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Specialty: Gastroenterology

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Total 421 results found since Jan 2013.

Patterns of serum lipids derangements and cardiovascular risk assessment in patients with primary biliary cholangitis.
CONCLUSIONS: Marked derangements in serum lipids and a high frequency of dyslipidemias are found in patients with PBC, however, these do not increase the risk of cardiovascular events. PMID: 31506216 [PubMed - as supplied by publisher]
Source: Annals of Hepatology - September 12, 2019 Category: Gastroenterology Tags: Ann Hepatol Source Type: research

The one that got away: a rare complication after PEG tube placement.
Authors: Leal T, Costa D, Gonçalves R Abstract A 74 year-old male patient was admitted to the emergency department due to diarrhea of a one-month duration. The patient had 5 to 7 bowel movements/day of liquid stool, without blood or mucus. He had also undergone a percutaneous endoscopic gastrostomy (PEG) tube placement 10 weeks previously due to post-stroke dysphagia, with endoscopic confirmation of its correct positioning. A course of antibiotics had already been prescribed and there was no improvement of the symptoms. PMID: 31729231 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - November 17, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Algorithmic anticoagulation: streamlining the decision to hold and restart blood thinners in the periendoscopy period
The number and complexity of procedures performed by gastroenterologists are increasing in the United States.1,2 In addition, the number and complexity of antithrombotic agents are growing.3 These concurrent trends may lead to confusion among providers on the  appropriate management of these drugs during endoscopy. The skilled clinician must balance the risks of thrombosis, including myocardial infarction and stroke, against the risks of procedure-related hemorrhage, which can be potentially fatal.
Source: Gastrointestinal Endoscopy - November 20, 2019 Category: Gastroenterology Authors: Theodore W. James, Todd H. Baron Tags: Original article Source Type: research

HIV, Sexual Orientation, and Gut Microbiome Interactions
AbstractRecent studies have raised interest in the possibility that dysbiosis of the gut microbiome (i.e., the communities of bacteria residing in the intestine) in HIV-infected patients could contribute to chronic immune activation, and, thus, to elevated mortality and increased risk of inflammation-related clinical diseases (e.g., stroke, cardiovascular disease, cancer, long-bone fractures, and renal dysfunction) found even in those on effective antiretroviral therapy. Yet, to date, a consistent pattern of HIV-associated dysbiosis has not been identified. What is becoming clear, however, is that status as a man who has s...
Source: Digestive Diseases and Sciences - February 6, 2020 Category: Gastroenterology Source Type: research

Mechanism of bariatric and metabolic surgery: beyond surgeons, gastroenterologists and endocrinologists.
Authors: Valentí V, Cienfuegos JA, Becerril Mañas S, Frühbeck G Abstract Bariatric-metabolic surgery is the safest, most effective and long-lasting treatment for obesity and its associated co-morbidities, whether they be metabolic (type 2 diabetes, hyperlipidemia non-alcoholic fatty liver disease) or cardiovascular (myocardial infarction, stroke). Due to the obesity pandemic, bariatric-metabolic surgery is the second most frequent intra-abdominal procedure and the gastroenterologist and the surgeon must be aware of the physiologic changes caused by the anatomic reconfiguration following surgery. Among the mechan...
Source: Revista Espanola de Enfermedades Digestivas - February 23, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

The predictive value of the hepatorenal index for detection of impaired glucose metabolism in patients with non-alcoholic fatty liver disease
ConclusionUltrasonographically acquired HRI has a significant predictive impact on the detection of prediabetes and diabetes in patients with NAFLD.
Source: Indian Journal of Gastroenterology - March 16, 2020 Category: Gastroenterology Source Type: research

The Association Between Nonalcoholic Fatty Liver Disease and Risk of Cardiovascular Disease, Stroke, and Extra-Hepatic Cancers
Publication date: Available online 20 May 2020Source: Journal of Clinical and Experimental HepatologyAuthor(s): Nicolette Veracruz, Bilal Hameed, Sammy Saab, Robert J. Wong
Source: Journal of Clinical and Experimental Hepatology - May 20, 2020 Category: Gastroenterology Source Type: research

Neurological Adverse Effects Associated With Anti-tumor Necrosis Factor Alpha Antibodies in Pediatric Inflammatory Bowel Diseases
Conclusions: NAE associated with anti-TNFα antibodies in pediatric IBD are rare. In severe NAE, we recommend to discontinue anti-TNFα therapy and to consider alternative treatment.
Source: Journal of Pediatric Gastroenterology and Nutrition - May 24, 2020 Category: Gastroenterology Tags: Original Articles: Gastroenterology: Inflammatory Bowel Disease Source Type: research

Tu1164 HYGIEACARE PREP FOR COLONOSCOPY CONSISTENTLY PROVIDES 97% ADEQUACY, AND IS AGNOSTIC TO PREDICTORS OF POOR ORAL BOWEL PREP
The quality of bowel preparation (BP) before colonoscopy plays a pivotal role in the safety, efficacy and quality of the outcome of colonoscopy. Inadequate BP is evident in more than 25% of all colonoscopies. High-quality BP is critical for detection of precancerous lesions.. Inadequate BP is correlated with patient-specific factors including age, male gender, medications, comorbidities such as chronic constipation, diabetes, gastrointestinal surgery, cirrhosis, stroke, and irritable bowel disease (IBD).
Source: Gastrointestinal Endoscopy - May 31, 2020 Category: Gastroenterology Authors: James A. Underwood, Pradeep Bekal, Orly Levitan, Dawn B. Burleson, David A. Johnson Tags: Poster abstracts Source Type: research

Tu1031 THE INFLUENCE OF DIRECT ORAL ANTICOAGULANTS ON DELAYED BLEEDING IN PATIENTS WITH EARLY GASTRIC NEOPLASMS WHO UNDERWENT ENDOSCOPIC SUBMUCOSAL DISSECTION
Direct oral anticoagulants (DOAC) are widely prescribed for prevention of stroke in elderly patients with atrial fibrillation and approved indication for DOAC has been expanded. We aimed to evaluate the risk of delayed bleeding in patients who had taken DOAC and underwent endoscopic submucosal dissection (ESD) for gastric neoplasms.
Source: Gastrointestinal Endoscopy - May 31, 2020 Category: Gastroenterology Authors: Jinju Choi, Soo-Jeong Cho, Ayoung Lee, Jue L. Kim, Hyunsoo Chung, Sang Gyun Kim Tags: Poster abstracts Source Type: research

Beta-blockers in refractory ascites – is it truly the end of the road?
We read with great interest the study by Tellez et  al.1 highlighting mechanisms of hemodynamic alterations and associated renal dysfunction with the use of a 4-week non-selective beta-blocker (NSBB) therapy in refractory ascites (RA) and diuretic responsive ascites (DRA).1 They proposed ejection intra-ventricular pressure difference (EIVPD) as a n ovel load-independent measure that predicts LV systolic function decline better than standard load-dependent measures (ejection fraction and stroke volume).
Source: Journal of Hepatology - August 26, 2020 Category: Gastroenterology Authors: Rohit Mehtani, Akash Roy, Nipun Verma, Madhumita Premkumar, Virendra Singh Tags: Letter to the Editor Source Type: research

Parental, Perinatal, and Childhood Risk Factors for Development of Irritable Bowel Syndrome: A Systematic Review.
Conclusions: More effort is needed to identify what fetal and maternal factors are associated with low birth weight and IBS. A well-executed prospective birth cohort with a collection of bio-samples and functional data will provide a better understanding of how adversity and the interplay between genetics, epigenetics, and numerous risk factors affect the development of IBS. PMID: 32989183 [PubMed]
Source: Journal of Neurogastroenterology and Motility - September 30, 2020 Category: Gastroenterology Tags: J Neurogastroenterol Motil Source Type: research

Collateral Effect of Coronavirus Disease 2019 Pandemic on Hospitalizations and Clinical Outcomes in Gastrointestinal and Liver Diseases: A Territory-wide Observational Study in Hong Kong
As of July 22, 2020 there were more than 14.9 million cases and 616,000 deaths due to coronavirus disease 2019 (COVID-19) worldwide.1 Medical resources were shifted to management of infected patients, and declines in hospitalizations for acute coronary syndrome and stroke were observed.2,3 The world is now being exposed to a third wave of the pandemic, and the disruption to endoscopy service is considerable, leading to potential delays in the diagnosis of cancers and management of gastrointestinal (GI) bleeding.
Source: Gastroenterology - July 25, 2020 Category: Gastroenterology Authors: Louis H.S. Lau, Sunny H. Wong, Terry C.F. Yip, Grace L.H. Wong, Vincent W.S. Wong, Joseph J.Y. Sung Tags: Brief Communication Source Type: research

Cardiac and Pulmonary Vascular Risk Stratification in Liver Transplantation
Cardiovascular disease complications are the leading cause of early (short-term) mortality among liver transplant recipients. The increasingly older candidate pool has multiple comorbidities necessitating cardiac and pulmonary vascular disease risk stratification of patients for optimal allocation of scarce donor livers. Arrhythmias, heart failure, stroke, and coronary artery disease are common pretransplant cardiovascular comorbidities and contribute to cardiovascular complications after liver transplant. Valvular heart disease and portopulmonary hypertension present intraoperative challenges during liver transplant surge...
Source: Clinics in Liver Disease - October 26, 2020 Category: Gastroenterology Authors: Blessing Aghaulor, Lisa B. VanWagner Source Type: research

The effect of the COVID-19 pandemic on ED referrals and care for stroke patients: A four-year comparative study
Publication date: Available online 26 December 2020Source: Journal of Critical CareAuthor(s): Saban Mor, Reznik Anna, Shachar Tal, R. Wilf-Miron, Sivan-Hoffmann Rotem
Source: Journal of Critical Care - December 28, 2020 Category: Gastroenterology Source Type: research