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Oral simethicone tablets with PEG‐ELS split‐prep reduces frequency of inadequate bowel cleansing and decreases bubbles 口服西甲硅氧烷片与PEG - ELS分离制备减少频率不充分的肠道清洁和减少气泡
GastroHep Pub Date : 2021-05-20 DOI: 10.1002/ygh2.469
Jennifer K. Maratt, Alison E. Freeman, P. Schoenfeld, S. Saini, G. Su, A. Tai, A. Prabhu, J. Rubenstein, A. Waljee, Lisa Glass, D. Dang, N. Parikh, S. Govani, Swati G. Patel, Stacy B. Menees
{"title":"Oral simethicone tablets with PEG‐ELS split‐prep reduces frequency of inadequate bowel cleansing and decreases bubbles","authors":"Jennifer K. Maratt, Alison E. Freeman, P. Schoenfeld, S. Saini, G. Su, A. Tai, A. Prabhu, J. Rubenstein, A. Waljee, Lisa Glass, D. Dang, N. Parikh, S. Govani, Swati G. Patel, Stacy B. Menees","doi":"10.1002/ygh2.469","DOIUrl":"https://doi.org/10.1002/ygh2.469","url":null,"abstract":"Intraluminal bubbles may prevent the visualisation of mucosa during a colonoscopy. Simethicone minimises bubbles, but its impact on incomplete bowel preparation and optimal protocols for use are unclear.","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"159 1","pages":"254 - 260"},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74116928","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
Dried blood spot‐based detection of serological profiles of hepatitis B and C infections and their prevalence in Cambodia 在柬埔寨,基于干血点的乙型和丙型肝炎感染血清学检测及其流行情况
GastroHep Pub Date : 2021-05-18 DOI: 10.1002/ygh2.468
Bunthen E, Ko Ko, Shintaro Nagashima, Serge Ouoba, Md Razeen Ashraf Hussain, Aya Sugiyama, T. Akita, Masayuki Ohisa, Channarena Chuon, B. Mao, M. Hossain, V. Ork, J. Tanaka
{"title":"Dried blood spot‐based detection of serological profiles of hepatitis B and C infections and their prevalence in Cambodia","authors":"Bunthen E, Ko Ko, Shintaro Nagashima, Serge Ouoba, Md Razeen Ashraf Hussain, Aya Sugiyama, T. Akita, Masayuki Ohisa, Channarena Chuon, B. Mao, M. Hossain, V. Ork, J. Tanaka","doi":"10.1002/ygh2.468","DOIUrl":"https://doi.org/10.1002/ygh2.468","url":null,"abstract":"This study aims to examine the diagnostic accuracy of dried blood spot (DBS) samples contrast to serum samples for detection of hepatitis B virus (HBV) and hepatitis C virus (HCV) sero‐markers in large scale epidemiological study in the resource limited settings and then to determine the prevalence of each sero‐marker from DBS samples collected during 2017 Cambodia nationwide study.","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"100 1","pages":"247 - 253"},"PeriodicalIF":0.0,"publicationDate":"2021-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80308396","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: 3
Editorial: Addressing the long-term mortality risk in patients admitted with diverticulitis 社论:解决憩室炎患者的长期死亡风险
GastroHep Pub Date : 2021-05-14 DOI: 10.1002/ygh2.459
Christopher Harmston
{"title":"Editorial: Addressing the long-term mortality risk in patients admitted with diverticulitis","authors":"Christopher Harmston","doi":"10.1002/ygh2.459","DOIUrl":"https://doi.org/10.1002/ygh2.459","url":null,"abstract":"Diverticular disease is extremely common in the western world, and the commonest emergency manifestation of diverticular disease is diverticulitis. This commonly presents to emergency physicians, with a high rate of acute hospital admissions and a need for emergency surgical intervention in some patients. The rate of diverticulitis is likely to be increasing, especially in a younger population, with a subsequent increase in the rates of hospitalisation. Despite this the rate of complicated diverticulitis has remained relatively static.1,2 These findings may be due to the increased use of computed tomography, but none the less, diverticulitis places significant financial and resource burden on most modern healthcare systems.3 Diverticulitis is known to be more common in patients with obesity, smokers and in males, its incidence can be reduced with a healthy diet and regular physical activity. The shortterm outcomes in cohorts of patients treated for diverticulitis are relatively well understood, but few comparative studies are available. As would be expected these shortterm outcomes are worse with increasing age, comorbidities and the need for acute surgical intervention. Longer term outcomes in patients following diverticulitis are less well understood and specifically the longterm impact on mortality of an admission with diverticulitis is poorly documented. The ability to assess diverticulitis as a marker of risk, and to properly council our patients on the implication of their disease is therefore compromised. In this issue of GastroHep, Granlund et al present a large, welldesigned study comparing both the shortand longterm mortality in patients admitted with diverticulitis with a diseasefree cohort.4 The authors present a 20year nationwide cohort study comparing outcomes in patients admitted with a firsttime diagnosis of diverticulitis with matched diseasefree individuals. ICD coding was used to identify patients. Information on covariates including education level, civil status and comorbidities was also collated and entered into a cox regression. The primary outcome event of interest was mortality, with time periods of within 100 days and from 101 days5 years used. Over 83 000 patients with diverticulitis were included and compared to over eight hundred thousand matched diseasefree individuals. Mortality within 100 days was four times higher than diseasefree individuals with a significantly higher rate in those undergoing surgical intervention. From day 1015 years hazard rates were increased by 11%, again with highest rates in patients undergoing operative intervention. The proportion of individuals who died within 100 days and within five years or admission was 4.1% and 20.3% in the diverticulitis cohort compared to 0.8% and 14.5% in diseasefree individuals. The study is well designed with high numbers of patients, however, as the authors acknowledge, in keeping with all studies of this type, classification and coding of diverticulitis was ","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"3 3","pages":"120"},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ygh2.459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71963912","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
Risk of extrahepatic cancer in a nationwide cohort of hepatitis C virus infected persons treated with direct-acting antivirals 全国范围内接受直接抗病毒药物治疗的丙型肝炎病毒感染者患肝外癌症的风险
GastroHep Pub Date : 2021-05-05 DOI: 10.1002/ygh2.456
Charlotte Lybeck, Daniel Bruce, Scott M. Montgomery, Soo Aleman, Ann-Sofi Duberg
{"title":"Risk of extrahepatic cancer in a nationwide cohort of hepatitis C virus infected persons treated with direct-acting antivirals","authors":"Charlotte Lybeck,&nbsp;Daniel Bruce,&nbsp;Scott M. Montgomery,&nbsp;Soo Aleman,&nbsp;Ann-Sofi Duberg","doi":"10.1002/ygh2.456","DOIUrl":"https://doi.org/10.1002/ygh2.456","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and aims</h3>\u0000 \u0000 <p>Direct-acting antivirals (DAAs) against HCV have an immune modulatory effect, this could possibly lead to a decreased tumour control. We, therefore, aimed to assess the risk of extrahepatic cancer (EHC) during and the first years after DAA treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Results</h3>\u0000 \u0000 <p>This is a nationwide cohort study with prospectively collected data for 19 685 persons with HCV, 4013 DAA treated, 3071 interferon (IFN) treated and 12 601 untreated, from 2008 to 2016. Follow-up time was maximum 3 years. The risk for EHC was compared between the groups using Cox regression analyses, with adjustment for age and Charlson Comorbidity Index (CCI). The HCV-infected groups were also compared with matched cohorts without HCV from the general population. In total 341 EHCs were identified, 84, 43 and 214 EHC in the DAA, IFN and untreated group respectively. The EHC risk in DAA treated compared with IFN treated was doubled, but when adjusted for age and CCI the HR was 1.07 (95% CI 0.74-1.56). Compared with the general population, the HR of EHC for the DAA group was 1.45 (CI 1.13-1.86), with the difference remaining statistically significant after adjusting for CCI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We found no increased risk for EHC associated with DAA therapy after adjustment for age and CCI. An increased risk of EHC in DAA treated compared with the general population was though seen, and attention should be paid to this association in the ageing population with a history of HCV infection.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"3 3","pages":"185-195"},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ygh2.456","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71947528","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: 3
Liver disease symptoms are associated with higher risk of adverse clinical outcomes: A longitudinal study of North American adults with chronic Hepatitis B 肝病症状与较高的不良临床结果风险相关:一项对北美成年慢性乙型肝炎患者的纵向研究
GastroHep Pub Date : 2021-05-05 DOI: 10.1002/ygh2.458
Donna M. Evon, Hsing-Hua S. Lin, Robert J. Fontana, Mandana Khalili, Colina Yim, Abdus S. Wahed, Jay H. Hoofnagle, the Hepatitis B Research Network (HBRN)
{"title":"Liver disease symptoms are associated with higher risk of adverse clinical outcomes: A longitudinal study of North American adults with chronic Hepatitis B","authors":"Donna M. Evon,&nbsp;Hsing-Hua S. Lin,&nbsp;Robert J. Fontana,&nbsp;Mandana Khalili,&nbsp;Colina Yim,&nbsp;Abdus S. Wahed,&nbsp;Jay H. Hoofnagle,&nbsp;the Hepatitis B Research Network (HBRN)","doi":"10.1002/ygh2.458","DOIUrl":"10.1002/ygh2.458","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Symptoms of chronic hepatitis B (CHB) are not well characterised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To evaluate CHB symptoms and associations with disease activity and clinical outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Longitudinal data from 1576 participants in the Hepatitis B Research Network Cohort Study who completed symptom assessments were analysed. A composite symptom score was calculated using a Symptom Checklist (0 = none to 40 = extreme). Multivariable mixed models assessed variables associated with symptom change over time. Latent class symptom trajectories were evaluated. The cumulative probability of long-term clinical outcomes (new onset cirrhosis, hepatic decompensation, hepatocellular carcinoma, liver transplantation, death) was examined by baseline symptom groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants median age was 42 (range: 18-80), 51% were male, 75% Asian, (68% of whom were born outside North America) with a median follow-up of 4.2 years. On average, symptoms did not significantly change over time. The multivariable model identified several variables associated with higher symptoms during follow-up: being female, non-Asian, born in the United States/Canada, lower education, higher AST, lower platelets and more comorbidities. Two patient subgroups were identified based on longitudinal symptom trajectories: a low symptom group (92%, n = 1451) with symptom scores averaging 2.4 over time and a moderate symptom group (8%, n = 125) with symptom scores averaging 11.5. During follow-up, 7.3% in the moderate symptom group, but only 3.2% of the low symptom group, developed adverse outcomes (<i>P</i> = 0.02).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In this large cohort of CHB patients, symptoms were generally mild and stable over time. However, in some patients with moderate symptoms at baseline, deleterious clinical outcomes were more frequent at follow-up.</p>\u0000 \u0000 <p>ClinicalTrials.gov Identifier: NCT01263587.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"3 3","pages":"196-208"},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ygh2.458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39334062","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: 1
Diagnostic accuracy of patient-reported outcomes in predicting endoscopic subscore in patients with ulcerative colitis 患者报告结果预测溃疡性结肠炎患者内镜分量表的诊断准确性
GastroHep Pub Date : 2021-05-04 DOI: 10.1002/ygh2.457
Jean-Frederic Colombel, Peter L. Lakatos, Genoile O. Santana, Andrew G. Bushmakin, Joseph C. Cappelleri, Nervin Lawendy, Dario Ponce de Leon, Nicole Kulisek
{"title":"Diagnostic accuracy of patient-reported outcomes in predicting endoscopic subscore in patients with ulcerative colitis","authors":"Jean-Frederic Colombel,&nbsp;Peter L. Lakatos,&nbsp;Genoile O. Santana,&nbsp;Andrew G. Bushmakin,&nbsp;Joseph C. Cappelleri,&nbsp;Nervin Lawendy,&nbsp;Dario Ponce de Leon,&nbsp;Nicole Kulisek","doi":"10.1002/ygh2.457","DOIUrl":"https://doi.org/10.1002/ygh2.457","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Tofacitinib is an oral, small molecule Janus kinase inhibitor for the treatment of ulcerative colitis (UC). In patients with UC, associations between endoscopic findings and UC symptoms are not well described.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Post hoc analysis of data from two randomised, placebo-controlled, 8-week, phase 3 studies of tofacitinib for the treatment of patients with UC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Associations of stool frequency and rectal bleeding subscores with endoscopic improvement (Mayo endoscopic subscore ≤1) were assessed and relationships studied using regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis of two-by-two contingency tables showed that dichotomised stool frequency and rectal bleeding were each or both not good predictors of endoscopic improvement. Using stool frequency and/or rectal bleeding as predictors of endoscopic subscore, regression modelling analyses demonstrated a weak relationship between variables. However, a robust relationship was observed with endoscopic subscore as a predictor of stool frequency and rectal bleeding. In OCTAVE Induction 1, normal/inactive disease (endoscopic subscore 0) corresponded to a least-squares mean value of 0.05 for rectal bleeding (no blood), and severe disease (endoscopic subscore 3) corresponded to a value of 1.5 (interpreted as streaks of blood with stool &lt;50% of the time [score of 1] or obvious blood with stool most of the time [score of 2]). OCTAVE Induction 2 results were similar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results suggest that the likelihood of endoscopic improvement or normalisation is higher in patients with normal stool frequency and without rectal bleeding, but that these symptoms alone are not predictive of endoscopic improvement or normalisation, and endoscopy is needed for disease assessment.</p>\u0000 \u0000 <p>ClinicalTrials.gov: NCT01465763; NCT01458951.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"3 3","pages":"161-168"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ygh2.457","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71944544","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: 2
Predicting mortality for cirrhotic patients with acute oesophageal variceal haemorrhage using liver‐specific scores 使用肝脏特异性评分预测肝硬化合并急性食管静脉曲张出血患者的死亡率
GastroHep Pub Date : 2021-05-04 DOI: 10.1002/ygh2.460
A. Z. Terres, R. Balbinot, A. L. Muscope, L. Eberhardt, J. I. Balensiefer, B. Cini, Gilberto L. Rost, M. L. Longen, B. Schena, R. A. Balbinot, S. Balbinot, J. Soldera
{"title":"Predicting mortality for cirrhotic patients with acute oesophageal variceal haemorrhage using liver‐specific scores","authors":"A. Z. Terres, R. Balbinot, A. L. Muscope, L. Eberhardt, J. I. Balensiefer, B. Cini, Gilberto L. Rost, M. L. Longen, B. Schena, R. A. Balbinot, S. Balbinot, J. Soldera","doi":"10.1002/ygh2.460","DOIUrl":"https://doi.org/10.1002/ygh2.460","url":null,"abstract":"Acute oesophageal variceal haemorrhage (AOVH) is one of the most common complications of cirrhosis, treated with terlipressin plus endoscopic variceal banding. Identifying patients with a high chance to survive is paramount in order to allocate resources with accuracy. The purpose of this study was to analyse if liver‐specific scores are capable of prognosticating mortality for AOVH patients.","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"111 4","pages":"236 - 246"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91472801","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: 5
Predicting mortality for cirrhotic patients with acute oesophageal variceal haemorrhage using liver-specific scores 应用肝脏特异性评分预测肝硬化急性食管静脉曲张破裂出血患者的死亡率
GastroHep Pub Date : 2021-05-04 DOI: 10.1002/ygh2.460
Alana Z. Terres, Rafael S. Balbinot, Ana L. F. Muscope, Louise Z. Eberhardt, Juline I. L. Balensiefer, Bruna T. Cini, Gilberto L. Rost Jr., Morgana L. Longen, Bruna Schena, Raul A. Balbinot, Silvana S. Balbinot, Jonathan Soldera
{"title":"Predicting mortality for cirrhotic patients with acute oesophageal variceal haemorrhage using liver-specific scores","authors":"Alana Z. Terres,&nbsp;Rafael S. Balbinot,&nbsp;Ana L. F. Muscope,&nbsp;Louise Z. Eberhardt,&nbsp;Juline I. L. Balensiefer,&nbsp;Bruna T. Cini,&nbsp;Gilberto L. Rost Jr.,&nbsp;Morgana L. Longen,&nbsp;Bruna Schena,&nbsp;Raul A. Balbinot,&nbsp;Silvana S. Balbinot,&nbsp;Jonathan Soldera","doi":"10.1002/ygh2.460","DOIUrl":"https://doi.org/10.1002/ygh2.460","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Acute oesophageal variceal haemorrhage (AOVH) is one of the most common complications of cirrhosis, treated with terlipressin plus endoscopic variceal banding. Identifying patients with a high chance to survive is paramount in order to allocate resources with accuracy. The purpose of this study was to analyse if liver-specific scores are capable of prognosticating mortality for AOVH patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and setting</h3>\u0000 \u0000 <p>Historical cohort study was conducted in a public tertiary care teaching hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from medical records from 2010 to 2016 were obtained by searching the hospital electronic database patients who received terlipressin. Charts were reviewed in order to determine the diagnosis of cirrhosis and AOVH. Data in these charts were reviewed and multiple variables were collected. The study included 97 patients. Liver-specific scores were calculated and ROC-curves pairwise comparisons were performed using DeLong test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Model for End-Stage Liver Disease-Sodium (MELD-Na) was able to predict mortality in 30 and 90-day, with AUROC of 0.76 and 0.78 respectively. Values of MELD-Na above 17 were able to predict higher mortality for all patients, with the sensitivity of 69% and 67% and the specificity of 75% and 77% for 30 and 90-day mortality respectively (<i>P</i> &lt; 0.05). Although, when stratifying for acute-on-chronic liver failure patients, Chronic Liver-Failure-Sequential Organ Failure Assessment (CLIF-SOFA) performed better than other liver-specific scores, whereas Child-Turcotte-Pugh performed better for acute decompensation patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MELD-Na score was superior to other liver-specific scores for predicting mortality in a cohort of cirrhotic patients admitted due to AOVH in a tertiary hospital.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"3 4","pages":"236-246"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ygh2.460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71944551","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: 6
Liver injury, SARS-COV-2 infection and COVID-19: What physicians should really know? 肝损伤、SARS-COV-2感染和COVID-19:医生应该真正了解什么?
GastroHep Pub Date : 2021-05-02 DOI: 10.1002/ygh2.455
Anna Licata, Maria Giovanna Minissale, Marco Distefano, Giuseppe Montalto
{"title":"Liver injury, SARS-COV-2 infection and COVID-19: What physicians should really know?","authors":"Anna Licata,&nbsp;Maria Giovanna Minissale,&nbsp;Marco Distefano,&nbsp;Giuseppe Montalto","doi":"10.1002/ygh2.455","DOIUrl":"10.1002/ygh2.455","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background &amp; Aims</h3>\u0000 \u0000 <p>Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is responsible for coronavirus disease 2019 (COVID-19), which in males, especially in advanced age, can sometimes evolve into acute respiratory distress syndrome. In addition, mild to moderate alterations in liver function tests (LFTs) have been reported in the worst affected patients. Our review aims to analyse data on the incidence and prognostic value of LFT alterations, the underlying mechanisms and the management of pre-existing liver disease in COVID-19 affected patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched available literature through online PubMed database using terms as “SARS-CoV-2,” “Liver damage,” “Liver Function tests,” “COVID-19,” “pre-existing liver disease,” “drug-induced liver injury.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Available evidence suggest that there could be a relationship between SARS-CoV-2 infection and liver damage, although the underlying involved mechanism remains unclear. Cohort studies have shown that high ALT levels, low platelet counts and low albumin levels at admission and during hospitalisation are associated with a high mortality rate. Unfortunately, little is known about the impact of COVID-19 on pre-existing liver damage. While chronic viral infections or NAFLD are associated with an increased risk of COVID-19 progression, patients with cirrhosis may have increased susceptibility to SARS-CoV-2 infection due to their systemic immunocompromised status. DILI seems common among hospitalised patient with severe pneumonia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Mild to moderate liver impairment during Covid-19 is common, especially in patients with pre-existing liver disease. Further studies should be performed in order to understand how pre-existing liver conditions may influence and worsen progression of liver disease in COVID-19 patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"3 3","pages":"121-130"},"PeriodicalIF":0.0,"publicationDate":"2021-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ygh2.455","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39249336","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: 11
The Helicobacter pylori detection rate by using combination of rapid urease test at antrum and body vs histopathology in population who stop proton pump inhibitor less than 2 weeks 停止质子泵抑制剂治疗不足2周的人群中,胃窦和体快速脲酶联合检测幽门螺杆菌检出率与组织病理学对比
GastroHep Pub Date : 2021-05-01 DOI: 10.1002/ygh2.496
Pitchayut Boonyabaramee, R. Pittayanon, Anapat Sunpavat, Nathawadee Lerttanatum, Natee Faknak, N. Wisedopas
{"title":"The Helicobacter pylori detection rate by using combination of rapid urease test at antrum and body vs histopathology in population who stop proton pump inhibitor less than 2 weeks","authors":"Pitchayut Boonyabaramee, R. Pittayanon, Anapat Sunpavat, Nathawadee Lerttanatum, Natee Faknak, N. Wisedopas","doi":"10.1002/ygh2.496","DOIUrl":"https://doi.org/10.1002/ygh2.496","url":null,"abstract":"Helicobacter pylori (H pylori) assessment in patients who stop taking proton pump inhibitor (PPI) in less than 2 weeks has never been established. Experts have suggested using pathology rather than rapid urease test (RUT). Unfortunately, pathology is not widely available in limited resource areas. We aimed to evaluate the detection rate of RUT at antrum and body compared with pathology in those patients.","PeriodicalId":12480,"journal":{"name":"GastroHep","volume":"11 1","pages":"339 - 343"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74473848","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}
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