Issue Highlights
The risk of inflammatory bowel disease (IBD) within families continues to be elucidated, and data are lacking on this topic in Asian countries. In this issue of Clinical Gastroenterology and Hepatology, Kim and colleagues1 conducted a retrospective cohort study within the South Korea National Health Insurance Database, from 2002-2017. This data source is derived from the universal health system in South Korea, is population-based, and specifically includes family history information. From a cohort of nearly 22 million individuals, the investigators identified 45,717 with ulcerative colitis and 17,848 with Crohn ’s di...
Source: Clinical Gastroenterology and Hepatology - September 20, 2021 Category: Gastroenterology Authors: Evan S. Dellon Tags: Issue Highlights Source Type: research

Cover
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 20, 2021 Category: Gastroenterology Source Type: research

Editorial Board
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 20, 2021 Category: Gastroenterology Source Type: research

Table of Contents
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 20, 2021 Category: Gastroenterology Source Type: research

Elsewhere in the AGA Journals
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 20, 2021 Category: Gastroenterology Source Type: research

Information for Authors and Readers
Clinical Gastroenterology and Hepatology is the go-to resource on a broad spectrum of themes in clinical gastroenterology and hepatology. The official clinical practice journal of the AGA Institute brings you the best original research in the field with a unique combination of reviews, editorials, podcasts, video abstracts, and outcomes research —all supporting clinical practice. Articles on education, policy, and practice management highlight issues pertinent to clinicians. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 20, 2021 Category: Gastroenterology Source Type: research

When food moves from friend to foe: Why avoidant/restrictive food intake matters in irritable bowel syndrome
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 20, 2021 Category: Gastroenterology Authors: Helen Burton Murray, Kyle Staller Source Type: research

Cachexia is Prevalent in Patients with Hepatocellular Carcinoma and Associated with Worse Prognosis
Cancer cachexia is a wasting syndrome associated with functional impairment and reduced survival that impacts up to 50% of patients with gastrointestinal cancers. However, data are limited on the prevalence and clinical significance of cachexia in patients with hepatocellular carcinoma (HCC). (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 20, 2021 Category: Gastroenterology Authors: Nicole E. Rich, Samuel Phen, Nirali Desai, Sukul Mittal, Adam C. Yopp, Ju Dong Yang, Jorge A. Marrero, Puneeth Iyengar, Rodney E. Infante, Amit G. Singal Source Type: research

Standardized Approaches to Outcomes after Ileal Pouch-Anal Anastomosis
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 19, 2021 Category: Gastroenterology Authors: Edward L. Barnes Source Type: research

Response to “Endoscopic Sphincterotomy and Post ERCP pancreatitis: In an era of declining mystery, the unknown persists”
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 19, 2021 Category: Gastroenterology Authors: Shin Kato, Masaki Kuwatani Source Type: research

Maintenance therapy with the lowest effective dose of oral viscous budesonide in children with Eosinophilic Esophagitis
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 19, 2021 Category: Gastroenterology Authors: Salvatore Oliva, Danila Volpe, Giusy Russo, Silvio Veraldi, Paola Papoff, Carla Giordano, Cosimo Ruggiero, Chiara Maria Trovato, Gianluca Terrin, Danilo Rossetti Source Type: research

Beyond Metoclopramide for Gastroparesis
Gastroparesis is characterized by diverse upper gastrointestinal symptoms including nausea, vomiting, early satiety, postprandial fullness, bloating, and upper abdominal pain; slow gastric emptying of solids; and absence of gastric outlet or intestinal obstruction. In clinical practice, diabetes mellitus, and idiopathic and iatrogenic (postsurgical or medication) gastroparesis are the most frequently encountered forms. In addition, diseases affecting the neural control of the upper gut (such as Parkinson ’s disease, or effects of dopaminergic agents), and diseases that damage intrinsic nerves or smooth muscle also ca...
Source: Clinical Gastroenterology and Hepatology - September 18, 2021 Category: Gastroenterology Authors: Michael Camilleri Tags: Here and Now: Clinical Practice Source Type: research

Low prevalence of screen-detected colorectal cancer in an average-risk population: the new normal
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 18, 2021 Category: Gastroenterology Authors: Aasma Shaukat, Tracey L. Marsh, Seth D. Crockett, Sapna Syngal, Robert S. Bresalier, Dean E. Brenner, EDRN Consortium Source Type: research

The Modified Pancreatitis Activity Scoring System Shows Distinct Trajectories in Acute Pancreatitis: An International Study
The aims of this study were to: 1) assess the performance of the pancreatitis activity scoring system (PASS) in a large intercontinental AP cohort, 2) investigate whether a modified PASS, yields a similar predictive accuracy and produces distinct early trajectories between severity subgroups. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 17, 2021 Category: Gastroenterology Authors: Pedram Paragomi, Alice Hinton, Ioannis Pothoulakis, Rupjyoti Talukdar, Rakesh Kochhar, Mahesh K. Goenka, Aiste Gulla, Jose A. Gonzalez, Vikesh K. Singh, Miguel Ferreira Bigado, Tyler Stevens, Sorin T. Barbu, Haq Nawaz, Silvia C. Gutierrez, Narcis Zarnescu Source Type: research

A Dropped Gallstone Leading to Abdominal Pain and Bloody Diarrhea
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 15, 2021 Category: Gastroenterology Authors: Brian M. Fung, Aravind Sugumar, Jen-Jung Pan Tags: Image of the Month Source Type: research

Letter to the Editor Reply in response to “COVID-19 mortality – The culprit may not be proton pump inhibitors” (CGH-D-21-01887)
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 15, 2021 Category: Gastroenterology Authors: Simone Bastrup Israelsen, Jesper Hallas, Thomas Benfield Source Type: research

Reply to ‘Perinatal risk factors for pediatric non-alcoholic fatty liver disease: Impact of inborn errors of metabolism’
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 15, 2021 Category: Gastroenterology Authors: Ilya Querter, Ruth De Bruyne, Anja Geerts, Sander Lefere Source Type: research

Colonoscopy and Its Complications are Inseparable of FIT-Based Screening
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 14, 2021 Category: Gastroenterology Authors: A.I. Kooyker, I. Lansdorp-Vogelaar, M.E. van Leerdam Source Type: research

DEEP LEARNING COMPUTER-AIDED POLYP DETECTION REDUCES ADENOMA MISS RATE: A U.S. MULTI-CENTER RANDOMIZED TANDEM COLONOSCOPY STUDY (CADeT-CS Trial)
Artificial intelligence-based computer aided polyp detection (CADe) systems are intended to address the issue of missed polyps during colonoscopy. The effect of CADe during screening and surveillance colonoscopy has not previously been studied in a United States population. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 13, 2021 Category: Gastroenterology Authors: Jeremy R. Glissen Brown, Nabil M. Mansour, Pu Wang, Maria Aguilera Chuchuca, Scott B. Minchenberg, Madhuri Chandnani, Lin Liu, Seth A. Gross, Neil Sengupta, Tyler M. Berzin Source Type: research

Intestinal Spirochetosis
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 9, 2021 Category: Gastroenterology Authors: Naoki Matsuura Tags: Image of the Month Source Type: research

Untangling the Influence of Sex Hormones on NAFLD in Women
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 9, 2021 Category: Gastroenterology Authors: Monika Sarkar, Marcelle Cedars Source Type: research

SARS-CoV2-specific humoral and T-cell immune response after second vaccination in liver cirrhosis and transplant patients
Detailed information on the immune response after second vaccination of cirrhotic patients and liver transplant (LT) recipients against SARS-CoV-2 is largely missing. We aimed at comparing the vaccine-induced humoral and T-cell responses of these vulnerable patient groups. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 9, 2021 Category: Gastroenterology Authors: Darius F. Ruether, Golda M. Schaub, Paul M. Duengelhoef, Friedrich Haag, Thomas T. Brehm, Anahita Fathi, Malte Wehmeyer, Jacqueline Jahnke-Triankowski, Leonie Mayer, Armin Hoffmann, Lutz Fischer, Marylyn M. Addo, Marc L ütgehetmann, Ansgar W. Lohse, Juli Source Type: research

Work loss in patients with celiac disease: A population-based longitudinal study
Celiac disease (CD) affects around 1% of the population worldwide. Data on work disability in celiac patients remain scarce. We estimated work loss in celiac patients including its temporal relationship to diagnosis. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 9, 2021 Category: Gastroenterology Authors: Soran R. Bozorg, Jonas S öderling, Åsa H. Everhov, Benjamin Lebwohl, Peter HR. Green, Martin Neovius, Jonas F. Ludvigsson, Karl Mårild Source Type: research

Severity of Hepatitis B Relapse After Cessation of Nucleos(t)ide Analog: Need  a Closer Look!
We read with interest the research article by Hsu et  al1 regarding the severe acute exacerbation (SAE) after cessation of nucleos(t)ide analog (NA) for hepatitis B e antigen–negative chronic hepatitis B. Many important issues need further consideration. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 8, 2021 Category: Gastroenterology Authors: Ankur Jindal Tags: Letter to the Editor Source Type: research

The Bowel CLEANsing National Initiative (BCLEAN): High-Volume Split-Dose versus Low-Volume Split-Dose Polyethylene Glycol (PEG) Preparations – A randomized controlled trial.
To compare polyethylene glycol (PEG) high-volume to PEG low-volume with bisacodyl split-dosing regimens. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 8, 2021 Category: Gastroenterology Authors: Alan N. Barkun, Myriam Martel, Ian L. Epstein, Pierre Hall é, Robert J. Hilsden, Paul D. James, Alaa Rostom, Michael Sey, Harminder Singh, Richard Sultanian, Jennifer J. Telford, Daniel von Renteln Source Type: research

Exam 1: Change in MRI-PDFF and Histologic Response in Patients with Nonalcoholic Steatohepatitis: A Systematic Review and Meta-Analysis
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 8, 2021 Category: Gastroenterology Tags: Continuing Medical Education (CME) Activities Source Type: research

Severity of hepatitis B relapse after cessation of nucleos(t)ide analog – Need a closer look!
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 8, 2021 Category: Gastroenterology Authors: Ankur Jindal Source Type: research

Impact of HBeAg on Hepatocellular Carcinoma Risk During Oral Antiviral Treatment in Patients with Chronic Hepatitis B
Antiviral treatment from hepatitis B envelope antigen (HBeAg)-positive status may attenuate the integration of hepatitis B virus DNA into the host genome causing hepatocellular carcinoma (HCC). We investigated the impact of HBeAg status at the onset of antiviral treatment on the risk of HCC. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 5, 2021 Category: Gastroenterology Authors: Heejoon Jang, Jun Sik Yoon, Soo Young Park, Han Ah Lee, Myoung-jin Jang, Seung Up Kim, Dong Hyun Sinn, Yeon Seok Seo, Hwi Young Kim, Sung Eun Kim, Dae Won Jun, Eileen L. Yoon, Joo Hyun Sohn, Sang Bong Ahn, Jae-Jun Shim, Soung Won Jeong, Yong Kyun Cho, Hyo Source Type: research

Cronkhite-Canada Syndrome
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 4, 2021 Category: Gastroenterology Authors: Joshua Kwon, Daniela Fluxa-Cardenas, Dawn Francis Tags: Image of the Month Source Type: research

The Application of Underwater Endoscopic Mucosal Resection for Nonampullary Duodenal Adenomas
We read with great interest the study written by Yamasaki et  al.1 The authors reported the efficacy and safety of underwater endoscopic mucosal resection (UEMR) for nonampullary duodenal adenomas. With more and more research on UEMR in recent years, their results are important for clinical practice. However, we do have some comments. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 3, 2021 Category: Gastroenterology Authors: Xiu-He Lv, Jin-Lin Yang Tags: Letter to the Editor Source Type: research

The application of underwater EMR for non-ampullary duodenal adenomas
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 3, 2021 Category: Gastroenterology Authors: Xiu-He Lv, Jin-Lin Yang Source Type: research

VWF-response to NSBB-therapy – worth to re-read!
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 3, 2021 Category: Gastroenterology Authors: Mandorfer Mattias, Reiberger Thomas, Jachs Mathias Source Type: research

Risk for Post-Colonoscopy Irritable Bowel Syndrome in Patients with and without Antibiotic Exposure: A Retrospective Cohort Study
Laboratory studies have demonstrated that antibiotic use in conjunction with bowel purgatives causes alterations to the gut microbiota. Because gut microbiota changes may be a trigger for the development of irritable bowel syndrome (IBS), we sought to assess whether individuals who undergo bowel cleansing for colonoscopy and have concurrent antibiotic exposure develop IBS at higher rates than individuals who undergo colonoscopy without antibiotic exposure. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 2, 2021 Category: Gastroenterology Authors: Ravy K. Vajravelu, Jordan M. Shapiro, Josephine Ni, Shivani U. Thanawala, James D. Lewis, Hashem B. El-Serag Source Type: research

Stratifying Risks of Ileal Pouch Outcomes
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 2, 2021 Category: Gastroenterology Authors: Shintaro Akiyama, Tina G. Rodriguez, David T. Rubin Source Type: research

The association of incidental positron emission tomography uptake in the esophagus to gastroesophageal reflux disease
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 2, 2021 Category: Gastroenterology Authors: Amrit K. Kamboj, Siddharth Agarwal, Evelyn F. Carroll, Jason R. Young, David A. Katzka Source Type: research

Endoscopic Sphincterotomy and Post ERCP pancreatitis: ‘In an era of declining mystery, the unknown persists’
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 2, 2021 Category: Gastroenterology Authors: Anuraag Jena, Chhagan Lal Birda, Anupam Kumar Singh Source Type: research

Patients ’ Risk Tolerance for Non-Dietary Therapies in Celiac Disease
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 2, 2021 Category: Gastroenterology Authors: Dennis De Le ón Morilla, Martin Ventoso, Jessica Lebovits, Anne Lee, Randi Wolf, Peter HR. Green, Benjamin Lebwohl Source Type: research

Vedolizumab is associated with a lower risk of serious infections than anti-TNF agents in older adults
Despite the rising numbers of older adults with inflammatory bowel diseases (IBD), there are few studies regarding safety and effectiveness of IBD treatments in older adults. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 2, 2021 Category: Gastroenterology Authors: Bharati Kochar, Virginia Pate, Michael D. Kappelman, Millie D. Long, Ashwin N. Ananthakrishnan, Andrew T. Chan, Robert S. Sandler Source Type: research

Interventions to decrease unplanned healthcare utilization and improve quality of care in adults with IBD: A systematic review
Inflammatory bowel disease (IBD) care and outcomes exhibit substantial variability, suggesting quality gaps. We aimed to identify interventions to narrow these gaps. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 2, 2021 Category: Gastroenterology Authors: David I. Fudman, Andrea Escala Perez-Reyes, Blake A. Niccum, Gil Y. Melmed, Hamed Khalili Source Type: research

A Cost-Effectiveness Analysis for Post-ERCP Pancreatitis Prophylaxis in the United States
Post-ERCP Pancreatitis (PEP) is the most common adverse event following ERCP; responsible for substantial morbidity and healthcare expenditures of at least $200 million. Therapies for PEP prevention include pancreatic stent placement (PSP), rectal indomethacin, sublingual nitrates, and aggressive Lactated Ringer ’s (LR) hydration. Our objective was to determine which PEP prophylactic strategies are cost-effective. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 2, 2021 Category: Gastroenterology Authors: Nikhil R. Thiruvengadam, Monica Saumoy, Yecheskel Schneider, Sara Attala, Joseph Triggs, Peter Lee, Michael L. Kochman Source Type: research

Increased hepatic expression of SARS-CoV-2 entry points and pro-inflammatory cytokines in cirrhosis
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - September 1, 2021 Category: Gastroenterology Authors: Nathaly Limon-de la Rosa, Eduardo Cervantes-Alvarez, Nalu Navarro-Alvarez Source Type: research

Drug-related pneumonitis in patients receiving Vedolizumab therapy for Inflammatory Bowel Disease
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 31, 2021 Category: Gastroenterology Authors: Daniela Pugliese, Giuseppe Privitera, Tommaso Schepis, Luigi Larosa, Sara Onali, Franco Scaldaferri, Antonio Gasbarrini, Flavio Caprioli, Alessandro Armuzzi Source Type: research

Epidemiology, Natural History, and Outcomes of Primary Sclerosing Cholangitis: A Systematic Review of Population-based Studies
The aim of this study was to quantify the global epidemiology of primary sclerosing cholangitis (PSC), alongside the incidence of liver transplantation, cancer, and death, through robust systematic review of population-based data. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 30, 2021 Category: Gastroenterology Authors: Palak J. Trivedi, Christopher L. Bowlus, Kidist K. Yimam, Homie Razavi, Chris Estes Source Type: research

Epidemiology, natural history and outcomes of primary sclerosing cholangitis: A systematic review of population-based studies
The aim of this study was to quantify the global epidemiology of primary sclerosing cholangitis (PSC), alongside the incidence of liver transplantation, cancer and death, through robust systematic review of population-based data. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 30, 2021 Category: Gastroenterology Authors: Palak J. Trivedi, Christopher L. Bowlus, Kidist K. Yimam, Homie Razavi, Chris Estes Source Type: research

Reply
We thank Drs Wong and Kumar as well as Drs Chauhan and Sharma for their insightful comments about our manuscript and welcome the opportunity to respond to the issues outlined in their letters. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 28, 2021 Category: Gastroenterology Authors: Saad Saffo, Guadalupe Garcia-Tsao Tags: Letter to the Editor Source Type: research

Reply.
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 28, 2021 Category: Gastroenterology Authors: Saad Saffo, Guadalupe Garcia-Tsao Source Type: research

Severe Acute Exacerbation after Cessation of Nucleos(t)ide Analog for Chronic Hepatitis B: a Real-world Study of Routine Practice
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 28, 2021 Category: Gastroenterology Authors: Yao-Chun Hsu, Jia-Ling Wu, Cheng-Hao Tseng, Mindie H. Nguyen, Chih-Wen Lin, Chih-Lung Hung Source Type: research

Serum Biomarkers are Associated with Atherosclerotic Cardiovascular Disease among Patients with Nonalcoholic Fatty Liver Disease Undergoing Elective Angiography
Cardiovascular disease is the most common cause of death among NAFLD patients. We assessed select cardiac biomarker associations for existing or future coronary artery disease (CAD) risk in NAFLD patients. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 28, 2021 Category: Gastroenterology Authors: Zobair M. Younossi, Sean Felix, Thomas Jeffers, Elena Younossi, Brian Lam, Fatema Nader, Henry A. Tran, Ingrid Schneider, Maria Stepanova Source Type: research

Morphological, Functional, and Tissue Characterization of Silent Myocardial Involvement in Patients With Primary Biliary Cholangitis
Cirrhotic cardiomyopathy is a major complication and cause of morbidity in end-stage primary biliary cholangitis (PBC). However, it is unclear whether there is clinically silent myocardial involvement at the early stage of PBC before cirrhosis and cardiac manifestations. This prospective, three-center, multi-modality cardiac imaging study on the early identification of myocardial impairment in PBC (EARLY-MYO-PBC) was designed to identify silent myocardial impairment in PBC patients without cardiac manifestations. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 27, 2021 Category: Gastroenterology Authors: Pan Jiang, Zehao Feng, Li Sheng, Chenxi Hu, Xiang Ma, Shouyan Zhang, Lianming Wu, Xiao Xiao, Qixia Wang, Canjie Guo, Dekai Qiu, Jingyuan Fang, Jianrong Xu, Merrill Eric Gershwin, Meng Jiang, Xiong Ma, Jun Pu Source Type: research

Perinatal Risk Factors for Pediatric Nonalcoholic Fatty Liver Disease: Impact of Inborn Errors of Metabolism
We read with great interest the systematic review on perinatal risk factors for pediatric nonalcoholic fatty liver disease by Querter et al.1 Nonalcoholic fatty liver disease is a leading cause of chronic liver disease in children,2 and attempts to identify potential risk factors are important. The authors found that maternal body mass index and breastfeeding were associated with pediatric nonalcoholic fatty liver disease, but the impact of pregnancy characteristics, such as preterm birth and birth anthropometrics, was less clear. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 27, 2021 Category: Gastroenterology Authors: Safiya Soullane, Ga Eun Lee, Nathalie Auger Tags: Letter to the Editor Source Type: research