Articles tagged with Gastroenterology
Dr. Daniel K. Podolsky receives the 2009 Julius Friedenwald Medal for his lifelong contributions to gastroenterology and groundbreaking scientific achievements. He credits his colleagues and mentors for his success, highlighting UT Southwestern's role in his career.
Recent studies have shown that patients under deep sedation during colonoscopy are more likely to have large polyps detected, which could lead to earlier detection of colon cancer. Additionally, research suggests that removing advanced pre-malignant polyps sooner than recommended may be beneficial in reducing the risk of colon cancer.
A new study published in Clinical Gastroenterology and Hepatology suggests that obesity is an independent predictor of inadequate bowel preparation at colonoscopy. Patients with a higher Body Mass Index (BMI) are more likely to require more rigorous bowel preparation regimens.
The AGA Institute will present exciting data on treatments for Clostridium difficile infection, hepatitis C, and Crohn's disease. The late-breaking session includes studies on optimized therapies and new technologies, which may become the standard of care in the near future.
A study examining COX2 and UGT1A6 genetic polymorphisms in colon cancer risk found no significant association. The protective effect of NSAIDs on colon cancer risk was not modified by these genetic variations.
The study found that estimated glomerular filtration rate (eGFR) equations, particularly eGFR5 and eGFR3, are reliable preoperative renal function tests for patients undergoing hepatectomy. These equations were compared to creatinine clearance (Ccr), with significant differences in postoperative serum creatinine levels
Researchers discovered a novel compound, ADFMChR, with potent anti-tumor activity against human liver carcinoma cells. The compound induces apoptosis and modulates key proteins, providing new insights into its potential as a cancer-preventive agent.
The study developed a molecular marker for Pi-deficiency in rats and evaluated the efficacy of Chinese materia medicas and probiotics. It found that middle doses of these recipes showed pronounced recovery activities, while higher doses did not.
A novel marker of TSPAN1 has been identified as a significant prognostic indicator for patients with colorectal adenocarcinoma. The protein's expression was found to correlate with histological grade, cell proliferation, lymph nodal metastasis, and TNM staging, leading to a shorter survival period in those with overexpression.
Researchers found that only 61.9% of patients assigned a billing diagnosis code for Barrett's esophagus actually had the condition after manual record review. A pathologic diagnosis was highly likely to be reproduced by separate reviews, but electronic coding confirmed only 61.9% of cases.
A case study reports a patient with chronic diarrhea responding to lansoprazole withdrawal, highlighting the drug's potential link to collagenous colitis. Withdrawal of lansoprazole promptly resolved both colonoscopic and histological abnormalities.
A study published in World Journal of Gastroenterology found that small colon polyps can be removed without interrupting anticoagulation therapy, resulting in an acceptable bleeding rate. The procedure was performed on 123 patients with lesions up to 1 cm in size.
Researchers used computer simulation to investigate the effects of duodenal stump geometry on gastric resection outcomes. The study found that certain geometric configurations can improve food transport and emptying, but may compromise pressure distribution.
Researchers characterized early-stage liver reperfusion injury mechanisms using rats with varying ischemia-reperfusion periods. Key findings include cell vacuolation, bleb formation, and apoptosis induction.
The study found that dephytinization significantly increased mineral cell uptake efficiency, retention, and transport efficiency of iron and zinc. Calcium bioavailability also showed a significant increase after phytate removal from most samples. This research provides valuable insights for infant nutrition and mineral absorption.
Research suggests that Rocket 'Eruca sativa' has potent gastric anti-ulcer properties, inhibiting acid secretion and reducing ulceration. The herb's extract also replenishes mucous and sulfhydryl levels, while reducing oxidative stress markers.
Two studies published in Gastroenterology found that statin use is associated with a significant reduction in the risk of hepatocellular carcinoma (HCC) among patients with diabetes. Additionally, statins appear to reduce the risk of cholecystectomy, surgical removal of the gallbladder, in women.
Researchers found that short-term calorie restriction with a low-carbohydrate diet caused greater changes in liver fat content and metabolic function compared to a high-carbohydrate diet. Long-term calorie restriction improved skeletal muscle insulin sensitivity, while cellular insulin signaling increased.
A study published in the World Journal of Gastroenterology has discovered a significant link between aryl hydrocarbon receptor (AhR) expression and gastric cancer. The research suggests that AhR may be a potential therapeutic target for gastric cancer treatment.
A study of 1970 patients found a strong association between gastroesophageal reflux disease and linked angina. Patients with GERD had a higher prevalence of linked angina than those without GERD symptoms, suggesting that GERD may be misclassified as non-GERD heartburn.
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.
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 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.
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.
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.
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.
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 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.
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.