Indian Journal of Gastroenterology最新文献

{"title":"Reply to evolving strategies for ERCP in pregnant patients.","authors":"Venkatesh Vaithiyam, Ashok Dalal, Siddharth Srivastava, Ujjwal Sonika","doi":"10.1007/s12664-025-01956-4","DOIUrl":"10.1007/s12664-025-01956-4","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"955-956"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258098","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":"Correlation of endoscopic findings, histopathological features and Helicobacter pylori infection in adult dyspeptic patients from the cold desert tribal region of Spiti Valley, Himachal Pradesh.","authors":"Neetu Sharma, Vishal Bodh, Dinesh Kumar, Brij Sharma, Anchana Gulati, Rajesh Sharma, Ashish Chauhan, Amit Sachdeva, Keshu Jindal, Tenzin Norbu, Sidhant Sharma","doi":"10.1007/s12664-025-01816-1","DOIUrl":"10.1007/s12664-025-01816-1","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, 20% of the populations have dyspeptic symptoms with an extensive differential diagnosis. Endoscopy is a gold standard investigation for finding the etiology of dyspepsia but can miss mucosal lesions in 15% to 30% of cases. The study aims to determine the endoscopic findings, histopathological features and H. pylori infection in adult dyspeptic patients from the tribal area of Himachal Pradesh (H.P.), India.</p><p><strong>Methods: </strong>This cross-sectional observational study retrospectively analyzed the data collected during a health camp in the remote Spiti Valley of H.P. Patients aged 18 years and above were included and data of 106 dyspepsia patients who underwent endoscopic examination was analyzed. Endoscopic gastric biopsies taken in each patient were subjected to rapid urease testing (RUT) and histopathological examination. Data analyzed included basic socio-demographic features, endoscopic and histopathological features.</p><p><strong>Results: </strong>Total 106 patients of dyspepsia were included with a mean age of 46.9 ± 13.4 years and a male to female ratio of 1.4:1. The most common endoscopic abnormality was erosive gastritis followed by peptic ulcer disease. The most common histopathological finding was chronic active gastritis with H. pylori (83.0%). Gastric intestinal metaplasia (GIM) was seen in 48.1%. While endoscopy demonstrated high sensitivity (76.5%), specificity (75.0%) and positive predictive value (PPV, 98.7%) for identifying histopathological abnormalities in gastric biopsy, its negative predictive value (NPV, 11.1%) remained low. The correlation between RUT and histopathological examination for H. pylori was statistically significant.</p><p><strong>Conclusion: </strong>Erosive gastritis and peptic ulcer disease are prevalent endoscopic findings among adult dyspeptic patients from the tribal region of Spiti Valley in Himachal Pradesh. Histopathologically, H. pylori-related chronic active gastritis and gastric intestinal metaplasia are commonly observed abnormalities. Although endoscopy exhibits high sensitivity, specificity and PPV for detecting histopathological changes in gastric biopsies, its NPV is notably low.</p><p><strong>Clinical trial registry number: </strong>NA.</p>","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"884-890"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560038","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":"Ergonomic equity in endoscopy: A call for gender-sensitive design and policy reform.","authors":"Arshia Bhardwaj, Arshdeep Singh, Vandana Midha, Ajit Sood","doi":"10.1007/s12664-025-01920-2","DOIUrl":"10.1007/s12664-025-01920-2","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"939-940"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896318","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":"Letter to editor reply: Non-invasive liver fibrosis screening and referral patterns in women with dependence due to psychoactive substance use: A single-centre retrospective study.","authors":"Misbah Unnisa","doi":"10.1007/s12664-026-01971-z","DOIUrl":"10.1007/s12664-026-01971-z","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"949-950"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194285","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":"Surgical management of post-cholecystectomy isolated sectoral duct injury.","authors":"Mohanasundaram Avudaiappan, Thakur Deen Yadav, Harjeet Singh","doi":"10.1007/s12664-024-01593-3","DOIUrl":"10.1007/s12664-024-01593-3","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"926-928"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140896363","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":"Unusual appearance of hepatic cavernous hemangioma on ultrasound in a patient with fatty liver.","authors":"Divij Agarwal, Sunil Taneja, Pankaj Gupta","doi":"10.1007/s12664-024-01710-2","DOIUrl":"10.1007/s12664-024-01710-2","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"972-973"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872068","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":"From abdominal adiposity to liver fibrosis: Expanding promise of semaglutide for Asian Indians.","authors":"Amerta Ghosh, Anoop Misra","doi":"10.1007/s12664-025-01881-6","DOIUrl":"10.1007/s12664-025-01881-6","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"808-812"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274552","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":"Balancing therapy and safety: Evolving strategies for ERCP in pregnant patients.","authors":"Chalapathi Rao Achanta","doi":"10.1007/s12664-025-01949-3","DOIUrl":"10.1007/s12664-025-01949-3","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"941-942"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965884","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":"Nutrition in achalasia cardia-A neglected frontier.","authors":"Urvashi Rana, Harshal S Mandavdhare","doi":"10.1007/s12664-025-01866-5","DOIUrl":"10.1007/s12664-025-01866-5","url":null,"abstract":"","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"801-803"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952652","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":"Nurturing gut health: A comprehensive framework.","authors":"Manas Kumar Panigrahi, Prajna Anirvan, Mitali Madhumita Rath, S Sebastian","doi":"10.1007/s12664-025-01912-2","DOIUrl":"10.1007/s12664-025-01912-2","url":null,"abstract":"<p><p>Gut health is gradually emerging as a cornerstone of overall well-being, influencing a wide range of physiological systems including the nervous, immune, metabolic and hepatic pathways. Disruption of the gut ecosystem has been implicated in functional gastrointestinal disorders, metabolic diseases, mental health disturbances and many other entities. The novel concept of 'bowel hygiene' can be developed as a comprehensive, structural framework akin to oral or sleep hygiene, which emphasizes daily, modifiable lifestyle behaviors that can be utilized to improve gastrointestinal function. The conceptual framework of bowel hygiene is based on evidence from dietetics, behavioral science, exercise physiology and traditional practices and identifies five core pillars - dietary regulation and hydration, adhering to routine timing, physical activity, mind-body practices and behavioral toileting habits. These practices, supported by emerging scientific evidence, aim to improve gut motility, stool consistency, microbial diversity and stress resilience and potentially reduce the burden of chronic gastrointestinal and functional bowel disorders. Traditional knowledge systems and community proverbs and sayings, also align with this approach, lending it socio-cultural legitimacy. The potential of bowel hygiene to serve as a low-cost, scalable, culturally adaptable intervention that can be introduced at individual, community and school levels to promote lifelong digestive health needs to be urgently explored from the perspective of public health. While clinical and mechanistic studies continue to evolve, the current understanding suggests that this concept holds significant promise for integration into public health and preventive medicine paradigms.</p>","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"828-837"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900397","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}