Articles tagged with Gastroenterology
The AGA recognizes individuals who have made significant contributions to gastroenterology through various awards, including the Julius Friedenwald Medal and Distinguished Achievement Award. These recipients are leaders in their field and have made remarkable impacts on gastroenterological practice and research.
A new study by Henry Ford Hospital researchers found that nurse-driven, open-access colonoscopy programs are as effective and safe as traditional consultations with a gastroenterologist. The study compared outcomes of 15,901 patients in an open-access program to 6,861 patients who received outpatient consultation prior to screening.
The American Gastroenterological Association (AGA) will present exciting, cutting-edge data during the Digestive Disease Week (DDW) meeting that will help change the way physicians diagnose and treat GI disorders. AGA researchers will focus on the latest research and clinical advances in gastroenterology.
A recent study published in Gastroenterology highlights the increased risk of gastrointestinal complications in childhood cancer survivors after therapy. Risks for colostomy/ileostomy, cirrhosis or liver biopsy were highest among older patients and those exposed to abdominal radiation or certain chemotherapy treatments.
The American College of Gastroenterology published a new evidence-based systematic review on the management of Inflammatory Bowel Disease (IBD), grading treatment options for Crohn's disease and ulcerative colitis. A comprehensive meta-analysis highlights the importance of diet, gut microbiome, and immune system in IBD causes.
A new study published in Gastroenterology found that an automated colonoscopy reminder system significantly improved adherence to endoscopic follow-up recommendations, particularly in minority populations. The system, which included a letter and telephone call, nearly doubled the rate of recommended exams.
Cognitive impairment in liver disease patients may not be fully reversible and can affect driving safety. Doctors are advised to carefully evaluate cirrhotic patients for hepatic encephalopathy and address driving issues with them.
A study found that nearly half of head and neck cancer patients who received prophylactic percutaneous endoscopic gastrostomy (PEG) tubes never used them. The study suggests that PEG placement prior to therapy may not be necessary and could impact cost-effectiveness and quality of life.
The study found that Yi-Qi-Zeng-Min-Tang improves insulin sensitivity, glycaemic control, and dyslipidemia in high-fat diet and low-dose streptozotocin-induced Type 2 diabetic rats. The herbal decoction does not cause weight gain, making it a potential adjunct treatment for patients with insulin resistance.
Research found that underweight patients (BMI < 18.5 kg/m2) tend to be older at HCC onset compared to those with normal weight range BMI. Achieving adequate body weight and reducing alcohol intake may help prevent hepatic carcinogenesis in HCV-infected patients.
A study on nonsurgical hepatic decompression in Budd-Chiari syndrome shows satisfactory outcomes with low morbidity and mortality rates. The research suggests strict adherence to anticoagulation and early management of shunt dysfunction are crucial for clinical, laboratory, and radiological improvement.
A study found vitamin D deficiency is common in patients with alcoholic liver cirrhosis, with severity linked to liver dysfunction. The research highlights the importance of monitoring vitamin D levels in all cirrhosis patients, with further studies needed to determine optimal supplementation.
A research article reports a case of iatrogenic sigmoid perforation successfully repaired using a combination of three endoscopic techniques. The patient underwent laparoscopic surgery four days later due to another polyp, but the sigmoid repair was found to be complete.
A new study published in Clinical Gastroenterology and Hepatology found that chronic pancreatitis cases are not exclusively caused by alcohol consumption, with over 50% of patients having no identifiable cause. Genetic factors and environmental interactions may play a role in disease development.
Researchers used DNA microarrays to analyze gene expression in livers from patients with biliary atresia and found a key regulator: RRAS. This gene plays a vital role in the pathogenesis of the disease, making it a potential prognostic biomarker.
A study published in the World Journal of Gastroenterology found that daily magnesium oxide treatment significantly increases serum magnesium concentrations in children with functional constipation. However, the magnitude of the increase appears modest, and younger age may be a relative risk factor for hypermagnesemia.
For patients with confirmed high-grade dysplasia, endoscopic eradication therapy is recommended. Surveillance may be considered in some cases, but it is not a substitute for treatment. The American Gastroenterological Association recommends regular screening for cardiovascular risk factors and interventions.
A study published in the World Journal of Gastroenterology found that percutaneous drainage with adjuvant medical therapy is effective in treating hepatic hydatid cysts, with all 32 cysts showing immediate collapse and progressive decrease in size over time. The procedure was associated with no viable scolices found upon re-aspiration.
A 10-year population-based study reveals heartburn is a common condition affecting every fifth person, with higher incidence in those of normal weight or higher, impacting daily activities and quality of life. The study also found significant sociodemographic factors influencing heartburn experience.
A randomized clinical trial found that fast-track rehabilitation programs significantly accelerate the restoration of gastrointestinal functions after resection of colorectal cancer. Fast-track care also reduces postoperative complications and hospital stay time for patients.
Research reveals E2F5 is commonly overexpressed in primary human HCC and its knockdown profoundly represses cell growth. Overexpression may contribute to cancer transformation by inducing uncontrollable cell cycle progression.
Research suggests that Tregs are involved in immune evasion of tumors and may be used as disease markers for gastric cancer. However, further studies are needed to confirm these findings.
Researchers propose a new classification system for SOD based on anatomy, symptoms, endoscope tests, and radiological imaging. This four-type classification demonstrates significant advantages in guiding diagnosis and treatment in China compared to the conventional Milwaukee criteria.
A new method using MRI T2*-weighted imaging is proposed for assessing iron overload in beta-thalassemic patients. The results indicate that serum ferritin levels are not reliable for estimating iron stores, making MRI a more accurate and non-invasive option.
The study found that octreotide induces caspase-mediated apoptotic pathway in HepG2 cells, supporting a receptor-mediated and mitochondrial-apoptotic pathway. This suggests that measurements of serum octreotide levels may be important for verifying optimal therapeutic drug concentrations.
Recent research suggests that liver resection patients are at risk of developing hepatic vein thrombosis, which can lead to pulmonary embolism. The study reports two cases where thrombi formed in hepatic veins following surgery.
Research on foregut duplication cysts of the stomach reveals two cases with a pseudostratified respiratory epithelium, suggesting an origin from the respiratory diverticulum. This study's findings could lead to early diagnosis or prevention by better understanding the embryogenesis of these lesions.
A study published in World Journal of Gastroenterology found that hemolysis leads to decreased intestinal microcirculatory blood flow, causing intestinal damage. Elevated circulating cell-free oxyhemoglobin levels resulted in a strong correlation with intestinal injury.
A study published in the World Journal of Gastroenterology investigated the seroprevalence of Hepatitis A virus (HAV) antibodies among patients with chronic viral liver disease in South Korea. The study found that most patients above 40 years old have already been exposed to HAV, highlighting the need for vaccination against HAV.
Research identifies miR-143 and miR-145 as downregulated biomarkers in esophageal squamous cell carcinoma, showing anti-oncogenic activity. These findings suggest that microRNAs may serve as useful biomarkers for early detection and therapeutic targets.
Research found that low-dose aspirin decreases small bowel blood flow, correlating with mucosal injury. Rebamipide does not decrease small bowel blood flow, suggesting a potential therapeutic strategy for aspirin-induced damage.
A retrospective study found that acute diverticulitis in younger patients (less severe disease, but higher recurrence rate) suggests that same guidelines for treatment should be applied to both age groups. The clinical course of uncomplicated acute diverticulitis is similar between older and younger patients.
Researchers found that hydrolyzed wheat flour baked goods are not toxic to celiac disease patients, with some even developing subtotal atrophy without clinical complaints. The study suggests further research on therapies to reduce gluten toxicity beyond the standard gluten-free diet.
A study found that combined treatments for severe acute pancreatitis are safe and effective in managing the disease, resulting in shorter hospitalizations and fewer radiological procedures. Primary conservative treatment also showed promise in avoiding surgery and improving patient outcomes.
A study published in Clinical Gastroenterology and Hepatology found that IBD patients with hospital-acquired infections experience increased mortality and prolonged hospital stays. The majority of infections among hospitalized IBD patients are health-care associated, with severe liver disease patients being at highest risk.
A new study suggests that investing in colorectal cancer (CRC) screening programs targeting the pre-Medicare population could lead to significant cost savings. The research found that increased CRC screening led to lower treatment costs for individuals aged 50 and over, which would be recouped after they transitioned to Medicare at age...
A new study published in Gastroenterology has found that type 2 diabetes mellitus and insulin use are associated with an increased risk of colorectal cancer among men. The association was not observed in women, suggesting a gender disparity in the link between these conditions.
Researchers discovered that a new endoscopic technique called retroflexion can significantly increase polyp detection rates in the right colon, particularly among men and older patients. This breakthrough could lead to improved cancer prevention and better patient outcomes through more accurate colonoscopy exams.
The American College of Gastroenterology's 75th Annual Scientific Meeting featured groundbreaking research on C. difficile, colorectal cancer, obesity, and inflammatory bowel disease, providing new insights into prevention, treatment, and management strategies.
A new study found that fructose intolerance is common in children with recurrent or functional abdominal pain, affecting 53.9% of patients. A low-fructose diet was effective in resolving symptoms in 67.7% of patients, highlighting the importance of identifying and managing this condition.
Researchers at Mayo Clinic have successfully treated eosinophilic esophagitis using fluticasone nasal spray, clearing the condition in 68% of participants. However, symptoms persisted despite treatment, suggesting confounding factors such as questionnaire limitations.
A new study investigates the temporal relationship between cough and reflux using a validated sound recording device. The study found that 70% of patients exhibited temporal associations, with cough preceding reflux in 48% of cases.
Researchers found that both nasogastric and nasointestinal feeding approaches were feasible, safe, and effective in most patients with severe acute pancreatitis. This study suggests that nasogastric feeding may be a viable option for enteral nutrition in these patients.
Researchers developed a new interventional technique using stent-grafts to control massive bleeding from the hepatic artery after pancreaticoduodenectomy, demonstrating lower mortality rates than conventional surgical intervention. The procedure is considered a valuable alternative for patients with non-portal vein anatomy.
A retrospective review study found that capecitabine with concurrent radiation was as effective as traditional 5-FU with radiation or fluoropyrimidine-based chemotherapy alone in treating locally advanced gastric cancer. The results suggest a potential new adjuvant therapy approach for resected gastric cancers.
A new study found that adherence to practice guidelines reduces bleeding in cirrhosis patients, with 82% of those without bleeding receiving their screening EGD within six months. Patients who did not bleed were more likely to have received their screening EGD within the six-month window compared to those who bled.
Biologists at TUM have discovered mini-inflammations in the gut mucosa that upset the balance of the bowel and cause IBS symptoms. The team's research suggests that treating IBS with antihistamines may improve symptoms by normalizing nerve activity. Successful identification of physical causes could lead to effective treatments for IBS.
Two studies found that infliximab and certolizumab pegol can effectively maintain remission of Crohn's disease for up to 18 months. Continuous therapy was more effective than interrupted therapy in preventing disease recurrence. Lower doses of infliximab also showed promise in maintaining intestinal mucosa integrity.
Researchers developed functional magnetic resonance imaging (MRI) to evaluate pancreatic cancer models, using diffusion-weighted and transcatheter intraarterial perfusion MRI to differentiate living from dead cells. This non-invasive method may replace invasive techniques like biopsy or necropsy for assessing therapeutic efficacy.
Research found that proton pump inhibitors (PPIs) are a risk factor for Clostridium difficile-associated diarrhea (CDAD) recurrence. The study, published in the World Journal of Gastroenterology, identified age, low serum albumin levels, and PPI use as risk factors for CDAD recurrence.
A new trend in managing benign biliary strictures is emerging with the use of a removable covered SEMS. The stent, made of nitinol wire, imparts an outward radial force on the biliary duct to establish patency and has a radio-opaque string for easy retrieval.
Researchers successfully isolated bone marrow-derived MSCs that could differentiate into hepatocytes induced by VPA and well-defined cytokines. The study found that VPA-mediated facilitation of hepatic differentiation was regulated by FGF and HGF receptors, among other factors.
A case report describes a rare instance of vanishing bile duct syndrome (VBDS) secondary to nevirapine use in an HIV-positive pregnant female. The patient experienced liver dysfunction, jaundice, and itching after starting triple-drug therapy with nevirapine. Liver biopsy revealed cholestatic hepatitis, leading to severe ductopenia and...
Researchers discovered galangin induces apoptosis in HCC cells through a mitochondrial pathway, modulating key proteins. The study suggests galangin may be a future treatment option for HCC, offering new hope for patients with this challenging cancer.
Research reveals GPC3's association with MMPs and growth signaling molecules in HCC, indicating its potential role in cancer progression. Overexpression of GPC3 is correlated with altered expressions of various MMPs and growth signaling molecules, suggesting its involvement in tumor development.
Researchers found that CD74 is expressed on colon epithelial cells, increasing their survival upon MIF stimulation. Stimulation of CD74 led to Akt phophorylation and Bcl-2 expression, resulting in elevated cell survival. This discovery may open a new target for colorectal cancer research.
Researchers found that albumin and serum protein parameters are less sensitive than anthropometric measurements for evaluating nutritional status in gastric cancer patients. However, a good correlation was observed between scoring nutritional assessment tools and other general nutritional measurement tools six months after surgery.
A new study published in Gastroenterology highlights the risk of hepatitis B and C virus transmission through contaminated anesthesia. Reuse of syringes and medication vials without proper sterilization can lead to viral transmission, emphasizing the need for strict adherence to sterile techniques in healthcare settings.
A new diagnostic standard based on serology alone could eliminate the need for intestinal biopsy in diagnosing celiac disease. The study finds that combinations of two serology tests can accurately diagnose or rule out the disorder in over 92% of individuals.
Researchers used functional MRI to measure tumor activity during chemoembolization, finding that changes in ADC values can predict anatomical tumor response. Early knowledge of HCC response is crucial for determining treatment success and patient prognosis.