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Launch of the PANC-PALS Consortium 启动 PANC-PALS 联合会
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00346-7
Ammar A Javed, Camila Hidalgo Salinas, Christopher L Wolfgang, Marc G Besselink
{"title":"Launch of the PANC-PALS Consortium","authors":"Ammar A Javed, Camila Hidalgo Salinas, Christopher L Wolfgang, Marc G Besselink","doi":"10.1016/s2468-1253(24)00346-7","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00346-7","url":null,"abstract":"No Abstract","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Dietary management of irritable bowel syndrome: considerations, challenges, and solutions 肠易激综合征的饮食管理：注意事项、挑战和解决方案
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00238-3
Kevin Whelan, Alexander C Ford, Helen Burton-Murray, Heidi M Staudacher
{"title":"Dietary management of irritable bowel syndrome: considerations, challenges, and solutions","authors":"Kevin Whelan, Alexander C Ford, Helen Burton-Murray, Heidi M Staudacher","doi":"10.1016/s2468-1253(24)00238-3","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00238-3","url":null,"abstract":"Diet is a cornerstone in the management of irritable bowel syndrome (IBS). There is evidence of efficacy across the spectrum of dietary management strategies, including some supplements (eg, specific fibres), foods, and whole diets (eg, a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols [known as the low-FODMAP diet]). Whole-diet interventions, in particular those that restrict intake, can be challenging to deliver effectively and safely. Factors to consider include patient demographics, food cost and availability, and the acceptability of dietary management and its impact on food-related quality of life. There is concern regarding a potential role of restrictive whole-diet interventions in eating disorder risk. Optimal approaches to delivering dietary management in the health-care setting are unclear. The aim of this Review is to summarise the clinical evidence for the dietary management of IBS; to discuss the challenges, burdens, and risks of dietary management; and to propose how these challenges, burdens, and risks should be mitigated and minimised in clinical practice.","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Personalisation of therapy in irritable bowel syndrome: a hypothesis 肠易激综合征的个性化治疗：一个假设
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00245-0
Christopher J Black, Alexander C Ford
{"title":"Personalisation of therapy in irritable bowel syndrome: a hypothesis","authors":"Christopher J Black, Alexander C Ford","doi":"10.1016/s2468-1253(24)00245-0","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00245-0","url":null,"abstract":"Irritable bowel syndrome (IBS) is a common disorder of gut–brain interaction characterised by symptoms of abdominal pain, occurring at least 1 day per week, and a change in stool frequency or form. Individuals with IBS are usually subtyped according to their predominant bowel habit, which is used to direct symptom-based treatment. However, this approach is probably an oversimplification of a complex and multidimensional condition, and other factors, such as psychological health, are known to influence symptom severity and prognosis. We have previously used latent class analysis, a method of mathematical modelling, to show that people with IBS can be classified into seven unique clusters based on a combination of gastrointestinal symptoms, abdominal pain, extraintestinal symptoms, and psychological comorbidity. The clusters can be used to predict the prognosis of IBS (eg, symptom severity), health-care use (eg, consultation behaviour, prescribing, and costs), and impact (eg, quality of life, work and productivity, activities of daily living, and income). These clusters could also be used to increase the personalisation of IBS treatment that better recognises the heterogenous nature of the condition. We present new data providing additional validation of our seven-cluster model and conduct a comprehensive evidence-based review of IBS management. Based on this evidence, we propose a framework of first-line and second-line treatments according to IBS cluster. Finally, we discuss what further research is needed to implement this approach in clinical practice, including the need for randomised trials comparing cluster-based treatment with conventional treatment according to stool subtype.","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Tackling obesity: drugs are only part of the solution 解决肥胖问题：药物只是解决方案的一部分
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00356-x
{"title":"Tackling obesity: drugs are only part of the solution","authors":"","doi":"10.1016/s2468-1253(24)00356-x","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00356-x","url":null,"abstract":"No Abstract","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Pancreaticopleural fistula presenting with a massive right-sided pleural effusion after pancreatitis 胰腺炎后出现大量右侧胸腔积液的胰腺胸膜瘘
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00315-7
Christopher James Shephard, William Jiaen Wang, Gabriel McLachlan, Bulent Baran
{"title":"Pancreaticopleural fistula presenting with a massive right-sided pleural effusion after pancreatitis","authors":"Christopher James Shephard, William Jiaen Wang, Gabriel McLachlan, Bulent Baran","doi":"10.1016/s2468-1253(24)00315-7","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00315-7","url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>Contributors</h2>All authors provided clinical care to the patient and contributed to the final manuscript. Written informed consent for publication was obtained from the patient.</section></section><section><section><h2>Declaration of interests</h2>We declare no competing interests.</section></section>","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Management of portal vein thrombosis in cirrhosis 肝硬化门静脉血栓的处理
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00312-1
Francesco Violi, Pasquale Pignatelli
{"title":"Management of portal vein thrombosis in cirrhosis","authors":"Francesco Violi, Pasquale Pignatelli","doi":"10.1016/s2468-1253(24)00312-1","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00312-1","url":null,"abstract":"No Abstract","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Adjuvant nivolumab for gastric and gastro-oesophageal junction cancer – Authors' reply 胃癌和胃食管交界处癌的 nivolumab 辅助治疗 - 作者回复
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00302-9
Mitsuro Sasako
{"title":"Adjuvant nivolumab for gastric and gastro-oesophageal junction cancer – Authors' reply","authors":"Mitsuro Sasako","doi":"10.1016/s2468-1253(24)00302-9","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00302-9","url":null,"abstract":"No Abstract","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
GLP-1 receptor agonists and bronchial aspiration risk: what the evidence tells us GLP-1 受体激动剂与支气管吸入风险：证据告诉我们什么？
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00278-4
Lorenzo Fuccio, Marianna Arvanitakis, Antonio Facciorusso
{"title":"GLP-1 receptor agonists and bronchial aspiration risk: what the evidence tells us","authors":"Lorenzo Fuccio, Marianna Arvanitakis, Antonio Facciorusso","doi":"10.1016/s2468-1253(24)00278-4","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00278-4","url":null,"abstract":"No Abstract","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
A person-first podcast and the story of Alexis St Martin 以人为本的播客和亚历克西斯-圣马丁的故事
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00358-3
Cahal McQuillan
{"title":"A person-first podcast and the story of Alexis St Martin","authors":"Cahal McQuillan","doi":"10.1016/s2468-1253(24)00358-3","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00358-3","url":null,"abstract":"No Abstract","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
A model to achieve microelimination of viral hepatitis in Shabo village, Nasarawa state, Nigeria 在尼日利亚纳萨拉瓦州沙博村实现微观消除病毒性肝炎的模式
IF 35.7 1区 医学
Lancet Gastroenterology & Hepatology Pub Date : 2024-11-06 DOI: 10.1016/s2468-1253(24)00347-9
Gamal Shiha, Ahmed Farahat, Ibrahim Adamu Alhassan, Ruth Bello Dalhatu Araf, Riham Soliman
{"title":"A model to achieve microelimination of viral hepatitis in Shabo village, Nasarawa state, Nigeria","authors":"Gamal Shiha, Ahmed Farahat, Ibrahim Adamu Alhassan, Ruth Bello Dalhatu Araf, Riham Soliman","doi":"10.1016/s2468-1253(24)00347-9","DOIUrl":"https://doi.org/10.1016/s2468-1253(24)00347-9","url":null,"abstract":"No Abstract","PeriodicalId":56028,"journal":{"name":"Lancet Gastroenterology & Hepatology","volume":null,"pages":null},"PeriodicalIF":35.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
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