Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association最新文献

{"title":"Percutaneous endoscopic gastrostomy tubes: A premier clinical review.","authors":"Ammar Alotaibi, Resheed Alkhiari, Muhammad F Mubarak, Mohammed Mousa, Suliman Alshankiti, Majid Almadi","doi":"10.4103/sjg.sjg_132_26","DOIUrl":"https://doi.org/10.4103/sjg.sjg_132_26","url":null,"abstract":"<p><strong>Abstract: </strong>Adequate nutritional support is a critical component of patient management, particularly for individuals who are unable to sustain oral intake due to neurological, structural, or functional impairments. Percutaneous endoscopic gastrostomy (PEG) has become the preferred modality for long-term enteral access, offering a minimally invasive technique with high success rates and favorable safety outcomes. Common indications include cerebrovascular accidents, neurodegenerative disorders, dementia, cerebral palsy, head and neck malignancies, and severe dysphagia of various etiologies. This review summarizes the key clinical considerations surrounding PEG placement, including patient selection, contraindications, and preprocedural evaluation. We describe the principles of PEG insertion techniques and provide an evidence-based comparison between endoscopic, radiologic, and surgical gastrostomy methods, focusing on differences in complication rates, procedure-related morbidity, and patient suitability. Early and late complications of PEG placement are discussed in detail, with emphasis on preventive measures, timely recognition, and optimal management strategies. Additionally, we outline essential components of postprocedural care, routine monitoring, and recommended follow-up to ensure long-term tube function and patient safety.</p>","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148709313","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":"Patient preferences toward the attributes of treatment used for inflammatory bowel disease in Saudi Arabia: Subgroup analysis from an international multicenter discrete choice experiment.","authors":"Nahla Azzam, Diane Mourad, Mahmoud Mosli, Eman Al Sulais, Mansour Altuwaijri, Yaser Meeralam, Olga Fadeeva, Amr Elgharbawy","doi":"10.4103/sjg.sjg_89_26","DOIUrl":"https://doi.org/10.4103/sjg.sjg_89_26","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory bowel diseases (IBD), including Crohn's disease (CD), and ulcerative colitis (UC), are chronic autoimmune disorders with increasing prevalence in Saudi Arabia (KSA). Understanding patient treatment preferences is important for improving adherence and quality of life. This study evaluated treatment preferences in KSA within the context of the overall five-country cohort (Argentina, Australia, Brazil, Taiwan, and KSA), without conducting formal cross-country comparisons.</p><p><strong>Methods: </strong>A cross-sectional survey (October 2022-May 2023) used discrete choice experiments (DCE) to assess preferences for treatment attributes, including safety, efficacy, and route of administration (RoA). Adults (≥18 years) with self-reported CD or UC receiving treatment for ≥6 months were included.</p><p><strong>Results: </strong>Data from 353 patients with CD and 353 with UC were analyzed, including 102 from KSA (51 CD, 51 UC). Preferences in KSA were largely consistent with the overall cohort. CD patients prioritized long-term remission, while UC patients valued corticosteroid-free remission at 1 year. Descriptively, KSA patients appeared to place relatively greater emphasis on safety attributes compared with the overall cohort-particularly serious adverse events (AEs) in both CD and UC, and mild AEs in UC-and less emphasis on mucosal healing and RoA. Abdominal pain (CD) and rectal bleeding (UC) most affected quality of life and daily activities. KSA patients also reported lower exposure to advanced therapies (0% in CD and 11.8% in UC). However, given the limited sample size and absence of formal statistical testing, these observations between countries should be interpreted as exploratory.</p><p><strong>Conclusions: </strong>Personalized IBD management in KSA is needed. Incorporating patient preferences into clinical decision-making may improve adherence and outcomes.</p>","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148428577","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":"Patient-reported outcomes after antrum resection versus antrum preservation in laparoscopic sleeve gastrectomy patients: A retrospective cohort study.","authors":"Nadia Aljomah, Fahad Bamehriz, Abdelrahman Nimeri, Hussam Alamri, Hamad Alsubaie, Abdulaziz Alnumay, Abdullah Alqarzaie, Ali Alsuhaim, Mohammed Silsilah, Mohammed Bin Shunayf, Abdullah Aljunaydel, Abdullah Aldohayan","doi":"10.4103/sjg.sjg_139_25","DOIUrl":"10.4103/sjg.sjg_139_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"335-341"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166841","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}

{"title":"From symptoms to standards: Integrating guidelines, validated tools, and dietary strategies in the care of Arabic-speaking patients with IBS and pelvic floor disorders.","authors":"Mohammed A Aljebreen, Daniel Sadowski, Adriana Lazarescu","doi":"10.4103/sjg.sjg_262_26","DOIUrl":"10.4103/sjg.sjg_262_26","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":"32 4","pages":"251-253"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355527","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}

{"title":"Performance of fecal calprotectin and serum procalcitonin for the diagnosis of spontaneous bacterial peritonitis in patients with cirrhosis: A prospective diagnostic accuracy study.","authors":"Mandip Singh Bhatia, Devarakonda Uday Teja, Nipun Verma, Archana Angrup, Saurabh Chandrabhan Sharda","doi":"10.4103/sjg.sjg_426_25","DOIUrl":"10.4103/sjg.sjg_426_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"342-348"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147292154","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}

{"title":"Efficacy and safety of glucagon-like peptide-1 (GLP-1) agonists in pediatric obesity: A systematic review and meta-analysis.","authors":"Ghassan A Sukkar, Mumen H Halabi, Yousef H Faden","doi":"10.4103/sjg.sjg_455_25","DOIUrl":"10.4103/sjg.sjg_455_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"298-310"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147477959","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}

{"title":"Psychometric properties of the Arabic IMPACT Bowel Function Short Form for assessing pelvic floor dysfunctions symptoms.","authors":"Reem Alharbi, Ebtihag O Alenzi, Ebtesam Almajed, Norah Alqntash, Rawan Bin Salamah, Kayan Alotaibi, Reem Altamimi","doi":"10.4103/sjg.sjg_406_25","DOIUrl":"10.4103/sjg.sjg_406_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"311-325"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489197","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}

{"title":"Practical guidelines on medical management of adults with moderate-to-severe inflammatory bowel disease.","authors":"Mahmoud H Mosli, Badr Al-Bawardy, Turki AlAmeel, Nahla A Azzam, Shakir A Bakkari, Othman R Alharbi, Abdulelah Almutairdi, Yaser K Meeralam, Omar I Saadah, Majid A Almadi, Waleed Alhazzani, Haifa F Alotaibi, Khalidah A Alenzi, Bedor A Al-Omari, Hajer Y Almudaiheem, Ahmed H Al-Jedai","doi":"10.4103/sjg.sjg_277_25","DOIUrl":"10.4103/sjg.sjg_277_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"254-297"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795992","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}

{"title":"Application of a food trigger score to identify common dietary triggers among Saudi adults with irritable bowel syndrome.","authors":"Sarah M Ajabnoor, Lara Tashkandi","doi":"10.4103/sjg.sjg_454_25","DOIUrl":"10.4103/sjg.sjg_454_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"326-334"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849308","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}

{"title":"Comment on global trends in the burden and quality of care for upper gastrointestinal diseases, 1990-2021.","authors":"Qi Fan, Shihong Xie","doi":"10.4103/sjg.sjg_201_26","DOIUrl":"10.4103/sjg.sjg_201_26","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"359-360"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207627","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}