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Advances in Immunotherapy for DNA Mismatch Repair-Deficient Colon and Rectal Cancers. DNA错配修复缺陷结肠癌和直肠癌的免疫治疗进展。
IF 25.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-25 DOI: 10.1053/j.gastro.2026.02.016
Frank A Sinicrope
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引用次数: 0
The MetALD-ALD Prediction Index: A Phosphatidylethanol-Driven Biomarker Panel for Identifying Individuals With Steatotic Liver Disease and Excessive Alcohol Use. 金属- ald预测指数:一种磷脂醇驱动的生物标志物面板,用于识别脂肪变性肝病和过度饮酒的个体。
IF 25.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-25 DOI: 10.1053/j.gastro.2025.11.022
Federica Tavaglione, Juan Vaz, Oveis Jamialahmadi, Luis Antonio Díaz, Veeral Ajmera, Darryl Contrano, Egbert Madamba, Seema Singh, Ricki Bettencourt, Lisa Richards, Hannes Hagström, Rohit Loomba

Background & aims: Phosphatidylethanol (PEth) is a direct, objective alcohol biomarker for detecting excessive alcohol use in steatotic liver disease, including metabolic dysfunction and alcohol-associated liver disease (MetALD) and alcohol-associated liver disease (ALD). However, its use in routine clinical practice may be limited by cost and accessibility. This study aimed to develop a novel, accurate, and scalable indirect alcohol biomarker panel to screen for MetALD-ALD in general population settings.

Methods: The derivation cohort consisted of 503 community-dwelling adults with overweight/obesity and steatotic liver disease residing in Southern California, all of whom prospectively underwent magnetic resonance imaging/magnetic resonance elastography assessment and PEth testing. The optimal predictive model was developed using bidirectional stepwise logistic regression and internally validated using 2000 bootstrap samples. The outcome was the presence of MetALD-ALD, defined by incorporating PEth. Model performance was evaluated using area under the receiver operating characteristic curve (AUROC). External validation was conducted in an independent, population-based Swedish cohort of 1777 individuals with available PEth measurements.

Results: In the derivation cohort, the mean (standard deviation) age and body mass index were 51 (13) years and 32.9 (5.8) kg/m2, respectively. The final predictive model, termed the MetALD-ALD Prediction Index (MAPI), included sex, mean corpuscular volume, gamma-glutamyltransferase, high-density lipoprotein cholesterol, and hemoglobin A1c. MAPI demonstrated good performance in both derivation and validation cohorts (AUROC, 0.76 and 0.75, respectively). MAPI was the top-performing model among all commonly used indirect alcohol biomarkers, based on AUROC.

Conclusions: MAPI is a novel, accurate, and scalable biomarker panel for detecting MetALD-ALD. MAPI may guide confirmatory PEth testing in clinical practice and be leveraged in observational cohort studies lacking PEth measurements, as well as in clinical trials.

背景与目的:磷脂酰乙醇(PEth)是一种直接、客观的酒精生物标志物,用于检测脂肪变性肝病中过量饮酒,包括代谢功能障碍、酒精相关肝病(MetALD)和酒精相关肝病(ALD)。然而,其在常规临床实践中的使用可能受到成本和可及性的限制。本研究旨在开发一种新颖、准确、可扩展的间接酒精生物标志物面板,以筛查普通人群中的MetALD-ALD。方法:衍生队列包括居住在南加州的503名超重/肥胖和脂肪变性肝病的社区居民,所有人都前瞻性地接受了磁共振成像/磁共振弹性成像评估和PEth测试。采用双向逐步逻辑回归建立了最优预测模型,并使用2000个bootstrap样本进行了内部验证。结果是metal - ald的存在,通过加入PEth来定义。采用受试者工作特征曲线下面积(AUROC)评价模型性能。外部验证是在一个独立的,以人群为基础的瑞典队列中进行的,该队列有1777个可用的PEth测量值。结果:在衍生队列中,平均(标准差)年龄和体重指数分别为51(13)岁和32.9 (5.8)kg/m2。最终的预测模型被称为metal - ald预测指数(MAPI),包括性别、平均红细胞体积、γ -谷氨酰转移酶、高密度脂蛋白胆固醇和血红蛋白A1c。MAPI在推导和验证队列中均表现良好(AUROC分别为0.76和0.75)。基于AUROC, MAPI是所有常用的间接酒精生物标志物中表现最好的模型。结论:MAPI是一种新的、准确的、可扩展的检测metal - ald的生物标志物面板。MAPI可以在临床实践中指导验证性PEth测试,并在缺乏PEth测量的观察性队列研究以及临床试验中加以利用。
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引用次数: 0
Risk of Stomach Cancer with Long-term Use of Proton Pump Inhibitors. 长期使用质子泵抑制剂的胃癌风险
IF 25.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-25 DOI: 10.1053/j.gastro.2026.02.021
Sunil Samnani, Nauzer Forbes
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引用次数: 0
Incidence of Cancer in Patients With Familial Adenomatous Polyposis in the Netherlands: A Nationwide Cohort Study 荷兰家族性腺瘤性息肉病患者的癌症发病率:一项全国性队列研究
IF 29.4 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-25 DOI: 10.1053/j.gastro.2025.10.029
Hicham Bouchiba, Arthur S. Aelvoet, Mariëtte C.A. van Kouwen, Barbara A.J. Bastiaansen, Tanya M. Bisseling, Alexandra M.J. Langers, Patrick M.M. Bossuyt, Monique E. van Leerdam, Evelien Dekker

Background & Aims

Patients with familial adenomatous polyposis (FAP) are at increased risk of several gastrointestinal and extraintestinal cancers. Although prophylactic surgery has reduced colorectal cancer (CRC) incidence, the lifetime incidence of other cancers has increased. This study assessed the cumulative risks in Dutch FAP patients over the past decades.

Methods

This nationwide cohort study identified FAP patients from the Netherlands Foundation for Detection of Hereditary Tumors national registry and cross-referenced them with the Dutch Pathology Registry. Cumulative cancer incidences between 1975 and 2024 were estimated using the Fine and Gray competing risk method. Standardized incidence ratios (SIRs) were calculated relative to the general population for all cancer types.

Results

A total of 1230 patients (48% women) with FAP were included, of whom 388 (32%) developed a total of 461 cancers. A pathogenic APC variant was identified in 1138 (93%) patients. The most frequently observed cancers were colon (n = 129), rectal (n = 77), duodenal (n = 31), and gastric (n = 28). Since 2020, the observed incidence of gastric cancer has risen to the most commonly diagnosed cancer. SIR analysis showed significantly increased risks for gastrointestinal cancers, including gastric cancer (SIR, 12.02; P < .01), duodenal cancer (SIR, 277.28; P < .01), ampullary cancer (SIR, 113.85; P < .01), CRC (SIR, 14.22; P < .01), small-bowel cancer (SIR, 122.03; P < .01), hepatoblastoma (SIR, 747.52; P < .01), and hepatocellular carcinoma (SIR, 5.43; P = .01). Among extraintestinal cancers, elevated risks were observed for thyroid cancer (SIR, 17.30; P < .01), gynecologic cancers (SIR, 2.27; P < .01), and central nervous system cancers (SIR, 3.79; P < .01).

Conclusions

Despite developments in preventive treatments, individuals with FAP remain at increased risk for multiple cancers, underscoring the need for improved screening and surveillance strategies.
背景和目的家族性腺瘤性息肉病(FAP)患者发生几种胃肠道和肠外癌症的风险增加。虽然预防性手术降低了结直肠癌(CRC)的发病率,但其他癌症的终生发病率却增加了。本研究评估了过去几十年来荷兰FAP患者的累积风险。方法:这项全国性队列研究从荷兰遗传肿瘤检测基金会国家登记处确定FAP患者,并与荷兰病理学登记处交叉参考。1975年至2024年间的累积癌症发病率是用Fine and Gray竞争风险法估计的。计算了所有癌症类型相对于一般人群的标准化发病率(SIRs)。结果共纳入1230例FAP患者(48%为女性),其中388例(32%)共发生461例癌症。在1138例(93%)患者中发现致病性APC变异。最常见的癌症是结肠癌(129例)、直肠癌(77例)、十二指肠癌(31例)和胃癌(28例)。自2020年以来,胃癌的观察发病率已上升为最常见的诊断癌症。SIR分析显示,胃癌(SIR, 12.02; P < 01)、十二指肠癌(SIR, 277.28; P < 01)、腹腹部癌(SIR, 113.85; P < 01)、结直肠癌(SIR, 14.22; P < 01)、小肠癌(SIR, 122.03; P < 01)、肝母细胞瘤(SIR, 747.52; P < 01)和肝细胞癌(SIR, 5.43; P = 0.01)的风险显著增加。在肠外肿瘤中,甲状腺癌(SIR, 17.30; P < 0.01)、妇科癌(SIR, 2.27; P < 0.01)和中枢神经系统癌(SIR, 3.79; P < 0.01)的风险升高。结论:尽管预防性治疗取得了进展,但FAP患者患多种癌症的风险仍在增加,这强调了改进筛查和监测策略的必要性。
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引用次数: 0
The effect of dose-intensification after secondary loss of response to ustekinumab in Crohn’s disease: Results of the REScUE study 克罗恩病ustekinumab继发性反应丧失后剂量强化的影响:REScUE研究的结果
IF 29.4 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-24 DOI: 10.1053/j.gastro.2026.01.042
Peter Bossuyt, Jean-Francois Rahier, Filip Baert, Edouard Louis, Elisabeth Macken, Triana Lobaton, Julie Busschaert, Harald Peeters, Pieter Dewint, Denis Franchimont, Barbara Willandt, Christophe Claessens, Laura Vansteenkiste, Olivier Dewit, Marc Ferrante, Séverine Vermeire

Background and Aims

Secondary loss of response to ustekinumab is observed in patients with Crohn’s disease (CD). Multiple dose-intensification regimens have been proposed. We aimed to test prospectively two different dose-intensification regimens with ustekinumab in patients with CD experiencing secondary loss of response.

Methods

This was an investigator-initiated, multicenter, randomized, placebo-controlled trial conducted at 15 hospitals in Belgium. Eligible patients were adults with CD treated with ustekinumab on maintenance dosing of 90 mg subcutaneous q8 weeks and experiencing a secondary loss of response (PRO-2: abdominal pain (AP) score >1 and liquid or very soft stool frequency (SF) >3 and an objective documentation of disease). Patients were randomized 1:1 to receiving a single intravenous re-induction with ustekinumab ≈ 6mg/kg followed by either subcutaneous ustekinumab 90 mg q4 weeks or q8 weeks till week 48. The primary endpoint was the proportion of patients with steroid-free clinical remission at week 48, defined as PRO-2 remission: (AP ≤ 1 AND SF ≤3) and fecal calprotectin <250μg/g and no steroids in the 90 days prior to week 48.

Results

Between March 2020 and October 2023, 108 patients were randomized. Steroid free clinical remission at week 48 was reached in 15% versus 19% of patients in the Q4W versus the Q8W group (difference 4%; p=0.5). Serious adverse events occurred in 17% vs 13% of patients.

Conclusion

In patients with CD and secondary loss of response to ustekinumab, dose-intensification with a single intravenous administration and followed by 4 weekly subcutaneous dosing of ustekinumab was not more effective than one intravenous administration followed by 8 weekly SC dosing of ustekinumab. clinicaltrials.gov number: NCT04245215
背景和目的在克罗恩病(CD)患者中观察到ustekinumab的继发性反应丧失。已经提出了多种剂量强化方案。我们的目的是在继发性反应丧失的CD患者中前瞻性地测试两种不同的ustekinumab剂量强化方案。这是一项研究者发起的、多中心、随机、安慰剂对照的试验,在比利时的15家医院进行。符合条件的患者是接受ustekinumab治疗的成年CD患者,维持剂量为90mg,每8周皮下注射一次,并经历继发性反应丧失(PRO-2:腹痛(AP)评分>;1,液体或非常软的大便频率(SF) >;3和疾病的客观记录)。患者按1:1随机分组,接受单次静脉再诱导ustekinumab≈6mg/kg,随后接受皮下ustekinumab 90mg, q4周或q8周至第48周。主要终点是48周时无类固醇临床缓解的患者比例,定义为PRO-2缓解:(AP≤1,SF≤3),48周前90天粪便钙保护蛋白250μg/g,无类固醇。结果在2020年3月至2023年10月期间,108例患者被随机分组。Q4W组和Q8W组在第48周达到无类固醇临床缓解的患者比例分别为15%和19%(差异4%;p=0.5)。严重不良事件发生率分别为17%和13%。结论:对于继发性乌斯特金单抗反应丧失的CD患者,单次静脉给药和随后4周皮下给药的剂量强化并不比单次静脉给药和随后8周皮下给药的乌斯特金单抗更有效。clinicaltrials.gov号码:NCT04245215
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引用次数: 0
Uncovering the dynamics of mucosa-associated microbiota in post-operative recurrence of Crohn’s disease 揭示克罗恩病术后复发中粘膜相关微生物群的动态变化
IF 29.4 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-24 DOI: 10.1053/j.gastro.2026.01.043
Léonard Dubois, Alexandre Chaussard, Philippe Seksik, Stéphane Nancey, Maria Nachury, Xavier Treton, Anthony Buisson, Franck Carbonnel, Mathurin Fumery, Laurent Peyrin-Biroulet, Arnaud Boureille, Xavier Hebuterne, Mélanie Serrero, Edouard Louis, Pierre Blanc, Loic Brot, Nathalie Rolhion, Severine Vermeire, Chaysavanh Manichanh, Reidar Fossmark, Harry Sokol

Background

About 50 to 75% of Crohn’s Disease patients (CD) need bowel resection. Postoperative recurrence of Crohn’s disease is frequent. Here, we investigate the evolution of the mucosa-associated microbiota along the Rutgeerts score measuring endoscopic recurrence after surgery.

Methods

We used 16S rRNA and ITS2 sequencing to profile the mucosa-associated microbiota of biopsies from CD patients at the time of surgery (M0, n=139) and later, at the time of endoscopic assessment of recurrence (M6, n=125).

Results

While the effect of surgery and recurrence were moderate on the overall microbiota composition, we identified specific microbial signatures displaying differential relative abundance when accounting for clinical covariates. The relative abundance of certain species, notably a decrease of Faecalibacterium prausnitzii, or increase of Akkermansia muciniphila, was differentially associated with a whole range of Rutgeerts score or with more specific scores characterizing the inflammation of the anastomosis or the ileum. In addition, machine learning performances were impacted by the consideration of the Rutgeerts score as a multilevel prediction instead of a binary classification, further confirming the need to consider its full range. Finally, we investigated the community dynamics, which highlighted a denser network organisation after surgery and in the absence of recurrence, along with changes in keystone species.

Conclusion

Altogether, these results provide further understanding of the effects of ileal resection patients with CD and show that disease recurrence is a dynamic process characterized by several waves of changes in the microbiota composition.
大约50%到75%的克罗恩病患者(CD)需要肠切除术。克罗恩病术后复发是常见的。在这里,我们研究粘膜相关微生物群的演变沿着Rutgeerts评分测量手术后内镜复发。方法我们使用16S rRNA和ITS2测序分析CD患者手术时(M0, n=139)和手术后内镜评估复发时(M6, n=125)活检的粘膜相关微生物群。虽然手术和复发对总体微生物群组成的影响不大,但在考虑临床协变量时,我们确定了特定的微生物特征,显示出相对丰度的差异。某些物种的相对丰度,特别是prausnitzii Faecalibacterium的减少,或Akkermansia muciniphila的增加,与Rutgeerts评分的整个范围或与吻合口或回肠炎症的更具体评分有差异相关。此外,将Rutgeerts评分作为多层预测而不是二元分类,进一步证实了考虑其全范围的必要性,从而影响了机器学习性能。最后,我们调查了群落动态,强调了手术后更密集的网络组织,没有复发,以及关键物种的变化。综上所述,这些结果进一步了解了回肠切除术对CD患者的影响,并表明疾病复发是一个以微生物群组成的几波变化为特征的动态过程。
{"title":"Uncovering the dynamics of mucosa-associated microbiota in post-operative recurrence of Crohn’s disease","authors":"Léonard Dubois, Alexandre Chaussard, Philippe Seksik, Stéphane Nancey, Maria Nachury, Xavier Treton, Anthony Buisson, Franck Carbonnel, Mathurin Fumery, Laurent Peyrin-Biroulet, Arnaud Boureille, Xavier Hebuterne, Mélanie Serrero, Edouard Louis, Pierre Blanc, Loic Brot, Nathalie Rolhion, Severine Vermeire, Chaysavanh Manichanh, Reidar Fossmark, Harry Sokol","doi":"10.1053/j.gastro.2026.01.043","DOIUrl":"https://doi.org/10.1053/j.gastro.2026.01.043","url":null,"abstract":"<h3>Background</h3>About 50 to 75% of Crohn’s Disease patients (CD) need bowel resection. Postoperative recurrence of Crohn’s disease is frequent. Here, we investigate the evolution of the mucosa-associated microbiota along the Rutgeerts score measuring endoscopic recurrence after surgery.<h3>Methods</h3>We used 16S rRNA and ITS2 sequencing to profile the mucosa-associated microbiota of biopsies from CD patients at the time of surgery (M0, n=139) and later, at the time of endoscopic assessment of recurrence (M6, n=125).<h3>Results</h3>While the effect of surgery and recurrence were moderate on the overall microbiota composition, we identified specific microbial signatures displaying differential relative abundance when accounting for clinical covariates. The relative abundance of certain species, notably a decrease of <em>Faecalibacterium prausnitzii,</em> or increase of <em>Akkermansia muciniphila,</em> was differentially associated with a whole range of Rutgeerts score or with more specific scores characterizing the inflammation of the anastomosis or the ileum. In addition, machine learning performances were impacted by the consideration of the Rutgeerts score as a multilevel prediction instead of a binary classification, further confirming the need to consider its full range. Finally, we investigated the community dynamics, which highlighted a denser network organisation after surgery and in the absence of recurrence, along with changes in keystone species.<h3>Conclusion</h3>Altogether, these results provide further understanding of the effects of ileal resection patients with CD and show that disease recurrence is a dynamic process characterized by several waves of changes in the microbiota composition.","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":"16 1","pages":""},"PeriodicalIF":29.4,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147278747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to Bourgonje and Mian 回复布尔贡耶和米安
IF 29.4 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-23 DOI: 10.1053/j.gastro.2026.02.018
Christopher F.D. Li Wai Suen, Danny Con, Matthew C. Choy, Peter De Cruz
{"title":"Reply to Bourgonje and Mian","authors":"Christopher F.D. Li Wai Suen, Danny Con, Matthew C. Choy, Peter De Cruz","doi":"10.1053/j.gastro.2026.02.018","DOIUrl":"https://doi.org/10.1053/j.gastro.2026.02.018","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":"2 1","pages":""},"PeriodicalIF":29.4,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147278223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visualizing Science in Gastroenterology: The Role of Infographics and Graphical Abstracts in Education, Communication, and Research Dissemination 胃肠病学的可视化科学:信息图表和图形摘要在教育、交流和研究传播中的作用
IF 29.4 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-23 DOI: 10.1053/j.gastro.2026.02.012
Enrik John T. Aguila, Edgar Lerma
No Abstract
没有抽象的
{"title":"Visualizing Science in Gastroenterology: The Role of Infographics and Graphical Abstracts in Education, Communication, and Research Dissemination","authors":"Enrik John T. Aguila, Edgar Lerma","doi":"10.1053/j.gastro.2026.02.012","DOIUrl":"https://doi.org/10.1053/j.gastro.2026.02.012","url":null,"abstract":"No Abstract","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":"17 1","pages":""},"PeriodicalIF":29.4,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147278723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rethinking Infliximab Dosing in Acute Severe Ulcerative Colitis with Model-Informed Precision Dosing 重新考虑英夫利昔单抗在急性重度溃疡性结肠炎中的精确给药
IF 29.4 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-23 DOI: 10.1053/j.gastro.2025.09.053
Arno R. Bourgonje, Paola Mian
No Abstract
没有抽象的
{"title":"Rethinking Infliximab Dosing in Acute Severe Ulcerative Colitis with Model-Informed Precision Dosing","authors":"Arno R. Bourgonje, Paola Mian","doi":"10.1053/j.gastro.2025.09.053","DOIUrl":"https://doi.org/10.1053/j.gastro.2025.09.053","url":null,"abstract":"No Abstract","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":"46 1","pages":""},"PeriodicalIF":29.4,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146778379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to Xu and Mohammed et al. 回复许和穆罕默德等人。
IF 29.4 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-23 DOI: 10.1053/j.gastro.2026.02.017
Martijn R. Jong, Albert J. de Groof, Jacques J.G.H.M. Bergman
No Abstract
没有抽象的
{"title":"Reply to Xu and Mohammed et al.","authors":"Martijn R. Jong, Albert J. de Groof, Jacques J.G.H.M. Bergman","doi":"10.1053/j.gastro.2026.02.017","DOIUrl":"https://doi.org/10.1053/j.gastro.2026.02.017","url":null,"abstract":"No Abstract","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":"15 1","pages":""},"PeriodicalIF":29.4,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146778385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Gastroenterology
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