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Minerva Gastroenterologica e Dietologica

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https://www.readbyqxmd.com/read/27905696/the-curative-effect-of-early-use-of-enteral-immunonutrition-in-postoperative-gastric-cancer-a-meta-analysis
#1
Hu Qiang, Lu Hang, Sun Y Shui
INTRODUCTION: It's uncertain about the clinical efficacy which early enteral immunonutrition in postoperative gastric cancer patients,and this study attempts to assess its clinical efficacy. EVIDENCE ACQUISITION: Use the search engine database incuding the Pubmed,the Cochrane library, Web of Science, Medline,and Embase,which there are comparative studies of early efficacy of enteral immune nutrition and standard enteral nutrition after gastric cancer operation.According to the studies,we use the RevMan 5...
December 1, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27849120/review-gut-microbiota-and-functional-diseases-of-the-gastrointestinal-tract
#2
Nicola Imperatore, Raffaella Tortora, Filomena Morisco, Nicola Caporaso
INTRODUCTION: Functional gastrointestinal disorders (FGIDs) are a common group of chronic gastrointestinal (GI) diseases defined by symptom-based diagnostic criteria, which consider chronic or recurrent symptoms of the GI tract in the absence of other organic or biochemical reasons. Recent evidences have been highlighted the role of gut microbiota in the pathophysiology of the FGIDs. EVIDENCE ACQUISITION: We focused our attention on critically analysis of the existing literature on the role of gut microbiota in FGIDs, by evaluating the differences of composition, functions and role of intestinal flora in FGIDs of the upper and lower gastrointestinal tract...
November 16, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27845509/anti-gliadin-antibodies-in-ncgs
#3
Maria Infantino, Francesca Meacci, Valentina Grossi, Donatella Macchia, Mariangela Manfredi
Although no biomarker has been identified to date, previous studies have reported that about 50% of patients with suspected Non Celiac Gluten Sensitivity (NCGS) had positive first generation anti- gliadin antibodies (AGAs), expecially of the IgG class. These antibodies are not specific for NCGS, being also found in CD (80-90%), autoimmune liver disorders (21.5%), connective tissue disease (9%) and IBS (20%), as well as in healthy controls (2-8%), but their finding in patients with a clinical phenotype consistent with NCGS has been regarded as an element supporting this diagnosis...
November 15, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27845508/may-radiofrequency-be-the-best-choice-for-iii-iv-degree-hemorrhoids-results-of-a-large-series-of-patients
#4
Giovanni Milito, Giorgio Lisi, Elena Aronadio, Michela Campanelli, Dario Venditti, Simona Grande, Michele Grande
BACKGROUND: Haemorrhoidectomy is considered the most efficient method to treat haemorrhoids of III and IV grades. The aim of this study is to compare conventional diathermy haemorrhoidectomy and radiofrequency haemorrhoidectomy based on a large series of patients. METHODS: Between June 2001 and June 2014, 1000 patients have been treated with radiofrequency haemorrhoidectomy (Group A) and 500 patients have been treated with diathermy (Group B) as a day-case procedure...
November 15, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27824245/liver-transplantation-from-hcv-rna-positive-donors-in-the-era-of-interferon-free-hcv-therapeutics-a-reexamination-of-the-situation
#5
Katharina Willuweit, Ali Canbay, Guido Gerken, Jörg Timm, Andreas Paul, Jürgen Treckmann, Kerstin Herzer
Although the availability of donor organs is limited, liver grafts from HCV-positive donors remained yet an obstacle, primarily because of limited therapeutic options for HCV reinfection and lower rates of graft and patient survival. However, new interferon-free regimens containing direct-acting antiviral agents have fewer adverse effects and better effectiveness, making HCV treatment feasible early after transplant. In 2014, we successfully used sofosbuvir and ribavirin to treat a patient with HCV genotype 3 cirrhosis who was listed for liver transplantation...
November 8, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27824244/a-large-multicenter-study-of-recurrence-after-surgical-resection-of-branch-duct-intraductal-papillary-mucinous-neoplasm-of-the-pancreas
#6
Linda Yan, Ali A Siddiqui, Sobia Laique, Monica Saumoy, Michel Kahaleh, Joseph Yoo, Ankush Kalra, Arun Mathew, Jessica Sterling, Rema Rao, Michael Lieberman, Natalie Cosgrove
BACKGROUND: Surgery for pancreatic branch-duct intraductal papillary mucinous neoplasm (BDIPMN) is indicated for therapy of symptomatic patients and to prevent development of invasive cancer. There is currently no consensus on management of BD-IPMN patients after surgical resection. The aim of this retrospective multicenter study was to determine the recurrence and long-term survival after surgical resection of BD-IPMN and to determine the predictive factors of recurrence. METHODS: All patients who underwent surgery for BD-IPMN from 2005 to 2011 at 2 centers were identified...
November 8, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27808487/pathophysiology-of-non-celiac-gluten-sensitivity-where-are-we-now-in-2016
#7
Giacomo Caio, Gabriele Riegler, Marta Patturelli, Angela Facchiano, Laura DE Magistris, Anna Sapone
Non-celiac gluten sensitivity (NCGS) is the term used to describe individuals complaining of intestinal and extra-intestinal symptoms related to gluten ingestion and rapidly improving after its withdrawal, and in which both celiac disease (CD) and wheat allergy (WA) were properly ruled out. The prevalence of this condition remains unknown and a lot of questions about the possible pathogenetic mechanisms are still unclarified. It is believed that NCGS represents a heterogeneous condition with different subgroups potentially characterized by different pathogenesis, clinical history, and clinical course...
November 3, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27792210/animal-models-to-study-non-celiac-gluten-sensitivity
#8
Plaimein Amnuaycheewa, Joseph A Murray, Eric V Marietta
Non-celiac gluten sensitivity (NCGS), sometimes known as non-celiac wheat sensitivity (NCWS), has recently received much attention, both scientific as well as from the alternative medical community. Over the past 5 years, there are over 200 publications on NCGS indexed on PubMed database, the gluten-free market has been growing bigger, and it is clear that the number of consumers who are on a gluten-free diet (GFD) possibly because of a suspicion for NCGS appears to grow even faster. Nevertheless, despite these three rising events, many questions about NCGS remain unresolved...
October 28, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27768010/update-on-hepatitis-c-treatment-systematic-review-of-clinical-trials
#9
Manan Jhaveri, Nicholas Procaccini, Kris V Kowdley
Chronic Hepatitis C is a major public health problem. The chronicity of the Hepatitis C can lead to advanced liver disease, cirrhosis and even hepatocellular carcinoma. Chronic hepatitis C is the leading indication of for liver transplantation in the United States. Since the introduction of directly acting antiviral agents (DAAs), there have been there have been dramatic advances in treatment of hepatitis C in terms of tolerability, duration of therapy with significant increases in the rates of sustained virology response (SVR)...
October 21, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27768009/ligasuretm-hemorrhoidectomy-how-we-do
#10
Giovanni Milito, Giorgio Lisi, Elena Aronadio, Michela Campanelli, Dario Venditti, Simona Grande, Michele Grande
BACKGROUNDS: Hemorrhoidectomy is considered the gold standard and the most effective and definitive treatment for grades 3 or 4 haemorrhoids, and Milligan-Morgan's and Ferguson's procedures are the most widely used techniques throughout the world. The aim of the study is to present our surgical technique using LigasureTM vessel sealing, focus on technical aspects and surgical tricks showing our results with a huge number of patients and a long-term follow-up. METHODS: Between June 2001 and June 2014 at the University Hospital of Tor Vergata, Rome, Italy, 1000 patients were selected to underwent LigaSureTM hemorrhoidectomy for III and IV degree haemorrhoids...
October 21, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27681222/stereotactic-radiation-therapy-for-hepatic-malignancies
#11
Jeffrey Meyer
Management of primary and secondary tumors of the liver is a complex undertaking involving multi- disciplinary input. Radiation therapy has held a minor role in the treatment of liver tumors, but with technological innovations and the growth of the field of stereotactic body radiation therapy (SBRT), this role is evolving. In this review, I discuss the issues of radiation-induced hepatic toxicity, the planning of liver SBRT treatments, clinical results with SBRT, its place amongst other non-surgical ablative treatments, and potential future avenues of investigation...
September 28, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27652683/endoscopic-resection-for-patients-with-mucosal-adenocarcinoma-of-the-esophagus
#12
Mate Knabe, Andrea May, Christian Ell
Due to its rapidly increasing incidence in the last decade, esophageal adenocarcinoma has been attracting widespread interest among gastroenterologists all over the world. Advanced adenocarcinomas arising from intestinal metaplasia in the esophagus (Barrett's esophagus) are associated with a poor prognosis when esophagectomy is required. In addition to high mortality rates, there is a significant morbidity rate among patients who undergo surgery. However, if cancer can be diagnosed at an early stage, the endoscopic treatment options that are available significantly reduce the mortality rates...
September 21, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27647538/mood-disorders-and-non-celiac-gluten-sensitivity
#13
Giovanni Casella, Roberta Pozzi, Marta Cicognetti, Francesco Bachetti, Gabriele Torti, Moris Cadei, Vincenzo Villanacci, Vittorio Baldini, Gabrio Bassotti
The association between gluten related disorders and psychiatric diseases has been firmly demonstrated. Non celiac gluten sensitivity (NCGS) is a syndrome diagnosed in patients responsive to gluten free diet after ruling out celiac disease and wheat allergy. The pathogenesis of neuro-psychiatric disorders in NCGS is unclear. An association between gluten and schizophrenia was described for the first time in 1950 by Bender et al. In the 50', Dicke noted that gluten free diet improved mood in celiac patients...
September 20, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27603810/glutathione-in-the-treatment-of-liver-diseases-insights-from-clinical-practice
#14
Rodolfo Sacco, Roberto Eggenhoffner, Luca Giacomelli
Liver diseases markedly contribute to the global burden of mortality and morbidity. The pathogenesis of alcohol and non-alcohol induced liver diseases is complex and many factors have been described to contribute to the progressive loss of liver functions, including the over- generation of reactive oxygen species. The tripeptide glutathione (GSH) is the most important low molecular weight antioxidant synthesized in cells. In fact, GSH is a reducing molecule and it can react with oxygen species by neutralizing the unpaired electrons that make them highly reactive and dangerous...
September 7, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27763575/optimal-treatment-of-hepatic-encephalopathy
#15
Sanath Allampati, Kevin D Mullen
Hepatic encephalopathy (HE) is a complex neuropsychiatric syndrome associated with decompensated liver disease. The spectrum of disease ranges from trivial abnormalities in complex decision-making and prolonged reaction time to coma in its most severe form. The very initial stages, recently termed covert hepatic encephalopathy, can only be diagnosed with the help of neuropsychiatric testing, while the later and more severe forms, termed overt hepatic encephalopathy, can be diagnosed clinically. Management of HE is very critical as it can dramatically increase morbidity and mortality...
December 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27404265/familial-adenomatous-polyposis-small-bowel-surveillance-could-indicators-for-video-capsule-endoscopy-be-ascertained
#16
Samanta Papagni, Salvatore Rizzi, Mariabeatrice Principi, Francesca Albano, Antonella Contaldo, Andrea Iannone, Giuseppe Losurdo, Enza Genco, Patrizia Lastella, Enzo Ierardi, Alfredo DI Leo
No abstract text is available yet for this article.
September 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27404264/comorbid-immunopathological-affections-in-outpatients-with-inflammatory-bowel-disease-a-prospective-study
#17
Giovanni C Actis, Rinaldo Pellicano
No abstract text is available yet for this article.
September 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27404263/massive-prostatomegaly-as-a-proposed-unusual-etiology-of-chronic-diarrhea-predominant-ibs-with-rectal-urgency-symptomatic-relief-after-radical-prostatectomy
#18
Mitchell S Cappell
No abstract text is available yet for this article.
September 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27404262/endo-sponge%C3%A2-conservative-treatment-of-an-anastomotic-leak
#19
Giovanni Milito, Giorgio Lisi, Dario Venditti, Michela Campanelli, Michele Grande
No abstract text is available yet for this article.
September 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27404261/supplementary-management-of-functional-temporary-alcoholic-hepatic-damage-with-robuvit%C3%A2-french-oak-wood-extract
#20
Luciano Pellegrini, Gianni Belcaro, Mark Dugall, Marcello Corsi, Roberta Luzzi, Masayuki Hosoi
BACKGROUND: The aim of this registry study was to evaluate Robuvit® (French oak wood extract) supplementation in the evolution of moderate functional hepatic failure (MTHF) due to alcohol. Recent studies have indicated the protective effect of oak wood (QR) extracts on liver injury. This registry included patients with MTHF characterized by: decreased albumin levels; increased total bilirubin, altered hepatic functions enzymes, increased oxidative stress, negative viral hepatitis markers...
September 2016: Minerva Gastroenterologica e Dietologica
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