Minerva gastroenterology最新文献

{"title":"Liver involvement in adult-onset Still's disease: our experience in a third level liver unit and review of the literature.","authors":"Michele Roma, Silvia Bonetto, Ilaria Giovo, Daniela Campion, Felice Rizzi, Clara L Peroni, Giorgio M Saracco, Carlo Alessandria","doi":"10.23736/S2724-5985.21.02897-7","DOIUrl":"10.23736/S2724-5985.21.02897-7","url":null,"abstract":"<p><p>Adult-onset Still's Disease (AOSD) is a systemic inflammatory condition, mainly characterized by high spiking fevers, leukocytosis, skin rash, arthralgia and myalgia. Liver involvement is a frequent feature, usually presenting with hepatomegaly and mild liver enzymes abnormalities, which usually normalize after treatment with anti-inflammatory or immunomodulatory drugs given for AOSD. Although uncommon, the onset of severe acute hepatitis and even of life-threatening liver failure is possible and requires a prompt diagnosis and an aggressive therapy and, in some cases, an emergency liver transplantation. The differential diagnosis of the cause of the liver injury can be very challenging in these patients. We reviewed the charts of all consecutive patients admitted for acute hepatitis, between January 2019 and December 2019, to the unit of Gastroenterology and Hepatology, Molinette Hospital, Turin, Italy, searching for episodes AOSD-related. In this period, 21 cases of acute hepatitis were recorded with one among them diagnosed as due to AOSD. The incidence was 5% (1/21). This patient was a woman with a recent diagnosis of AOSD who developed a severe acute seronegative biopsy-proven autoimmune hepatitis. She was successfully treated with high-dose methylprednisolone, with a full and stable recovery from the liver injury. We discussED the incidence, etiology, pathophysiology, diagnosis, and standard of treatment in the clinical management of AOSD with a special attention and a systematic review on the available therapies for severe liver involvement associated with AOSD.</p>","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":" ","pages":"537-545"},"PeriodicalIF":3.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38973446","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":"Orthorexia, lifestyle and social media pressure: what to do?","authors":"Gianni Testino, Rinaldo Pellicano, Patrizia Balbinot","doi":"10.23736/S2724-5985.23.03393-4","DOIUrl":"10.23736/S2724-5985.23.03393-4","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":" ","pages":"581-582"},"PeriodicalIF":3.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9242754","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 factors affecting psychological status and sleep quality of tumor patients after radiotherapy.","authors":"Xuemei Liang, Yingni Luan, Weidong Sun, Xiaoran Zhang, Li Zheng","doi":"10.23736/S2724-5985.23.03397-1","DOIUrl":"10.23736/S2724-5985.23.03397-1","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":" ","pages":"583-584"},"PeriodicalIF":3.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9401207","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":"Colonic gas explosions associated with mannitol bowel preparation: myth or fact? We have to open our minds.","authors":"Gian E Tontini,&nbsp;Giorgio Ciprandi,&nbsp;Maurizio Vecchi","doi":"10.23736/S2724-5985.23.03551-9","DOIUrl":"https://doi.org/10.23736/S2724-5985.23.03551-9","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10592211","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":"Optimization of stroke treatment based on mobile Internet management platform.","authors":"Mouyi Li,&nbsp;Jincong Huang,&nbsp;Zhizhong Lin,&nbsp;Hanwen Liu","doi":"10.23736/S2724-5985.23.03381-8","DOIUrl":"https://doi.org/10.23736/S2724-5985.23.03381-8","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"444-447"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182027","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":"Effect of azithromycin sequential therapy combined with budesonide nebulization on chest CT changes in children with mycoplasma pneumonia.","authors":"Huajun Zhang,&nbsp;Congling Sun,&nbsp;Zhongcui Yu","doi":"10.23736/S2724-5985.23.03373-9","DOIUrl":"https://doi.org/10.23736/S2724-5985.23.03373-9","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"447-449"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182032","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 TGF-beta2 enriched formula as an oral nutritional supplement for hospitalized COVID-19 patients.","authors":"Ilenia Grandone,&nbsp;Massimiliano Cavallo,&nbsp;Luisa Barana,&nbsp;Alberto Cerasari,&nbsp;Giovanni Luca,&nbsp;Gaetano Vaudo","doi":"10.23736/S2724-5985.21.02820-8","DOIUrl":"https://doi.org/10.23736/S2724-5985.21.02820-8","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"435-436"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10239892","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 comprehensive intervention to enhance inpatient colon preparation quality for colonoscopy.","authors":"Andrew J Gawron,&nbsp;Brian Horner,&nbsp;Rudi Zurbuchen,&nbsp;Kathleen Boynton,&nbsp;John Fang","doi":"10.23736/S2724-5985.21.02766-5","DOIUrl":"https://doi.org/10.23736/S2724-5985.21.02766-5","url":null,"abstract":"<p><strong>Background: </strong>Adequate colon preparation is a critical component of high-quality colonoscopy especially for inpatients undergoing colonoscopy for acute indications. Inpatient colonoscopy has a high incidence of inadequate preparations. We report implementation of a multifaceted quality improvement intervention to improve inpatient colonoscopy preparations.</p><p><strong>Methods: </strong>Bowel preparation quality from inpatient colonoscopies performed for the 12 months prior to the comprehensive intervention were compared to colonoscopies performed for 12 months following the intervention. The intervention had multiple components including: 1) EMR-based colonoscopy preparation order set; 2) automated EMR alerts prompting nursing assessment of preparation progress; 3) standardized nursing charting processes for tracking preparation progress; and 4) standardized education for nursing staff and ordering providers on adequate colon preparation, assessment of colon preparation quality, and use of the above processes; and print and video patient education materials.</p><p><strong>Results: </strong>Two hundred thirty-eight inpatient colonoscopies were performed in the preintervention assessment period and 163 colonoscopies in the postintervention period. Median preintervention Boston Bowel Preparation Score (BBPS) was 6 and 26% of patients had inadequate colon preparation. Median postintervention BBPS was 8 with 16% inadequate colon preparation (P=0.016). The postintervention group had less ASA class I patients and used a lower dose of fentanyl than the preintervention group. There were no other significant differences between the pre- and postintervention groups.</p><p><strong>Conclusions: </strong>Implementation of a comprehensive colon preparation quality intervention resulted in significantly improved inpatient colon preparation quality and decreased frequency of inadequate preparations. The intervention consisting of an EMR-based order-set, nursing alerts and charting process, and patient education materials is continually being refined.</p>","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"351-358"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10169191","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":"Observation of the effect of predictive nursing intervention on the care of complications in patients with nephrotic syndrome.","authors":"Yongjuan Xu,&nbsp;Weiwei Wang,&nbsp;Mei Li","doi":"10.23736/S2724-5985.23.03365-X","DOIUrl":"https://doi.org/10.23736/S2724-5985.23.03365-X","url":null,"abstract":"","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"440-442"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10187213","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":"Low fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet is associated with increased risk of uninvestigated chronic dyspepsia and its symptoms in adults.","authors":"Payman Adibi,&nbsp;Ahmad Esmaillzadeh,&nbsp;Hamed Daghaghzadeh,&nbsp;Ammar Hassanzadeh Keshteli,&nbsp;Awat Feizi,&nbsp;Fahimeh Haghighatdoost,&nbsp;Mohammad Jafari","doi":"10.23736/S2724-5985.21.02852-7","DOIUrl":"https://doi.org/10.23736/S2724-5985.21.02852-7","url":null,"abstract":"<p><strong>Background: </strong>Assessing the potential effects of a low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) diet on functional gastrointestinal symptoms, particularly upper gastrointestinal symptoms, is not clearly understood. The current study aimed to explore the association of a diet low in FODMAPs with uninvestigated chronic dyspepsia (UCD) and functional dyspeptic symptoms in a large population of Iranian adults.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 2987 adults. Dietary FODMAPs intake estimated using a validated food-frequency questionnaire. UCD, early satiation, postprandial fullness and gastric pain were determined using a modified and validated version of the Rome III Questionnaire.</p><p><strong>Results: </strong>After controlling for various confounders, consumption of a diet low in FODMAPs was associated with increased risk of UCD in the whole population (OR=1.85; 95% CI: 1.23-2.78; P=0.009) and women (OR=2.41; 95% CI: 1.46-3.95; P=0.004), but not in men. Higher consumption of a low-FODMAPs diet was related to increased risk of postprandial fullness (OR=1.38; 95% CI: 1.08-1.78; P=0.046). The inverse association between FODMAPs and epigastric pain tended to be significant after controlling for eating behaviors (OR=1.31; 95% CI: 0.98-1.76; P=0.084). No significant association was observed for early satiation.</p><p><strong>Conclusions: </strong>Our data suggest that consumption of a low-FODMAPs diet may increase the risk of UCD and postprandial fullness; however, well-planned randomized controlled trials and prospective cohorts are required to ascertain the effect of FODMAPs on upper gastrointestinal symptoms.</p>","PeriodicalId":18653,"journal":{"name":"Minerva gastroenterology","volume":"69 3","pages":"335-343"},"PeriodicalIF":3.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111583","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}