Arab Journal of Gastroenterology最新文献

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Effect of sofosbuvir and daclatasvir treatment on the blood indices in patients with chronic hepatitis C virus 索非布韦与daclatasvir治疗对慢性丙型肝炎患者血液指标的影响。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2025-02-01 DOI: 10.1016/j.ajg.2024.11.004
Rabab Fouad , Wafaa El-Akel , Hesham ElMakhzangy , Rania M Lithy , Mirella Sherif , Mohamed Fateen , Mohamed Hassany , Wael Abdel-Razek , Wahid Doss
{"title":"Effect of sofosbuvir and daclatasvir treatment on the blood indices in patients with chronic hepatitis C virus","authors":"Rabab Fouad ,&nbsp;Wafaa El-Akel ,&nbsp;Hesham ElMakhzangy ,&nbsp;Rania M Lithy ,&nbsp;Mirella Sherif ,&nbsp;Mohamed Fateen ,&nbsp;Mohamed Hassany ,&nbsp;Wael Abdel-Razek ,&nbsp;Wahid Doss","doi":"10.1016/j.ajg.2024.11.004","DOIUrl":"10.1016/j.ajg.2024.11.004","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Hepatitis C virus (HCV) infection is a significant problem in Egypt, as it is associated with various hematological disorders, both benign and malignant. In Egypt, direct-acting antivirals (DAAs) serve as the principal therapy for HCV to achieve a sustained virological response (SVR). This study investigated the effects of sofosbuvir (SOF) and daclatasvir (DCV) on HCV patients with benign blood index abnormalities and examined the correlation between these abnormalities and SVR.</div></div><div><h3>Patients and methods</h3><div>Data were obtained from 59,069 enrolled patients who were treatment-naïve and met the eligibility criteria for therapy as per the standards of Egypt’s National Committee for Control of Viral Hepatitis (NCCVH). The patients adhered to the SOF and DCV therapy protocol.</div></div><div><h3>Results</h3><div>The predominant hematological abnormality was thrombocytopenia, followed by leukopenia and anemia. Non-SVR was significantly correlated with the existence of one or more baseline cytopenias. The primary predictors of treatment failure were male gender, elevated Fib-4 score, and baseline thrombocytopenia. Despite the low incidence of cytopenia among patients after therapy, non-SVR was seen in instances of anemia.</div></div><div><h3>Conclusion</h3><div>Hematological problems often occur in HCV patients both before and after SOF and DCV treatment. Treatment failure was associated with the presence of one or more baseline cytopenias, as well as the development of anemia during treatment. Nonetheless, SOF and DCV are still safe to be used in the presence of cytopenia.</div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"26 1","pages":"Pages 78-83"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CircFLNA facilitates gastric cancer cell proliferation and glycolysis via regulating SOX5 by sponging miR-1200 CircFLNA 通过海绵状 miR-1200 调节 SOX5,促进胃癌细胞增殖和糖酵解。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.07.012
Xinxing Yang , Dongsheng Li , Yuqin Sun , Lisha Yi , Qiuxian Chen , Yadong Lai
{"title":"CircFLNA facilitates gastric cancer cell proliferation and glycolysis via regulating SOX5 by sponging miR-1200","authors":"Xinxing Yang ,&nbsp;Dongsheng Li ,&nbsp;Yuqin Sun ,&nbsp;Lisha Yi ,&nbsp;Qiuxian Chen ,&nbsp;Yadong Lai","doi":"10.1016/j.ajg.2024.07.012","DOIUrl":"10.1016/j.ajg.2024.07.012","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Circular RNAs (circRNAs) are important regulators for gastric cancer (GC) progression. Our study aims to investigate the role and mechanism of circFLNA in GC progression.</div></div><div><h3>Patients and methods</h3><div>The levels of circFLNA, microRNA (miR)-1200 and SRY-box transcription factor 5 (SOX5) were examined using qRT-PCR. Flow cytometry, cell counting kit 8 assay and EdU assay were performed to measure cell proliferation and apoptosis. Cell glycolysis ability was assessed by examining glucose uptake and lactate produce. RNA interaction was determined using RNA pull-down assay and dual-luciferase reporter assay. Mice xenograft models were constructed to evaluate the regulation of circFLNA knockdown on GC tumor growth.</div></div><div><h3>Results</h3><div>CircFLNA was upregulated in GC tissues. Functional experiments showed that circFLNA knockdown suppressed GC cell proliferation, inhibited glycolysis, and promoted apoptosis <em>in vitro</em>, as well as reduced GC tumor growth <em>in vivo</em>. CircFLNA sponged miR-1200, and miR-1200 targeted SOX5. MiR-1200 mimic reversed the promotion effect of circFLNA overexpression on GC cell growth and glycolysis, and SOX5 upregulation also abolished the inhibiting effect of miR-1200 mimic on GC cell growth and glycolysis.</div></div><div><h3>Conclusion</h3><div>Our data suggest that circFLNA might exert oncogenic role in GC development, which promoted GC proliferation and glycolysis through regulating miR-1200/SOX5 axis.</div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"25 4","pages":"Pages 369-377"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299014","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}
引用次数: 0
Current trends and research hotspots in the study of flavonoids for ulcerative colitis: A bibliometric study 黄酮类化合物治疗溃疡性结肠炎研究的当前趋势和研究热点:文献计量学研究。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.09.001
Dingqi Li , Kaixi Ding , Wei Jiang , Ming Lei , Chaofang Lei
{"title":"Current trends and research hotspots in the study of flavonoids for ulcerative colitis: A bibliometric study","authors":"Dingqi Li ,&nbsp;Kaixi Ding ,&nbsp;Wei Jiang ,&nbsp;Ming Lei ,&nbsp;Chaofang Lei","doi":"10.1016/j.ajg.2024.09.001","DOIUrl":"10.1016/j.ajg.2024.09.001","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Flavonoids have been shown to exhibit significant potential in treating ulcerative colitis (UC), and their mechanism of action is receiving increasing attention. This study was devoted to the bibliometric analysis of articles and review articles in flavonoid therapy for UC research between 2011 and 2022 to show publication trends and research hotspots.</div></div><div><h3>Material and methods</h3><div>The literature search data for the bibliometric analysis were obtained from the Web of Science Core Collection by searching for the terms “Flavonoids” and “Ulcerative colitis or Idiopathic Proctocolitis or colitis gravis or Inflammatory Bowel Disease, Ulcerative Colitis Type.” Three software programs, Bibliometrix, CiteSpace, and VOSviewer, were used to perform a bibliometric analysis of the retrieved literature data.</div></div><div><h3>Results</h3><div>There were 181 publications on flavonoids for UC during the 12 years, with an upward trend in annual publications and an annual growth rate of 27.11 %. China had the highest cumulative number of publications, and Kyung Hee University was the academic institution with the most publications in this research area. In recent years, intestinal flora, intestinal barrier, apoptosis, tight protein junctions, and TLR4/ NF-κB pathway have become hot spots for research on flavonoids for UC. Grape seed analogs have been extensively investigated for treating UC in the past three years.</div></div><div><h3>Conclusion</h3><div>The results of this bibliometric study demonstrate the current status and trends of research on flavonoids for the treatment of UC and provide relevant researchers with hot topics and the latest research directions.</div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"25 4","pages":"Pages 356-368"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570246","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}
引用次数: 0
Endoscopic characterization of gastrointestinal manifestations in children with undifferentiated recurrent fever 未分化复发性发热患儿胃肠道表现的内窥镜特征。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.07.004
Nilüfer Ülkü Şahin , Nihal Şahin
{"title":"Endoscopic characterization of gastrointestinal manifestations in children with undifferentiated recurrent fever","authors":"Nilüfer Ülkü Şahin ,&nbsp;Nihal Şahin","doi":"10.1016/j.ajg.2024.07.004","DOIUrl":"10.1016/j.ajg.2024.07.004","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Systemic autoinflammatory diseases are characterized by recurrent or chronic inflammation, and monogenic forms are increasingly defined. However, a group of patients without genetic diagnosis is called the syndrome of undifferentiated recurrent fever (SURF). This study analyzed the clinical and endoscopic features of patients with SURF presenting with gastrointestinal (GI) symptoms.</div></div><div><h3>Patients and methods</h3><div>Between 2019 and 2022, GI endoscopy were performed in patients with SURF who presented with GI symptoms. Clinical, genetic, laboratory, and endoscopy findings were analyzed.</div></div><div><h3>Results</h3><div>Fifteen patients were included in the study, eight (53.3 %) were girls. The mean age was 10.5 ± 5.80 years, and the median age at symptom onset was 4 (0.3–16) years. All patients experienced fever and abdominal pain. Thirteen patients (86.7 %) experienced diarrhea, 11 (73.3 %) reported myalgia, and 10 (66.7 %) had joint involvement. Lymphoid follicles in the terminal ileum mucosa were detected in 10 patients (66.7 %), and nodular lymphoid hyperplasia in the terminal ileum was the histopathological finding in 12 patients (80 %).</div></div><div><h3>Conclusions</h3><div>The current study found that patients with SURF experiencing gastrointestinal symptoms have excessive lymph node formation in the terminal ileal mucosa due to an exaggerated inflammatory response. This may be the cause of their GI symptoms.</div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"25 4","pages":"Pages 405-409"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789492","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}
引用次数: 0
Abnormal expression of autophagy proteins in the duodenum of patients with functional dyspepsia: A preliminary study 功能性消化不良患者十二指肠中自噬蛋白的异常表达:一项初步研究。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.07.002
Lijun Du , Mengsha Cen , Fangli Cheng , Ning Dai
{"title":"Abnormal expression of autophagy proteins in the duodenum of patients with functional dyspepsia: A preliminary study","authors":"Lijun Du ,&nbsp;Mengsha Cen ,&nbsp;Fangli Cheng ,&nbsp;Ning Dai","doi":"10.1016/j.ajg.2024.07.002","DOIUrl":"10.1016/j.ajg.2024.07.002","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Functional dyspepsia (FD) is a common disease with an unclear pathology. Autophagy is associated with inflammation and has been proposed to play a role in the development of FD. This study aimed to evaluate expression of the autophagy proteins beclin1 and p62/SQSTM1 in patients with FD.</div></div><div><h3>Patients and methods</h3><div>Duodenal mucosal tissues were collected from 10 patients with FD and 10 asymptomatic controls. The extent of autophagy was determined by examining expression levels of beclin1 and p62/SQSTM1 using quantitative polymerase chain reaction and immunohistochemistry techniques.</div></div><div><h3>Results</h3><div>Lower expression levels of beclin1 protein were detected in the duodenal bulb (D1) and the second portion of the duodenum (D2) in patients with FD compared with asymptomatic controls. Higher levels of p62 protein were expressed in D1 in patients with FD than in controls. No differences in mRNA expression of beclin1 and p62 were observed between patients with FD and controls.</div></div><div><h3>Conclusion</h3><div>Abnormal autophagy was involved in FD, which may be associated with the pathogenesis of FD.</div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"25 4","pages":"Pages 410-413"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299012","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}
引用次数: 0
Spontaneous bacterial peritonitis recurrence on norfloxacin secondary prophylaxis 服用诺氟沙星二级预防药物后自发性细菌性腹膜炎复发。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.09.004
Athish Shetty, Rishi Raman, Vikas Pemmada, Balaji Musunuri, Shiran Shetty, C. Ganesh Pai, Ganesh Bhat
{"title":"Spontaneous bacterial peritonitis recurrence on norfloxacin secondary prophylaxis","authors":"Athish Shetty,&nbsp;Rishi Raman,&nbsp;Vikas Pemmada,&nbsp;Balaji Musunuri,&nbsp;Shiran Shetty,&nbsp;C. Ganesh Pai,&nbsp;Ganesh Bhat","doi":"10.1016/j.ajg.2024.09.004","DOIUrl":"10.1016/j.ajg.2024.09.004","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Secondary prophylaxis with norfloxacin reduces recurrence of spontaneous bacterial peritonitis (SBP) significantly. No data available from Asia-Pacific region about recurrence of SBP in these patients.</div></div><div><h3>Patients and methods</h3><div>In a retrospective cohort study, we assessed recurrence rate of SBP in patients on norfloxacin secondary prophylaxis. One year recurrence of SBP, its profile, response rate and risk factors for recurrence were assessed.</div></div><div><h3>Results</h3><div>A total of 112 patients were analysed. During first episode of SBP, culture positive rate was 39/112(34.8 %) and resistance to ceftriaxone was 51.2 %. Overall efficacy of ceftriaxone as first line antibiotic was 70.5 % (70/112), but only 49 % (19/39) among culture positive patients. E. coli is the commonest organism isolated (21/39, 53.8 %), MDR organism in 12.8 % (5/39). Cumulative incidence of SPB recurrence was 22.3 % (25/112) on norfloxacin secondary prophylaxis at 1 year. Culture positive rate in recurrent SBP was 48 % (12/25) and ceftriaxone resistance and MDR organism were seen in 66.6 % and 16.6 %. Overall response rate to ceftriaxone in recurrent SBP was 40 % (10/25) and 21 % (3/14) in culture positive patients. Risk factors for SBP recurrence were age, INR and albumin (p &lt; 0.05). No increase cumulative incidence of death among patients with or without recurrence.</div></div><div><h3>Conclusion</h3><div>Despite recent changes in bacteriological profile in SBP, recurrence of SBP on norfloxacin prophylaxis remains low. In recurrent SBP, response to ceftriaxone is significantly lower than first episode and there is trend towards increase in MDR organism in culture positive patient receiving norfloxacin<strong>.</strong></div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"25 4","pages":"Pages 345-348"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiological and anatomopathological profile of colorectal cancer in Northern Morocco between 2017 and 2019 2017 年至 2019 年摩洛哥北部结直肠癌的流行病学和解剖病理学概况。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.10.002
Mouade El Bali , Mohamed Mesmoudi , Amale Essayah , Kenza Arbai , Naima Ghailani Nourouti , Amina Barakat , Nabila Sellal , Mohcine Bennani Mechita
{"title":"Epidemiological and anatomopathological profile of colorectal cancer in Northern Morocco between 2017 and 2019","authors":"Mouade El Bali ,&nbsp;Mohamed Mesmoudi ,&nbsp;Amale Essayah ,&nbsp;Kenza Arbai ,&nbsp;Naima Ghailani Nourouti ,&nbsp;Amina Barakat ,&nbsp;Nabila Sellal ,&nbsp;Mohcine Bennani Mechita","doi":"10.1016/j.ajg.2024.10.002","DOIUrl":"10.1016/j.ajg.2024.10.002","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Colorectal cancer (CRC) is the third most common type of cancer worldwide and the second leading cause of cancer-related death. CRC represents a major public health problem in many countries, and its incidence is increasing worldwide. In Morocco, CRC is the third most common cancer. However, epidemiological data on CRC in Morocco, especially in the north, are very limited. This study aimed to describe the epidemiological and clinicopathological characteristics of CRC in northern Morocco.</div></div><div><h3>Patients and Methods</h3><div>This retrospective study was conducted at the Ahmed Ben Zayed Al Nahyan Regional Oncology Center of Tangier between April 2017 and December 2019. Data were collected from the medical records of confirmed CRC patients and analyzed using SPSS computer software version 23.</div></div><div><h3>Results</h3><div>CRC was detected in 142 patients, accounting for 13.0 % of all cancers identified during the study period in the center. The sex ratio (male/female) of all patients was 1.1. The mean age was 58 years, and the most affected group was 60–69 years old (29.0 %). The rectum was the most common anatomical site (44.0 %) compared to the left and right colon. Histologically, adenocarcinomas were the most common type (91.3 %), half of the tumors were moderately differentiated, and only 4.9 % of the patients presented with poorly differentiated tumors. At diagnosis, 83.0 % of patients were already in advanced stages (stage III, or IV), including 40.3 % presenting with metastatic disease. The liver (64.8 %) was the most affected site by metastasis in our series. Relapse was observed in 11.9 % of patients.</div></div><div><h3>Conclusion</h3><div>Our results showed a younger age at diagnosis and a higher incidence of cancer at the rectal site compared to the Western literature, as well as a high frequency of patients who presented with late-stage disease and other characteristics. However, larger multicenter studies are still needed to confirm our results.</div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"25 4","pages":"Pages 338-344"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591150","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}
引用次数: 0
The silent epidemic: Inappropriate use of proton pump inhibitors among hospitalized patients 无声的流行病:住院病人中质子泵抑制剂的不当使用。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.07.001
Mohamed Ramadan Mohamed , Mira Itani , Mostafa Abohelwa , Mohamed Attia Ahmed , Lina Abdouni , George Doumat , Majduldeen Azzo , Fatema Dabdoub , Hanana Al-Tfaili , Moustafa Elziny , Georges Assaf
{"title":"The silent epidemic: Inappropriate use of proton pump inhibitors among hospitalized patients","authors":"Mohamed Ramadan Mohamed ,&nbsp;Mira Itani ,&nbsp;Mostafa Abohelwa ,&nbsp;Mohamed Attia Ahmed ,&nbsp;Lina Abdouni ,&nbsp;George Doumat ,&nbsp;Majduldeen Azzo ,&nbsp;Fatema Dabdoub ,&nbsp;Hanana Al-Tfaili ,&nbsp;Moustafa Elziny ,&nbsp;Georges Assaf","doi":"10.1016/j.ajg.2024.07.001","DOIUrl":"10.1016/j.ajg.2024.07.001","url":null,"abstract":"<div><h3>Background and study aims</h3><div>There is an increasing trend to inappropriately prescribe proton pump inhibitors (PPIs) in different clinical settings despite the reported adverse outcomes. This study aimed to assess (1) the prevalence of potentially inappropriate use of PPIs and its associated risk factors among hospitalized patients, at pre-admission and discharge and (2) the prevalence of valid indications of PPIs use without prescription.</div></div><div><h3>Patients and methods</h3><div>A retrospective observational study was performed at a single center, examining the records of patients aged ≥18 years who were admitted to the Family Medicine inpatient service over a one-year period. The appropriateness of PPIs use was assessed against a set of pre-approved indications.</div></div><div><h3>Results</h3><div>A total of 289 patients were included in the analysis. Of these, 34.67 % were taking PPIs upon admission, increasing to 43.67 % at discharge (p &lt; 0.001). Inappropriate PPI use was identified in 51.92 % at pre-admission and 57.25 % at discharge. Multivariate analysis identified significant factors contributing to inappropriate PPI use: polypharmacy at both admission and discharge (OR = 4.587, p = 0.031), and the presence of two or more comorbidities at discharge (OR = 5.421, p = 0.011; OR = 13.005, p = 0.037). Age ≤65 was associated with increased inappropriate use only at discharge (p &lt; 0.003). Conversely, appropriate prescribing was noted in patients over 65 and those on antiplatelet therapy, aligning with clinical guidelines.</div></div><div><h3>Conclusions</h3><div>This study reveals a high prevalence of inappropriate PPI use among hospitalized patients, notably increasing from admission to discharge. Key contributors to inappropriate PPI usage included polypharmacy and high comorbidity scores at discharge, particularly in patients under 65. This emphasizes the need for targeted interventions to optimize PPI prescribing practices in clinical settings.</div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"25 4","pages":"Pages 414-420"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789493","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}
引用次数: 0
Ginsenoside Rg3 enhances the anticancer effects of 5-fluorouracil in colorectal cancer and reduces drug resistance and the Hedgehog pathway activation 人参皂苷Rg3能增强5-氟尿嘧啶对结直肠癌的抗癌作用,并减少耐药性和刺猬通路的激活。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.09.003
Xiaoqian Bu , Huizhi Feng , Zhengzheng Yan
{"title":"Ginsenoside Rg3 enhances the anticancer effects of 5-fluorouracil in colorectal cancer and reduces drug resistance and the Hedgehog pathway activation","authors":"Xiaoqian Bu ,&nbsp;Huizhi Feng ,&nbsp;Zhengzheng Yan","doi":"10.1016/j.ajg.2024.09.003","DOIUrl":"10.1016/j.ajg.2024.09.003","url":null,"abstract":"<div><h3>Background and study aims</h3><div>This study aimed to ascertain the inhibitory effect of ginsenoside Rg3 (Rg3) combined with 5-fluorouracil (5-FU) on 5-FU-resistant cells HCT116/5-FU and its molecular mechanism.</div></div><div><h3>Material and methods</h3><div>The HCT116 cell line resistant to 5-FU (HCT116/5-FU) was established by repeated exposure to gradually increasing 5-FU concentrations. The effects of different concentrations of Rg3 and 5-FU on colorectal cancer (CRC) cell proliferation were evaluated, and suitable concentrations were screened for subsequent experiments. The treatment efficacy of Rg3 and 5-FU alone and in combination with CRC cell activity was observed, and the inhibitory effect of Rg3 and 5-FU on the Hedgehog pathway was verified. Finally, the effects of Rg3 and 5-Fu on <em>in vivo</em> tumor formation were evaluated <em>in vivo</em>.</div></div><div><h3>Results</h3><div>Rg3 enhanced the therapeutic efficacy of 5-FU in HCT116 cells by inducing apoptosis and suppressing cell activities and epithelial-mesenchymal transition (EMT), showing strong anti-tumor effects. Rg3 enhances the chemosensitivity of drug-resistant HCT116/5-FU cells to 5-FU. Additionally, the expression of Hedgehog pathway-relevant proteins (PTCH1, PTCH2, GLI1, and SHH) was increased in drug-resistant HCT116/5-FU cells, and Rg3 and 5-FU co-treatment downregulated the expression of PTCH1, PTCH2, GLI1, and SHH proteins in HCT116/5-FU cells. Rg3 reversed 5-FU resistance via by modulating the Hedgehog pathway. Rg3, in combination with 5-FU, repressed human CRC xenograft growth in nude mice, suppressed the expression of the proliferative nuclear factor KI67 in tumors, and promoted apoptosis.</div></div><div><h3>Conclusion</h3><div>Rg3 enhances the anticancer effects of 5-FU in CRC cells that are sensitive and resistant to 5-FU, and its mechanism of action may be related to the inhibition of Hedgehog pathway activation.</div></div>","PeriodicalId":48674,"journal":{"name":"Arab Journal of Gastroenterology","volume":"25 4","pages":"Pages 437-443"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584530","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}
引用次数: 0
“Mitigating tuberculosis reactivation risk in IBD patients on anti-TNF therapy” "降低接受抗肿瘤坏死因子治疗的 IBD 患者的结核病再激活风险"。
IF 1.1 4区 医学
Arab Journal of Gastroenterology Pub Date : 2024-11-01 DOI: 10.1016/j.ajg.2024.10.001
Peeyush Kumar, Saurabh Kedia, Vineet Ahuja
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