381. Lipopolysaccharide-binding protein (LBP): a prognostic biomarker for gastric cancer linked to immune infiltration.
作者: Hao Lv.;Mei Lv.;Xuyang Guo.;Xiaoman Zhu.;Yue Chao.;Dandan Li.
来源: BMC Gastroenterol. 2025年25卷1期205页
Gastric cancer, characterized by rising global incidence and mortality, faces significant challenges due to the lack of effective early detection methods, delaying timely interventions and underscoring the need for novel biomarkers. Lipopolysaccharide-binding protein (LBP), implicated in cancers such as lung, colon, and cervical cancer, has emerged as a promising candidate. However, its specific roles and mechanisms in gastric cancer remain unclear, necessitating further investigation.
382. A mobile app to improve adherence to colorectal cancer screening and post polypectomy surveillance guidelines.
作者: María A Casas.;Francisco Schlottmann.;Leandro Steinberg.;Xavier Bessa.;Anna Serradesanferm.;Angels Pozo.;Sonia Torres.;Antoni Castells.;Francesc Balaguer.;Jaume Grau.;Lisandro Pereyra.;María Pellisé.
来源: BMC Gastroenterol. 2025年25卷1期203页
Despite significant advances in prevention and early detection, colorectal cancer (CRC) is a leading cause of cancer mortality worldwide. Inadequate adherence and/or lack of knowledge of guidelines have shown to prevent adequate screening and surveillance recommendations and hinder effective screening programs.
383. Increased intra-abdominal pressure linked to worse long-term prognosis among patients with orthotopic liver transplantation: a retrospective, observational study.
作者: Rongjie Jiang.;Huan Ma.;Xiaodong Song.;Xiaoguang Hu.;Ka Yin Lui.;Yujun Liang.;Changjie Cai.
来源: BMC Gastroenterol. 2025年25卷1期204页
To investigate the prognostic value of intra-abdominal pressure (IAP) among patients with orthotopic liver transplantation (OLT).
384. Active Inflammatory Bowel Disease on Intestinal Ultrasound During Pregnancy Is Associated With an Increased Risk of Adverse Pregnancy and Neonatal Outcomes Independent of Clinical and Biochemical Disease Activity.
作者: Ralley E Prentice.;Emma K Flanagan.;Emily K Wright.;Michael T Dolinger.;Zoe Gottlieb.;Alyson L Ross.;Megan Burns.;Danny Con.;Edward Shelton.;Ray Boyapati.;Ilyra Aronsky.;Gregory T Moore.;William Connell.;Miles P Sparrow.;Peter De Cruz.;Michael A Kamm.;Ilana Prideaux.;Rimma Goldberg.;Katerina V Kiburg.;Marla C Dubinsky.;Sally J Bell.
来源: Gastroenterology. 2025年
Clinically active inflammatory bowel disease (IBD) is associated with an increased risk of adverse pregnancy outcomes. However, the validity of clinical scores to assess antenatal disease activity is questionable. We aimed to assess whether active disease defined by intestinal ultrasound (IUS) may predict adverse pregnancy outcomes.
385. Association between atherogenic index of plasma and chronic diarrhea: a cross-sectional study of the NHANES 2005-2010.
作者: Rongpeng Chen.;Zexin Fu.;Zhicheng Feng.;Feng Xiao.;Guoqiang Wang.
来源: BMC Gastroenterol. 2025年25卷1期201页
Chronic diarrhea (CD), a common chronic condition resulting from various mechanisms, has chronic inflammation as a primary determinant. Despite recent research exploring the potential mechanisms linking lipids and diarrhea, clinical studies on the relationship between lipids and the onset of CD are limited. This study aimed to investigate the association between the atherogenic index of plasma (AIP) and CD risk.
386. Relationship between anthropometric measures and the risk of incident Metabolic dysfunction-associated steatotic liver disease: a longitudinal study.
作者: Takahiro Ichikawa.;Yoshitaka Hashimoto.;Takuro Okamura.;Akihiro Obora.;Takao Kojima.;Hiroshi Okada.;Masahide Hamaguchi.;Michiaki Fukui.
来源: BMC Gastroenterol. 2025年25卷1期202页
Waist circumference (WC) and body mass index (BMI) are considered useful for the diagnosis of metabolic dysfunction-associated steatotic liver disease (MASLD). This study aimed to investigate the association between the body roundness index (BRI) and a body shape index (ABSI) with incident MASLD, in comparison to WC and BMI.
387. Clinical value of using double balloon enteroscopy combined with endoscopic ultrasound to evaluate Crohn's disease of the small bowel: a retrospective study.
Diagnosing and assessing Crohn's disease, which involves only the small bowel, is challenging. This study investigated the clinical value of combining double balloon enteroscopy with endoscopic ultrasound to evaluate this disease.
388. Prevalence and characteristics of adults avoiding gluten without celiac disease: a long-term population-based follow-up study.
作者: Miska Tiainen.;Kalle Kurppa.;Tuija Jääskeläinen.;Niina Kaartinen.;Heini Huhtala.;Katri Kaukinen.;Juha Taavela.
来源: BMC Gastroenterol. 2025年25卷1期199页
Nationwide prevalence studies on people avoiding gluten without celiac disease (PWAG) are lacking, and in particular, long-term follow-up studies are unavailable. We aimed to evaluate the prevalence, incidence, and characteristics of PWAG in a population-based cohort in 2000 and 2011.
389. Validation of the diagnostic accuracy of the acFibroMASH index for at-risk MASH in patients with metabolic dysfunction-associated steatotic liver disease.
作者: Yunfei Wu.;Yan Han.;Liming Zheng.;Longgen Liu.;Wenjian Li.;Fan Zhang.
来源: BMC Gastroenterol. 2025年25卷1期196页
The objective of this study was to validate the diagnostic accuracy of the acFibroMASH index in a population of metabolic dysfunction-associated steatotic liver disease (MASLD) patients with at-risk metabolic dysfunction-associated steatohepatitis (MASH) and to compare it with other scoring systems.
390. Optimizing outcomes in acute pancreatitis: the impact of of heparin therapy duration on mortality in a multi-center retrospective study.
作者: Linlin Fu.;Hanyang Li.;Qian Ni.;Qiaoling Zhu.;Baoyan Wang.
来源: BMC Gastroenterol. 2025年25卷1期195页
Acute pancreatitis is a critical condition in the intensive care unit (ICU), often complicated by systemic issues, which may benefit from heparin therapy due to its anti-inflammatory and anticoagulant properties. However, the optimal duration of heparin therapy remained unclear. This retrospective study aimed to evaluate the association between heparin therapy duration and mortality outcomes in patients diagnosed with acute pancreatitis.
391. Association between dietary potassium intake and the prevalence of gallstones in American adults: an assessment of data from the national health and nutrition examination survey.
Gallstones are a common disease of the digestive system, and its complications pose serious risks to human health and impose a significant economic burden on society. Inadequate dietary potassium intake may be associated with the development of gallstones, however, there is a lack of current epidemiological research on this topic.
392. Preoperative quantitative quadriceps muscle ultrasound to predict POD for gastrointestinal surgery in older patients.
Postoperative delirium (POD) is generally associated with increased postoperative adverse events. We aimed to investigate whether preoperative quantitative quadriceps muscle ultrasound could predict POD in older patients after gastrointestinal surgery in order to provide more targeted prevention and treatment measures.
393. Clinical Implementation of Artificial Intelligence in Gastroenterology: Current Landscape, Regulatory Challenges, and Ethical Issues.
Artificial intelligence (AI) is set to rapidly transform gastroenterology, particularly in the field of endoscopy, where algorithms have demonstrated efficacy in addressing human operator variability. However, implementing AI in clinical practice presents significant challenges. The regulatory landscape for AI as a medical device continues to evolve with areas of uncertainty. More robust studies generating real-world evidence are required to ultimately demonstrate impacts on patient outcomes. Cost-effectiveness data and reimbursement models will be pivotal for widespread adoption. Novel challenges are posed by emerging technologies, such as generative AI. Ethical and medicolegal concerns exist relating to data governance, patient harm, liability, and bias. This review provides an overview for clinical implementation of AI in gastroenterology and offers potential solutions to current barriers.
395. Systemic Identification of Functionally Conserved Long Noncoding RNA Metabolic Regulators in Human and Mouse Livers.
作者: Chengfei Jiang.;Zhe Li.;Sunmi Seok.;Ping Li.;Yonghe Ma.;Stephanie K Podguski.;Shria Moturi.;Nao Yoneda.;Kenji Kawai.;Shotaro Uehara.;Yasuyuki Ohnishi.;Hiroshi Suemizu.;Jinwei Zhang.;Haiming Cao.
来源: Gastroenterology. 2025年
Unlike protein-coding genes, most human long noncoding RNAs (lncRNAs) lack conservation based on their sequences, posing a challenge for investigating their role in a pathophysiological context for clinical translation. This study explores the hypothesis that nonconserved lncRNAs in human and mouse livers may share similar metabolic functions, giving rise to functionally conserved lncRNA metabolic regulators (fcLMRs).
397. AGA Living Clinical Practice Guideline on Computer-Aided Detection-Assisted Colonoscopy.
作者: Shahnaz Sultan.;Dennis L Shung.;Jennifer M Kolb.;Farid Foroutan.;Cesare Hassan.;Charles J Kahi.;Peter S Liang.;Theodore R Levin.;Shazia Mehmood Siddique.;Benjamin Lebwohl.
来源: Gastroenterology. 2025年168卷4期691-700页
This American Gastroenterological Association (AGA) guideline is intended to provide an overview of the evidence and support endoscopists and patients on the use of computer-aided detection (CADe) systems for the detection of colorectal polyps during colonoscopy.
398. Perforin Generated by CD8+ T Cells Exacerbates Inflammatory Bowel Disease-Induced Depression by Promoting CXCL9 Production in Intestinal Epithelial Cells.
作者: Shiyang Huang.;Lehan Pan.;Shu Pang.;Hui Guo.;Mingyang Li.;Yue Tian.;Wen Shi.;Bihan Liu.;Songlin Wang.;Zusen Fan.;Ye Zong.;Dan Tian.;Dong Zhang.
来源: Gastroenterology. 2025年
Approximately 25.2% of patients with inflammatory bowel disease (IBD) suffer from psychological disorders, particularly depression. Recent studies have indicated a close relationship between intestinal immunity and brain disorders.
400. Regulation of Hepatic Stellate Cell Phenotypes in Metabolic Dysfunction-Associated Steatohepatitis.
作者: Tatiana Kisseleva.;Souradipta Ganguly.;Rabi Murad.;Allen Wang.;David A Brenner.
来源: Gastroenterology. 2025年
Hepatic stellate cells (HSCs) play a crucial role in the pathogenesis of liver fibrosis in metabolic dysfunction-associated steatohepatitis (MASH), a condition characterized by excessive fat accumulation in the hepatocytes, unrelated to alcohol consumption. In a healthy liver, HSCs are quiescent, store vitamin A, and function as pericytes. However, in response to liver injury and inflammation, HSCs become activated. In MASH, HSC activation is driven by metabolic stress, lipotoxicity, and chronic inflammation. Injured hepatocytes, recruited macrophage, capillarized sinusoidal endothelial cells, and permeable intestinal epithelium may each contribute to activating HSCS. This leads to a unique inflammatory environment that promotes fibrosis. MASH HSCs change their metabolism to favor glycolysis, glutaminolysis, and lactate generation. Activated HSCs transform into myofibroblast-like cells, producing excessive extracellular matrix components that result in fibrosis. In addition, HSCs in MASH have inflammatory and intermediate activated phenotypes. This fibrotic process is a key feature of MASH, which can lead to cirrhosis and liver cancer. Understanding the mechanisms of HSC activation and their role in MASH progression is essential for developing targeted therapies to treat and prevent liver fibrosis in affected individuals.
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