High visceral-to-subcutaneous fat ratio is associated with an increased risk of gastroesophageal reflux disease in non-obese adults
This study aimed to determine the association between GERD and abdominal fat area quantified by computed tomography (CT).
Methods: We analyzed the effect of abdominal fat area on gastroesophageal reflux symptoms and erosive esophagitis using logistic regression models in 5,338 participants who underwent abdominal fat measurement CT and screening esophagogastroduodenoscopy.
Results: Participants with reflux symptoms and erosive esophagitis were diagnosed in 1,168 (21.9%) and 671 (12.5%), respectively. Multivariate analysis showed that subcutaneous and visceral fat areas were significantly associated with reflux symptoms a...
Source: Digestive Diseases - February 24, 2023 Category: Gastroenterology Source Type: research
Diagnostic value of serum Golgi protein 73 for liver fibrosis: a systematic review and meta-analysis
Conclusion: Serum GP73 was a feasible diagnostic marker for liver fibrosis, which is of great significance for the clinical management of liver diseases. (Source: Digestive Diseases)
Source: Digestive Diseases - February 22, 2023 Category: Gastroenterology Source Type: research
Long-term outcomes of endoscopic submucosal dissection for special type of esophageal cancer
Introduction: Esophageal cancers other than two types, squamous cell carcinoma (SCC) and adenocarcinoma, are commonly referred to as special type of esophageal cancer (STEC). Studies on STECs have been limited because of its low prevalence. Therefore, we aimed to clarify the clinicopathological findings and the long-term outcomes of STECs that were managed with ESD.
Methods: We reviewed 713 patients with 1089 lesions who underwent ESD for primary esophageal cancer except Barrett ’s esophageal cancer. Patients were classified into the SCC group and the STEC group, respectively. Their clinicopathological findings and long...
Source: Digestive Diseases - February 9, 2023 Category: Gastroenterology Source Type: research
Incomplete Intestinal Metaplasia is Rare in Autoimmune Gastritis
Conclusion: Incomplete-IM is significantly more prevalent in conditions (H. pylori gastritis) known to carry a higher risk of GC, and is strongly associated with its extension. The low prevalence of incomplete IM in AIG (8.3%), and reactive gastropathy (5.2%) is in keeping with the low G C risk associated with these conditions. (Source: Digestive Diseases)
Source: Digestive Diseases - February 3, 2023 Category: Gastroenterology Source Type: research
Efficacy of a Gastroscope for Cecal Intubation during Colonoscopy in Patients with Severe Sigmoid Adhesion
Conclusion: Using a gastroscope is effective in performing cecal intubation during colonoscopy in patients with severe sigmoid adhesions. However, in patients with sigmoid adhesions caused by peritoneal carcinomatosis, cecal intubation may be difficult, even when a gastroscope is used. The ability of CT to identify the sigmoid colon pathway may predict success of cecal intubation.Dig Dis (Source: Digestive Diseases)
Source: Digestive Diseases - February 3, 2023 Category: Gastroenterology Source Type: research
Efficacy of a gastroscope for cecal intubation during colonoscopy in patients with severe sigmoid adhesion
Background: Cecal intubation during colonoscopy is difficult to achieve in patients with severe sigmoid adhesions. This retrospective observational study assessed the efficacy of using a gastroscope for colonoscopy in patients with severe sigmoid adhesions. Furthermore, the ability of computed tomography (CT) to predict the possibility of cecal intubation using a gastroscope was examined.
Methods: A total of 1,626 patients who underwent colonoscopy for total colon observation by one endoscopist were enrolled. Cecal intubation rate and other procedure-related outcomes were evaluated. We also investigated whether identifica...
Source: Digestive Diseases - February 3, 2023 Category: Gastroenterology Source Type: research
Body Composition Predictors of Complicated Crohn ’s Disease
Conclusion: Body composition measurements in CD patients displayed no statistically significant difference between the groups of inflammatory and complicated disease. Nonetheless, CD patients stratified in the group of high VAT/SAT ratio and the presence of CrF should be recognized as risk groups for the occurrence of fistulae. (Source: Digestive Diseases)
Source: Digestive Diseases - January 31, 2023 Category: Gastroenterology Source Type: research
Body composition predictors of complicated Crohn ’s disease
Background: High visceral adipose tissue (VAT) and creeping fat (CrF) in Crohn's disease (CD) have been widely recognized. The VAT to subcutaneous adipose tissue (SAT) ratio and sarcopenia have been associated with CD complications. Studies regarding the influence of body composition predictors on CD complications assessed with magnetic resonance enterography (MRE) are scarce. Aim: Assessment of the body composition parameters and CrF in opportunistic MRE as predictors of complicated CD. Methods: This was a retrospective study of 114 patients with inflammatory (n = 54) and complicated (n = 60) CD. The semi-automated assess...
Source: Digestive Diseases - January 31, 2023 Category: Gastroenterology Source Type: research
Efficacy, Efficiency, and Acceptability of Telemedicine for Inflammatory Bowel Disease Patients ’ Follow-Up Care during the COVID-19 Pandemic
Conclusions: Telemedicine during the COVID-19 pandemic was shown to be effective and efficient to care for IBD patients. In addition, telephone consultation is well accepted by patients in non-extended follow-up periods. (Source: Digestive Diseases)
Source: Digestive Diseases - January 30, 2023 Category: Gastroenterology Source Type: research
Efficacy, efficiency, and acceptability of telemedicine for inflammatory bowel disease patients follow-up care during the covid-19 pandemic.
Conclusions: Telemedicine during the COVID-pandemic shows t o be effective and efficient to care for IBD patients. In addition, telephone consultation is well accepted by patients in non-extended follow-up periods. (Source: Digestive Diseases)
Source: Digestive Diseases - January 30, 2023 Category: Gastroenterology Source Type: research
