Gastroenterology最新文献_第9页

Reply to Yang and Shan 答复杨和山

IF 29.4 1区医学

Gastroenterology Pub Date : 2025-02-28 DOI: 10.1053/j.gastro.2025.02.015

Francine van Wifferen, Marjolein J.E. Greuter, Veerle M.H. Coupé

引用次数: 0

Toward Optimizing Familial Colorectal Cancer Surveillance Strategies 优化家族性结直肠癌监测策略

IF 29.4 1区医学

Gastroenterology Pub Date : 2025-02-28 DOI: 10.1053/j.gastro.2025.01.251

Chuang Yang, Dan Shan

引用次数: 0

Reply to Hassan and Ibrahim and to Ba et al

IF 29.4 1区医学

Gastroenterology Pub Date : 2025-02-27 DOI: 10.1053/j.gastro.2025.02.014

Veerle M.H. Coupé, Beatriz Carvalho, Gerrit A. Meijer

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Regarding "Stool-Based Testing for Post-Polypectomy Colorectal Cancer Surveillance Safely Reduces Colonoscopies: The MOCCAS Study"

IF 29.4 1区医学

Gastroenterology Pub Date : 2025-02-26 DOI: 10.1053/j.gastro.2025.01.250

Ibrahim Nagmeldin Hassan, Mohamed Ibrahim

引用次数: 0

Diagnostic Accuracy of Timed Barium Esophagram for Achalasia

IF 29.4 1区医学

Gastroenterology Pub Date : 2025-02-26 DOI: 10.1053/j.gastro.2025.02.013

Ofer Z. Fass, John E. Pandolfino, Jacob M. Schauer, Nisha Ganesh, Domenico A. Farina, Ayesha Lat, Eric Goudie, Linda Kelahan, Dustin A. Carlson

{"title":"Diagnostic Accuracy of Timed Barium Esophagram for Achalasia","authors":"Ofer Z. Fass, John E. Pandolfino, Jacob M. Schauer, Nisha Ganesh, Domenico A. Farina, Ayesha Lat, Eric Goudie, Linda Kelahan, Dustin A. Carlson","doi":"10.1053/j.gastro.2025.02.013","DOIUrl":"https://doi.org/10.1053/j.gastro.2025.02.013","url":null,"abstract":"<h3>Background and Aims</h3>Timed barium esophagram (TBE) is commonly used to evaluate esophageal motor disorders, though its accuracy is limited. The lack of standardized criteria for TBE interpretation, coupled with reliance on single measurements and outdated reference standards, limits its effectiveness. This study aimed to reexamine the accuracy of TBE interpretation using the Standards for Reporting of Diagnostic Accuracy Studies (STARD) approach and updated reference standards.<h3>Methods</h3>Adult patients with esophageal dysphagia were prospectively enrolled from 2019 to 2022 and underwent motility testing with esophageal manometry, FLIP panometry, and TBE. TBE accuracy for predicting achalasia/FLIP+ esophagogastric junction outflow obstruction (EGJOO), as defined by Chicago Classification 4.0 and FLIP, was assessed using two approaches: barium column height >2 cm at 5 minutes/impacted tablet and a classification tree model.<h3>Results</h3>The study included 290 participants: 121 (42%) with EGJ outflow disorders, 151 (52%) without, and 18 (6%) with inconclusive results. The optimal classification tree had three levels: maximum esophageal body width at the top, maximum EGJ diameter and barium height at the second level, and tablet passage at the bottom. The TBE column height and tablet approach had a sensitivity of 77.8%, specificity 86.0%, and accuracy 82.2%, while the classification tree model achieved a sensitivity of 84.2%, specificity 92.1%, and accuracy of 88.3%.<h3>Conclusions</h3>TBE can accurately identify achalasia/FLIP+ EGJOO when using multiple metrics in a classification tree model. This provides a simple, standardized approach to TBE interpretation that is superior to traditional single-metric methods.","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":"2 1","pages":""},"PeriodicalIF":29.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating Stool-Based CRC Surveillance: Rethinking Sensitivity and Adherence

IF 29.4 1区医学

Gastroenterology Pub Date : 2025-02-26 DOI: 10.1053/j.gastro.2024.11.035

Yuhao Ba, Shutong Liu, Anning Zuo, Dan Shan, Zaoqu Liu

引用次数: 0

Randomized Trial on Dietary Elimination Based on IBS-Specific IgG Testing: Has the Evidence for Food Sensitivity Arrived?

IF 29.4 1区医学

Gastroenterology Pub Date : 2025-02-25 DOI: 10.1053/j.gastro.2025.02.012

Heidi M. Staudacher, Andrea Shin

引用次数: 0

Recurrent Acute Pancreatitis (RAP): many faces(/facets) of a challenging disease