Przegla̜d Gastroenterologiczny最新文献_第9页

Effects of physical activity on symptoms of irritable bowel syndrome. 体力活动对肠易激综合征症状的影响

IF 1.7

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-06-11 DOI: 10.5114/pg.2025.152029

Elżbieta Poniewierka, Ewa Szura, Petr Valach

{"title":"Effects of physical activity on symptoms of irritable bowel syndrome.","authors":"Elżbieta Poniewierka, Ewa Szura, Petr Valach","doi":"10.5114/pg.2025.152029","DOIUrl":"10.5114/pg.2025.152029","url":null,"abstract":"Introduction: Rapid urbanization and constant technological progress contribute to a change in lifestyle in terms of physical activity. Lack of free time and reluctance to engage in physical activity may lead to impaired functioning of internal organs, including the digestive system.Aim: In the present study, by creating an exercise regimen, an attempt was made to demonstrate the impact of this activity on the symptoms of patients with irritable bowel syndrome (IBS).Material and methods: Forty-one women with diagnosed irritable bowel syndrome were included in the study. To assess the effectiveness of the method used, the validated IBS-SSS questionnaire was used. The study used an original training programme based on fitness lessons, yoga positions improving intestinal motility and relaxation techniques: autogenic training developed by Schultz and progressive muscle relaxation developed by Jacobson. Twenty-nine women completed the entire 2-month training cycle, in line with the assumptions of the study. The following methods were used: t-test for dependent samples, Wilcoxon pairwise order test, McNemar's χ2 test and Spearman's R correlation coefficient.Results: It was found that nearly 80% of the study participants experienced abdominal pain before participating in the study. The training cycle caused pain in 52% of the surveyed women. The intensity of pain in the subjects decreased by 20%. After the study, the incidence of flatulence decreased by 38% and the severity of flatulence by 30%.Conclusions: The relationship between physical activity and the severity of symptoms of irritable bowel syndrome in the surveyed women was confirmed. The study group of women showed a reduction in IBS-related symptoms after 8 weeks of training.","PeriodicalId":20719,"journal":{"name":"Przegla̜d Gastroenterologiczny","volume":"20 2","pages":"173-177"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An uncommon case of idiopathic total colon varicose vein. 特发性全结肠静脉曲张1例。

IF 2.5

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-09-26 DOI: 10.5114/pg.2025.154598

Erxuan Qi, Jia Li

引用次数: 0

Why sexually transmitted disorders in the colon can be mistaken for ulcerative colitis: a survey study among Polish patients. 为什么结肠性传播疾病会被误认为溃疡性结肠炎：一项波兰患者的调查研究。

IF 2.5

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-12-07 DOI: 10.5114/pg.2025.156781

Aleksandra Filipiuk, Iga Lombard, Łukasz Konecki, Joanna Sarbinowska, Dawid Szkudłapski, Maciej Gonciarz

{"title":"Why sexually transmitted disorders in the colon can be mistaken for ulcerative colitis: a survey study among Polish patients.","authors":"Aleksandra Filipiuk, Iga Lombard, Łukasz Konecki, Joanna Sarbinowska, Dawid Szkudłapski, Maciej Gonciarz","doi":"10.5114/pg.2025.156781","DOIUrl":"10.5114/pg.2025.156781","url":null,"abstract":"Introduction: Ulcerative colitis (UC) is an autoimmune disease characterized by the formation of erosions and ulcerations of the colonic mucosa. Exclusion of infections, including sexually transmitted disorders (STDs), is particularly important in the differential diagnosis.Aim: The aim of the study was to demonstrate the situation of Polish patients in the context of differential diagnosis of UC with STDs.Material and methods: We used a questionnaire on sexual habits for patients with ulcerative colitis from two Polish centers for the treatment of inflammatory bowel diseases (IBD) and to Internet users with the diagnosis of UC affiliated with patient portals.Results: The survey included 532 participants. 31.6% of all respondents reported practicing passive anal intercourse. 7.6% of patients admitted to unsafe sexual behavior, while among men who have sex with men (MSM) this percentage increased to 73%, with 55.4% of anal intercourse taking place without mechanical contraception. During medical visits related to the diagnosis or exacerbation of UC, the vast majority (87.2%) of patients were not asked about either anal sexual intercourse or sexual orientation, and 76.7% were certainly not tested for STDs.Conclusions: The vast majority of Polish patients with UC are not asked about anal intercourse or tested for STDs. Simultaneously, considering the percentage of patients at risk for STDs, it is reasonable to assume that this is a genuine problem and may lead to diagnostic mistakes.","PeriodicalId":20719,"journal":{"name":"Przegla̜d Gastroenterologiczny","volume":"20 4","pages":"382-386"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The usefulness of indirect calorimetry as a method for measuring resting energy expenditure in acute intestinal failure. 间接量热法测量急性肠衰竭患者静息能量消耗的有效性。

IF 2.5

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-11-24 DOI: 10.5114/pg.2025.156464

Małgorzata Sutuła-Grabowska, Anatol Panasiuk

{"title":"The usefulness of indirect calorimetry as a method for measuring resting energy expenditure in acute intestinal failure.","authors":"Małgorzata Sutuła-Grabowska, Anatol Panasiuk","doi":"10.5114/pg.2025.156464","DOIUrl":"10.5114/pg.2025.156464","url":null,"abstract":"Medicine is a constantly evolving discipline that uses the latest technologies and devices to support patients effectively according to the most up-to-date standards. Modern technology also enables the individualization of treatment, which is the foundation of personalized medicine. One clinical area where these advancements are applied is in gastrointestinal failure, acute intestinal failure (AIF) in particular. A particularly challenging issue in this field remains the accurate assessment of patients' caloric needs. This article presents a critical literature review on the potential application of indirect calorimetry (IC) as a method for measuring resting energy expenditure in cases of AIF, especially within internal medicine wards. The review focused on articles published from 1997 to 2024 across various scientific databases. Based on this analysis, it can be concluded that, despite its numerous advantages and proven usefulness in a wide range of clinical settings, indirect calorimetry has certain limitations that significantly impact its applicability in AIF.","PeriodicalId":20719,"journal":{"name":"Przegla̜d Gastroenterologiczny","volume":"20 4","pages":"364-371"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gastroenterological disorders in inborn errors of immunity. Part 1. Epidemiology, classification, symptoms, diagnosis, and treatment. 先天性免疫缺陷引起的胃肠疾病。第1部分。流行病学、分类、症状、诊断和治疗。

IF 2.2

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-11-27 DOI: 10.5114/pg.2025.156470

Katarzyna Napiórkowska-Baran, Paweł Treichel, Kinga Koperska, Oliwia Kudrej, Natalia Mućka, Alicja Rajewska, Adam Wawrzeńczyk, Zbigniew Bartuzi

引用次数: 0

Should physicians prescribe probiotics alongside antibiotics? A practical perspective. 医生是否应该在使用抗生素的同时处方益生菌？实用视角。

IF 2.2

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-03-17 DOI: 10.5114/pg.2025.148588

Wojciech Marlicz, Grażyna Rydzewska

引用次数: 0

Major complications following a "simple" segmental resection of the distal duodenum: lessons learnt. 单纯节段性十二指肠远端切除术后的主要并发症：经验教训。

IF 2.5

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-09-23 DOI: 10.5114/pg.2025.154596

Artur Kośnik, Bernard Piotuch, Anna Stadnik, Anna Wiechowska-Kozłowska, Piotr Milkiewicz, Jerzy Lubikowski, Maciej Wójcicki

引用次数: 0

Fecal butyric acid as a predictive biomarker of endoscopic remission in inflammatory bowel disease: a multicenter prospective study. 粪便丁酸作为炎症性肠病内镜缓解的预测性生物标志物：一项多中心前瞻性研究

IF 2.5

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-12-17 DOI: 10.5114/pg.2025.158047

Katarzyna Karłowicz, Konrad Lewandowski, Danuta Domżał-Magrowska, Renata Talar-Wojnarowska, Karolina Skonieczna-Żydecka, Wojciech Marlicz, Ewa Małecka-Wojciesko, Grażyna Rydzewska

{"title":"Fecal butyric acid as a predictive biomarker of endoscopic remission in inflammatory bowel disease: a multicenter prospective study.","authors":"Katarzyna Karłowicz, Konrad Lewandowski, Danuta Domżał-Magrowska, Renata Talar-Wojnarowska, Karolina Skonieczna-Żydecka, Wojciech Marlicz, Ewa Małecka-Wojciesko, Grażyna Rydzewska","doi":"10.5114/pg.2025.158047","DOIUrl":"10.5114/pg.2025.158047","url":null,"abstract":"Introduction: Effective prediction of endoscopic remission is a key to optimizing ulcerative colitis (UC) management. While fecal calprotectin (FC) is widely used, its limitations highlight the need for complementary biomarkers. This study evaluated fecal butyric acid (C4) as a novel, non-invasive predictor of endoscopic remission in UC.Aim: To assess the association between fecal C4 levels and endoscopic remission (Mayo score 0), and secondarily/also, the correlation between C4 and FC.Material and methods: A multicenter, prospective study enrolled 100 UC patients between April 2021 and April 2023, including 26 in remission and 74 with active disease. Inclusion criteria were confirmed UC diagnosis for ≥ 1 year and stable therapy without medication changes. Fecal C4 was measured using mass spectrometry. Analyses included descriptive statistics, group comparisons, receiver operating characteristic (ROC) curve analysis, and Spearman correlation.Results: Patients in remission had significantly higher fecal C4 levels (mean difference: 4.05 nM/mg; 95% CI: 2.44-5.71; p < 0.001) and lower Mayo scores. C4 showed excellent predictive performance (area under the curve (AUC) = 0.943; 95% CI: 0.897-0.980; p < 0.001), with 100% sensitivity and 86% specificity at a cutoff of 1.68 nM/mg. No significant correlation was found between C4 and FC.Conclusions: Fecal C4 is a promising biomarker for predicting endoscopic remission in UC, offering high sensitivity and specificity. Its use may enhance clinical decision-making and support individualized treatment approaches. Further validation in larger cohorts is warranted to confirm these findings and establish its clinical utility.","PeriodicalId":20719,"journal":{"name":"Przegla̜d Gastroenterologiczny","volume":"20 4","pages":"443-448"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145864894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic treatment of choledochal cyst injury complicated by pneumothorax and pneumomediastinum after endoscopic retrograde cholangiopancreatography in a pregnant woman. 孕妇逆行胆管造影后胆总管囊肿损伤并发气胸和纵隔气肿的内镜治疗。

IF 2.5

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-12-07 DOI: 10.5114/pg.2025.156733

Onlassyn T Ibekenov, Bolatbek B Baimakhanov, Yerlan B Abdirashev, Mazhit K Abdykadyrov, Aman Berkinbay

引用次数: 0

A proposed comprehensive model of care for inflammatory bowel disease in Poland. 在波兰提出的炎症性肠病综合护理模式。

IF 1.7

Przegla̜d Gastroenterologiczny Pub Date : 2025-01-01 Epub Date: 2025-06-06 DOI: 10.5114/pg.2025.151866

Grażyna Rydzewska, Piotr Eder, Maciej Gonciarz, Magdalena Kaniewska, Maria Kłopocka, Ewa Małecka-Wojciesko, Jarosław Reguła

{"title":"A proposed comprehensive model of care for inflammatory bowel disease in Poland.","authors":"Grażyna Rydzewska, Piotr Eder, Maciej Gonciarz, Magdalena Kaniewska, Maria Kłopocka, Ewa Małecka-Wojciesko, Jarosław Reguła","doi":"10.5114/pg.2025.151866","DOIUrl":"10.5114/pg.2025.151866","url":null,"abstract":"Epidemiological data of the Polish healthcare model of care indicate that the current management of inflammatory bowel disease (IBD) requires improvements in clinical practice and service organization. Integrated care models for patients with IBD, particularly those centred on a multidisciplinary team, offer a promising approach to improving outcomes, reducing admissions, and rationalizing resources. The coordination of specialists, nurses, dietitians, psychologists, and other professionals within a single reference unit could strengthen continuity of care with primary care providers and enable treatment strategies to be tailored to individual needs. In addition, education and ongoing support foster greater patient involvement, potentially lowering relapse rates and enhancing quality of life. These models, with reforms in care provision and quality measurement based on digital solutions, can reduce fragmentation and alleviate burdens on both patients and the healthcare system. Thus, integrated care represents an evolution in IBD management, benefiting all stakeholders in the healthcare continuum.","PeriodicalId":20719,"journal":{"name":"Przegla̜d Gastroenterologiczny","volume":"20 2","pages":"142-147"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0