Best Practice & Research Clinical Gastroenterology最新文献

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What is the optimal type and dose of physical activity for colorectal cancer prevention? 预防结直肠癌癌症的最佳体力活动类型和剂量是多少?
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-10-01 DOI: 10.1016/j.bpg.2023.101841
Samuel T. Orange
{"title":"What is the optimal type and dose of physical activity for colorectal cancer prevention?","authors":"Samuel T. Orange","doi":"10.1016/j.bpg.2023.101841","DOIUrl":"10.1016/j.bpg.2023.101841","url":null,"abstract":"<div><p>Epidemiological evidence shows that higher levels of physical activity reduce the relative risk of colon cancer by up to 20%. To design optimal physical activity interventions for primary prevention, it is important to understand how the specific characteristics of physical activity (type, intensity, overall volume) influence the magnitude of colon cancer risk reduction. Improving our understanding of the underlying biological mechanisms will also help to manipulate physical activity characteristics to precisely target mechanisms of action and identify populations most likely to benefit. This review synthesizes the best available evidence to explore how the type and dose of physical activity moderate the protective effect of physical activity on colon cancer.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"66 ","pages":"Article 101841"},"PeriodicalIF":3.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1
Preventive strategies in familial and hereditary colorectal cancer 家族性和遗传性癌症的预防策略。
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-10-01 DOI: 10.1016/j.bpg.2023.101840
Zachariah H. Foda , Pooja Dharwadkar , Bryson W. Katona
{"title":"Preventive strategies in familial and hereditary colorectal cancer","authors":"Zachariah H. Foda ,&nbsp;Pooja Dharwadkar ,&nbsp;Bryson W. Katona","doi":"10.1016/j.bpg.2023.101840","DOIUrl":"10.1016/j.bpg.2023.101840","url":null,"abstract":"<div><p><span>Colorectal cancer is a leading cause of cancer-related deaths worldwide. While most cases are sporadic, a significant proportion of cases are associated with familial and hereditary syndromes. Individuals with a family history of colorectal cancer have an increased risk of developing the disease, and those with hereditary syndromes such as Lynch syndrome<span> or familial adenomatous polyposis have a significantly higher risk. In these populations, preventive strategies are critical for reducing the incidence and mortality of colorectal cancer. This review provides an overview of current preventive strategies for individuals at increased risk of colorectal cancer due to familial or hereditary factors. The manuscript includes a discussion of risk assessment and genetic testing, highlighting the importance of identifying at-risk individuals and families. This review describes various preventive measures, including surveillance </span></span>colonoscopy<span>, chemoprevention, and prophylactic surgery, and their respective benefits and limitations. Together, this work highlights the importance of preventive strategies in familial and hereditary colorectal cancer.</span></p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"66 ","pages":"Article 101840"},"PeriodicalIF":3.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Copyright Information 版权信息
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-10-01 DOI: 10.1016/S1521-6918(23)00058-6
{"title":"Copyright Information","authors":"","doi":"10.1016/S1521-6918(23)00058-6","DOIUrl":"https://doi.org/10.1016/S1521-6918(23)00058-6","url":null,"abstract":"","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"66 ","pages":"Article 101875"},"PeriodicalIF":3.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49744847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
pT1 colorectal cancer: A treatment dilemma pT1结直肠癌癌症:治疗难题。
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-10-01 DOI: 10.1016/j.bpg.2023.101854
Angelo Brunori , Maria Daca-Alvarez , Maria Pellisé
{"title":"pT1 colorectal cancer: A treatment dilemma","authors":"Angelo Brunori ,&nbsp;Maria Daca-Alvarez ,&nbsp;Maria Pellisé","doi":"10.1016/j.bpg.2023.101854","DOIUrl":"10.1016/j.bpg.2023.101854","url":null,"abstract":"<div><p>The implementation of population screening programs for colorectal cancer (CRC) has led to a considerable increase in the prevalence pT1-CRC originating on polyps amenable by local treatments. However, a high proportion of patients are referred for unnecessary oncological surgeries without a clear benefit in terms of survival. Selecting the appropriate endoscopic resection<span> technique in the moment of diagnosis becomes crucial to provide the best treatment alternative to each individual polyp and patient. For this, it is imperative to increase the optical diagnostic skill for differentiating pT1-CRCs and decide the appropriate initial therapy. En bloc resection is crucial to obtain an adequate histological specimen that might allow organ preserving therapeutic management. In this review, we address key challenges in T1 CRC management, explore the efficacy and safety of the available diagnostic and therapeutic approaches, and shed light on upcoming advances in the field.</span></p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"66 ","pages":"Article 101854"},"PeriodicalIF":3.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Updates in the diagnosis and management of non-ampullary small-bowel polyposis. 非壶腹性小肠息肉病的诊断和治疗进展。
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-07-01 DOI: 10.1016/j.bpg.2023.101846
L. Lucaciu, T. Yano, J. Saurin
{"title":"Updates in the diagnosis and management of non-ampullary small-bowel polyposis.","authors":"L. Lucaciu, T. Yano, J. Saurin","doi":"10.1016/j.bpg.2023.101846","DOIUrl":"https://doi.org/10.1016/j.bpg.2023.101846","url":null,"abstract":"","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"2677 1","pages":"101852"},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85175592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 evolving role of device-assisted enteroscopy 器械辅助肠镜检查的发展作用
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-07-01 DOI: 10.1016/j.bpg.2023.101845
H. Yamamoto, B. González-Suárez, K. Mönkemüller
{"title":"The evolving role of device-assisted enteroscopy","authors":"H. Yamamoto, B. González-Suárez, K. Mönkemüller","doi":"10.1016/j.bpg.2023.101845","DOIUrl":"https://doi.org/10.1016/j.bpg.2023.101845","url":null,"abstract":"","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"6 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79025004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Diagnosis and management of small-bowel bleeding 小肠出血的诊断和处理
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101844
Marco Pennazio , Pablo Cortegoso Valdivia , Konstantinos Triantafyllou , Ian M. Gralnek
{"title":"Diagnosis and management of small-bowel bleeding","authors":"Marco Pennazio ,&nbsp;Pablo Cortegoso Valdivia ,&nbsp;Konstantinos Triantafyllou ,&nbsp;Ian M. Gralnek","doi":"10.1016/j.bpg.2023.101844","DOIUrl":"10.1016/j.bpg.2023.101844","url":null,"abstract":"<div><p><span>Small-bowel (SB) bleeding is a challenging problem for the clinician, presenting many pitfalls in both diagnosis and subsequent treatment. Videocapsule </span>endoscopy<span> (VCE) and device-assisted enteroscopy (DAE) have revolutionized the approach to the patient with SB bleeding, allowing for the endoscopic diagnosis and management of what was previously only a surgical matter. The patients’ assessment in SB bleeding is of foremost importance, as treatment success relies on a detailed evaluation of clinical history, suspicion for underlying lesions, and a careful selection and timing of diagnostic and therapeutic tools. This review will summarize current state-of-the-art evidence and practice points, to provide the clinician with a comprehensive guide towards the management of SB bleeding.</span></p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"64 ","pages":"Article 101844"},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10131529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 5
Copyright Information 版权信息
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/S1521-6918(23)00045-8
{"title":"Copyright Information","authors":"","doi":"10.1016/S1521-6918(23)00045-8","DOIUrl":"https://doi.org/10.1016/S1521-6918(23)00045-8","url":null,"abstract":"","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"64 ","pages":"Article 101865"},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49759026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 evolving role of device-assisted enteroscopy: The state of the art as of August 2023 设备辅助肠镜检查的演变作用:截至2023年8月的最新状态
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101858
Hironori Yamamoto , Edward J. Despott , Begoña González-Suárez , Marco Pennazio , Klaus Mönkemüller
{"title":"The evolving role of device-assisted enteroscopy: The state of the art as of August 2023","authors":"Hironori Yamamoto ,&nbsp;Edward J. Despott ,&nbsp;Begoña González-Suárez ,&nbsp;Marco Pennazio ,&nbsp;Klaus Mönkemüller","doi":"10.1016/j.bpg.2023.101858","DOIUrl":"10.1016/j.bpg.2023.101858","url":null,"abstract":"<div><p>Device-assisted enteroscopy (DAE), balloon-assisted enteroscopy (BAE) in particular, has become a routine endoscopic procedure which has revolutionized our approach to small-bowel disease. Evidence demonstrating the efficacy and safety of BAE spans over 22-years of experience, making it an established pillar of minimally invasive care. The robust evidence for BAE's safety and efficacy has now been incorporated into international clinical guidelines, technical reviews, benchmarking performance measures and curricula. The more recently introduced motorized spiral enteroscopy (MSE) which had replaced the previous manual version, abruptly ended its 7-year stint in clinical practice, when it was withdrawn and recalled from the market by its manufacturing company in July 2023, due to several associated serious adverse events (including fatalities).</p><p>This article, written by the original developer of double-balloon enteroscopy (DBE) and other recognized international experts and pioneers in this field, focuses mainly on the technical aspects, evolving indications, and equipment-related technological advances. Despite the very recent withdrawal of MSE from clinical practice, for completeness, this technology and its technique is still briefly covered here, albeit importantly, along with a short description of reported, associated, serious adverse events which have contributed to its withdrawal/recall from the market and clinical practice.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"64 ","pages":"Article 101858"},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 3
Updates in the diagnosis and management of non-ampullary small-bowel polyposis 非壶腹性小肠息肉病的诊断和治疗进展
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101852
Laura Lucaciu , Tomonori Yano , Jean Christophe Saurin
{"title":"Updates in the diagnosis and management of non-ampullary small-bowel polyposis","authors":"Laura Lucaciu ,&nbsp;Tomonori Yano ,&nbsp;Jean Christophe Saurin","doi":"10.1016/j.bpg.2023.101852","DOIUrl":"10.1016/j.bpg.2023.101852","url":null,"abstract":"<div><p>Advances in endoscopic instruments and techniques changed the strategy of diagnosis and management for non-ampullary small-bowel polyposis.</p><p><span>In patients<span> with Peutz-Jeghers syndrome, gastrointestinal surveillance using capsule endoscopy should commence no later than eight years old. Small bowel polyps &gt;15 mm should be treated to prevent intussusception. Recently, endoscopic ischemic </span></span>polypectomy and endoscopic reduction of intussusception were described.</p><p><span>In patients with familial adenomatous polyposis<span>, the first endoscopic screening using a lateral viewing and a longer endoscope<span> to check the proximal jejunum should be performed around 25 years. Some experts recommend a first duodenal examination with a first </span></span></span>colonoscopy<span> (13 years). The surveillance intervals for duodenal polyposis should be adjusted individually. ESGE recommended the resection of every adenoma<span> larger than 1 cm. Cold snare polypectomy has the potential to change the threshold of size for endoscopic resection.</span></span></p><p>In patients with Juvenile polyposis syndrome, small bowel involvement seems infrequent and mostly located in the duodenal part. There is no indication for distal small bowel investigation.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"64 ","pages":"Article 101852"},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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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