{"title":"Hepatocellular carcinoma.","authors":"R. C. Johnson","doi":"10.1002/0471463736.tnmp20.pub2","DOIUrl":"https://doi.org/10.1002/0471463736.tnmp20.pub2","url":null,"abstract":"Hepatocellular carcinoma is a deadly disease and the most common form of primary liver disease in the world. A great deal of new research into all aspects of the disease is reported each year. This review examined many of the most recent publications concerning HCC and reports some of the more interesting developments. The paper attempts to highlight information which may be of practical use to health care providers and provides a source of references for further investigation. Some of the latest information concerning prognosis, etiology, diagnostic techniques is summarized. This article also discusses advances in the therapy, both medical and surgical, for Hepatocellular carcinoma.","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"44 13 1","pages":"307-12"},"PeriodicalIF":0.0,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49487796","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}
{"title":"The Rule of Law, Economic Efficiency and Social Justice: A Primer for the President","authors":"J. Stiglitz","doi":"10.7916/D8-2HGE-8S79","DOIUrl":"https://doi.org/10.7916/D8-2HGE-8S79","url":null,"abstract":"","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71364182","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}
{"title":"Predicting hepatocellular carcinoma recurrence and survival","authors":"Minuk Gy, Yu D, Holmes S, Uhanova J, Lipschitz J, McKay A","doi":"10.15761/GHE.1000111","DOIUrl":"https://doi.org/10.15761/GHE.1000111","url":null,"abstract":"Background: Beta blockers can inhibit tumor growth and metastases, while necroinflammation can enhance these tumor properties. Objective: To determine whether beta blockers and necroinflammatory disease predict tumor recurrence and/or overall survival following potentially curative therapeutic interventions for patients with hepatocellular carcinoma (HCC). Methods: The medical records of 36 adults with non-metastatic HCC who had undergone surgical resections and/or radiofrequency ablation (RFA) were retrospectively reviewed. In addition to post-intervention beta blocker usage and serum alanine aminotransferase levels greater than 2xULN, other variables commonly associated with recurrences such as number and size of tumors, state of differentiation and vascular invasion were included in univariate and multivariate analyses for recurrence and survival. Results: Vascular invasion (OR 29.3, 95% CI 2.6-33.6) and surgical resection (OR 0.19, 95% CI 0.04-0.90) emerged from univariate (p=0.003 and 0.03 respectively) and multivariate (p=0.005 and 0.048 respectively) regression as predictors of tumor recurrence whereas beta blocker usage (OR 0.03, 95% CI 0.04-0.9, p=0.03) and tumor recurrence (OR 6.7, 95% CI 1.6-28.1, p=0.026) correlated with overall survival. Conclusions: Neither beta blocker usage nor serum ALT levels predict HCC recurrences, but beta blocker usage is associated with improved overall survival following potentially curative therapeutic interventions for HCC in adults. Correspondence to: Dr. G.Y. Minuk, Department of Internal Medicine, University of Manitoba, John Buhler Research Centre, 715 McDermot Ave., Canada, E-mail: gminuk@cc.umanitoba.ca","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67464386","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}
Mahmoud El-Bendary, Mustafa A Neamatallah, Mohamed Abd El-Maksoud, Maha Amin
{"title":"Interleukin 28B Polymorphism Predicts Treatment Outcome Among Egyptian Patients Infected With HCV Genotype 4.","authors":"Mahmoud El-Bendary, Mustafa A Neamatallah, Mohamed Abd El-Maksoud, Maha Amin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>Egypt has the highest prevalence of HCV worldwide (15%) with a high morbidity and mortality from chronic liver disease, cirrhosis, and hepatocellular carcinoma. The Aim of this study was to investigate the associations between IL-28B single nucleotide polymorphisms (SNP rs12979860) and treatment outcome among Egyptian patients infected with HCV genotype 4.</p><p><strong>Methodology: </strong>HCV patients were genotyped as CC, CT, or TT at the polymorphic site, rs12979860 in unrelated case control of Egyptian population with HCV.</p><p><strong>Results: </strong>By using univariate regression analysis, the minor allele of IL28B (p < 0.0001), high serum level of HCV-RNA (p = 0.035), and advanced fibrosis (p = 0.02) were associated with (NRs) (Odds ratio, 3.75 with 95% confidence nterval (2.308-6.1067). While, in multivariate logistic regression analysis, rs12979860 CC genotype was the strongest predictive of SVR (OR = 20.83, 95% CI = 11.63- 37.04, p < 0.0001).</p><p><strong>Conclusion: </strong>The IL28B rs12979860 SNP is the strongest predictor of an SVR among Egyptian patients infected with HCV-4.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 140","pages":"947-50"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138798195","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}
W. Leung, D. Tong, S. Leung, F. S. Chan, T. Tong, R. S. Ho, K. Chu, S. Law
{"title":"Treatment of Gastric Metaplasia or Dysplasia by Endoscopic Radiofrequency Ablation: A Pilot Study.","authors":"W. Leung, D. Tong, S. Leung, F. S. Chan, T. Tong, R. S. Ho, K. Chu, S. Law","doi":"10.5754/HGE14816","DOIUrl":"https://doi.org/10.5754/HGE14816","url":null,"abstract":"BACKGROUND/AIMS\u0000Patients with gastric intestinal metaplasia and dysplasia are at increased risk of gastric cancer development. We tested the feasibility of using endoscopic radiofrequency ablation for the treatment of dysplasia and metaplasia in the stomach.\u0000\u0000\u0000METHODOLOGY\u0000Patients who had histologically confirmed low-grade gastric dysplasia or IM were recruited. Endoscopic RFA was performed at 8 week-intervals for a maximum of 3 sessions. All patients were followed up by endoscopy until 12 months post-RFA. The primary outcome was the complete eradication of dysplasia or IM on follow-up. Secondary outcome was adverse events related to RFA.\u0000\u0000\u0000RESULTS\u0000A total of 12 patients were recruited. Four patients had low-grade dysplasia and the remaining 8 patients had non-dysplastic IM at baseline. At one year after RFA, complete eradication of dysplasia was noted in four patients with low-grade dysplasia (100%). Gastric IM persisted in all patients with baseline metaplasia but the severity of IM improved in 6 (75%) patients. Endoscopic RFA was safe with minimal complications encountered.\u0000\u0000\u0000CONCLUSIONS\u0000RFA successfully eradicated low-grade dysplasia of the stomach. Gastric IM however persisted after RFA but most patients had evidence of histological improvement on follow up.","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 139 1","pages":"748-51"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71082583","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}
{"title":"The significance of combined measurement of p53 antibody and other tumor markers for colorectal cancer after curative resection","authors":"川原 大輔","doi":"10.5754/hge14874","DOIUrl":"https://doi.org/10.5754/hge14874","url":null,"abstract":"","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 1","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2015-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71082722","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}
{"title":"Comparison of the level of intraoperative nociception between laparoscopic and open hepatic resection.","authors":"Kazuma Hashimoto, Hiroki Miyawaki, Sachiko Iwayama, Nobutaka Kariya, Tsuneo Tatara, Munetaka Hirose","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>Sufficient suppression of perioperative nociception is important for ensuring favorable postoperative outcomes. Although the level of nociception during laparoscopic surgery is generally lower than during laparotomy, there is insufficient evidence to support this for hepatic resection.</p><p><strong>Methodology: </strong>To develop a method to retrospectively evaluate the intraoperative nociceptive level, we collected data of intraoperative averaged values of heart rate, perfusion index, systolic blood pressure during three surgeries with different levels of intraoperative nociception. After we validated the utility of discriminant analysis using these variables for the retrospective evaluation of nociception during surgery, we performed this analysis in patients who underwent either laparoscopic or open hepatic resection.</p><p><strong>Results: </strong>Although there was a significant difference in discriminant score between the open and the laparoscopic hepatic resection groups before propensity score matching, discriminant score showed no significant difference between two groups after matching.</p><p><strong>Conclusions: </strong>The level of nociception during laparoscopic hepatic resection is likely similar to that during open hepatic resection. An assertive anti-nociceptive strategy might be required for laparoscopic procedures under general anesthesia, as with open procedures.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"358-62"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33128569","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}
Jung-Chul Kim, Kyung-Tae Kim, Jong-Tae Park, Hyun-Jong Kim, Yasufumi Sato, Hyung-Seok Kim
{"title":"Expression of vasohibin-2 in pancreatic ductal adenocarcinoma promotes tumor progression and is associated with a poor clinical outcome.","authors":"Jung-Chul Kim, Kyung-Tae Kim, Jong-Tae Park, Hyun-Jong Kim, Yasufumi Sato, Hyung-Seok Kim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aimed to assess the expression of vasohibin-2 (VASH2) in pancreatic ductal adenocarcinoma (PDAC) as a marker of tumor aggressiveness and its impact on tumor angiogenesis, proliferation, and clinical outcome. We examined the expression of the VASH2 gene in human pancreatic cell lines PANC-1 and MiaPaCa-2 by quantitative reverse transcription polymerase chain reaction (qRT-PCR) and immunocytochemistry. Fifty samples from patients with PDAC were immunostained with VASH2, CD34, and Ki-67 antibodies. Further, the immunoreactivity of VASH2 correlated with the pathological features, including microvessel density (MVD), tumor cell proliferation (Ki-67 labeling index), and survival. Forty-seven of the 50 samples from PDAC patients showed immunoreactivity for VASH2 along the tumor cell cytoplasm. Among the VASH2-positive samples, 22 were categorized as high VASH2 expression group, and this group had statistical significance with pN stage (p = 0.006), UICC stage (p = 0.033), tumor proliferation (p < 0.001), and MVD (p = 0.017). Moreover, patients with high VASH2 expression showed worse prognosis compared to those showing low VASH2 expression (overall logrank p = 0.003). Thus, our results suggested that overexpression of VASH2 accelerated the pace of tumor development toward a more serious malignant phenotype and was associated with a poor clinical outcome. VASH2 may be an important novel target for the management of PDAC after surgery.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"251-6"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33253463","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}