Articles tagged with Gastroenterology
Researchers found that alpha-fetoprotein is highly expressed in developing rat colons, particularly at embryonic day 18.5, and decreases significantly as the animal matures. The protein is localized to mesenchymal cells throughout different developmental stages of the colon.
A study found that combining senna with magnesium citrate improved the quality of colonoscopy preparations, resulting in better completion rates and diagnostic accuracy. The addition of senna also reduced the need for repeat procedures and was generally well-tolerated by patients.
Researchers developed a novel approach to isolate high-quality RNA from Kupffer cells, overcoming technical obstacles. The method uses laser capture microdissection with India ink labeling, resulting in enriched mRNA and significant gene expression changes.
A new study identifies a clinical prediction rule that can accurately predict patients most likely to benefit from measures to prevent recurrent C. difficile infection, which has become the leading known cause of hospital-acquired infectious diarrhea in developed countries.
Research team investigates effect of TGF-beta 1 on intestinal fibroblast migration and differentiation. Short-term incubation enhances migration, while long-term treatment reduces it, with increased FN production.
Researchers propose using intrahepatic transplantation of hepatic oval cells to treat fulminant hepatic failure. Studies show that this approach improves liver function and increases survival rates in rats.
Research reveals that specific HCV genotype 4a mutations affect treatment outcomes, with a higher frequency of mutations associated with sustained viral response. The study identifies potential targets for developing new assays to predict treatment efficacy.
Research suggests melatonin can decrease hepatic fibrosis scores, reduce serum markers of fibrogenesis, and alleviate oxidative stress. The study provides a basis for further investigation into the protective effects of melatonin on liver function in cirrhotic patients.
A study published in the World Journal of Gastroenterology found that CT colonography detected extracolonic lesions in 57.8% of subjects, with highly significant lesions present in 8.7% and low significant lesions in 55.2%. Factors such as age, sex, symptoms, and contrast use were associated with detection of more significant lesions.
A study published in World Journal of Gastroenterology identified four predictors of post-operative enteral nutrition problems: pre-surgery enteral nutrition, esophageal hiatal hernia, past paralytic ileus, and chronic renal dysfunction. These predictors can help determine PEG indications and potential preventive methods.
Research found that tTGA was more sensitive than EmA in diagnosing gluten sensitive enteropathy (GSE) in the general population. GSE is a common condition that can be underdiagnosed due to similar symptoms with celiac disease, highlighting the importance of mass screening.
Research reveals cathepsin B's role in hepatocyte apoptosis and liver injury in fulminant hepatic failure. Inhibition of cathepsin B attenuates apoptosis and liver damage.
Researchers have identified a novel syndrome associated with chronic cannabis abuse, characterized by severe vomiting sickness. The syndrome was first recognized in Australia and is believed to be caused by years of marijuana use, leading to increased cases worldwide.
Local rectal cancer excision is effective for stages Tis and T1 cancers, with prevention of recurrence and postoperative follow-up increasing efficacy. Administering salvage therapy also improves outcomes.
A rare case of liver cell adenoma (LCA) was reported in a woman without typical background, showing sequential alteration in radiological findings suggesting well-differentiated HCC. The patient underwent partial hepatectomy and pathological findings confirmed the diagnosis of LCA.
Research found that vitamin B6, folate, and vitamin B12 supplements effectively lower plasma homocysteine levels in patients with celiac disease. The study also discovered a protective role of B vitamins against the negative effects of villous atrophy on homocysteine levels.
A study published in the World Journal of Gastroenterology found that telmisartan significantly improved insulin resistance, reduced liver inflammation and fibrosis, and showed promise as a treatment for nonalcoholic steatohepatitis. In contrast, valsartan had no effect on liver histology or plasma lipids.
Aspirin inhibits H. pylori growth and enhances susceptibility to metronidazole, clarithromycin and amoxicillin by affecting outer membrane protein expression and increasing endocellular antimicrobial concentrations.
A study by Dr. Ri-Nan Zheng found that esomeprazole significantly reduced heartburn scores and resolved symptoms faster than omeprazole, lansoprazole, and pantoprazole in patients with reflux esophagitis. The results suggest esomeprazole may be the best choice for symptom relief in these patients.
Researchers found that electroacupuncture reduces lesion scores and gastric acidity in rats with NSAID-induced ulceration. The treatment also up-regulates the mucosal defense mechanism by increasing COX-1 and -2 mRNA levels and total nitric oxide concentration, providing protection against NSAID-induced toxicity.
A 23-year-old man developed severe autoimmune hepatitis after contracting varicella zoster virus, responding dramatically to steroid treatment. The case highlights the importance of considering AIH in patients with persistent altered liver enzymes following a viral infection.
A new study suggests that drinking alcohol in early adulthood may increase the risk of reflux esophagitis (RE) and Barrett's esophagus (BE), while wine consumption may reduce this risk. Higher education levels are also inversely associated with BE risk, suggesting socioeconomic status plays a role in the development of these conditions.
Research published in Clinical Gastroenterology and Hepatology found that patients with upper GI bleeding admitted on weekends had a 22% higher mortality rate and were less likely to undergo early endoscopy. Patients with peptic ulcer-related UGIB also faced increased mortality, hospital charges, and length of stay.
Researchers developed a non-invasive diagnostic tool using serum biomarker tests to differentiate between healthy and diseased stomach mucosa. The European GastroPanel examination, combined with pepsinogen assays, showed high accuracy in detecting gastric atrophy and peptic ulcer diseases.
Researchers found significant correlations between serum levels of anti-tTG IgA and anti-DGP antibodies in untreated celiac disease patients. The study suggests an immune response difference to deamidated gliadin and tissue transglutaminase, supporting the hapten-carrier theory for anti-tTG IgA origin.
Imaging findings on MDCT suggest a higher risk of recurrence and metastasis in solid pseudopapillary tumors of the pancreas. The study found that larger tumor size and specific imaging features were associated with increased vascular invasion and capsular disruption, indicating malignant potential.
A study published in the World Journal of Gastroenterology found that low-dose furazolidone-based quadruple regimens are effective for treating H pylori infection, with eradication rates ranging from 70-90%. The regimens have a low cost and relatively minor side effects, making them a useful option for rescue therapy, particularly in d...
Researchers found that spasm of the esophageal smooth muscle may trigger myocardial ischemia, leading to chest pain. The combination of these tests is significant for differential diagnosis, especially with foregut symptoms, and is cost-effective for patients from developing countries.
Researchers found that E-cadherin and N-cadherin expression is correlated with invasion and aggravation of esophageal squamous cell carcinoma. The down-regulation of N-cadherin decreases invasiveness of esophageal squamous cell carcinoma cells in vitro.
Chronic ethanol feeding inhibits nuclear proteasome activity, altering epigenetic mechanisms and gene expression. Proteasome inhibition also affects the remethylation pathway, leading to decreased histone acetylation and increased betainehomocysteine methyltransferase (BHMT) enzyme.
Researchers found that H2RA therapy was effective in preventing and treating low-dose aspirin-induced peptic ulcers, while PPIs showed similar results. Cytoprotective anti-ulcer drugs were ineffective in preventing peptic ulcers. The study suggests a therapeutic strategy for managing this condition.
A study suggests that measuring intra-abdominal pressure can help predict abdominal compartment syndrome in acute pancreatitis patients. The research team recommends IAP monitoring for patients with severe acute pancreatitis (SAP) to prevent mortality.
Researchers found that four strains of probiotics, including E.faecalis, alleviated symptoms of experimental colitis in mice. The study suggests that different probiotics have varying effects on the condition, with E_faecalis showing superior benefits.
A study analyzed histologic features of liver biopsies from 86 infants with intrahepatic neonatal cholestasis (IHNC) and found no significant differences among different etiologies. However, a significant difference was observed in IHNC of infectious etiology, presenting with more severe erythropoiesis.
The study found that PPAR-gamma activation inhibits pancreatic carcinoma growth by suppressing tumor angiogenesis. In a xenograft model, Rosiglitazone reduced microvascular density and VEGF expression, leading to significant tumor growth inhibition.
Research found capecitabine and irinotecan with bevacizumab to have comparable tumor response rates of 29% and 35%, similar overall survival at 15 months and 24 months. Toxicity was generally well-tolerated in a small patient population.
A new report by the NIH finds that digestive diseases result in over 100 million outpatient visits and 13 million hospitalizations annually, with a total cost of $141.8 billion. The top 10 most costly digestive diseases include digestive cancers, liver disease, and gastroesophageal reflux disease.
A new study found that infliximab was effective at preventing endoscopic, clinical and histological postoperative recurrence of Crohn's disease. The treatment significantly reduced the rate of endoscopic recurrence (9.1%) compared to placebo (84.6%).
Clinical Gastroenterology and Hepatology is the most influential journal in clinical medicine, publishing research applicable to practicing physicians. It received its first impact factor of 5.465 in 2008, ranking 8th out of 50 gastroenterology journals.
A study found that HCC cases with AIH and PBC have four clinical features: shorter survival intervals, more men affected, and liver failure as primary cause of death. The research highlights these common characteristics in HCC associated with AIH and PBC.
Researchers investigated the mechanisms behind reduced gastric mucosal blood flow caused by H. pylori extracts, finding a nerve- and iNOS-mediated pathway involved. The study revealed that H. pylori extracts decrease gastric mucosal blood flow by approximately 30% in mice.
Research in Costa Rica found that H. pylori infection, particularly the status of cagA and vacA genotype distribution, plays a major role in gastric cancer incidence rate variability. Gastric atrophy and intestinal metaplasia were more common in patients with high GCIR.
A study found that antioxidant supplementation reduced painful days and analgesic use in patients with chronic pancreatitis. The benefits were seen as early as three months and suggest a state of heightened free radical-mediated injury in the disease.
Research on Scutellaria barbata extract reveals growth inhibitory effects on human cancers, including lung, breast, and digestive system cancer. The extract induces apoptosis in hepatoma cells through the mitochondrial pathway, suggesting a potential therapeutic approach.
A systematic review and meta-analysis found that bismuth compounds were associated with a low risk of adverse events, with the exception of dark stools, which has little clinical significance. The study suggests that bismuth-containing regimens may be a safe alternative to PPI-based triple therapies for H. pylori eradication.
Research team investigates Campylobacter jejuni pathogenesis, finding two distinct patterns of interaction with epithelial cells. Strains that invade epithelial cells destroy them, while those that don't affect barrier properties or increase mediator production.
A new quantitative analysis method uses computerized measurements to evaluate liver biopsy samples, providing accurate assessments of fibrosis and inflammation. The Metriser technology offers a faster and more objective alternative to traditional scoring systems.
Research found a high prevalence of gluten-sensitive enteropathy (GSE) in patients with iron deficiency anemia of unknown origin. A gluten-free diet improved anemia in GSE patients with mild duodenal lesions, suggesting GSE as a potential cause of iron-deficient anemia.
A new screening test using barium meal follow through with pneumocolon has been proposed for chronic abdominal pain of luminal origin. The test can detect both small and large bowel lesions, reducing the need for separate colonoscopy procedures.
A recent study published in the World Journal of Gastroenterology investigated the gastrointestinal side effects of high-dose acetaminophen and NSAIDs. The research found that gastric lesions were similar between groups, indicating that acetaminophen is not entirely free of gastrointestinal side effects at high doses.
Chronic gastrointestinal symptoms such as GERD, uninvestigated dyspepsia, and IBS are common in the Korean population. These conditions significantly impair quality of life, particularly in females, the elderly, and those with lower economic classes.
Researchers found that fractionated radiation induced an immune imbalance, characterized by elevated expression of pro-inflammatory cytokines, in the distal colonic mucosa. This imbalance persisted even after the end of radiotherapy, with a Th2 profile dominating the immune response.
A new computer-aided screening technique has been developed to diagnose enteric lesions in capsule endoscopy, reducing the reading time from 5 hours to 1 hour on average. The technique uses image processing to screen out normal images, allowing for accurate diagnosis with high sensitivity rates.
Researchers found that extensive liver resection impairs the regenerative capacity of the liver on a molecular and cellular level. Key findings include delayed activation of NF-kappa B and increased programmed cellular death in regenerating livers.
Researchers identified clinical characteristics of Fitz-Hugh-Curtis syndrome in 22 female patients, noting pain in the upper right abdomen and lower abdomen. Antibiotic treatment cured 20 patients, highlighting the importance of abdominal CT scans for diagnosis.
In a rat model of depression, fluoxetine inhibited mast cell ultrastructural alterations and de-regulated rMCP-1 expression. Treatment with fluoxetine suggested that SSRIs are an effective therapeutic agent for some gastroduodenal diseases caused by psychological factors.
A recent study found that bariatric surgery leads to improvement of histopathological features of nonalcoholic fatty liver disease (NAFLD) in most patients. The risk of progression of inflammatory changes and fibrosis is minimal, with complete resolution of NAFLD reported in a majority of patients.
A new study published in Gastroenterology finds that antibiotics are the single largest class of drugs causing liver injury, affecting 73% of cases. Central nervous system agents were also found to be commonly associated with drug-induced liver injury.
Research found that workers with high levels of alanine aminotransferase (ALT) and central obesity had significantly higher self-reported fatigue after work. The study suggests that objective measures such as elevated ALT and increased waist circumference are associated with work-related fatigue in apparently healthy workers.
A laparoscopic approach was used to successfully treat two cases of retrorectal cysts, a rare developmental lesion. The procedure allowed for perfect visualization of deep structures in the presacral space, minimizing surgical trauma.