Articles tagged with Gastroenterology
A large series of 91 patients found that performing capsule endoscopy did not interfere with images captured by devices like pacemakers. The study, presented at the American College of Gastroenterology meeting, suggests that capsule endoscopy can be safely used in elderly patients with implantable cardiac devices.
New studies suggest that adequate bowel preparation prior to colonoscopy can impact follow-up timetables. Researchers found that inadequate bowel preparation resulted in a recommended follow-up colonoscopy 17.1 months earlier than average.
Researchers found that Barrett's esophagus patients have comparable survival rates to the general population, with a 10-year overall survival rate of 68%. Esophageal cancer was not significantly more common among these patients.
A new study finds that a 7-day course of levofloxacin, omeprazole, nitazoxanide and doxycycline (LOAD) is more effective in eradicating Helicobacter pylori than a similar treatment with lansoprazole, amoxicillin and clarithromycin. The therapy is also found to be equally effective when reduced to 7 days.
A study found that emodin reduces hepatic hydroxyproline content, serum AST and ALT activities, and inhibits HSC activation by down-regulating TGF-b1 and Smad4. Emodin may be an attractive therapeutic agent for treating fibrotic liver diseases.
A study published in World Journal of Gastroenterology found that long-term proton pump inhibitor (PPI) treatment can lead to weight gain in patients with gastroesophageal reflux disease (GERD). The research highlights the importance of lifestyle modifications, such as dietary changes and weight management, to mitigate this effect. By ...
A study found that high transglutaminase antibody levels can accurately diagnose mucosal atrophy in celiac disease, making duodenal biopsy unnecessary. The predictive value of tTG antibodies may vary by age, with higher accuracy in adults than children.
A study of 124 patients with advanced biliary tract cancer found EGFR overexpression in 39.3% of tumors, while HER2 overexpression and gene amplification were present in only 5% of cases. This suggests that targeting EGFR may be a promising therapeutic approach for BTC, while routine testing and targeting of HER2 is not recommended.
A case of post-gastrectomy acute pancreatitis was reported in a patient with gastric carcinoma and pancreas divisum. Early detection and aggressive treatment may improve prognosis for patients with this condition. The study highlights the importance of monitoring pancreatic function after gastrectomy.
Small-for-size graft dysfunction can occur in liver transplant patients with a graft-to-recipient body weight ratio above 0.8%. The study found that patients with a high GV/SLV ratio were more likely to develop early graft dysfunction, highlighting the importance of prompt recognition and timely treatment.
Dr. Daniel K. Podolsky, UT Southwestern president, has been elected to the Institute of Medicine for his scientific and medical achievements. He joins 19 current UT Southwestern faculty members as a national member.
A new study published in the October 2009 issue of Gastroenterology found that patients with moderate-to-severe active ulcerative colitis had a 41 percent reduction in colectomy after one year when treated with infliximab. Treatment with infliximab reduced the incidence of colectomy through 54 weeks by 41 percent.
A new study by the American Gastroenterological Association found that antidepressant amitriptyline is as effective as a placebo in treating child pain-predominant gastrointestinal disorders. The study involved 83 children and showed that both amitriptyline and placebo were associated with excellent therapeutic response.
A recent study published in the World Journal of Gastroenterology investigated whether Helicobacter pylori eradication therapy prevents gastric cancer. The research team found that younger patients with successful eradication had significantly lower incidence rates, while no overall prevention was observed for all patients.
A study published in World Journal of Gastroenterology found that HBV genotypes B and C were the major genotypes in Indonesia, with genotype B being predominant. The study also identified associations between certain mutations and liver disease progression.
A study found that ERCP quality outcomes, including complication rates, compare favorably with those of academic centers in a community hospital setting. Technical success rates met or exceeded recommended levels, indicating competence among gastroenterologists performing ERCP.
A study published in the World Journal of Gastroenterology evaluated 76 cases of living donor liver transplantation and found that the Chengdu formula is reliable. The other formulas, such as Fan and Heinemann, underestimated liver volume, while Urata and Lee overestimated it.
A study published in the World Journal of Gastroenterology found that underlying malignancy, liver cirrhosis, and hematemesis are key predictors of rebleeding after negative angiographic findings. The research team analyzed 128 patients with acute non-variceal gastrointestinal bleeding who had negative initial angiography results.
The study investigates proficiency level in laparoscopic splenectomy using the learning curve method, finding a horizontal lazy S-shape with two distinct slopes. Surgeons can be accepted as proficient after performing at least 25 cases, contrary to the widely accepted 'L' shape.
Researchers found a positive correlation between Yes-associated protein (YAP) and survivin expression in gastric carcinoma, suggesting YAP's role in inducing cell proliferation and inhibiting apoptosis. The study suggests potential for YAP as an early diagnostic marker for gastric carcinoma.
Researchers used MDCT to assess IPMN image characteristics, identifying larger cystic lesions and ducts in malignant cases. The combined-type IPMNs had a higher rate of malignancy than other types, while tumors with mural nodules showed a significantly higher incidence of malignancy.
Researchers found that acid refluxing at night results in sleep arousal 89 percent of the time in participants with and without GERD. GERD patients experience longer acid reflux events, leading to increased risk for complicated disease and esophageal cancer. This association suggests a bi-directional link between sleep problems and GERD.
A study published in Gastroenterology found that men with chronic hepatitis C undergoing antiviral therapy experience common sexual dysfunction, including impairment of desire, function, and satisfaction. The average onset of sexual dysfunction was within four weeks of starting therapy.
A rare case of duodenal obstruction after successful embolization for duodenal diverticular hemorrhage was reported. The study highlights the importance of thorough observation of resolving hematomas and conservative treatment before surgery to relieve duodenal fibrotic encasement.
Researchers have discovered a potential therapeutic agent for treating hepatic fibrosis, a scarring condition that impairs liver function and can lead to organ failure. The CCN2 hammerhead ribozyme shows promise in reducing collagen production and cell proliferation, offering new hope for millions affected by liver fibrosis.
A study reinterpretated proximal colon polyps as hyperplastic in 2001 revealed a significant inter-observer variation among gastrointestinal pathologists. This discrepancy highlights the need for clarification on the pathologic interpretation of serrated colorectal polyps and their clinical significance.
Researchers found that acute transient hepatocellular injury occurs in patients with cholelithiasis and cholecystitis without evidence of CBD stones, resolving within weeks after surgery. Markers of liver damage are more severe in those with CBD stones or histologically less severe inflammation.
The Eli and Edythe Broad Foundation has renewed its three-year grant to support high school students in gastroenterology research careers through the AGA Foundation's Student Research Fellowship Awards program. The program provides funding for students to conduct research under the supervision of an approved preceptor.
A randomized controlled trial found that low-dose imipramine improved global symptoms and quality of life in patients with IBS who had failed conventional therapy. The study, published in the World Journal of Gastroenterology, is the largest ever conducted on the use of tricyclic antidepressants (TCAs) in IBS patients.
Researchers found that perianal disease, current smoking, prior steroid use and early azathioprine or biological therapy are predictors of disease behavior change in CD patients. These findings may aid clinicians in choosing the treatment strategy for their patients.
Patients with primary sclerosing cholangitis (PSC) have significantly larger fasting and postprandial gallbladder volumes compared to healthy controls. However, there is no correlation between gallbladder size or emptying and the occurrence of abdominal pain in PSC patients.
Researchers investigated chronic acid-reflux esophagitis in a rat model, discovering epithelial thickening and inflammatory cell infiltration in the middle to lower esophagus. Ecabet sodium inhibited these changes, suggesting its potential role in preventing reflux esophagitis.
Research in cirrhosis patients reveals low bone formation and increased resorption leading to fragile bones. The study highlights the importance of correcting factors such as inadequate sunlight exposure, reduced physical activity, and vitamin D deficiency to improve bone health.
A study found that patients satisfied with their GERD treatment had better health-related quality of life and were more likely to be taken seriously by their physicians. The quality of patient-physician communication was also a key factor in patient satisfaction.
A study by the American Gastroenterological Association found that metformin reduces pancreatic cancer risk in diabetics by 60%. In contrast, insulin and other therapies may increase risk. The study's results suggest metformin could be a tool for primary prevention of pancreatic cancer.
Researchers successfully treated hydatid cysts with RTA, achieving a 100% success rate in necrosis of the endocyst and minimal host tissue damage. The technique also avoided post-RTA fistula occurrence and chemical cholangitis or pneumonia.
A study published in the World Journal of Gastroenterology found that fecal incontinence significantly impacts patients' quality of life, affecting lifestyle, coping behavior, depression, and embarrassment. The results show that over 22% of patients experience severe QOL effects due to FI.
A large abdominal wall lipoma caused bowel obstruction in a patient with Proteus syndrome. Excision of the lipoma improved bowel passage and reduced symptoms. The treatment was successful, allowing the patient to continue medical treatment on an outpatient basis.
Researchers found thermal hyperalgesia in IBS patients compared to controls, with higher sensitivity in those with high FBDSI scores. Controls were less sensitive than C-IBS and D-IBS, with no differences between the two IBS subtypes for pain threshold and tolerance.
A surgical procedure, palliative cardia resection with gastroesophageal reconstruction, was performed on a 82-year-old man with iatrogenic perforation of adenocarcinoma of the GE junction. The patient recovered quickly and showed no complaints after treatment.
Researchers found that adding simethicone to sodium phosphate bowel preparation improved visualization during colonoscopy by reducing air bubbles. However, simethicone did not demonstrate a significant impact on the adequacy of colon preparation.
The study found that molecular adsorbent recirculating system (MARS) treatment is effective in patients with acute liver failure. The etiology of liver failure and the grade of encephalopathy before MARS treatment were significant prognostic factors, while coagulation factor 5 levels were also predictive for unknown etiologies.
Research on Pluronic L-81, a synthetic copolymer, reveals its potential in alleviating obesity-induced insulin resistance and type 2 diabetes. The study found that L-81 significantly corrected body weight and plasma glucose levels in genetically diabetic mice.
A Mayo Clinic study found celiac disease has become four times more common, with undiagnosed cases associated with a nearly quadrupled mortality risk. The study suggests increased awareness is needed among physicians and patients to diagnose the condition earlier.
A new study found that healthy volunteers who took proton pump inhibitors for eight weeks developed acid-related symptoms like heartburn and dyspepsia when the medication was stopped. The study suggests that long-term use of PPIs may lead to dependency due to rebound acid hypersecretion.
A study comparing reflux esophagitis in African-Americans and non-Hispanic whites found similar frequencies of complications, except for Barrett's esophagus. Non-Hispanic whites had higher rates of endoscopic and histological Barrett's esophagus and heartburn-induced endoscopy.
A case of Meckel's diverticulum masked by intermittent recurrent subocclusive episodes is presented, highlighting the difficulty in diagnosing this condition due to overlapping symptoms. Laparoscopy proved to be a crucial diagnostic tool in establishing the final diagnosis and also therapeutic in nature.
A study of 115 young women with iron deficiency anemia found that serological screening for H. pylori and celiac disease increased gastroscopy compliance rates. The tests were confirmed by gastroscopy, which identified IDA-related GI causes in most cases.
The presence of multiple portal vein invasion (PVI) is a significantly poor prognostic factor for hepatocellular carcinoma. Anatomical resection is recommended for patients with HCC and PVI-M, while non-anatomical resection may lead to poorer disease-free survival.
The study found that Ang-(1-7) levels predominate in the peripheral circulation in early stages of liver cirrhosis, contributing to reduced vascular resistance. In advanced stages, Ang 2 leads to extra-splanchnic vasoconstriction. The relationship between these peptides and hemodynamic changes was investigated.
A study published in the World Journal of Gastroenterology found that current alcohol drinking and a high body mass index (BMI) ≥ 24.0 kg/m2 are independent risk factors for colon and rectal cancer. Former alcohol consumption and a positive family history of cancer are also linked to an increased risk of colon cancer.
A case of cecal volvulus was reported in a 78-year-old woman with severe abdominal pain and fever. The patient underwent an emergent laparotomy and recovered after intensive care. A review of Japanese literature revealed an increase in aged patients with mental disabilities presenting with cecal volvulus, adoption of ileo-colectomy as ...
A study published in the World Journal of Gastroenterology found that type 2 diabetes mellitus is an independent risk factor for hepatocellular carcinoma. The research revealed a direct association between HCC and insulin/sulphanylureas treatment, as well as an inverse relationship with metformin therapy.
The revised Vienna Classification enhances diagnosing colorectal polyps and lesions with improved sensitivity and specificity. However, it has limitations in predicting depth of invasion, and should be supplemented by endoscopic assessment.
A study published in the World Journal of Gastroenterology found that endoscopic ultrasonography (EUS) is unable to distinguish between malignant and benign gallbladder polyps smaller than 1 cm. The study suggests that EUS alone may not be sufficient for determining a treatment strategy for these small lesions.
Recent research found that Tribble 3 can block the insulin signaling pathway, contributing to insulin resistance and NAFLD. The study provides an experimental basis for future studies on the role of TRB3 in NAFLD.
Researchers found that two-channel GES with trains of pulses can entrain gastric slow waves and accelerate gastric emptying. This treatment approach may be applicable for treating gastroparesis and normalizing gastric dysrhythmia.
The American Gastroenterological Association honors individuals for their lifetime achievements and significant advancements in gastroenterology. This year's awardees include Dr. Daniel K. Podolsky, Dr. Warren Strober, and Dr. Judith M. Podskalny, among others.
Researchers presented data on the effectiveness of monoclonal antibodies in treating Crohn's disease and preventing C. difficile recurrence, showing improved clinical outcomes and safety profiles.
A study found that complex antithrombotic therapy is associated with a high risk of upper gastrointestinal events among vulnerable elders. The researchers also discovered that proton pump inhibitors may increase the risk of hip fractures in patients taking acid suppressors.