401. Relative fat mass and risk of metabolic dysfunction associated steatotic liver disease and severe hepatic steatosis in U.S. adults: analysis of NHANES 2017-2020 data.
作者: Jianjun Wang.;Wei He.;Xianfu Cai.;Zhaohui Hu.;Yonghai Peng.;Xi Chen.;Pei Yang.;Xintao Zeng.;Sirui Chen.;Decai Wang.
来源: BMC Gastroenterol. 2025年25卷1期410页
Relative fat mass (RFM) is a novel, easily calculated, and cost-effective index of fat content and distribution in the body, associated with the odds of developing various obesity-related diseases. However, its association with metabolic dysfunction associated steatotic liver disease (MASLD) and severe hepatic steatosis (SHS) is underexplored. This study aims to examine the relationship between RFM and the odds of having MASLD or SHS in the general adult population.
402. Development and validation of a new predictive model for the immune tolerance stage of chronic HBV infection based on the liver histopathological changes.
作者: Wentao Li.;Rui Huang.;Jian Wang.;Binhao Zhang.;Qiupeng Wang.;Jiang Feng.;Tongjing Xing.
来源: BMC Gastroenterol. 2025年25卷1期408页
To identify clinical and viral indicators for the development of a new model to accurately differentiate the stages of chronic hepatitis B virus (HBV) infection based on histopathological changes in the liver.
403. Comprehensive analysis of risk factors and nomogram development for predicting hepatic metastasis following radical resection of adenocarcinoma of the esophagogastric junction.
Adenocarcinoma of the esophagogastric junction (AEG) often presents with subtle early symptoms and delayed diagnosis, frequently resulting in liver metastasis and a poor prognosis. This study aimed to investigate the primary risk factors influencing postoperative liver metastasis in AEG and to develop a simple predictive model to facilitate clinical risk stratification and individualized follow-up strategies.
404. Effect of synbiotics on the cardiovascular risk factors in patients with non-alcoholic fatty liver: a GRADE assessed systematic review and meta-analysis.
Several studies revealed that synbiotics have been beneficial in managing non-alcoholic fatty liver disease (NAFLD), but the findings are conflicting. We aimed to assess the effect of synbiotic supplementation on cardiovascular risk factors in patients with NAFLD.
405. CD45+ erythroid progenitor cells as potential biomarkers for disease progression in hepatitis B virus-related acute-on-chronic liver failure.
作者: Nan Zhang.;Hai-Shi Wu.;Xiu-Qing Pang.;Cheng-You Yu.;Xing Li.;Zhi-Liang Gao.
来源: BMC Gastroenterol. 2025年25卷1期405页
Hepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) is characterized by immune dysregulation and systemic inflammation, which lead to high mortality. Although immunosuppressive CD45+ erythroid progenitor cells (EPCs) percentages are elevated in chronic hepatitis B (CHB) and are associated with disease progression, their role in HBV-ACLF remains unclear. This study aims to evaluate the impact of CD45+ EPCs on disease progression in patients with HBV-ACLF.
406. Accuracy of the diagnosis of gastroesophageal reflux disease by a trial of potassium-competitive acid blocker treatment.
作者: Peiwen Dong.;Lin Lin.;Kaidi Sun.;Feng Tang.;Qian Li.;Xinxu Zhou.;Fuli Liu.;Zhilin Yang.;Jiao Li.;Lin Jiang.;Ping Zhao.;Xiaobin Sun.;Qiong Wang.
来源: BMC Gastroenterol. 2025年25卷1期406页
The aim of this study was to explore the accuracy of the diagnosis of gastro-esophageal reflux disease (GERD) through tegoprazan treatment trials, and to analyze factors that may influence test accuracy.
407. Neutrophil-derived ratios as predictors of short-term mortality in HBV-associated decompensated cirrhosis.
Hepatitis B virus-associated decompensated cirrhosis (HBV-DC) is recognized as a critical illness with an increased risk of short-term mortality. Neutrophil-derived ratios, including neutrophil-to-lymphocyte ratio (NLR), neutrophil-to-albumin ratio, neutrophil-to-high-density lipoprotein-cholesterol ratio, neutrophil-to-hemoglobin ratio, and neutrophil-to-platelet ratio, have emerged as potential prognostic markers in various liver diseases. The present study aimed to determine the effectiveness of these neutrophil-derived ratios for prediction of mortality in patients with HBV-DC.
408. Association between gastrointestinal lesions in individuals undergoing gastroscopy and colonoscopy simultaneously: a retrospective, observational study.
作者: Yaling Liu.;Tongxin Li.;Lijun Lou.;Xintian Yang.;Chenxi Kang.;Gui Ren.;Linhui Zhang.;Rong Zheng.;Xiaoyu Kang.;Hui Luo.;Shuhui Liang.;Yongzhan Nie.;Yong Lv.;Yanglin Pan.
来源: BMC Gastroenterol. 2025年25卷1期403页
Due to the common developmental origination and influences by similar unhealthy lifestyle, upper and lower gastrointestinal (GI) diseases may be closely associated. However, the evidence remains elusive. This study aims to determine the prevalence of GI endoscopic lesions and the correlations between endoscopic lesions in individuals undergoing gastroscopy and colonoscopy simultaneously.
409. The Role of Artificial Intelligence in Chronic Liver Diseases and Liver Transplantation.
作者: Ashley Spann.;Alexandra T Strauss.;Sharon E Davis.;Mamatha Bhat.
来源: Gastroenterology. 2025年169卷3期456-470页
In hepatology, pattern recognition in laboratory data and clinical characteristics is the hallmark of clinical care. Artificial intelligence (AI) tools, like machine or deep learning and large language models, provide interesting mechanisms for facilitating care advancement. The complexity and diversity of data, as well as genetic, environmental, and lifestyle factors, all contribute to individualized recommendations intuitively made by clinicians for patients with liver disease. AI tools provide the opportunity to train on high-volume data and simulate the clinician's subconscious thought processes in decision making. With tremendous growth in hepatology-focused AI, critical efforts are needed to consider multicenter efforts and enabling collection of clean data that are as free as possible of bias. Prospective evaluation of AI tools seamlessly integrated into workflows, especially through clinical trials, as well as patient partner and clinical stakeholder engagement, will be key to building trust in the individualized predictions provided. This review delves into the AI literature in hepatology for diagnostic, prognostic, and therapeutic applications.
410. Prevalence-based screening by anti-HCV reflex HCV antigen test and accessible post-screening care towards elimination of hepatitis C in rural villages.
作者: Kuan-Chen Pan.;Nien-Tzu Hsu.;Ying-Mei Tang.;Yu-Chen Lee.;Hsiu-Ling Kuo.;Tung-Jung Huang.;Chun-Mei Tseng.;Sheng-Nan Lu.;Te-Sheng Chang.
来源: BMC Gastroenterol. 2025年25卷1期400页
One major barrier to the goals of hepatitis C virus (HCV) elimination is identification and linkage-to-care for those with HCV infection. The aim of this research was to develop a strategy to help achieve HCV elimination in remote rural villages.
411. Aggregate index of systemic inflammation tied to increased fatty liver disease risk: insights from NHANES data.
作者: Meng Zhang.;Yuan Yuan.;Chenglong Wang.;You Huang.;Mingli Fan.;Xiangling Li.;Zujie Qin.
来源: BMC Gastroenterol. 2025年25卷1期399页
Fatty liver disease (FLD), characterized by hepatic lipid accumulation, impairs quality of life and can progress to cirrhosis and hepatocellular carcinoma, imposing a healthcare burden. This study investigates the association between the aggregate index of systemic inflammation (AISI) and FLD prevalence, evaluating AISI's potential as an early biomarker for risk assessment.
412. Correlation analyses of ultrasonographic and histopathological characteristics of porta hepatis lymph nodes in biliary atresia.
作者: Zhen Huang.;Wen Ling.;Guorong Lyu.;Shuxia Xu.;Fengying Ye.;Yifan Fang.;Zongjie Weng.;Qiumei Wu.
来源: BMC Gastroenterol. 2025年25卷1期398页
To perform correlation analyses between the ultrasonographic characteristics of porta hepatis lymph nodes (PHLNs) and the pathological features of PHLNs and the liver in biliary atresia (BA).
413. The effect of chewing gum on postoperative ileus after laparotomy for gastroduodenal perforations: a randomized controlled trial.
作者: Joshua Muhumuza.;Selamo F Molen.;Godefroy N Bassara.;Musa A Waziri.;Stephen M Kithinji.;Kiyaka M Sonye.;Mugisho M Leocadie.;ByaMungu P Kagenderezo.;Esperant T Tshimanga.;Tatana M Faustin.;Herman Lule.
来源: BMC Gastroenterol. 2025年25卷1期402页
Prolonged postoperative ileus is linked to a higher risk of additional complications, longer hospital stays, and higher healthcare expenses. There are few randomized controlled trials on the impact of chewing gum on the duration of ileus in patients undergoing emergency surgery, notably those with peritonitis. Compelling evidence from studies on elective procedures demonstrates that chewing gum can lessen the duration of ileus. This trial aimed to examine the effect of chewing gum on the length of the postoperative ileus which develop after laparotomy for gastroduodenal perforations.
414. The efficacy of retrograde and antegrade enemas in the management of low anterior resection syndrome in patients undergoing rectal resection: a systematic review and meta-analysis.
Rectal resection could potentially cause low anterior resection syndrome (LARS). Although recent studies have reported the efficacy of enema against LARS, no systematic review and meta-analysis has been conducted.
415. Evaluation of post-market adverse events of lubiprostone: a real-world adverse event analysis from the FAERS database.
作者: Qingqing Li.;Jijun Zhang.;Chuanli Yang.;Xiushan Dong.;Yan Wang.
来源: BMC Gastroenterol. 2025年25卷1期395页
Lubiprostone is a selective intestinal chloride channel activator approved for treating chronic idiopathic constipation and constipation-predominant irritable bowel syndrome in adults. However, real-world data on its long-term safety, particularly regarding adverse events necessitating ongoing supplementation, remain limited.
416. Challenges and needs in the management of non-alcoholic fatty liver disease from the perspective of gastroenterology and hepatology specialists: a qualitative study.
作者: Farzad Salmanizadeh.;Sakineh Sabzevari.;Sara Shafieipour.;Mohammad Javad Zahedi.;Afshin Sarafinejad.
来源: BMC Gastroenterol. 2025年25卷1期396页
Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease worldwide, and it poses a significant threat to public health. There is insufficient documented evidence about the problems and needs of patients and physicians in managing NAFLD. This study aimed to explore the challenges and needs in managing NAFLD from the perspective of gastroenterology and hepatology (GH) specialists.
417. Ascites complications risk factors of decompensated cirrhosis patients: logistic regression and prediction model.
The study mainly aim at exploring the ascites risk factors among decompensated cirrhosis patients via constructing the prediction model of ascites incidence.
418. Association between proteinuria changes and colorectal cancer incidence: evidence from a nationwide cohort study.
The presence of excess proteins in the urine, known as proteinuria, has been linked to various health conditions, including chronic kidney disease and cancer. Emerging evidence suggests an association between proteinuria and colorectal cancer, a leading global cause of cancer-related morbidity and mortality. However, the impact of changes in proteinuria status on colorectal cancer risk remains unclear. Understanding this relationship may identify proteinuria as a modifiable risk factor for colorectal cancer prevention.
419. Association between circadian syndrome and MASLD risk: evidence from a large cross-sectional study.
Metabolic dysfunction-associated steatotic liver disease (MASLD) is a prevalent chronic liver condition closely associated with metabolic syndrome and linked to circadian disruptions. Circadian Syndrome (CircS), a constellation of metabolic and circadian dysregulations, has emerged as a risk factor for metabolic disorders. This study aims to examine the association between CircS and MASLD and to evaluate the potential relevance of CircS in identifying individuals at elevated MASLD risk.
420. Effect of chitosan nanoparticles conjugated with the cell free supernatant of Bifidobacterium bifidum on the expression of genes related to colorectal cancer in colon adenocarcinoma (Caco-2) cell line.
作者: Rahimeh Maqsoodi.;Masoumeh Saberpour.;Bita Bakhshi.;Fatemeh Fallah.
来源: BMC Gastroenterol. 2025年25卷1期394页
Colorectal cancer (CRC) is emerged as a global problem with high mortality rate; hence, finding of alternative treatment approaches is essential. The purposes of this research are to assess the impact of chitosan nanoparticles conjugated with the cell free supernatant of Bifidobacterium bifidum (CTNP/B.b-sup) on genes associated with CRC signaling pathways.
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