• Beans: powerful supporters in colorectal cancer aftercare

    The intestinal microbiome is essential in many body processes. Could prebiotic food intake benefit intestinal flora in intestinal polyps or colorectal carcinoma?

  • Reflux in infants does not usually require treatment

    Gastro-oesophageal reflux and regurgitation often cause parental concern, but only few babies have a pathology that requires treatment.

  • Systematic review and meta-analysis of endoscopic versus medical management of peptic ulcers with adherent clots

    There was evidence for a reduction in recurrent bleeding from peptic ulcers with adherent clots treated with endoscopic hemostatic techniques compared with medical management alone but no difference in rates of mortality or need for surgery.

  • Robotic wireless capsule endoscopy: recent advances and upcoming technologies

    This Review discusses the future requirements for intelligent capsule robots, providing a comparative evaluation of various methods’ merits and disadvantages, and highlighting recent developments in six technologies relevant to WCE.

  • Helicobacter pylori Treatment and Gastric Cancer Risk Among Individuals With High Genetic Risk for Gastric Cancer

    The findings of this cohort study indicate that a high genetic risk of GC may be counteracted by H pylori treatment, suggesting primary prevention could be tailored to genetic risk for more effective prevention.

  • Noninvasive models for the prediction of liver fibrosis in patients with chronic hepatitis B

    Among the four noninvasive models, GPR has the best performance in the diagnosis of hepatic fibrosis in CHB patients and is more valuable in HBeAg-positive patients.

  • Deciphering the clinical spectrum of gastric disease in patients with Juvenile Polyposis Syndrome

    Clinical, endoscopic, genetic, pathological data from patients with SMAD4 or BMPR1A PVs included between 2007 and 2020 in the French network on rare digestive polyposis (RENAPOL) database were prospectively collected to address uncertainties regarding gastric involvement.

  • Resectability of Small Duodenal Tumors: A Randomized Controlled Trial Comparing Underwater Endoscopic Mucosal Resection and Cold Snare Polypectomy

    UEMR has superior vertical resectability compared with CSP, but CSP has a shorter procedure time and fewer bleeding events. Although CSP is preferable for most small SNADET, UEMR should be selected for lesions that cannot be definitively diagnosed as mucosal low-grade neoplasias.

  • Activated HLA-DR+CD38+ Effector Th1/17 Cells Distinguish Crohn’s Disease-associated Perianal Fistulas from Cryptoglandular Fistulas

    Overall, proliferating activated HLA-DR+CD38+ effector Th1/17 cells distinguish CD-associated from cryptoglandular perianal fistulas and are a promising biomarker in blood to discriminate between these 2 fistula types.

  • Patients with IBD and high abdominal fat may need more infliximab

    Some Crohn's disease or ulcerative colitis patients do not respond to infliximab or its effect diminish for them. This could be related to visceral fat mass.

  • Prediabetes: Impaired fasting glucose increases the risk of gastrointestinal carcinomas

    It doesn't have to be manifest diabetes. Even slightly elevated glucose levels over several years are enough to increase the risk of gastrointestinal cancer. This is the result of a population study from South Korea.

  • Hepatocellular Carcinoma Screening in a Contemporary Cohort of At-Risk Patients

    In this cohort study of 1313 patients, only 42.3% of cases of HCC were detected by screening. Detection by screening was associated with improved early-stage detection and survival, which persisted after adjusting for lead-time and length-time biases.

  • Gut microbiome composition and metabolic activity in women with diverticulitis

    Through integrated multi-omic analysis, we detected covarying microbial and metabolic features, such as Bilophila wadsworthia and bile acids, specific to diverticulitis. Additionally, we observed that microbial composition modulated the protective association between a prudent fiber-rich diet and diverticulitis.

  • Biomarkers Associated with Future Severe Liver Disease in Children with Alpha-1-antitrypsin Deficiency

    Children with Alpha-1-antitrypsin deficiency (AATD) exhibit a wide range of liver disease outcomes from portal hypertension and transplant, to asymptomatic without fibrosis. Individual outcomes cannot be predicted. High circulating Z polymer levels and high GGT early in life are associated with future CEPH in AATD, and use of predictive cutoffs may assist in future clinical trial design.

  • Impact of large scale, multicomponent intervention to reduce proton pump inhibitor overuse in integrated healthcare system: difference-in-difference study

    Proton pump inhibitors (PPIs) are one of the most commonly prescribed classes of drugs, but an estimated 25-70% of PPI users may not have an appropriate indication, depending on the clinical setting. For such patients, PPIs cause unnecessary healthcare spending and pill burden.

  • Variation Between Hospitals in Outcomes and Costs of IBD Care: Results From the IBD Value Study

    Variation in outcomes and costs cannot be used to differentiate between hospitals for quality of care. Future quality improvement initiatives should look at differences in structure and process measures of care and implement patient-level interventions to improve quality of IBD care.

  • Imaging-based diagnosis of sarcopenia for transplant-free survival in primary sclerosing cholangitis

    Imaging-based diagnosis of sarcopenia via L3-SMI is associated with a low TFS in patients with PSC and may provide additional benefits as a prognostic factor in patient selection for liver transplantation.

  • Fine-mapping analysis including over 254,000 East Asian and European descendants identifies 136 putative colorectal cancer susceptibility genes

    Analyses of whole exome sequencing data provided additional support for several target genes identified in this study as CRC susceptibility genes. Enrichment analyses of the 136 genes uncover pathways not previously linked to CRC risk. Our study substantially expanded association signals for CRC and provided additional insight into the biological mechanisms underlying CRC development.

  • Red meat consumption and colorectal cancer

    Researchers used a new statistical method to identify the genetic basis of the link between red and processed meat intake and colorectal cancer risk.

  • NERD: no increased risk of oesophageal cancer

    Do patients with non-erosive gastro-oesophageal reflux need regular follow-up endoscopies to prevent cancer? A long-term cohort study argues against this.

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