journal
https://read.qxmd.com/read/36895703/a-comparative-analysis-of-bleeding-peptic-ulcers-in-hospitalizations-with-and-without-end-stage-renal-disease
#1
JOURNAL ARTICLE
Dushyant Singh Dahiya, Sohaib Mandoorah, Manesh Kumar Gangwani, Hassam Ali, Nooraldin Merza, Muhammad Aziz, Amandeep Singh, Abhilash Perisetti, Rajat Garg, Chin-I Cheng, Priyata Dutta, Sumant Inamdar, Madhusudhan R Sanaka, Mohammad Al-Haddad
BACKGROUND: End-stage renal disease (ESRD) patients are highly susceptible to peptic ulcer bleeding (PUB). We aimed to assess the influence of ESRD status on PUB hospitalizations in the United States (USA). METHODS: We analyzed the National Inpatient Sample to identify all adult PUB hospitalizations in the USA from 2007 to 2014, which were divided into two subgroups based on the presence or absence of ESRD. Hospitalization characteristics and clinical outcomes were compared...
February 2023: Gastroenterology Research
https://read.qxmd.com/read/36895702/ischemic-reperfusion-injury-after-liver-transplantation-is-there-a-place-for-conservative-management
#2
Aiman Obed, Saqr Alsakarneh, Mohammad Abuassi, Abdalla Bashir, Bashar Ali Ahmad, Anwar Jarrad, Thomas Lorf, Mohammad Almeqdadi
Ischemic reperfusion injury (IRI) after liver transplantation is a common cause of early allograft dysfunction with high mortality. The purpose of this case report series is to highlight an unusual clinical course in which complete recovery can occur following the identification of severe hepatic IRI post-transplantation and the implications of this finding on management strategies in patients with IRI post-transplant. Here, we include three cases of severe IRI following liver transplantation that are putatively resolved without retransplantation or definitive therapeutic intervention...
February 2023: Gastroenterology Research
https://read.qxmd.com/read/36895701/cytomegalovirus-infection-is-associated-with-adverse-outcomes-among-hospitalized-pediatric-patients-with-inflammatory-bowel-disease
#3
JOURNAL ARTICLE
Aravind Thavamani, Krishna Kishore Umapathi, Thomas J Sferra, Senthilkumar Sankararaman
BACKGROUND: Adults with inflammatory bowel disease (IBD) are at increased risk of developing cytomegalovirus (CMV) colitis, which is associated with adverse outcomes. Similar studies in pediatric IBD patients are lacking. METHODS: We analyzed non-overlapping years of National Inpatient Sample (NIS) and Kids Inpatient Database (KID) between 2003 and 2016. We included all patients < 21 years with a diagnosis of Crohn's disease (CD) or ulcerative colitis (UC). Patients with coexisting CMV infection during that admission were compared with patients without CMV infection for outcome measures such as in-hospital mortality, disease severity, and healthcare resource utilization...
February 2023: Gastroenterology Research
https://read.qxmd.com/read/36895700/endoscopic-ultrasound-predicts-risk-of-occult-intra-abdominal-metastases-in-localized-gastric-cancer-a-validation-study
#4
JOURNAL ARTICLE
Fares Ayoub, Christopher G Chapman, Heather Chen, Namrata Setia, Kevin Roggin, Uzma D Siddiqui
BACKGROUND: In gastric cancer (GC) patients without imaging evidence of distant metastasis, diagnostic staging laparoscopy (DSL) is recommended to detect radiographically occult peritoneal metastasis (M1). DSL carries a risk for morbidity and its cost-effectiveness is unclear. Use of endoscopic ultrasound (EUS) to improve patient selection for DSL has been proposed but not validated. We aimed to validate an EUS-based risk classification system predicting risk for M1 disease. METHODS: We retrospectively identified all GC patients without positron emission tomography (PET)/computed tomography (CT) evidence of distant metastasis who underwent staging EUS followed by DSL between 2010 and 2020...
February 2023: Gastroenterology Research
https://read.qxmd.com/read/36895699/comparing-patients-diagnosed-with-ineffective-esophageal-motility-by-the-chicago-classification-version-3-0-and-version-4-0-criteria
#5
JOURNAL ARTICLE
Alyssa W Tuan, Nauroz Syed, Ronaldo P Panganiban, Roland Y Lee, Shannon Dalessio, Sandeep Pradhan, Junjia Zhu, Ann Ouyang
BACKGROUND: The Chicago Classification version 4.0 (CCv4.0) of ineffective esophageal motility (IEM) is more stringent than the Chicago Classification version 3.0 (CCv3.0) definition. We aimed to compare the clinical and manometric features of patients meeting CCv4.0 IEM criteria (group 1) versus patients meeting CCv3.0 IEM but not CCv4.0 criteria (group 2). METHODS: We collected retrospective clinical, manometric, endoscopic, and radiographic data on 174 adults diagnosed with IEM from 2011 to 2019...
February 2023: Gastroenterology Research
https://read.qxmd.com/read/36895698/giant-pseudoaneurysm-of-the-splenic-artery-size-rupture-correlation
#6
JOURNAL ARTICLE
Safi Khuri, Mira Damouny, Subhi Mansour
No abstract text is available yet for this article.
February 2023: Gastroenterology Research
https://read.qxmd.com/read/36895697/the-impact-of-metabolic-syndrome-on-the-prognosis-of-high-risk-alcoholic-hepatitis-patients-redefining-alcoholic-hepatitis
#7
JOURNAL ARTICLE
Shahid Habib, Traci Murakami, Varun Takyar, Krunal Patel, Cristian Dominguez, Yongcheng Zhan, Omid Mehrpour, Chiu-Hsieh Hsu
BACKGROUND: Alcoholic hepatitis (AH) is characterized by acute symptomatic hepatitis associated with heavy alcohol use. This study was designed to assess the impact of metabolic syndrome on high-risk patients with AH with discriminant function (DF) score ≥ 32 and its effect on mortality. METHODS: We searched the hospital database for ICD-9 diagnosis codes of acute AH, alcoholic liver cirrhosis, and alcoholic liver damage. The entire cohort was categorized into two groups: AH and AH with metabolic syndrome...
February 2023: Gastroenterology Research
https://read.qxmd.com/read/36660472/hospitalization-outcomes-of-acute-pancreatitis-in-hematopoietic-stem-cell-transplant-recipients
#8
JOURNAL ARTICLE
Hunza Chaudhry, Armaan Dhaliwal, Kanwal Bains, Aalam Sohal, Piyush Singla, Raghav Sharma, Dino Dukovic, Isha Kohli, Gagan Gupta, Devang Prajapati
BACKGROUND: Acute pancreatitis (AP) carries a significant morbidity and mortality worldwide. AP is a potential complication of hematopoietic stem cell transplantation (HSCT) although its incidence remains unclear. HSCT recipients are at increased risk of AP due to various factors but the effect of AP on mortality and resource utilization in the adult population has not been studied. We investigated the impact of AP on hospitalization outcomes among patients following HSCT. METHODS: We queried the National Inpatient Sample (NIS) database using the International Classification of Diseases (ICD)-10 codes...
December 2022: Gastroenterology Research
https://read.qxmd.com/read/36660471/barriers-to-hepatitis-c-virus-care-and-how-federally-qualified-health-centers-can-improve-patient-access-to-treatment
#9
JOURNAL ARTICLE
David Lam, Robert J Wong, Adla Tessier, Yenice Zapata, Elsie Saldana, Robert G Gish
BACKGROUND: Despite the availability of direct-acting antiviral agents (DAAs) for hepatitis C virus (HCV) treatment, disparities in HCV care and treatment persist for underserved populations due to demographic-based and insurance-based barriers. We aim to examine the effect of barriers on HCV treatment access for a federally qualified health center (FQHC) population. METHODS: We retrospectively evaluated medical records of adults diagnosed with chronic HCV at an FQHC clinic from 2016 to 2020 with follow-up through 2021...
December 2022: Gastroenterology Research
https://read.qxmd.com/read/36660470/an-open-access-interactive-decision-support-tool-to-facilitate-guideline-driven-care-for-hepatocellular-carcinoma
#10
REVIEW
Robert J Wong, Channa Jayasekera, Patricia Jones, Fasiha Kanwal, Amit G Singal, Aijaz Ahmed, Robert Taglienti, Zobair Younossi, Laura Kulik, Neil Mehta
Hepatocellular carcinoma (HCC) is increasing in incidence and is a leading cause of cancer-related mortality worldwide. Adherence to HCC surveillance guidelines and appropriate treatment triage of liver lesions may improve receipt of curative-intent treatment and improved survival. Late-stage HCC diagnosis reflects sub-optimal implementation of effective HCC surveillance, whereas inappropriate treatment triage or linkage to care accounts for the non-receipt of curative-intent in close to half of early-stage HCC in the USA...
December 2022: Gastroenterology Research
https://read.qxmd.com/read/36660469/clinical-features-and-management-of-small-bowel-masses-detected-during-device-assisted-enteroscopy-a-multi-center-experience
#11
JOURNAL ARTICLE
Michael G Noujaim, Claire Dorsey, Alice Parish, Daniel Raines, Lara Boudreaux, Mark Hanscom, David Cave, Donna Niedzwiecki, Daniel Wild
BACKGROUND: Small bowel mass lesions (SBMLs) are rare, span a range of different histologies and phenotypes, and our understanding of them is limited. Some lesions occur in patients with recognized polyposis syndromes and others arise sporadically. The current literature regarding SBMLs is limited to small retrospective studies, case reports, and small case series. This large multi-center study aims to understand the various clinical presentations, histologies and management options for SBMLs...
December 2022: Gastroenterology Research
https://read.qxmd.com/read/36660468/expanding-the-use-of-endoscopic-retrograde-cholangiopancreatography-in-pediatrics-a-national-database-analysis-of-demographics-and-complication-rates
#12
JOURNAL ARTICLE
Eric Lorio, Chris Moreau, Joel Edmund Michalek, Sandeep Patel
BACKGROUND: This study aimed to aid in risk assessment of pediatric endoscopic retrograde cholangiopancreatography (ERCP) candidates by utilizing a national pediatric database with a large sample to assess how patient characteristics may affect ERCP complication rates. METHODS: The Kids' Inpatient Database (KID) is a sample of pediatric discharges in states participating in the Healthcare Cost and Utilization Project (HCUP). This database provides demographic information, hospitalization duration, and outcome information for hospitalizations during which an ERCP occurred...
December 2022: Gastroenterology Research
https://read.qxmd.com/read/36660467/transjugular-intrahepatic-portosystemic-shunt-outcomes-in-the-elderly-population-a-systematic-review-and-meta-analysis
#13
JOURNAL ARTICLE
Zohaib Ahmed, Umer Farooq, Syeda Faiza Arif, Muhammad Aziz, Umair Iqbal, Ahmad Nawaz, Wade Lee-Smith, Joyce Badal, Asif Mahmood, Abdallah Kobeissy, Ali Nawras, Mona Hassan, Sammy Saab
BACKGROUND: Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure typically utilized to treat refractory ascites and variceal bleeding. However, TIPS can lead to significant complications, most commonly hepatic encephalopathy (HE). Advanced age has been described as a risk factor for HE, as the elderly population tends to have decreased cognitive reserve and increased sarcopenia. We conducted a systematic review and meta-analysis of the available literature to summarize the association between advanced age and risk of adverse events after undergoing TIPS...
December 2022: Gastroenterology Research
https://read.qxmd.com/read/36660466/gastrocolic-fistula-an-extraordinary-gastrointestinal-fistula
#14
REVIEW
Subhi Mansour, Rozan Marjiyeh-Awwad, Safi Khuri
Gastrocolic (GC) fistula, a rare gastrointestinal pathological condition, is defined as an abnormal connection between the stomach and the colon. Mostly, it involves the greater curvature of the stomach and the transverse part of the colon. Its precise incidence rate is unknown and largely differs between western and eastern nations. Etiological causes differ as well between the two worlds. Although several precipitating diseases are reported, nowadays, the most common causes are malignant diseases of the stomach (eastern countries) and colon (western world)...
December 2022: Gastroenterology Research
https://read.qxmd.com/read/36660465/radiation-in-gastroenterology
#15
REVIEW
Monjur Ahmed, Razin Ahmed
The benefit of radiation is immense in the field of gastroenterology. Radiation is used daily in different gastrointestinal imaging and diagnostic and therapeutic interventional procedures. Radiotherapy is one of the primary modalities of treatment of gastrointestinal malignancies. There are various modalities of radiotherapy. Radiotherapy can injure malignant cells by directly damaging DNA, RNA, proteins, and lipids and indirectly by forming free radicals. External beam radiation, internal beam radiation and radio-isotope therapy are the major ways of delivering radiation to the malignant tissue...
December 2022: Gastroenterology Research
https://read.qxmd.com/read/36407811/development-of-a-predictive-model-for-common-bile-duct-stones-in-patients-with-clinical-suspicion-of-choledocholithiasis-a-cohort-study
#16
JOURNAL ARTICLE
Suppadech Tunruttanakul, Kotchakorn Verasmith, Jayanton Patumanond, Chatchai Mingmalairak
BACKGROUND: Current choledocholithiasis guidelines heavily focus on patients with low or no risk, they may be inappropriate for populations with high rates of choledocholithiasis. We aimed to develop a predictive scoring model for choledocholithiasis in patients with relevant clinical manifestations. METHODS: A multivariable predictive model development study based on a retrospective cohort of patients with clinical suspicion of choledocholithiasis was used in this study...
October 2022: Gastroenterology Research
https://read.qxmd.com/read/36407810/safety-of-percutaneous-endoscopic-gastrostomy-placement-in-patients-with-sars-cov-2-infection
#17
JOURNAL ARTICLE
Ayushi Shah, Zunirah Ahmed, Fadl Zeineddine, Eamonn M M Quigley
BACKGROUND: Coronavirus disease 2019 (COVID-19) can lead to ventilator-dependent chronic respiratory failure and a need for tube feeding. Percutaneous endoscopic gastrostomy (PEG) placement provides more sustainable longer-term enteral access with fewer side effects compared to the long-term nasogastric tube placement. Bleeding is a recognized complication of PEG placement, and many COVID-19 patients are on antiplatelets/anticoagulants, yet minimal data exist on the safety of PEG tube placement in this context...
October 2022: Gastroenterology Research
https://read.qxmd.com/read/36407809/adult-intussusception-in-chronic-marijuana-users
#18
Jiten P Kothadia, Anwesh Dash, Rajanshu Verma, Kyle Kreitman, Peter D Snell, Mohammad K Ismail
Intussusception is common in children, but it is rare in adults. The most common causes of adult intussusception (AI) are due to a pathological lead point with a common etiology being malignancy. Intra-luminal irritants should be considered the possible etiology of intussusception in patients without a pathological lead point. Marijuana use has increased dramatically in the United States over the last decade. With increasing public acceptance and legalization of marijuana, various adverse side effects have become more prominent...
October 2022: Gastroenterology Research
https://read.qxmd.com/read/36407808/diagnostic-accuracy-of-elastography-and-liver-disease-a-meta-analysis
#19
JOURNAL ARTICLE
Preeti Malik, Shreejith Pillai, Kriti Agarwal, Salwa Abdelwahed, Renu Bhandari, Abhishek Singh, Anusha Chidharla, Kajal Patel, Priyanka Singh, Pritika Manaktala, Rizwan Rabbani, Thoyaja Koritala, Sachin Gupta
BACKGROUND: Ultrasound-based transient elastography (TE) is a non-invasive alternative to liver biopsy for the staging of hepatic fibrosis due to various chronic liver diseases. This meta-analysis aims to assess the diagnostic accuracy of TE for detecting liver cirrhosis (F4) and severe fibrosis (F3) in patients with chronic liver diseases, in comparison to the gold standard liver biopsy. METHODS: A systematic search was performed using PubMed search engine following Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines from inception to May 2021...
October 2022: Gastroenterology Research
https://read.qxmd.com/read/36407807/rates-reasons-and-independent-predictors-of-readmissions-in-portal-venous-thrombosis-hospitalizations-in-the-usa
#20
JOURNAL ARTICLE
Robert Kwei-Nsoro, Pius Ojemolon, Hisham Laswi, Ebehiwele Ebhohon, Abdultawab Shaka, Wasey Ali Mir, Abdul Hassan Siddiqui, Jobin Philipose, Hafeez Shaka
BACKGROUND: Portal vein thrombosis (PVT), generally considered rare, is becoming increasingly recognized with advanced imaging. Limited data exist regarding readmissions in PVT and its burden on the overall healthcare cost. This study aimed to outline the burden of PVT readmissions and identify the modifiable predictors of readmissions. METHODS: The National Readmission Database (NRD) was used to identify PVT admissions from 2016 to 2019. Using the patient demographic and hospital-specific variables within the NRD, we grouped patient encounters into two cohorts, 30- and 90-day readmission cohorts...
October 2022: Gastroenterology Research
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