41. The Role of Artificial Intelligence in Chronic Liver Diseases and Liver Transplantation.
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.
42. 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.
43. 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.
44. 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).
45. 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.
46. 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.
47. 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.
48. 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.
49. 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.
50. 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.
51. 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.
52. 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.
53. The association between inflammatory biomarkers and gallstones in Americans under 50 years old.
作者: Shuqin Cheng.;Yaping Zhang.;Lu Jiang.;Jiana Li.;Runci Jiang.;Fengmei Wang.
来源: BMC Gastroenterol. 2025年25卷1期393页
This study aimed to assess the link between inflammatory biomarkers (like the neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammatory index (SII), and systemic inflammation response index (SIRI)) and gallstones in American individuals aged under 50 years.
54. Initial development and validation of a disease-specific resilience measure for inflammatory bowel disease: the RISE-IBD instrument.
作者: Michelle Mendiolaza.;Camila Vicioso.;Wamia Siddiqui.;Karan Lingineni.;Ksenia Gorbenko.;Parul Agarwal.;Laurie Keefer.
来源: BMC Gastroenterol. 2025年25卷1期390页
Inflammatory bowel diseases (IBDs) have a substantial effect on the well-being and quality of life of patients. While resilience may help alleviate psychological and physical burdens in individuals with IBD, there is no disease-specific measure that currently exists to accurately quantify this construct in the context of IBD. This study aimed to psychometrically validate the new Resilience Scale for IBD (RISE-IBD).
55. Fidaxomicin Reduces Collagen Expression in Intestinal Fibroblasts Via Platelet-Derived Growth Factor Receptor Beta and Glycogen Synthase Kinase-3 Beta Inhibition.
作者: Sophie Irwin.;Mieke van Daelen.;Isabella Almaraz.;Rebecca Park.;Becca Nelson.;Swapna Mahurkar-Joshi.;Florian Rieder.;David Q Shih.;Wendy Ho.;Berkeley Limketkai.;Hon Wai Koon.
来源: Gastroenterology. 2025年
About 30%-50% of patients with Crohn's disease (CD) eventually develop intestinal strictures, with intestinal fibrosis being a major component of them. There is currently no approved medication to treat fibrotic strictures.
56. Clinical efficacy of TACE using coil or gelatin sponge combined with targeted therapy in the treatment of giant hepatocellular carcinoma with arterioportal fistulas.
作者: Zhijuan Wu.;Min Zhang.;Ruirui Tian.;Jibing Liu.;Xu Chang.;Shangkun Ning.;Yingli Yu.;Lin Zhang.
来源: BMC Gastroenterol. 2025年25卷1期387页
The present study aimed to evaluate the effectiveness of spring coils or gelatin sponges for the embolization of giant hepatocellular carcinoma (HCC) with a hepatic arterioportal shunt (APS) in targeted therapy.
57. Worldwide burden and cross-regional health inequalities of high BMI-attributable colorectal cancer by gender from 1990 to 2021, with predictions through 2041.
To analyze the worldwide, regional, and national burden and trends of colorectal cancer (CRC) attributable to high body mass index (BMI) by gender from 1990 to 2021 and to forecast the burden through 2041.
58. Better diagnostic accuracy for GERD observed with the new MNBI cutoff: an observational study in Vietnam.
作者: Hang Dao Viet.;Hue Luu Thi Minh.;Long Hoang Bao.;Phuong Do Nhat.;Long Dao Van.
来源: BMC Gastroenterol. 2025年25卷1期388页
Mean nocturnal baseline impedance (MNBI) is a novel metric for multichannel ambulatory impedance and pH (MI-pH) monitoring used to diagnose gastroesophageal reflux disease (GERD); however, its thresholds vary among different geographic areas and measuring systems. This study analyzed MI-pH data from Vietnamese patients to assess the diagnostic utility of novel MNBI thresholds in identifying GERD.
59. Marked mucosal lipid shifts in treatment refractory inflammatory bowel disease: a lipidomic study.
作者: Øystein K Moe.;Qian Gao.;Dawei Geng.;Einar Jensen.;Rasmus Goll.;Oddmund Nestegard.;Mona D Gundersen.;Jon R Florholmen.;T Moritz.
来源: BMC Gastroenterol. 2025年25卷1期389页
Mechanisms causing non-response to biological agents in IBD remain to be fully understood. Thus, we aimed to characterize the lipid profile in treatment refractory non-immunogenic patients with adequate trough-levels.
60. To verify the biological characteristics of disulfidptosis associated gene ADORA2B in esophageal cancer.
Esophageal cancer is an aggressive malignant tumor. Statistics show that esophageal cancer has claimed the lives of approximately 300,000 people worldwide. Many patients are diagnosed as stage 3 or 4 when they visit a doctor; however, the prognosis may not be accurate because the disease's early signs are not always evident. The gene ADORA2B may be important in the diagnosis and prognosis of esophageal cancer, as adenosine (ADO) is implicated in the proliferation and spread of many malignancies. Through the use of bioinformatics analysis, this study sought to discover and validate particular genes and putative pathways linked to the course and prognosis of esophageal cancer. Utilizing integrated transcriptomics and single-cell proteomics, the involvement of immune cells in the tumor microenvironment was examined, while bioinformatics was used to investigate the expression, function, and survival data of ADORA2B. Western blot (WB) and qRT-PCR were then used to determine the expression level of ADORA2B in the postoperative tissues of patients with esophageal cancer. Tests using Transwell, Edu, and CCK8 were performed to ascertain its capacity for erosion, migration, invasion, and proliferation. Flow cytometry was used to quantify apoptosis. The results of this investigation validate ADORA2B as a potential therapeutic target and diagnostic biomarker.
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