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Salvatore Oliva, Marina Aloi, Franca Viola, Saverio Mallardo, Fortunata Civitelli, Francesca Maccioni, Cesare Hassan, Paola Papoff, Salvatore Cucchiara, Stanley A Cohen
BACKGROUND & AIMS: Pan-enteric capsule endoscopy (PCE) is effective for assessment of small intestinal and colonic Crohn's disease (CD) in pediatric patients. We aimed to determine whether PCE can be used to monitor mucosal healing and deep remission, in a treat to target strategy for pediatric patients with CD. METHODS: We performed a prospective study of 48 children with a diagnosis of CD at a tertiary care pediatric gastroenterology unit; 46 patients were included in the final analysis...
October 13, 2018: Clinical Gastroenterology and Hepatology
Mohamed Hichem Loghmari, Donia Jemmali, Wafa Ben Mansour, Arwa Guediche, Wided Bouhlel, Leila Safer
BACKGROUND: Primary biliary cholangitis (PBC) is a rare autoimmune chronic liver disease whose prevalence is increasing. Medical treatment is based on ursodeoxycholic acid. It association with autoimmune hepatitis defined the overlap syndrome (OS). AIM: It was to determine therapeutic and evolving characteristics of PBC and to compare them to those in subjects having an overlap syndrome. METHODS: This was a retrospective study of all the patients' files with PBC from hepato-gastroenterology department at Monastir hospital from April 1999 to November 2013...
January 2018: La Tunisie Médicale
Sun Jung Oh, Vartan C Tashjian, James Mirocha, Menachem Nagar, Ruchi Mathur, Eugenia Lin, Kathleen Shari Chua, Ali Rezaie, Mark Pimentel, Nipaporn Pichetshote
BACKGROUND: Irritable bowel syndrome (IBS) is a common chronic disorder of the gastrointestinal tract. Several treatments have been developed, including rifaximin for the treatment of IBS without constipation (non-IBS-C), but no studies have evaluated the effect of these therapies on patient referral rates to tertiary care gastroenterology clinics. AIM: To assess referral patterns for IBS patients at a tertiary motility clinic over a 10-year period. METHODS: Data from consecutive patients referred to the clinic during 2006-2016 were analyzed...
October 15, 2018: Digestive Diseases and Sciences
Juan J Díaz, Beatriz Espín, Oscar Segarra, Gloria Domínguez-Ortega, Javier Blasco-Alonso, Beatriz Cano, Ana Rayo, Ana Moreno
OBJECTIVE: To describe clinical, epidemiological and management characteristics of food protein-induced enterocolitis syndrome (FPIES) cases in Spain. PATIENTS AND METHODS: Multicenter observational retrospective study. FPIES cases diagnosed in specialized units in Spain over 12 months in 2017 (January to December) according to the recently published international diagnostic criteria were included. RESULTS: One hundred and twenty patients (53...
October 12, 2018: Journal of Pediatric Gastroenterology and Nutrition
Paulo Massinha, Nuno Almeida, Inês Cunha, Luís Tomé
Introduction: The diagnostic acuity of colonoscopy requires a careful evaluation of the colonic mucosa, so an adequate bowel cleansing is a key element of the procedure. It is internationally recommended that an evaluation of the quality of the intestinal preparation should be included in the colonoscopy report. The Boston Bowel Preparation Scale (BBPS) is a bowel cleanliness rating scale that has gained some preponderance in this context. However, its application implies some degree of subjective appreciation, and it is important to conduct interobserver reproducibility studies in different contexts...
September 2018: GE Portuguese Journal of Gastroenterology
Z Peng, Y H Sun, H M Zhu, M Gui, L Du, D Z Zhang, H Ren
Objective: To dynamically analyze the discipline status, influence factors and key issues of Chinese Journal of Hepatology from 2010 to 2016 and explore the development rules of citation indexes. Methods: We collected information published by the China Institute of Scientific and Technological Information [China Science and Technology Journal Citation Report (Core Edition)] and Wanfang Database Periodicals statistical analysis platform from 2010 to 2016. A bibliometric analyses on article volume, citation frequency, citation rate, h-index, ratio of fund-aided papers, periodical influence, key number published period, number of relevant articles, and so on were analyzed for annual's impact factor...
June 20, 2018: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
Sarah Dellière, Nathalie Neveux, Jean-Pascal De Bandt, Luc Cynober
The value of transthyretin (TTR) measurement for assessing malnutrition is under debate due to its sensitivity to inflammation and frequent confusion over its meaning (i.e. as a marker of diagnosis, prognosis, or efficacy of refeeding). Moreover, there is still no ESPEN/ASPEN guideline on its use and cut-off values. Here the aim was to evaluate the overall perception of the value of this parameter and its utilization worldwide. A panel of international experts in the field were surveyed on the use of TTR in clinical practice in their country, on the guidelines issued by their national health authorities, and on the cut-off values used to diagnose malnutrition...
September 25, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
James K Ruffle, Adam D Farmer, Qasim Aziz
Technological advances in artificial intelligence (AI) represent an enticing opportunity to benefit gastroenterological practice. Moreover, AI, through machine or deep learning, permits the ability to develop predictive models from large datasets. Possibilities of predictive model development in machine learning are numerous dependent on the clinical question. For example, binary classifiers aim to stratify allocation to a categorical outcome, such as the presence or absence of a gastrointestinal disease. In addition, continuous variable fitting techniques can be used to predict quantity of a therapeutic response, thus offering a tool to predict which therapeutic intervention may be most beneficial to the given patient...
October 12, 2018: American Journal of Gastroenterology
Aasma Shaukat, Nabiha Shamsi, Jeremiah Menk, Timothy R Church, Jeffery Rank, Joshua Colton
BACKGROUND & AIMS: Accurate sizing of polyps and improving adenoma detection rates (ADR) are important goals for high-quality colonoscopy. Surveillance intervals are based on accurate sizing of polyps. There are no clinical tools or interventions that have demonstrated improvement in both these metrics. We investigated the efficacy of a simple, low-cost intervention, based on use of polyp sizing posters to improve measurements of polyps and increase ADRs during colonoscopy at a large gastroenterology community practice...
October 9, 2018: Clinical Gastroenterology and Hepatology
Banu Kara, Sehmus Olmez, Mehmet Suat Yalcın, Adnan Tas, Nevin A Ozturk, Bunyamin Sarıtaş
Introduction: Acute pancreatitis (AP) is one of the urgent diseases of gastroenterology. Due to the growth of the elderly population, the frequency of the disease in the elderly population is also increasing. Aim: To evaluate the contributing factors of mortality in geriatric patients (age ≥ 65 years) and non-geriatric (age < 65 years) patients. Material and methods: We retrospectively analyzed data of consecutive patients with AP, in the Adana Numune Education and Research Hospital between March 2013 and September 2015...
2018: Przegla̜d Gastroenterologiczny
Roland Kadaj-Lipka, Michał Lipiński, Krystian Adrych, Marek Durlik, Anita Gąsiorowska, Mirosław Jarosz, Grażyna Jurkowska, Ewa Małecka-Panas, Grzegorz Oracz, Mariusz Rosołowski, Barbara Skrzydło-Radomańska, Renata Talar-Wojnarowska, Grażyna Rydzewska
This article describes the latest diagnostic and therapeutic recommendations in chronic pancreatitis, developed by the Working Group of the Polish Society of Gastroenterology and the Polish Pancreas Club. The recommendations refer to the diagnosis of chronic pancreatitis, autoimmune pancreatitis, conservative management, treatment of pain, and exocrine and endocrine pancreatic insufficiency, treatment of chronic pancreatitis by endoscopic and surgical methods, and oncological surveillance of chronic pancreatitis...
2018: Przegla̜d Gastroenterologiczny
Deepak Agrawal, Rajeev Jain
Background: Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods: Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies...
2018: Gastroenterology Research and Practice
Jay Kreger, Mitchel Guttenplan
No abstract text is available yet for this article.
August 2018: Gastroenterology & Hepatology
Elaine Tang, Sharon Torres, Benny Liu, Rachel Baden, Taft Bhuket, Robert J Wong
Background and aims: Delays in diagnosis of chronic hepatitis B virus infection (HBV) may be more common among underserved safety-net populations, contributing to more advanced disease at presentation. We aim to evaluate rates of and predictors of cirrhosis and cirrhosis-related complications among adults with chronic HBV. Methods: We retrospectively evaluated consecutive chronic HBV adults from gastroenterology clinics from July 2014 to May 2016 at a community-based safety-net hospital...
September 2018: Journal of Clinical and Experimental Hepatology
Nicholas J Shaheen, Robert S Sandler
No abstract text is available yet for this article.
October 6, 2018: Gastroenterology
Douglas A Corley, Richard M Peek, Christopher Lowe, Lindsey Brounstein, Erin Landis
No abstract text is available yet for this article.
October 6, 2018: Gastroenterology
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Journal of Clinical Gastroenterology
Hisham Hussan, Emmanuel Ugbarugba, Kyle Porter, Sabrena Noria, Bradley Needleman, Steven K Clinton, Darwin L Conwell, Somashekar G Krishna
In the original version of this Article, a footnote was missing. The PDF and HTML versions of the Article have now been corrected to include the following: This study was presented as an abstract at the World Congress of Gastroenterology (WCOG) at ACG 2017, Orlando Florida.
October 8, 2018: Clinical and Translational Gastroenterology
David Albers, Thomas Frieling, Dani Dakkak, Rita Kuhlbusch-Zicklam, Ulrich Töx, Mathis Gittinger, Brigitte Schumacher
BACKGROUND: Noncardiac chest pain (NCCP) is recurrent angina pectoris-like pain without evidence of coronary heart disease in conventional diagnostic evaluation. In gastroenterology, managing of patients with NCCP is ambiguous to detect gastroesophageal reflux and hypercontractile esophageal motility disorders. Recently, peroral endoscopic myotomy (POEM) was established as treatment option in achalasia. However, limited data exist on the effectivity of POEM in NCCP with hypercontractile esophageal motility disorders...
October 8, 2018: Zeitschrift Für Gastroenterologie
Alexander W Grindal, Rishad Khan, Michael A Scaffidi, Amir Rumman, Samir C Grover
Background: Industry payments can lead to financial conflicts of interest (FCOI) among authors of clinical practice guidelines (CPGs). Guidelines for inflammatory bowel disease (IBD) may be at particularly high risk. We determined the prevalence of FCOI in IBD CPGs produced by various gastroenterology societies. Methods: We conducted a cross-sectional analysis of FCOI disclosure among CPGs related to the management of IBD. We ascertained the prevalence and types of FCOI for each guideline and determined adherence to National Academy of Medicine (NAM) standards...
October 5, 2018: Inflammatory Bowel Diseases
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