Clinical Journal of Gastroenterology最新文献

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Multidisciplinary treatment with durvalumab-containing regimens for mixed neuroendocrine-non-neuroendocrine neoplasm of the extrahepatic bile duct. 含杜伐单抗的肝外胆管混合神经内分泌-非神经内分泌肿瘤的多学科治疗。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-06-21 DOI: 10.1007/s12328-026-02385-2
Yuto Kitano, Kento Terasaki, Toru Kurata, Yoshiharu Tokimitsu, Yoshinobu Maeda
{"title":"Multidisciplinary treatment with durvalumab-containing regimens for mixed neuroendocrine-non-neuroendocrine neoplasm of the extrahepatic bile duct.","authors":"Yuto Kitano, Kento Terasaki, Toru Kurata, Yoshiharu Tokimitsu, Yoshinobu Maeda","doi":"10.1007/s12328-026-02385-2","DOIUrl":"10.1007/s12328-026-02385-2","url":null,"abstract":"<p><p>Mixed neuroendocrine-non-neuroendocrine neoplasms (MiNENs) are rare tumors comprising both neuroendocrine and non-neuroendocrine components, with each component constituting at least 30% of the tumor. MiNEN of the extrahepatic bile duct is particularly uncommon and is often associated with a poor prognosis. We report the case of a 63-year-old male with jaundice, who was diagnosed with cholangiocarcinoma at the confluence of the cystic duct. Imaging and endoscopic cholangiography revealed perihilar-to-distal bile duct involvement, accompanied by bulky lymph node metastases. Endoscopic biliary drainage was performed, and biopsy revealed adenocarcinoma. The patient received four cycles of neoadjuvant chemotherapy with gemcitabine, cisplatin, and durvalumab. The tumor and lymph nodes decreased in size, enabling curative pancreatoduodenectomy. Pathological examination revealed adenocarcinoma with small-cell neuroendocrine components, confirming MiNEN. The therapeutic response was grade 2, and curative resection was achieved. Four months after surgery, the patient developed para-aortic lymph node recurrence, prompting chemotherapy resumption; however, he died 2 years after treatment initiation. MiNENs with neuroendocrine carcinoma components are associated with a poor prognosis. Despite the initial response to neoadjuvant chemotherapy and curative resection, early recurrence indicates tumor aggressiveness. Additional case reports and further research exploring optimal treatment strategies are required to improve outcomes.</p>","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1215-1221"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148293585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multimodal approach enables R0 resection in advanced gastric adenocarcinoma with enteroblastic differentiation complicated by portal vein tumor thrombus. 多模式入路可用于晚期胃腺癌肠母细胞分化合并门静脉肿瘤血栓的R0切除。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-07-26 DOI: 10.1007/s12328-026-02407-z
Masateru Yamauchi, Keiji Nishibeppu, Takeshi Kubota, Hiroyuki Inoue, Kazuya Takabatake, Toshiyuki Kosuga, Hirotaka Konishi, Ryo Morimura, Hitoshi Fujiwara, Atsushi Shiozaki
{"title":"Multimodal approach enables R0 resection in advanced gastric adenocarcinoma with enteroblastic differentiation complicated by portal vein tumor thrombus.","authors":"Masateru Yamauchi, Keiji Nishibeppu, Takeshi Kubota, Hiroyuki Inoue, Kazuya Takabatake, Toshiyuki Kosuga, Hirotaka Konishi, Ryo Morimura, Hitoshi Fujiwara, Atsushi Shiozaki","doi":"10.1007/s12328-026-02407-z","DOIUrl":"10.1007/s12328-026-02407-z","url":null,"abstract":"<p><p>Gastric adenocarcinoma with enteroblastic differentiation (GAED) is an extremely rare gastric cancer subtype with high rates of vascular and lymphatic invasion, lymph node and liver metastasis, leading to poor prognosis and early recurrence. We report a 73-year-old woman with stage IV GAED and portal vein tumor thrombus (PVTT) treated with multimodal therapy. She received S-1 plus oxaliplatin (SOX), SOX plus nivolumab, S-1 plus nivolumab, and radiotherapy for PVTT without major adverse events. Imaging showed marked tumor and lymph node shrinkage and complete PVTT disappearance. Laparoscopic distal gastrectomy with D2 dissection achieved R0 resection; pathology confirmed GAED, ypT2N1M0, Stage IIA, with Grade 1b response. This case suggests SOX plus nivolumab is effective for advanced GAED and that radiotherapy for PVTT enables curative surgery. Preoperative chemoradiotherapy and conversion surgery may provide a promising strategy for otherwise unresectable GAED.</p>","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1126-1132"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful management of refractory chylous ascites using a Denver shunt following conversion surgery for unresectable locally advanced pancreatic cancer. 不可切除的局部晚期胰腺癌转换手术后采用丹佛分流术成功治疗难治性乳糜腹水。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-06-16 DOI: 10.1007/s12328-026-02376-3
Dongha Lee, Keiko Kamei, Masaya Nakano, Katsuya Ami, Chihoko Nobori, Yuta Yoshida, Takaaki Murase, Kentaro Tai, Atsushi Takebe, Ippei Matsumoto
{"title":"Successful management of refractory chylous ascites using a Denver shunt following conversion surgery for unresectable locally advanced pancreatic cancer.","authors":"Dongha Lee, Keiko Kamei, Masaya Nakano, Katsuya Ami, Chihoko Nobori, Yuta Yoshida, Takaaki Murase, Kentaro Tai, Atsushi Takebe, Ippei Matsumoto","doi":"10.1007/s12328-026-02376-3","DOIUrl":"10.1007/s12328-026-02376-3","url":null,"abstract":"<p><p>We describe a case of refractory chylous ascites (RCA) successfully managed with a Denver shunt (DS) after conversion surgery for unresectable locally advanced pancreatic cancer. A 55-year-old woman developed RCA 6 months after distal pancreatectomy with celiac axis and portal vein resection. Conservative therapy, lymphangiography, and repeated paracentesis were ineffective. After confirming negative cytology, culture, and endotoxin tests, DS placement on postoperative day 425 resulted in rapid resolution of ascites, accompanied by improvement in body weight and hypoalbuminemia. No early major complications were observed after DS placement, and she was discharged safely. Although the shunt was removed 29 months later because of internal jugular vein thrombosis, no reaccumulation of ascites was observed thereafter. The patient remains alive without reaccumulation of ascites or tumor recurrence 60 months after curative resection. Although careful patient selection is essential because of potential complications, DS may serve as an effective salvage option for postoperative RCA when conservative approaches fail.</p>","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1178-1184"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Doege-Potter syndrome caused by a solitary fibrous tumor arising from the greater omentum: a case report. 起源于大网膜的孤立性纤维性肿瘤引起的多吉-波特综合征1例报告。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-06-09 DOI: 10.1007/s12328-026-02379-0
Tomoki Takizawa, Tatsuya Shonaka, Chikayoshi Tani, Hiroya Kitsunai, Hiroshi Nomoto, Mototsugu Nagao, Izumi Fukuda, Yuki Kamikokura, Mishie Tanino, Hideki Yokoo
{"title":"Doege-Potter syndrome caused by a solitary fibrous tumor arising from the greater omentum: a case report.","authors":"Tomoki Takizawa, Tatsuya Shonaka, Chikayoshi Tani, Hiroya Kitsunai, Hiroshi Nomoto, Mototsugu Nagao, Izumi Fukuda, Yuki Kamikokura, Mishie Tanino, Hideki Yokoo","doi":"10.1007/s12328-026-02379-0","DOIUrl":"10.1007/s12328-026-02379-0","url":null,"abstract":"<p><p>Doege-Potter syndrome is a rare paraneoplastic syndrome characterized by non-islet cell tumor hypoglycemia (NICTH) caused by the excessive production of insulin-like growth factor-II (IGF-II), which occurs in less than 5% of solitary fibrous tumors (SFT). SFTs most commonly arise from the pleura, whereas primary omental origins are exceedingly rare. We report a case of Doege-Potter syndrome in an 83-year-old woman who presented with recurrent hypoglycemic episodes caused by a large primary omental SFT. Low serum insulin levels during hypoglycemia and normal adrenocortical hormone levels excluded common causes, such as insulinoma and adrenal insufficiency, and imaging findings raised the suspicion of SFT. Open surgical resection was performed, and the hypoglycemic symptoms resolved immediately postoperatively. Histopathological examination confirmed the diagnosis of high-risk SFTs. Western blot analysis of preoperative and postoperative serum samples demonstrated a postoperative reduction in tumor-derived high-molecular-weight IGF-II (big IGF-II), confirming its role as the cause of hypoglycemia. At 6 months postoperatively, no tumor or hypoglycemia recurrence was observed. This case highlights the importance of considering Doege-Potter syndrome in the differential diagnosis of intra-abdominal tumors that present with hypoglycemic episodes.</p>","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1036-1043"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revisiting plasma exchange in persistent cholestasis. 持续性胆汁淤积的血浆置换。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-05-03 DOI: 10.1007/s12328-026-02357-6
Mehmet Akif Agir
{"title":"Revisiting plasma exchange in persistent cholestasis.","authors":"Mehmet Akif Agir","doi":"10.1007/s12328-026-02357-6","DOIUrl":"10.1007/s12328-026-02357-6","url":null,"abstract":"","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1332-1333"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two cases of successful treatment of bleeding esophagojejunal varices after total gastrectomy using reopenable clip hemostasis. 可开夹止血成功治疗全胃切除术后食管空肠静脉曲张出血2例。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-06-29 DOI: 10.1007/s12328-026-02386-1
Kengo Kasuga, Tatsuya Kouga, Megumi Shimizu, Keisuke Iizuka, Shingo Ishihara, Kyoko Shibusawa, Takashi Ueno, Xing Hua Ma, Takashige Masuo, Toshio Uraoka
{"title":"Two cases of successful treatment of bleeding esophagojejunal varices after total gastrectomy using reopenable clip hemostasis.","authors":"Kengo Kasuga, Tatsuya Kouga, Megumi Shimizu, Keisuke Iizuka, Shingo Ishihara, Kyoko Shibusawa, Takashi Ueno, Xing Hua Ma, Takashige Masuo, Toshio Uraoka","doi":"10.1007/s12328-026-02386-1","DOIUrl":"10.1007/s12328-026-02386-1","url":null,"abstract":"<p><p>Esophagojejunal variceal bleeding after total gastrectomy is rare but potentially life-threatening, and no standard treatment has been established. Endoscopic variceal ligation (EVL) may be technically difficult for postoperative anastomotic lesions because of fibrosis. We report two cases of ruptured esophagojejunal anastomotic varices after total gastrectomy, for which hemostasis was successful with reopenable through-the-scope clips after failed EVL. Case 1 involved a 66-year-old man with metabolic dysfunction-associated steatohepatitis-related cirrhosis and history of total gastrectomy presenting with melena and hematemesis. Emergency endoscopy revealed bleeding from a jejunal anastomotic varix. EVL failed because of severe fibrosis, but hemostasis was achieved using reopenable clips. Subsequent endoscopic injection sclerotherapy confirmed blood flow interruption at the clip sites, with no rebleeding during the 2-year follow-up. Case 2 involved a 70-year-old man with alcohol-related cirrhosis and history of total gastrectomy who presented with hematemesis. Emergency endoscopy revealed active bleeding from the esophageal-side anastomotic varix. EVL failed because of fibrosis, but hemostasis was successful with four reopenable clips. No rebleeding was observed during the 4-month follow-up. Reopenable clips may represent a practical therapeutic option for bleeding esophagojejunal anastomotic varices with severe fibrosis when conventional EVL is technically difficult or unsuccessful.</p>","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1048-1052"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two cases of durvalumab-induced Evans syndrome in biliary tract cancer. 杜伐单抗诱导胆道癌Evans综合征2例。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-06-24 DOI: 10.1007/s12328-026-02378-1
Ryo Komori, Chikatoshi Katada, Shigeki Kataoka, Tadahiko Matsumoto, Noriyoshi Yoshinaga, Motoo Nomura, Akira Yokoyama, Atsushi Yamada, Junichi Matsubara, Manabu Muto
{"title":"Two cases of durvalumab-induced Evans syndrome in biliary tract cancer.","authors":"Ryo Komori, Chikatoshi Katada, Shigeki Kataoka, Tadahiko Matsumoto, Noriyoshi Yoshinaga, Motoo Nomura, Akira Yokoyama, Atsushi Yamada, Junichi Matsubara, Manabu Muto","doi":"10.1007/s12328-026-02378-1","DOIUrl":"10.1007/s12328-026-02378-1","url":null,"abstract":"<p><p>We present two cases of Evans syndrome (ES) during durvalumab monotherapy after combination chemotherapy with durvalumab for advanced hilar cholangiocarcinoma. The patients were men aged 71 and 73 years with satisfactory performance status. They received eight cycles of gemcitabine, cisplatin, and durvalumab, followed by durvalumab monotherapy (five and six cycles, respectively) for a total of approximately 11 months. Subsequently, they developed autoimmune hemolytic anemia, characterized by reticulocytosis, indirect hyperbilirubinemia, elevated lactate dehydrogenase levels, and a positive direct Coombs test. Furthermore, their condition met the diagnostic criteria for ES, as they developed concomitant thrombocytopenia with antiplatelet antibodies. Both patients demonstrated hematological recovery with corticosteroid therapy, highlighting the efficacy of immunosuppression in managing this rare hematologic immune-related adverse event. Notably, the onset occurred during maintenance therapy after a prolonged latency of 11 months, underscoring the potential for delayed hematologic immune-related adverse events with programmed death-ligand 1 blockade. Corticosteroids remain the cornerstone of treatment, and high-dose pulse therapy may be necessary in refractory cases. In conclusion, recognition of durvalumab-induced ES is crucial for appropriate management.</p>","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1185-1192"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gastric lipoma causing ball-valve syndrome successfully treated by endoscopic submucosal dissection. 内镜下粘膜剥离术成功治疗胃脂肪瘤所致球瓣综合征。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-08-14 DOI: 10.1007/s12328-026-02408-y
Naoto Abe, Takuto Hikichi, Minami Hashimoto, Jun Nakamura, Tsunetaka Kato, Takumi Yanagita, Mitsuru Otsuka, Yuka Oka, Masao Kobayakawa, Hiromasa Ohira
{"title":"Gastric lipoma causing ball-valve syndrome successfully treated by endoscopic submucosal dissection.","authors":"Naoto Abe, Takuto Hikichi, Minami Hashimoto, Jun Nakamura, Tsunetaka Kato, Takumi Yanagita, Mitsuru Otsuka, Yuka Oka, Masao Kobayakawa, Hiromasa Ohira","doi":"10.1007/s12328-026-02408-y","DOIUrl":"10.1007/s12328-026-02408-y","url":null,"abstract":"<p><p>Ball-valve syndrome (BVS) is a rare condition characterized by intermittent gastric outlet obstruction caused by a mobile gastric lesion. Large gastric lipomas associated with BVS have traditionally been managed surgically; however, minimally invasive endoscopic treatment may be feasible in selected cases. We report a case of a 52-year-old woman presenting with a 1-month history of postprandial epigastric discomfort and nausea. Contrast-enhanced computed tomography revealed a well-defined, low-attenuation mass extending from the gastric antrum to the duodenal bulb. Esophagogastroduodenoscopy demonstrated a broad-based subepithelial lesion exceeding 50 mm in diameter that repeatedly prolapsed through the pylorus, consistent with BVS. Endoscopic ultrasound showed a homogeneous hyperechoic lesion arising from the submucosa. Based on these imaging findings, a lipoma was strongly suspected, although liposarcoma could not be completely excluded. Therefore, endoscopic submucosal dissection (ESD) was performed as a diagnostic and therapeutic approach. Using a clip-with-line traction method, en bloc resection was successfully achieved without adverse events. The resected specimen measured 103 × 41 × 20 mm, and histopathological examination confirmed a gastric lipoma. The patient's symptoms resolved completely after the procedure, with no recurrence at 1-year follow-up. In conclusion, ESD can be a safe and effective minimally invasive treatment for large gastric lipomas causing BVS, particularly when a confident preoperative diagnosis can be established.</p>","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1133-1139"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Portal vein invasion and cavernous transformation secondary to hepatic echinococcosis successfully managed by TIPS: a case report and literature review. TIPS成功治疗肝包虫病继发的门静脉侵犯和海绵样变性1例报告并文献复习。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 Epub Date: 2026-08-08 DOI: 10.1007/s12328-026-02418-w
Bao Yingjun, Zhang Yuan, Zhu Diwen, Gu Junpeng, Ren Weixin
{"title":"Portal vein invasion and cavernous transformation secondary to hepatic echinococcosis successfully managed by TIPS: a case report and literature review.","authors":"Bao Yingjun, Zhang Yuan, Zhu Diwen, Gu Junpeng, Ren Weixin","doi":"10.1007/s12328-026-02418-w","DOIUrl":"10.1007/s12328-026-02418-w","url":null,"abstract":"<p><strong>Background: </strong>Hydatid disease is a zoonotic parasitic disease caused by Echinococcus larvae, with hepatic echinococcosis sometimes exhibiting malignant-like behavior including vascular invasion. Portal vein invasion is a rare complication, and no prior report has described gastrointestinal hemorrhage due to portal hypertension from hydatid-induced portal vein invasion and cavernous transformation successfully treated by transjugular intrahepatic portosystemic shunt (TIPS).</p><p><strong>Case presentation: </strong>A 44-year-old female with recurrent gastrointestinal bleeding and a history of right hepatectomy for hepatic alveolar echinococcosis was admitted. CT and ultrasound revealed portal vein invasion and cavernous transformation. TIPS was successfully performed, reducing the portosystemic pressure gradient from 22 mmHg to 9 mmHg.</p><p><strong>Discussion: </strong>Hepatic echinococcosis may cause portal vein invasion and cavernous transformation. Medical therapy is poorly effective for severe complications like gastrointestinal hemorrhage. TIPS plays an important role in managing such patients.</p><p><strong>Conclusions: </strong>Portal hypertension-related complications are rare but challenging in echinococcosis treatment. TIPS is an effective option for patients with gastrointestinal bleeding, even in the setting of portal vein invasion and cavernous transformation.</p>","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1307-1313"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Salvage tacrolimus therapy for steroid-refractory immune-related adverse event-associated sclerosing cholangitis. 纠正:补救性他克莫司治疗类固醇难治性免疫相关不良事件相关的硬化性胆管炎。
IF 0.8
Clinical Journal of Gastroenterology Pub Date : 2026-10-01 DOI: 10.1007/s12328-026-02423-z
Shinya Ikeda, Shinya Kawaguchi, Kodai Baba, Haruna Takahashi, Tatsunori Satoh, Shinya Endo, Takafumi Kurokami, Naofumi Shirane, Kazuya Ohno
{"title":"Correction: Salvage tacrolimus therapy for steroid-refractory immune-related adverse event-associated sclerosing cholangitis.","authors":"Shinya Ikeda, Shinya Kawaguchi, Kodai Baba, Haruna Takahashi, Tatsunori Satoh, Shinya Endo, Takafumi Kurokami, Naofumi Shirane, Kazuya Ohno","doi":"10.1007/s12328-026-02423-z","DOIUrl":"10.1007/s12328-026-02423-z","url":null,"abstract":"","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":" ","pages":"1334-1335"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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