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Journal of Gastroenterology and Hepatology

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https://www.readbyqxmd.com/read/27897323/prognostic-durability-of-liver-fibrosis-tests-and-improvement-in-predictive-performance-for-mortality-by-combining-tests
#1
Sandrine Bertrais, Jérôme Boursier, Alexandra Ducancelle, Frédéric Oberti, Isabelle Fouchard-Hubert, Valérie Moal, Paul Calès
BACKGROUND AND AIM: There is currently no recommended time interval between non-invasive fibrosis measurements for monitoring chronic liver diseases. We determined how long a single liver fibrosis evaluation may accurately predict mortality, and assessed whether combining tests improves prognostic performance. METHODS: We included 1559 patients with chronic liver disease and available baseline liver stiffness measurement (LSM) by Fibroscan, APRI, FIB-4, Hepascore, and FibroMeter(V2G) ...
November 29, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27893931/infliximab-induced-tuberculosis-in-patients-with-uc-experience-from-a-country-with-high-prevalence-of-tuberculosis-india
#2
Amarender S Puri, Devendra Desai, Ajit Sood, Sanjeev Sachdeva
BACKGROUND & AIM: Tuberculosis (TB) is a well-recognized iatrogenic adverse event following administration of biologic therapy given for a variety of clinical indications. There is paucity of data on the development of TB following use of biologics from countries with a high prevalence of TB. The aim of this study was to determine the risk of development of TB following biological therapy in a country, which is highly endemic for TB. METHODS: Retrospective analysis of data from 3 referral IBD centers to evaluate the risk of development of TB following biological therapy for patients with UC...
November 28, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27888529/long-term-progression-of-viral-load-and-serum-markers-of-fibrosis-among-treated-and-untreated-patients-with-chronic-hepatitis-b
#3
Jia Li, Stuart C Gordon, Loralee B Rupp, Talan Zhang, Sheri Trudeau, Scott D Holmberg, Anne C Moorman, Philip R Spradling, Eyasu H Teshale, Joseph A Boscarino, Yihe G Daida, Mark A Schmidt, Mei Lu
BACKGROUND AND AIMS: Antiviral therapy for patients with hepatitis B (HBV) infection is generally deferred for "immune inactive" patients, although longitudinal changes in viral load and liver fibrosis remain understudied in this population. Likewise, in treated patients, the temporal relationship between changes in viral load and liver fibrosis is not well-characterized. Using data from the Chronic Hepatitis Cohort Study, we investigated viral load and the Fibrosis-4 index (FIB4, a serum-based marker of liver fibrosis) trajectories in both untreated and treated HBV patients...
November 26, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27885712/a-randomized-controlled-trial-comparing-lactulose-plus-albumin-versus-lactulose-alone-for-treatment-of-hepatic-encephalopathy
#4
Barjesh Chander Sharma, Jatinderpal Singh, Siddharth Srivastava, Alok Sangam, Alok Kumar Mantri, Nirupma Trehanpati, Shiv Kumar Sarin
BACKGROUND: Hepatic encephalopathy (HE) is associated with poor prognosis and treatment of HE is primarily directed at the reduction of the blood ammonia levels. We evaluated the efficacy and safety of albumin plus lactulose versus lactulose alone for treatment of overt HE. METHODS: In prospective randomized controlled trial, 120 patients with overt HE were randomized in 2 groups; group A lactulose plus albumin (n = 60) and group B, lactulose alone (n = 60)...
November 25, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27869328/real-life-efficacy-and-safety-of-paritaprevir-ritonavir-ombitasvir-and-dasabuvir-in-chronic-hepatitis-c-patients-in-hong-kong
#5
Henry Lik-Yuen Chan, Owen Tak-Yin Tsang, Yee-Tak Hui, James Fung, Grace Chung-Yan Lui, Ching-Lung Lai, Grace Lai-Hung Wong, Kam-Hon Chan, David Yiu-Kuen But, Moon-Sing Lai, Wai-Cheung Lao, Carmen Ka-Man Chan, Yip-Shun Lam, Wai-Kay Seto, Carlton Li, Man-Fung Yuen, Vincent Wai-Sun Wong
BACKGROUND AND AIM: In registration studies, combination therapy of paritaprevir/ritonavir, ombitasvir and dasabuvir (PrOD) with and without ribavirin for 12-24 weeks can achieve >90% sustained virological response (SVR) for genotype 1 hepatitis C virus (HCV) infection. However, data in Asia is scanty. We aimed to study the efficacy and safety of this combination therapy in chronic hepatitis C patients in Hong Kong. METHODS: We retrospectively analyzed data from 6 local hospitals which have prescribed PrOD with and without ribavirin to patients with genotype 1 chronic HCV infection as part of a global compassionate program...
November 21, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27869326/prdx2-up-regulation-in-inflammatory-bowel-disease-friend-or-foe
#6
Nezha Senhaji, Younes Zaid, Bouchra El Khalfi, Mina Fahimi, Javier Martin, Wafaa Badre, Sellama Nadifi, Abdelaziz Soukri
BACKGROUND: Inflammatory bowel diseases (IBD) are chronic multi-factorial inflammatory disorders. Accumulating investigations have provided compelling evidence that describe the interplay of a complex genetic landscape and inappropriate inflammatory response to intestinal microbes in disease etiopathogenesis, but still pose challenges in diagnostic practices. METHOD: In this study, comparative proteomic analysis was conducted to identify disease specific proteins underlying IBD pathogenetic mechanisms...
November 21, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27869323/comparative-treatment-effectiveness-of-direct-acting-antiviral-regimens-for-hepatitis-c-data-from-the-veterans-administration
#7
D S Fox, J J McGinnis, I Tonnu-Mihara, J S McCombs
BACKGROUND AND AIMS: Data addressing real world effectiveness of direct acting antiviral agents in hepatitis C infected patients are now emerging. This study compared the sustained virologic response rates achieved 12 weeks post-treatment in patients treated with three such agents by the Veterans Health Administration. METHODS: A retrospective cohort study was conducted using patients who terminated treatment by July 1, 2015. Data were retrieved from the Veterans Health Administration electronic medical records system...
November 21, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27859576/ccr5-deficiency-exacerbates-alcoholic-fatty-liver-disease-through-pro-inflammatory-cytokines-and-chemokines-induced-hepatic-inflammation
#8
Ju Ho Park, Dong Hun Lee, Mork Soon Park, Young Suk Jung, Jin Tae Hong
BACKGROUND AND AIM: Chemokines and chemokine receptors implicated with alcoholic liver disease. Studies have shown that inflammation and oxidative stress induce fat molecules aggregation in liver. We evaluated the relationship between alcoholic fatty liver disease and c-c chemokine receptor 5 and impact of inflammation and oxidative stress in fat molecule deposition. METHODS: Lieber-DeCarli diet containing ethanol or isocaloric control diets were fed to wildtype and CCR5 knockout mice for 10 days, and gavaged with a single dose of ethanol or isocaloric maltose dextrin at 11 day...
November 17, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27859587/gamma-glutamyl-transpeptidase-to-platelet-ratio-is-an-independent-predictor-of-hepatitis-b-virus-related-liver-cancer
#9
Yong Eun Park, Beom Kyung Kim, Jun Yong Park, Do Young Kim, Sang Hoon Ahn, Kwang-Hyub Han, Sojung Han, Mi Young Jeon, Ja Yoon Heo, Kijun Song, Seung Up Kim
BACKGROUND AND AIMS: Gamma-glutamyl transpeptidase-to-platelet ratio (GPR) can evaluate the degree of liver fibrosis. We investigated whether GPR can predict the development of hepatocellular carcinoma (HCC) in chronic hepatitis B (CHB) patients. METHODS: We retrospectively evaluated 1,109 CHB patients that were enrolled between 2006 and 2012, and all patients had available data for the assessment of GPR at enrollment. Three risk groups were defined according to tertile stratification: GPR < 0...
November 16, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27859568/6-methylmercaptopurine-induced-leukocytopenia-during-thiopurine-therapy-in-ibd-patients
#10
Berrie Meijer, Joany E Kreijne, Sofia A W van Moorsel, Luc J J Derijks, Gerd Bouma, Chris J J Mulder, Dennis R Wong, C Janneke van der Woude, Adriaan A van Bodegraven, Nanne K H de Boer
BACKGROUND: Thiopurines have a favorable benefit-risk ratio in the treatment of inflammatory bowel disease (IBD). A feared adverse event of thiopurine therapy is myelotoxicity, mostly occurring due to toxic concentrations of the pharmacologically active metabolites 6-thioguaninenucleotides. In oncology, myelosuppression has also been associated with elevated 6-methylmercaptopurine (6-MMP). In this case-series, we provide a detailed overview of 6-MMP-induced myelotoxicity in IBD patients...
November 16, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27862319/celiac-disease-and-h-pylori-infection-in-children-is-there-any-association
#11
Manish Narang, Amarender Singh Puri, Sanjeev Sachdeva, Jatinderpal Singh, Ajay Kumar, R K Saran
BACKGROUND AND OBJECTIVE: Helicobacter pylori (HP) infection can influence the inflammatory and immune responses in the gut and may therefore play a role in the development of gluten related enteropathy in genetically susceptible individuals. Our objective was to assess the relationship between celiac disease and HP infection in children. METHODS: Children (1-18 years) diagnosed as celiac disease (CD) (n = 324) with submission of gastric and duodenal biopsies and duodenal histology having Marsh grade III features were eligible for the study...
November 15, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27862273/effects-of-argon-plasma-coagulation-on-human-stomach-tissue-an-ex-vivo-study
#12
Eun Jeong Gong, Ji Yong Ahn, Hwoon-Yong Jung, Young Soo Park, Hee Kyong Na, Kee Wook Jung, Do Hoon Kim, Jeong Hoon Lee, Kee Don Choi, Ho June Song, Gin Hyug Lee, Jin-Ho Kim
BACKGROUND AND AIM: Argon plasma coagulation (APC) is a safe alternative treatment for gastrointestinal neoplasms and precancerous lesions. However, the extent of thermal damage after APC is difficult to predict. We investigated the effects of APC on human stomach tissue. METHODS: APC was performed on 10 freshly resected human stomachs which were obtained after total gastrectomy. The effects on tissue were compared across power settings (40, 60, and 80 W), durations (5, 10, 15, 20, and 25 s), and between injection (submucosal injection of normal saline) and control (without injection) groups...
November 14, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27862316/cdx2-expression-induced-by-leukocytapheresis-might-be-associated-with-mucosal-healing-in-ulcerative-colitis
#13
Kiichiro Tsuchiya, Ryohei Hayashi, Keita Fukushima, Shuji Hibiya, Nobukatsu Horita, Mariko Negi, Eisaku Itoh, Takumi Akashi, Yoshinobu Eishi, Satoshi Motoya, Yoshiaki Takeuchi, Reiko Kunisaki, Ken Fukunaga, Shiro Nakamura, Naoki Yoshimura, Masakazu Takazoe, Bunei Iizuka, Yasuo Suzuki, Masakazu Nagahori, Mamoru Watanabe
BACKGROUND AND AIMS: Ulcerative colitis (UC) is a chronic inflammatory disease of the colon with an intractable, recurrent course. Although the goal of UC therapy has recently been to target mucosal healing, the molecular mechanism of mucosal healing remains unknown. In this study, we aimed to elucidate the molecular dynamics related to the proliferation and differentiation of intestinal epithelial cells (IECs) during cytapheresis therapy in a short duration. METHODS: Endoscopy was performed in 26 patients with UC in multicentre hospitals, and biopsy specimens were collected from the rectum before and within two weeks after leukocytapheresis (LCAP)...
November 11, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27862289/insulin-resistance-assessment-is-useful-in-risk-stratification-of-hepatocellular-carcinoma-in-chronic-hepatitis-b-patients
#14
Jung Hee Kim, Dong Hyun Sinn, Geum-Youn Gwak, Wonseok Kang, Yong-Han Paik, Moon Seok Choi, Joon Hyeok Lee, Kwang Cheol Koh, Seung Woon Paik
BACKGROUND AND AIM: We analyzed whether insulin resistance (IR) assessed by homeostasis model assessment index (HOMA2-IR) can stratify hepatocellular carcinoma (HCC) risk in patients with chronic hepatitis B virus (HBV) infection. METHODS: A retrospective cohort of 1,696 chronic HBV infected patients [age: 50.0 ± 7.8, male = 964 (56.8%)] who underwent detailed health check-up program including C-peptide and fasting blood glucose measurement, and followed-up for more than a year were analyzed...
November 11, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27862278/diagnostic-efficacy-of-quantitative-endoscopic-ultrasound-elastography-for-differentiating-pancreatic-disease
#15
Su Young Kim, Jae Hee Cho, Yoon Jae Kim, Eui Joo Kim, Ji Young Park, Tae Joo Jeon, Yeon Suk Kim
BACKGROUND AND AIM: Endoscopic ultrasound elastography (EUS-EG) constitutes a novel imaging procedure that allows for the quantification of tissue stiffness with high degrees of accuracy in pancreatic disease. However, the optimal cutoff and reference strain ratio (SR) value of quantitative EUS-EG for differential diagnosis in patients with pancreatic disease remains unclear. This study aimed to clarify these values of normal pancreas, chronic pancreatitis, or pancreatic cancer in an Asian population...
November 11, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27862275/long-noncoding-rna-zfas1-promotes-the-progression-of-colonic-cancer-by-modulating-zeb1-expression
#16
Changyi Fang, Jianbao Zan, Ben Yue, Chenchen Liu, Chenglong He, Dongwang Yan
BACKGROUND AND AIM: Long non-coding RNA ZFAS1 (zinc finger antisense 1) is frequently amplified in hepatocellular carcinoma and promotes metastasis by increasing zinc finger E-box binding homeobox 1 (ZEB1), which can potentiate the progression of epithelial-to-mesenchymal transition (EMT). However, the expression pattern and role of ZFAS1 in colonic cancer remains unknown. The present study aimed to investigate the role of ZFAS1 and its clinical significance in colonic cancer. METHODS: Paired clinical colonic cancer tissue samples and clinicopathologic characteristics of 73 patients were analyzed...
November 11, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27862259/the-association-between-gastroesophageal-reflux-disease-gerd-with-sleep-quality-depression-and-anxiety-in-a-cohort-study-of-australian-men
#17
Zhi Xiang On, Janet Grant, Zumin Shi, Anne W Taylor, Gary A Wittert, Phillip J Tully, Amie C Hayley, Sean Martin
BACKGROUND & AIM: Previous clinical studies have demonstrated a relationship between gastro-esophageal reflux disease (GERD) with anxiety and depression; however few population-based studies have controlled for sleep disorders. The current study aimed to assess the relationship between GERD and anxiety, depression, and sleep disorders in a community-based sample of Australian men. METHODS: Participants comprised a sub-set of 1,612 men (mean age: 60.7 years, range: 35 - 80) who participated in the Men Androgen Inflammation Lifestyle Environment and Stress (MAILES) Study during the years 2001-2012, who had complete GERD measures [Gastresophageal Reflux Disease Questionnaire (GerdQ)] and were not taking medications known to impact gastrointestinal function (excluding drugs taken for acid-related disorders)...
November 11, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27859583/external-validation-of-the-nonalcoholic-fatty-liver-disease-fibrosis-score-for-assessing-advanced-fibrosis-in-korean-patients
#18
Dae Won Jun, Sang Gyune Kim, Sang Hoon Park, So-Young Jin, Ji Sung Lee, Jin-Woo Lee, Moon Young Kim, Dae Hee Choi, Yong Kyun Cho, Jong Eun Yeon, Joo Hyun Sohn
BACKGROUND: The degree of liver fibrosis in non-alcoholic fatty liver disease (NAFLD) is a critical predictive factor for patient prognosis. This study was intended to perform external validation of the various fibrosis prediction models for assessing advanced fibrosis in Korean NAFLD patients. METHODS: A retrospective study of 412 patients with NAFLD confirmed by liver biopsy in hospitals affiliated with the Koran NAFLD study group was conducted and the predictive ability of existing liver fibrosis prediction models including NAFLD fibrosis score (NFS), BARD, and FIB-4 were compared...
November 11, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27862281/comparison-of-the-rome-iv-and-rome-iii-criteria-for-ibs-diagnosis-a-cross-sectional-survey
#19
Tao Bai, Jing Xia, Yudong Jiang, Huan Cao, Yong Zhao, Lei Zhang, Huan Wang, Jun Song, Xiaohua Hou
BACKGROUND AND AIMS: The aims of this study were to investigate the proportion of clinical irritable bowel syndrome (IBS) at a tertiary hospital in China, to compare the Rome III and Rome IV criteria with regard to IBS diagnosis, to describe the agreement between the Rome III and Rome IV criteria, and to identify differences between Rome IV-positive and -negative IBS patients. METHODS: A cross-sectional survey was performed among outpatients in the gastrointestinal (GI) department of a tertiary hospital...
November 10, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27859615/using-transient-elastography-to-predict-hepatocellular-carcinoma-recurrence-after-radiofrequency-ablation
#20
Yu Rim Lee, Soo Young Park, Seung Up Kim, Se Young Jang, Won Young Tak, Young Oh Kweon, Beom Kyung Kim, Jun Yong Park, Do Young Kim, Sang Hoon Ahn, Kwang Hyub Han, Keun Hur
BACKGROUND AND AIM: Liver stiffness (LS) value determined using transient elastography (TE) can be used to assess the degree of liver fibrosis. We investigated whether TE can predict the recurrence of hepatocellular carcinoma (HCC) after radiofrequency ablation (RFA). METHODS: This study retrospectively enrolled 228 patients with HCC who received TE and RFA as the first-line treatment for HCC between 2008 and 2015. Cox regression analysis was used to identify independent predictors of HCC recurrence...
November 10, 2016: Journal of Gastroenterology and Hepatology
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