Minerva gastroenterology最新文献

{"title":"Effect of preoperative colonoscopy combined with preservation of the right vein of the gastric omentum during radical resection of intestinal cancer on the efficacy and prognostic indicators of the procedure.","authors":"Faqiang Zhang,&nbsp;Huan Luo","doi":"10.23736/S2724-5985.22.03284-3","DOIUrl":"https://doi.org/10.23736/S2724-5985.22.03284-3","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to investigate the clinical value of preoperative colonoscopy combined with right gastroepiploic vein preservation (RGV) in radical resection of colorectal cancer for right colon cancer.</p><p><strong>Methods: </strong>A total of 120 patients with right colon cancer in our hospital from February 2019 to October 2021 were selected and randomly divided into study group (RGV preserved during operation) and control group (RGV not preserved during operation), with 60 cases in each group. Perioperative parameters, intestinal fatty acid binding protein (I-FABP), Pittsburgh Sleep Quality Index (PSQI), total protein (TP), D-lactate (D-LA), quality of life scale (SF-36) scores, incidence of complications, and tumor recurrence rate were compared between the two groups.</p><p><strong>Results: </strong>Duration of hospitalization was shorter in the study group than in the control group (P<0.05). Six months after surgery, I-FABP, D-LA levels and PSQI scores were lower, and TP levels and SF-36 scores were higher in the study group than in the control group (P<0.05). The incidence of complications in the study group (11.67% vs. 33.33%) was lower than that in the control group (P<0.05). There was no significant difference in tumor recurrence rate 6 months after operation between the two groups (P>0.05).</p><p><strong>Conclusions: </strong>Preoperative colonoscopy combined with RGV preservation in radical resection of colorectal cancer for right colon cancer can avoid surgical trauma caused by unnecessary transection, reduce gastrointestinal function damage, promote physical rehabilitation and shorten hospital stay, and reduce the risk of complications such as gastroparesis.</p>","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"396-402"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does completing advanced endoscopy fellowship improve outcomes after endoscopic mucosal resection?","authors":"Mohamad Mouchli,&nbsp;Lindsey Bierle,&nbsp;Shravani Reddy,&nbsp;Christopher Walsh,&nbsp;Adil Mir,&nbsp;Paul Yeaton,&nbsp;Vikas Chitnavis","doi":"10.23736/S2724-5985.21.02782-3","DOIUrl":"https://doi.org/10.23736/S2724-5985.21.02782-3","url":null,"abstract":"<p><strong>Background: </strong>It was reported that about 60% of the physicians in the USA believed that their Gastroenterology fellowship poorly prepared them for large polyp resection. The aim of this study was to compare endoscopic mucosal resection (EMR) efficacy and complication rates between skilled general gastroenterologists who perform high volume of EMR and advanced endoscopists.</p><p><strong>Methods: </strong>We identified 140 patients with documented large colonic polyps treated by 4 providers using EMR technique at Carilion Clinic, in Roanoke, Virginia, USA between 01/01/2014-12/31/2017, with follow-up through 10-2018. Information on demographics, clinical and pathological features of high-risk polyps (i.e., size, histology, site, and degree of dysplasia), timing of surveillance endoscopies, tools used during resection, and skills of performing endoscopist's were extracted. The cumulative risks of polyp recurrence after first resection using EMR technique were estimated using Kaplan-Meier curves.</p><p><strong>Results: </strong>One hundred and forty patients were identified (mean age, 64.1±11.2 years; 47.1% males). Fifty-five polyps (39.3%) were removed by 2 skilled gastroenterologists and 85 (60.7%) were removed by advanced endoscopists. Most of the polyps resected were located in the right colon (63.6%) and roughly half of the polyps were removed in piecemeal fashion. At follow-up endoscopy, the advanced endoscopy group had lower polyp recurrence rates. The median recurrence after polypectomy was significantly different between the groups (0.88 and 1.03 years for skilled gastroenterologists who did not complete and completed EMR hands-on workshops; respectively vs. 3.99 years for the advanced endoscopist who did not complete EMR hands-on workshop, P=0.03).</p><p><strong>Conclusions: </strong>There is a need for additional EMR training since polyp recurrence was significantly different between the groups despite high rates of piecemeal resection in the advanced endoscopy groups.</p>","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"344-350"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of capsule endoscopy in octogenarian patients: a retrospective study.","authors":"Alessandro Pezzoli,&nbsp;Matteo Guarino,&nbsp;Nadia Fusetti,&nbsp;Elena Pizzo,&nbsp;Marzia Simoni,&nbsp;Loredana Simone,&nbsp;Viviana Cifalà,&nbsp;Riccardo Solimando,&nbsp;Benedetta Perna,&nbsp;Gianni Testino,&nbsp;Giacomo Caio,&nbsp;Lisa Lungaro,&nbsp;Fabio Caputo,&nbsp;Giorgio Zoli,&nbsp;Alberto Merighi,&nbsp;Roberto DE Giorgio","doi":"10.23736/S2724-5985.22.03220-X","DOIUrl":"https://doi.org/10.23736/S2724-5985.22.03220-X","url":null,"abstract":"<p><strong>Background: </strong>Life expectancy and the number of ultra-octogenarians increased significantly, thus making crucial the appropriateness of several endoscopic procedures in elderly patients. The aim of our study was to provide a retrospective analysis of the efficacy and safety of capsule endoscopy (CE) in patients aged over 80 years.</p><p><strong>Methods: </strong>In this single-centre study, 900 patients underwent capsule endoscopy between 2002 and 2015 for different indications; of these 106 patients aged ≥80 years (group A) and 99 patients aged 40-60 years (control group B) were retrospectively selected.</p><p><strong>Results: </strong>Occult gastrointestinal bleeding accounted for 62.1% of all indications for capsule endoscopy in group B, compared to 95.2% in group A (P<0.001). Although not statistically significant, the diagnostic yield was higher in group A (71%) vs. group B (62%). The percentages of reaching the cecum and the median gastric transit time were uniform within the two groups. In contrast, small bowel transit time was longer in group A vs. B. Small bowel preparation was similar in the two groups. The exam was generally well tolerated in both groups, with capsule aspiration being one of the main adverse events, which occurred in two elderly patients.</p><p><strong>Conclusions: </strong>Our data expand previous findings confirming that capsule endoscopy can be performed safely even in very old patients and show that the diagnostic yield is similar to that of younger patients.</p>","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"388-395"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10169707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the effect of application and satisfaction of targeted nursing interventions in the care of gastric cancer patients undergoing chemotherapy.","authors":"Jia Zhang,&nbsp;Xiling Zang,&nbsp;Chong Li","doi":"10.23736/S2724-5985.23.03366-1","DOIUrl":"https://doi.org/10.23736/S2724-5985.23.03366-1","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"449-451"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does fecal calprotectin increase may be linked to lactose intolerance in patients with irritable bowel syndrome?","authors":"Marine Guingand de Rivery,&nbsp;Hamidou Zeinab,&nbsp;Valérie Cohen,&nbsp;Karine Baumstarck,&nbsp;Laure Luciano,&nbsp;Véronique Vitton","doi":"10.23736/S2724-5985.21.02802-6","DOIUrl":"https://doi.org/10.23736/S2724-5985.21.02802-6","url":null,"abstract":"<p><strong>Background: </strong>Irritable bowel syndrome (IBS) is a multifactorial condition without any specific investigation. Fecal calprotectin (FC) may be elevated in IBS without any explanation. In addition, some patients with IBS have symptoms related to lactose intolerance. Our main aim was to investigate whether an increase in FC could be related to lactose intolerance in patients with IBS.</p><p><strong>Methods: </strong>In this retrospective single-center study, all patients with IBS who have underwent a FC test and a lactose respiratory test within a period of less than 6 months were eligible. A FC greater than or equal to 50 μg/g was considered abnormal.</p><p><strong>Results: </strong>Severnty-six patients (48 females), mean age 38±15 years were included. Symptoms were respectively: bloating in 57%, diarrhea in 76% and abdominal pain in 46% of cases. Among the 76 patients: 22 (29%) had FC≥50 μg/g and 9/22 (41%) had a positive lactose test. No significant relationship could be identified between the increase in FC and the lactose test positivity. The value of the FC was also not related to the subtype of IBS or the positivity of the glucose test.</p><p><strong>Conclusions: </strong>In our study, the increase in FC was not significantly related to the presence of lactose intolerance. Nevertheless, our work, despite its originality, is limited by its retrospective nature and small number of patients. Future studies including larger numbers of patients may identify the causes of elevated FC in patients with IBS to individualize different subgroups of patients to best adapt therapeutic management.</p>","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"329-334"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic versus laparoscopic total mesorectal excision for rectal cancer: a meta-analysis of long-term survival and urogenital functional outcomes.","authors":"Xian Li,&nbsp;Zhen-Hua Liu,&nbsp;Ning Wang,&nbsp;Jie Ding,&nbsp;Fei Fan,&nbsp;Xiang-Ying Cen,&nbsp;Ming Wu,&nbsp;Rui Mi,&nbsp;Hang Liu,&nbsp;Yuan-Ling Zhang","doi":"10.23736/S2724-5985.21.02850-3","DOIUrl":"https://doi.org/10.23736/S2724-5985.21.02850-3","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic surgical technology has been widely introduced and applied in various fields of surgery. The aim of this study was to analyze long-term oncological and urogenital functional outcomes following laparoscopic/robotic total mesorectal excision (TME) in rectal cancer surgery.</p><p><strong>Evidence acquisition: </strong>We identified studies that compared oncological and functional outcomes following laparoscopic TME (LTME) and robotic TME (RTME) for treatment of rectal cancer over the past 16 years. Data related to overall survival (OS), disease-free survival (DFS), International Prostate Symptom Score (IPSS), and International Index of Erectile Function (IIEF) were subjected to meta-analysis.</p><p><strong>Evidence synthesis: </strong>There was no difference in long-term OS and DFS in the pooled data. Compared with LTME, there were significant differences in the score of IPSS at 3, 6 and 12 months for RTME, in the pooled data for male patients. There were significant differences in IIEF score for male patients at 3 and 6 months.</p><p><strong>Conclusions: </strong>Compared with LTME, RTME has better preservation of urinary and sexual functions and comparable long-term oncological outcome in rectal cancer.</p>","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"403-411"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Groove pancreatitis.","authors":"Giovanni Valentini,&nbsp;Monica Surace,&nbsp;Silvia Grosso,&nbsp;Annalisa Vernetto,&nbsp;Anna M Serra,&nbsp;Immacolata Andria,&nbsp;Dario Mazzucco","doi":"10.23736/S2724-5985.20.02721-X","DOIUrl":"https://doi.org/10.23736/S2724-5985.20.02721-X","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"436-438"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of health education implementation form in the Chinese medicine nursing program for lung cancer.","authors":"Weiwei Wang,&nbsp;Hongmei Wang,&nbsp;Fei Sun,&nbsp;Xiling Zang","doi":"10.23736/S2724-5985.23.03367-3","DOIUrl":"https://doi.org/10.23736/S2724-5985.23.03367-3","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"456-458"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the effectiveness of health education pathway in the care of patients with gestational diabetes mellitus.","authors":"Xiao Lu,&nbsp;Yongjuan Xu,&nbsp;Hongmei Wang","doi":"10.23736/S2724-5985.23.03364-8","DOIUrl":"https://doi.org/10.23736/S2724-5985.23.03364-8","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"442-444"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10175058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of autoimmune pancreatitis during the second wave of COVID-19.","authors":"Giovanni Valentini,&nbsp;Dario Mazzucco,&nbsp;Immacolata Andria,&nbsp;Monica Surace","doi":"10.23736/S2724-5985.21.02922-3","DOIUrl":"https://doi.org/10.23736/S2724-5985.21.02922-3","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"433-435"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10185128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}