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

{"title":"An interpretable machine learning model for predicting the risk of post-endoscopic retrograde cholangiopancreatography complications in elderly patients with choledocholithiasis.","authors":"Guanjun Zhang, Ke Meng, Yaqi Zhai, Min Zhu, Yuming Han, Mingyang Li","doi":"10.4103/sjg.sjg_400_25","DOIUrl":"10.4103/sjg.sjg_400_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"228-240"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914602","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":"Charting the biliary intervention path: Systematic insights into endoscopic versus percutaneous route in managing post-liver transplant complications.","authors":"Khalid Bzeizi, Ali Albenmousa, Bandar Al-Judaibi","doi":"10.4103/sjg.sjg_409_25","DOIUrl":"10.4103/sjg.sjg_409_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"175-176"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954836","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":"Autoimmune hepatitis overlap syndrome: Clinical presentation, treatment response, and disease evolution: Tertiary centre experience.","authors":"Abduljaleel Al Alwan, Ibrahim Altraif, Hamdan Alghamdi, Abdulrahman Aljumah, Mohammed Omar Amer, Dua O Binjabal, Ali H Albenmousa, Mohammad S Shawaqfeh, Lolwa Fetyani, Wesam S Abdel-Razaq, Abdulkareem M Albekairy, Fakhar A Arisar, Khalid H Alharbi, Faisal M Sanai","doi":"10.4103/sjg.sjg_413_25","DOIUrl":"10.4103/sjg.sjg_413_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"241-250"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121779","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":"Endoscopic retrograde cholangiopancreatography versus percutaneous transhepatic radiological procedures in the management of post-liver transplantation biliary complications: A systematic review.","authors":"Eyad Gadour, Bogdan Miutescu, Mohammed Saad AlQahtani, Andrei Varciu, Mohammed Albeshir, Sarah Alzayyat, Ahmed Altonbary, Rayyan Ibrahim, Renad-Heyam Abdelrahman, Antonio Facciorusso","doi":"10.4103/sjg.sjg_342_25","DOIUrl":"10.4103/sjg.sjg_342_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"182-196"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954787","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":"Pediatric liver transplantation for inherited metabolic disease-Current challenges.","authors":"Roshni Vara, Nedim Hadzic","doi":"10.4103/sjg.sjg_325_25","DOIUrl":"10.4103/sjg.sjg_325_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"177-181"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373795","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":"Diagnostic value of transient elastography in assessing the degree of liver fibrosis in chronic hepatitis B patients with low alanine aminotransferase levels and concomitant hepatic steatosis.","authors":"Aili Wang, Qingqing Wang, Huaie Liu","doi":"10.4103/sjg.sjg_395_25","DOIUrl":"10.4103/sjg.sjg_395_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"214-221"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145902223","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":"Real-world study on efficacy and safety of pancreatin enteric-coated capsules in treatment of postprandial distress syndrome in older patients.","authors":"Wenhui Liu, Lishu Xu, Xiling Chen, Hongtan Chen, Bo Li, Shuming Yin, Dongyan Chen, Weimin Dong, Benyan Wu, Gangshi Wang","doi":"10.4103/sjg.sjg_257_25","DOIUrl":"10.4103/sjg.sjg_257_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"205-213"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147702014","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":"Digital horizons: Exploring the future of AI-enabled gastroenterology in the Kingdom of Saudi Arabia.","authors":"Syed Anjum Gardezi, Rawan Al Ghawi, Turki AlAmeel, Aymen Almuhaidb, Abed H Al-Lehibi, Fuad Maufa","doi":"10.4103/sjg.sjg_425_25","DOIUrl":"10.4103/sjg.sjg_425_25","url":null,"abstract":"","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":"197-204"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021191","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":"Toward a United Arab Emirates national inflammatory bowel disease transition care pathway: Findings from a healthcare professional survey and development of evidence-based tools.","authors":"Mohammed N Quraishi, Rana Bitar, Sara El Ouali, Rahul A Nathwani, Zaher Koutoubi, Ahmad Jazzar, Yaser El-Gazzar, Sameer Al Awadhi, Abdulla Al Hassani, Nadeen M Omar, Christos Tzivinikos","doi":"10.4103/sjg.sjg_41_26","DOIUrl":"10.4103/sjg.sjg_41_26","url":null,"abstract":"<p><strong>Background: </strong>The transition from pediatric to adult inflammatory bowel disease (IBD) care in the United Arab Emirates (UAE) is unstructured, creating a critical gap that risks treatment nonadherence and abrupt, unstructured transfers into adult services. We aimed to assess national practice patterns and barriers to inform development of a standardized UAE National IBD Transition Care Pathway.</p><p><strong>Methods: </strong>A 45-item electronic survey was distributed to UAE gastroenterologists and IBD nurse specialists via the Emirates Gastroenterology and Hepatology Society (EGHS) networks. We analyzed demographics, current practices, and perceived barriers, performing cross-tabulations between pediatric and adult healthcare professionals.</p><p><strong>Results: </strong>Fifty-five healthcare professionals responded (46 adult gastroenterologists, 7 pediatric gastroenterologists, 2 IBD nurse specialists). Only 5.5% reported having a consistently used formal transition policy, while 58.2% had no policy. Joint pediatric-adult clinics were unavailable in 81.8% of practices. The highest-rated barriers included lack of a formal transition program (mean 3.65/5, 54.5% rating significant/very significant), patient inability to afford medications (3.40, 49.1%), and difficulty navigating public-private sectors (3.25, 47.3%). Adult healthcare professionals tended to rate barriers higher, with significant differences for poor communication between teams ( P = 0.020) and medication affordability ( P = 0.016). Healthcare professional priorities were development of a standardized national pathway (78.2%) and unified handover templates (49.1%).</p><p><strong>Conclusions: </strong>This first national assessment confirms critical infrastructure and communication gaps in UAE IBD transition care. In response, the EGHS Task Force has developed a comprehensive toolkit, including a standardized medical handover template, clinical transition framework, and the first Arabic-language Transition Readiness Assessment Questionnaire to standardize clinical practice.</p>","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849286","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":"Comparative prognostic value of inflammation-based biomarkers for predicting in-hospital mortality in severe acute pancreatitis.","authors":"Wenzhen Zhou, Hanwen Tong, Lingli Wu, Qingcheng Zhu","doi":"10.4103/sjg.sjg_462_25","DOIUrl":"https://doi.org/10.4103/sjg.sjg_462_25","url":null,"abstract":"<p><strong>Background: </strong>Inflammation is central to the progression of severe acute pancreatitis (SAP), but the comparative prognostic value of inflammation-based biomarkers remains unclear. This study evaluated six indices-the systemic inflammatory response index (SIRI), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), glucose-to-lymphocyte ratio (GLR), and lactate-to-albumin ratio (LAR)-for predicting in-hospital mortality in SAP.</p><p><strong>Methods: </strong>This retrospective study included 435 SAP patients admitted to a tertiary intensive care unit, from 2015 to 2024. Biomarkers were measured within 24 hour of admission. Logistic regression was used to identify independent predictors. Discriminatory performance was assessed with receiver operating characteristic (ROC) curves. Non-linear associations were examined using restricted cubic splines, and sensitivity analyses were performed using Youden index-based cutoffs.</p><p><strong>Results: </strong>A total of 101 patients (23.2%) died during hospitalization. NLR, GLR, and LAR were independently associated with mortality, with LAR showing the strongest effect (adjusted odds ratio = 1.48). LAR demonstrated good discrimination (area under the curve [AUC] =0.710), comparable to the sequential organ failure assessment (SOFA) score (AUC = 0.741; P = 0.249). Adding LAR to SOFA resulted in a small but statistically significant improvement in discrimination (AUC = 0.753 vs. 0.741; P = 0.036), although the clinical impact of this incremental gain remains uncertain. Restricted cubic spline analyses showed approximately linear associations for all three biomarkers, and sensitivity analyses confirmed the robustness of these findings.</p><p><strong>Conclusion: </strong>LAR was the most informative inflammation-based biomarker for early mortality prediction in SAP, with performance comparable to the SOFA score. Its simplicity and predictive ability suggest that LAR may serve as a useful adjunct to existing scoring systems for early risk assessment.</p>","PeriodicalId":520774,"journal":{"name":"Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147680244","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}