of MP suggesting that long-term usage of GF in excessive amounts increases the risk of MP.

No MeSH data available.


Related in: MedlinePlus

Cumulative GF dosage (g) in examined cases with or without MP (n = 52). The total dosages of GF consumed by MP cases were larger than those in other 42 patients. The total amount of 5,379 - 15,792 g of GF was used in MP cases. The maximum dose of the non-MP patients was 4,542 g. GF, gardenia fruit; MP, mesenteric phlebosclerosis
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Fig5: Cumulative GF dosage (g) in examined cases with or without MP (n = 52). The total dosages of GF consumed by MP cases were larger than those in other 42 patients. The total amount of 5,379 - 15,792 g of GF was used in MP cases. The maximum dose of the non-MP patients was 4,542 g. GF, gardenia fruit; MP, mesenteric phlebosclerosis

Mentions: We investigated the cumulative dosages of GF in all 52 patients, including the 10 MP cases (Fig. 5). The ten cases with a definitive diagnosis of MP had all used more GF than non-MP patients. There was a remarkably significant difference between MP cases and non-MP patients in cumulative GF dose (Table 3).Fig. 5


Total dosage of gardenia fruit used by patients with mesenteric phlebosclerosis.

Nagata Y, Watanabe T, Nagasaka K, Yamada M, Murai M, Takeuchi S, Murase M, Yazaki T, Murase T, Komatsu K, Kaizuka M, Sano M, Asano K, Ando C, Taniuchi N - BMC Complement Altern Med (2016)

Cumulative GF dosage (g) in examined cases with or without MP (n = 52). The total dosages of GF consumed by MP cases were larger than those in other 42 patients. The total amount of 5,379 - 15,792 g of GF was used in MP cases. The maximum dose of the non-MP patients was 4,542 g. GF, gardenia fruit; MP, mesenteric phlebosclerosis
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4940942&req=5

Fig5: Cumulative GF dosage (g) in examined cases with or without MP (n = 52). The total dosages of GF consumed by MP cases were larger than those in other 42 patients. The total amount of 5,379 - 15,792 g of GF was used in MP cases. The maximum dose of the non-MP patients was 4,542 g. GF, gardenia fruit; MP, mesenteric phlebosclerosis
Mentions: We investigated the cumulative dosages of GF in all 52 patients, including the 10 MP cases (Fig. 5). The ten cases with a definitive diagnosis of MP had all used more GF than non-MP patients. There was a remarkably significant difference between MP cases and non-MP patients in cumulative GF dose (Table 3).Fig. 5

Bottom Line: However, many GF users do not develop this disease and the association between GF and MP remains unclear.We summarized clinical findings of MP cases.This study indicated that excessive intake of GF contributes to and/or accelerates the development of MP suggesting that long-term usage of GF in excessive amounts increases the risk of MP.

View Article: PubMed Central - PubMed

Affiliation: Department of Oriental Traditional Medical Center, Suwa Central Hospital, 4300 Tamagawa, Chino, Nagano, 391-8503, Japan. ynagata@suwachuo.jp.

ABSTRACT

Background: Mesenteric phlebosclerosis (MP) is a disease characterized by fibrotic change or calcification of the mesenteric vein. Recently, there has been an increase in case reports of MP related to herbal medicine usage. Long-term intake of gardenia fruit (GF) is suspected as a possible cause. However, many GF users do not develop this disease and the association between GF and MP remains unclear. In this study, we investigated for the first time the dosage of GF used by patients with and without MP.

Methods: We used a medical chart review study design to assess the association between GF and MP. We reviewed patients with a history of intake of herbal medicines containing GF. Among these patients, we selected patients who were examined by colonoscopy and abdominal plain computed tomography (CT). We investigated the findings of colonoscopy, CT scan and histological examination. We assessed the total dosages of GF alongside the duration of ambulatory visit, the administration period of herbal medicine containing GF and pre-existing disease in order to compare MP cases and non-MP patients.

Results: Ten MP cases and 42 non-MP patients were analyzed. We summarized clinical findings of MP cases. All MP cases used more GF than non-MP patients and were administered more than approximately 5,000 grams of GF in cumulative dosage.

Conclusions: This study indicated that excessive intake of GF contributes to and/or accelerates the development of MP suggesting that long-term usage of GF in excessive amounts increases the risk of MP.

No MeSH data available.


Related in: MedlinePlus