journal
Journals Best Practice & Research. Clin...

Best Practice & Research. Clinical Gastroenterology

https://read.qxmd.com/read/37852708/what-is-the-optimal-type-and-dose-of-physical-activity-for-colorectal-cancer-prevention
#41
REVIEW
Samuel T Orange
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...
October 2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37852707/colorectal-cancer-a-health-and-economic-problem
#42
REVIEW
Leon Klimeck, Thomas Heisser, Michael Hoffmeister, Hermann Brenner
Colorectal Cancer (CRC) is the third most commonly diagnosed form of cancer and accounts for approximately 1.9 million cancer cases each year (10% of all new cancer cases globally). Incidence strongly increases with age and has been traditionally highest in Western, affluent countries, but it is rapidly increasing in many less developed countries and in younger generations in both developed and developing countries. With demographic aging, CRC will pose a rapidly increasing challenge for many societies, which underlines the need for major efforts on primary and secondary prevention...
October 2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37852706/role-of-colonoscopy-in-colorectal-cancer-screening-available-evidence
#43
REVIEW
Antonio Z Gimeno-García, Enrique Quintero
Colonoscopy is the cornerstone examination for colorectal cancer (CRC) screening and it is recommended as the first examination in the context of individuals with high risk of CRC development. Thereby, this examination is of choice in the setting of patients with hereditary CRC syndromes or in patients with long-standing inflammatory bowel disease with colon involvement. However, its role is less clear in the average risk-risk population and in patients with family history of CRC not linked to hereditary CRC syndromes...
October 2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37852705/faecal-haemoglobin-measurement-applications-and-future-potential
#44
REVIEW
Callum G Fraser
Faecal hemoglobin concentrations (f-Hb) can be quantitated using faecal immunochemical test for haemoglobin (FIT) analytical systems. FIT are of proven value and widely used in colorectal cancer (CRC) screening. Several factors affect f-Hb including sex, age, deprivation, geographical region, and FIT system. Thus, FIT data may not be transferable. Women are disadvantaged in programmes using a single f-Hb threshold for all participants, but risk scoring or sex stratified thresholds could be used to minimise this problem...
October 2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652656/diagnosis-and-management-of-mid-gut-small-bowel-diseases-the-state-of-the-art-in-2023
#45
EDITORIAL
Edward J Despott, Alberto Murino
No abstract text is available yet for this article.
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652655/the-evolving-role-of-small-bowel-capsule-endoscopy
#46
REVIEW
Silvia Pecere, Michele Francesco Chiappetta, Livio Enrico Del Vecchio, Edward Despott, Xavier Dray, Anastasios Koulaouzidis, Lorenzo Fuccio, Alberto Murino, Emanuele Rondonotti, Manon Spaander, Cristiano Spada
No abstract text is available yet for this article.
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652654/updates-in-the-diagnosis-and-management-of-small-bowel-crohn-s-disease
#47
REVIEW
Cristina Carretero, Alejandro Bojorquez, Rami Eliakim, Nikolaos Lazaridis
No abstract text is available yet for this article.
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652653/safe-non-surgical-retrieval-of-foreign-bodies-from-the-small-bowel
#48
REVIEW
Maria Elena Riccioni, Clelia Marmo
No abstract text is available yet for this article.
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652652/updates-in-the-diagnosis-and-management-of-non-ampullary-small-bowel-polyposis
#49
REVIEW
Laura Lucaciu, Tomonori Yano, Jean Christophe Saurin
Advances in endoscopic instruments and techniques changed the strategy of diagnosis and management for non-ampullary small-bowel polyposis. In patients with Peutz-Jeghers syndrome, gastrointestinal surveillance using capsule endoscopy should commence no later than eight years old. Small bowel polyps >15 mm should be treated to prevent intussusception. Recently, endoscopic ischemic polypectomy and endoscopic reduction of intussusception were described. In patients with familial adenomatous polyposis, the first endoscopic screening using a lateral viewing and a longer endoscope to check the proximal jejunum should be performed around 25 years...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652651/the-evolving-role-of-device-assisted-enteroscopy-the-state-of-the-art-as-of-august-2023
#50
REVIEW
Hironori Yamamoto, Edward J Despott, Begoña González-Suárez, Marco Pennazio, Klaus Mönkemüller
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...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652650/updates-in-the-diagnosis-and-management-of-small-bowel-tumors
#51
REVIEW
Erasmia Vlachou, Apostolos Koffas, Christos Toumpanakis, Martin Keuchel
Small-bowel tumors represent a rare entity comprising 0.6% of all new cancer cases in the US, and only 3% of all gastrointestinal neoplasms. They are a heterogenous group of neoplasms comprising of about forty different histological subtypes with the most common being adenocarcinoma, neuroendocrine tumors, stromal tumors and lymphomas. Their incidence has been reportedly increasing over recent years, partly owing to the advances and developments in the diagnostic modalities. Small-bowel capsule endoscopy, device assisted enteroscopy and dedicated small-bowel cross-sectional imaging are complimentary tools, supplementing each other in the diagnostic process...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652649/jejunal-access-for-enteral-nutrition-a-practical-guide-for-percutaneous-endoscopic-gastrostomy-with-jejunal-extension-and-direct-percutaneous-endoscopic-jejunostomy
#52
REVIEW
Amélie Bourgeois, Paraskevas Gkolfakis, Lucia Fry, Marianna Arvanitakis
For patients requiring long-term (>4 weeks) jejunal nutrition, jejunal medication delivery, or decompression, a percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) or a direct percutaneous endoscopic jejunostomy (DPEJ) may be indicated. PEG-J is the preferred option if a PEG tube is already in place or if simultaneous gastric decompression and jejunal nutrition are needed. DPEJ is recommended for patients with altered anatomy due to foregut surgery, high risk of jejunal extension migration, and whenever PEG-J fails...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652648/updates-on-the-diagnosis-and-management-of-cryptogenic-multifocal-ulcerative-stenosing-enteropathy-cmuse-and-non-steroidal-enteropathy
#53
REVIEW
Tom G Moreels, Ayaskanta Singh
Crohn's disease and coeliac disease are well-known to induce ulcerations in the small-bowel. However, there is a group of very rare chronic ulcerative conditions of the small intestine that has emerged from the intestinal black box nearly 70 years ago, and that has gained interest with the advent of small-bowel capsule endoscopy and device-assisted enteroscopy. These distinct ulcerative enteropathies have come to our attention, and continue to reveal their aetiology and treatment options. Two distinct entities, called cryptogenic multifocal ulcerative stenosing enteritis/enteropathy (CMUSE) and chronic nonspecific multiple ulcers of the small intestine (CNSU) are gaining more clinical attention...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652647/diagnosis-and-management-of-small-bowel-bleeding
#54
REVIEW
Marco Pennazio, Pablo Cortegoso Valdivia, Konstantinos Triantafyllou, Ian M Gralnek
Small-bowel (SB) bleeding is a challenging problem for the clinician, presenting many pitfalls in both diagnosis and subsequent treatment. Videocapsule endoscopy (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...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37652646/updates-in-the-diagnosis-and-management-of-coeliac-disease
#55
REVIEW
Mohamed G Shiha, Stefania Chetcuti Zammit, Luca Elli, David S Sanders, Reena Sidhu
Coeliac disease is a common autoimmune disorder induced by ingesting gluten, the protein component of wheat, barley, and rye. It is estimated that one-in-hundred people worldwide have coeliac disease, of whom the majority remain undiagnosed. Coeliac disease is characterized by a wide range of gastrointestinal and extraintestinal symptoms but can also present asymptomatically. Diagnosing coeliac disease depends on the concordance of clinical, serological and histopathological data. However, the diagnosis can be challenging and frequently overlooked...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37094915/nutrition-in-gastroenterology-rising-evidence-and-future-directions
#56
EDITORIAL
Nicola de Bortoli, Federica Baiano Svizzero, Veronica Pardi, Pierfrancesco Visaggi
No abstract text is available yet for this article.
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37094914/nutritional-intervention-in-the-management-of-non-alcoholic-fatty-liver-disease
#57
REVIEW
Maurizia R Brunetto, Antonio Salvati, Giovanni Petralli, Ferruccio Bonino
Lifestyle modification is the primary intervention to control NAFLD progression, but despite evidence-based effectiveness it is difficult to distinguish the benefits of nutrition from physical activity and the optimal diet composition is not established. Macronutrients as saturated fatty acids, sugars and animal proteins are harmful in NAFLD and the Mediterranean Diet reducing sugar, red meat and refined carbohydrates and increasing unsaturated-fatty-acids was reported to be beneficial. However one size cannot fit all since NAFLD is a multifaceted syndrome encompassing many diseases of unknown etiologies, different clinical severity and outcomes...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37094913/the-role-of-diet-in-shaping-human-gut-microbiota
#58
REVIEW
Emanuele Rinninella, Ege Tohumcu, Pauline Raoul, Marcello Fiorani, Marco Cintoni, Maria Cristina Mele, Giovanni Cammarota, Antonio Gasbarrini, Gianluca Ianiro
Gut microbiota plays a fundamental role within human health, and exerts key functions within the human body. Diet is one of the most powerful modulators of gut microbiota functions and composition. This complex interplay involves also the immune system and the intestinal barrier, highlighting the central role of diet in the pathogenesis and treatment of multiple diseases. In this review article we will paint the landscape of the effects of specific dietary nutrients, and of the detrimental or beneficial outcomes of different dietary patterns, on the composition of human gut microbiota...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37094912/nutrition-in-inflammatory-bowel-diseases-is-there-a-role
#59
REVIEW
Andriana C Kaliora
Nutrition is of paramount importance not only for healthy individuals, but all the more for the ones with pathologies interlinked with the diet. In that light, diet, when used accordingly can act in a protective manner in inflammatory bowel diseases. The interplay of diet and IBD is not thoroughly defined, and guidelines are a work in progress. However, significant knowledge has been gained with regard to foods and nutrients that may exacerbate or alleviate the core symptoms. Patients with IBD restrict from their diet a plethora of foods often arbitrary, thus depriving themselves from valuable constituents...
2023: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/37094911/dietary-factors-involved-in-gerd-management
#60
REVIEW
Mark Fox, C Prakash Gyawali
Gastroesophageal reflux disease (GERD) is extremely common, and even modest weight gain has been associated with higher symptom burden as well as objective evidence of reflux on endoscopy and physiological measurement. Certain trigger foods, especially citrus, coffee, chocolate, fried food, spicy food and red sauces are frequently reported to worsen reflux symptoms, although hard evidence linking these items to objective GERD is lacking. There is better evidence that large meal volume and high calorie content can increase esophageal reflux burden...
2023: Best Practice & Research. Clinical Gastroenterology
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