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Specialty: Gastroenterology

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Total 421 results found since Jan 2013.

Association Between Gastric Emptying Time and Incidence of Cardiovascular Diseases in Subjects With Diabetes.
Conclusion: A delay of GE was associated with an increased incidence of cardiovascular events in diabetic subjects with chronic UGI symptoms. PMID: 31177651 [PubMed - as supplied by publisher]
Source: Journal of Neurogastroenterology and Motility - June 12, 2019 Category: Gastroenterology Tags: J Neurogastroenterol Motil Source Type: research

Rather than Surgical Technique, Dedicated Stroke Centers Improve Bowel and Life Outcomes in Acute Mesenteric Ischemia
No abstract available
Source: Journal of Clinical Gastroenterology - June 8, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Brain involvement in non-alcoholic fatty liver disease (NAFLD): A systematic review
Non-alcoholic fatty liver disease (NAFLD) is associated with high cardiovascular morbidity and mortality which usually is considered to be related to cardiac involvement, while scarce attention is addressed to brain damage. Viceversa NAFLD is associated with asymptomatic brain lesions, alterations in cerebral perfusion and activity, cognitive impairment and brain aging and with increased risk and severity of both ischemic and haemorrhagic stroke. Besides known metabolic risk factors, NAFLD is characterized by a pro inflammatory state, which contributes to atherosclerosis and microglia activation, endothelial dysfunction, p...
Source: Digestive and Liver Disease - June 5, 2019 Category: Gastroenterology Authors: Rosa Lombardi, Silvia Fargion, Anna Ludovica Fracanzani Tags: Liver, Pancreas and Biliary Tract Source Type: research

Mo1332 OUTCOMES OF PERCUTANEOUS ENDOSCOPIC GASTROTOMY (PEG) IN OCTOGENARIANS AND NONAGENARIANS
The 2010 US census showed that individual aged 80 years and above constituted 0.03% of the population, and are expected to grow in the coming decades. These patients have a much higher rate of PEG placement compared with the general population because of higher incidence of debilitating conditions like stroke and dementia. Our aim was to study the outcome and complications of PEG placement in this key demographic.
Source: Gastrointestinal Endoscopy - May 31, 2019 Category: Gastroenterology Authors: Eric D. Yoon, Prithvi Patil, Matthew Meriwether, Sara Ali, Andrew Herman, Paul G. Haddad, Akhil Munjal, Bijun S. Kannadath, Nirav Thosani Tags: Monday abstract Source Type: research

478 what kind of direct oral anticoagulant presents the lowest bleeding risk after endoscopic resection of colorectal polyps?
Direct oral anticoagulants (DOACs), including dabigatran, rivaroxaban, apixaban, and edoxaban, have become popular as equivalent to warfarin for stroke prevention in non-valvular atrial fibrillation; however, bleeding risk from DOACs, especially the difference in risks among DOACs in endoscopic treatment, has not been reported. The study aimed to evaluate delayed bleeding risk related to early resumption of DOACs and compare the bleeding risk among DOACs after endoscopic resection of colorectal polyps.
Source: Gastrointestinal Endoscopy - May 31, 2019 Category: Gastroenterology Authors: Kazuko Beppu, Kazunori Yokoi, Hisafumi Yamagata, Satoko Suzuki, Tatsuo Ogihara Tags: Oral abstract Source Type: research

Tu1115 PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) IS ASSOCIATED WITH BETTER OUTCOMES AS COMPARED TO INTERVENTIONAL RADIOLOGY (IR) GUIDED AND SURGICAL GASTROSTOMIES: INSIGHTS FROM THE NATIONWIDE INPATIENT SAMPLE
Gastrostomy is a commonly performed procedure for enteral feeding in patients with diverse conditions such as malnutrition, stroke, dementia, Parkinsonism and other neurodegenerative diseases as well as head and neck and upper gastrointestinal cancers. PEG is usually preferred but IR guided and surgical gastrostomies are often performed based on patient related factors and local practice preferences. The aim of our study was to review demographic and clinical characteristics of patients undergoing gastrostomies in the inpatient setting.
Source: Gastrointestinal Endoscopy - May 31, 2019 Category: Gastroenterology Authors: Ishani Shah, Abhishek Bhurwal, Harsh Mehta, Shruti Mony, Ananya Das Tags: Tuesday abstract Source Type: research

Lysosomal Acid Lipase Deficiency Leading to Liver Cirrhosis: a Case Report of a Rare Variant Mutation.
We describe the case of a 53-year-old Brazilian man who was referred to our center due to the diagnosis of liver cirrhosis of unknown etiology. He was asymptomatic and had normal body mass index. He had dyslipidemia, and family history of myocardial infarction and stroke. Abdominal imaging tests showed liver cirrhosis features and the presence of intrahepatic calcifications. Initial investigation of the etiology of the liver disease was not elucidated, but liver biopsy showed microgoticular steatosis and cholesterol esters deposits in Kuppfer cells. The dosage of serum lysosomal acid lipase was undetectable and we found th...
Source: Annals of Hepatology - May 24, 2019 Category: Gastroenterology Tags: Ann Hepatol Source Type: research

Influence of systemic hemodynamics on microcirculation during sepsis
ConclusionsDAP was the only independent determinant of resStO2 in septic patients. Fluid challenges may improve microcirculation. CVP did not influence resStO2.
Source: Journal of Critical Care - May 6, 2019 Category: Gastroenterology Source Type: research

Major publications in critical care pharmacotherapy literature in 2018
ConclusionThis clinical review and expert commentary of impactful critical care pharmacotherapy publications in 2018 provides perspectives and insights for the critical care practitioner.
Source: Journal of Critical Care - May 2, 2019 Category: Gastroenterology Source Type: research

Utility of pleural effusion drainage in the ICU: An updated systematic review and META-analysis
ConclusionsPleural effusion drainage improves oxygenation of critically ill patients. It is a safe procedure. Further studies are needed to assess the hemodynamic effects of pleural drainage.
Source: Journal of Critical Care - March 20, 2019 Category: Gastroenterology Source Type: research

Direct Oral Anticoagulants in Cirrhotic Patients: Current Evidence and Clinical Observations.
Authors: Elhosseiny S, Al Moussawi H, Chalhoub JM, Lafferty J, Deeb L Abstract The introduction of Direct Oral Anticoagulants (DOACs) to the pharmaceutical market provided patients and clinicians with novel convenient and safe options of anticoagulation. The use of this class of medications is currently limited to venous thromboembolic therapy and prophylaxis, in addition to stroke prophylaxis in patients with nonvalvular atrial fibrillation. Despite their altered hemostasis, patients with cirrhosis are thought to be in a procoagulant state and thus prone to thrombus formation. Patients with cirrhosis might benefit...
Source: Canadian Journal of Gastroenterology - February 24, 2019 Category: Gastroenterology Tags: Can J Gastroenterol Hepatol Source Type: research

Admission characteristics predictive of in-hospital death from hospital-acquired sepsis: A comparison to community-acquired sepsis
ConclusionsLiver disease and CHF were independent predictors of in-hospital mortality in HA-sepsis. HA-sepsis patients had increased prevalence of previous stroke, myocardial infarction, and liver disease.
Source: Journal of Critical Care - February 20, 2019 Category: Gastroenterology Source Type: research

Gastrointestinal Hemorrhage in Patients with Acute Ischemic Stroke: Should Endoscopy Be Within the Scope of Practice?
Source: Digestive Diseases and Sciences - February 7, 2019 Category: Gastroenterology Source Type: research

Percutaneous endoscopic gastrostomy for enteral nutrition: a 5-year clinical experience with 324 patients.
CONCLUSIONS: Our experience reconfirmed PEG as a minimally invasive and safe procedure for long-term enteral nutrition in patients with impaired oral intake. However, significant prognostic factors should be taken into account during the preoperative evaluation of patients. Deferral of procedure or specialized postoperative care may be indicated in high risk patients. PMID: 30676011 [PubMed - in process]
Source: Minerva Gastroenterologica e Dietologica - January 26, 2019 Category: Gastroenterology Tags: Minerva Gastroenterol Dietol Source Type: research

Antithrombotic therapy and gastric EMR or endoscopic submucosal dissection: The bleeding edge?
The number and complexity of endoscopic procedures performed by gastroenterologists and surgeons have increased in parallel with the increasing number of antithrombotic agents in clinical use.1,2 The decision to stop and resume 1 or more of these antithrombotic agents in the periprocedural period is challenging, and one must consider several patient-specific and procedure-specific factors, most notably the indication for antithrombotic use and the bleeding risk associated with the procedure. Acute coronary syndrome and stroke carry high rates of  morbidity and mortality and are dreaded adverse events of withholding antithrombotic agents.
Source: Gastrointestinal Endoscopy - January 19, 2019 Category: Gastroenterology Authors: Theodore W. James, Todd H. Baron Tags: Original article Source Type: research