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Specialty: Gastroenterology

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Total 421 results found since Jan 2013.

Ischemic stroke in liver cirrhosis: epidemiology, risk factors, and in-hospital outcomes
Conclusion Ischemic stroke was often observed in patients with cirrhosis, and it significantly increased the in-hospital mortality. The association of inflammation, coagulation disorders, and viral hepatitis with development of ischemic stroke in liver cirrhosis should be further evaluated in prospective cohort studies.
Source: European Journal of Gastroenterology and Hepatology - December 22, 2017 Category: Gastroenterology Tags: Original Articles: Liver Cirrhosis Source Type: research

Preventive Effects of Transcutaneous Electrical Acustimulation on Ischemic Stroke-Induced Constipation Mediated via the Autonomic Pathway.
CONCLUSION: Ischemic stroke patients are predisposed to autonomic function imbalance. TEA was effective in the prevention of stroke-induced constipation, and the effect was possibly mediated via the autonomic function. PMID: 29746169 [PubMed - as supplied by publisher]
Source: Am J Physiol Gastroi... - May 10, 2018 Category: Gastroenterology Authors: Liu Z, Ge Y, Xu F, Xu Y, Liu Y, Xia F, Lin L, Chen JD Tags: Am J Physiol Gastrointest Liver Physiol Source Type: research

Risk of Stroke in Liver Cirrhosis: A Systematic Review and Meta-Analysis
Conclusions: Stroke is uncommon in cirrhotic patients. However, considering a positive relationship of liver cirrhosis with subarachnoid and intracranial hemorrhage, the prophylactic strategy may be selectively adopted in cirrhotic patients.
Source: Journal of Clinical Gastroenterology - December 7, 2019 Category: Gastroenterology Tags: LIVER, PANCREAS & BILIARY TRACT: Original Articles Source Type: research

Integrated non‐invasive measurements reveal swallowing and respiration coordination recovery after unilateral stroke
Conclusions & InferencesThe non‐invasive swallowing and respiration assessment method applied in this study detected the changes manifested in swallowing and respiration during the subacute phase of recovery in 6 months after a unilateral stroke. The study results serve as a baseline for further research and help advance dysphagia research methodologies. These assessments may be combined with bedside evaluations for clinical application. A non‐invasive swallowing assessment method was used to detect oropharyngeal swallowing parameters and respiration coordination simultaneously during the swallowing process. Resu...
Source: Neurogastroenterology and Motility - July 14, 2015 Category: Gastroenterology Authors: C.‐M. Wang, W.‐Y. Shieh, J.‐Y. Chen, Y.‐R. Wu Tags: Original Article Source Type: research

Risk score to predict gastrointestinal bleeding after acute ischemic stroke
Conclusion: The AIS-GIB score is a valid clinical grading scale to predict in-hospital GIB after AIS. Further studies on the effect of the AIS-GIB score on reducing GIB and improving outcome after AIS are warranted.
Source: BMC Gastroenterology - July 25, 2014 Category: Gastroenterology Authors: Ruijun JiHaipeng ShenYuesong PanPenglian WangGaifen LiuYilong WangHao LiAneesh SinghalYongjun Wang Source Type: research

Clinical features in liver cirrhosis patients who have experienced ischemic stroke.
CONCLUSION: Our results show that a comparatively high frequency of ischemic stroke occurs in patients with alcohol-induced liver cirrhosis and in patients with a less compromised liver function. In addition, it was found that most patients possessed at least one risk factor of ischemic stroke. PMID: 25599784 [PubMed - in process]
Source: The Turkish Journal of Gastroenterology - December 1, 2014 Category: Gastroenterology Authors: Kim KM, Hwang JW, Shim SG Tags: Turk J Gastroenterol Source Type: research

Incidence and predictors of ischemic cerebrovascular stroke among patients on extracorporeal membrane oxygenation support
Conclusion Ischemic stroke is not uncommon in subjects receiving ECMO support with independent risk factor being a pre-ECMO lactic acid greater than 10 mmol/L.
Source: Journal of Critical Care - February 26, 2016 Category: Gastroenterology Source Type: research

Increased risk of stroke among patients with Crohn’s disease: a population-based matched cohort study
Conclusion This study reports an increased HR for subsequent stroke among CD patients when compared to matched comparison patients without IBD in an Asian population.
Source: International Journal of Colorectal Disease - April 24, 2015 Category: Gastroenterology Source Type: research

Cough reflex attenuation and swallowing dysfunction in sub‐acute post‐stroke patients: prevalence, risk factors, and clinical outcome
ConclusionsPrevalence of subacute post‐stroke OD and swallow safety impairments was much higher than CRT attenuation, and risk factors strongly differed suggesting that the swallow response receives a stronger cortical control than the cough reflex. OD has a greater impact on PSP clinical outcome than impaired cough, the poorest prognosis being for patients with both airway protective dysfunctions. We found that the prevalence of OD was much higher than impairments in the CRT response. Neurotopographical and clinical stroke factors attenuated the CRT response but no specific risk factors for impaired CRT response were f...
Source: Neurogastroenterology and Motility - June 30, 2016 Category: Gastroenterology Authors: N. Vilardell, L. Rofes, W. V. Nascimento, D. Muriana, E. Palomeras, P. Clavé Tags: Original Article Source Type: research

Cough reflex attenuation and swallowing dysfunction in sub ‐acute post‐stroke patients: prevalence, risk factors, and clinical outcome
ConclusionsPrevalence of subacute post‐stroke OD and swallow safety impairments was much higher than CRT attenuation, and risk factors strongly differed suggesting that the swallow response receives a stronger cortical control than the cough reflex. OD has a greater impact on PSP clinical outcome than impaired cough, the poorest prognosis being for patients with both airway protective dysfunctions. We found that the prevalence of OD was much higher than impairments in the CRT response. Neurotopographical and clinical stroke factors attenuated the CRT response but no specific risk factors for impaired CRT response were f...
Source: Neurogastroenterology and Motility - July 17, 2016 Category: Gastroenterology Authors: N. Vilardell, L. Rofes, W. V. Nascimento, D. Muriana, E. Palomeras, P. Clav é Tags: Original Article Source Type: research

Is cirrhosis associated with lower odds of ischemic stroke: A nationwide analysis?
CONCLUSION: Our study suggests that in a large, nationally representative sample of the United States population, cirrhosis is associated with a lower likelihood of stroke. PMID: 28050237 [PubMed]
Source: World Journal of Hepatology - January 6, 2017 Category: Gastroenterology Tags: World J Hepatol Source Type: research

Associations between nonalcoholic fatty liver disease and ischemic stroke.
Authors: Alkagiet S, Papagiannis A, Tziomalos K Abstract Nonalcoholic fatty liver disease (NAFLD) is the commonest chronic liver disease and affects a considerable proportion of the general population. NAFLD is independently associated with increased risk for cardiovascular events, particularly coronary heart disease. Importantly, even though NAFLD is more prevalent in patients with major cardiovascular risk factors (e.g., type 2 diabetes mellitus, obesity and hypertension), the association between NAFLD and cardiovascular disease appears to be independent of these risk factors. However, NAFLD also appears to incre...
Source: World Journal of Hepatology - August 12, 2018 Category: Gastroenterology Tags: World J Hepatol Source Type: research

Fluctuations of consciousness after stroke: Associations with the confusion assessment method for the intensive care unit (CAM-ICU) and potential undetected delirium
ConclusionsPost-stroke delirium may frequently go undetected by the CAM-ICU, even in the setting of fluctuating consciousness.
Source: Journal of Critical Care - December 12, 2019 Category: Gastroenterology Source Type: research

Post‐stroke dysphagia: progress at last
Abstract Oropharyngeal Dysphagia (OD) is both underestimated and underdiagnosed as a cause of malnutrition and respiratory complications following stroke. OD occurs in more than 50% of stroke patients. Aspiration pneumonia (AP) occurs in up to 20% of acute stroke patients and is a major cause of mortality after discharge. Systematic screening for OD should be performed on every patient with stroke before starting oral feeding, followed, if appropriate by clinical and instrumental (videofluroscopy and/or fiberoptic endoscopy) assessment. Bolus modification with adaptation of texture and viscosity of solids and fluids and po...
Source: Neurogastroenterology and Motility - March 11, 2013 Category: Gastroenterology Authors: L. Rofes, N. Vilardell, P. Clavé Tags: Viewpoint Source Type: research