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Type 2 Diabetes Mellitus and Risk of Advanced Fibrosis in Patients With Metabolic Dysfunction-associated Steatotic Liver Disease (MASLD): The Results of Multi-centre Indian Consortium on MASLD (ICOM-D) Study. 代谢功能障碍相关脂肪变性肝病(MASLD)患者的2型糖尿病和晚期纤维化风险:多中心印度MASLD联盟(ICOM-D)研究的结果
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-07 DOI: 10.1016/j.jceh.2025.103468
Narendra S Choudhary, Ajay Duseja, Arka De, Manu Mehta, S P Singh, Prajna Anirvan, Shrikant Mukewar, Sourabh Mukewar, Shalimar, Sanjib Kar, Omesh Goyal, Rakhi Maiwall, Jayanthi Venkataraman, Krishnadas Devadas, V K Dixit, Varun Mehta, Piyush Ranjan, Aabha Nagral, Anil Arora, Arun Valsan, Sunil Dadhich, Brij Sharma, Rohit Gupta, Sandeep Nijhawan, Akash Roy, Dibyalochan Praharaj, P N Rao, Akash Shukla, Rajiv Mehta, Pankaj Asati, Sanjeev Saigal, K Narayanasamy, Mallika Bhattacharya, V G M Prasad, Abraham Koshy, Mukul Rastogi, Seema Alam, Arun J Sanyal

Background: The association between diabetes mellitus and liver fibrosis is well studied in patients with nonalcoholic fatty liver disease (NAFLD). With the recent change in nomenclature and definition, similar data are not available in patients with metabolic dysfunction-associated steatotic liver disease (MASLD). The present study aims to analyse the association of advanced fibrosis (stage 3 or 4 on liver biopsy) and type 2 diabetes mellitus (T2DM) in patients with MASLD.

Methods: In an ongoing multicentre study of the Indian Consortium on MASLD(ICOM-D) including 30 centres, data for the last 4 years were analysed for the factors responsible for the histological severity of liver disease in patients with MASLD.

Results: The study included 400 biopsy-proven patients with MASLD [mean age 42 ± 11 years, mean BMI 27 ± 9 kg/m2, 258(64.5%) males]. Metabolic syndrome was present in 159(39.7%) of patients, T2DM was present in 93(23.3%) patients. The fibrosis stages were stage 0 in 114(28.5%), 1 in 130(32.5%), 2 in 73(18.3%), 3 in 35(8.8%) and 4 in 48(12%). Patients with advanced fibrosis (versus F0-F2) had higher age (46.6 ± 11.8 years versus 41.4 ± 11.4 years, P = 0.000), higher prevalence of T2DM [32/83, (38.6%) versus 61/317 (19.2%), P = 0.000)], female gender [40/83 (48.2%) versus 102/317 (32.2%), P = 0.010), triglycerides >150 mg/dl [20/83 (24.1%) versus 158/317 (49.8%), P = 0.000)] and lower HDL [64/83 (77.1%) versus 207/317 (65.3%), P = 0.048)]. The multivariate analysis model including age, gender and DM showed that age [OR 1.025 (95% CI 1.001-1.049, P = 0.042] and T2DM [OR 1.943 (95% CI 1.099-3.433, P = 0.022] were significant predictors of advanced fibrosis. A total of 32/93(34.4%) patients with T2DM had advanced fibrosis as compared to 51/307(16.6%) in the non-DM group (P = 0.000).

Conclusion: In comparison to those without T2DM, the risk of advanced fibrosis is almost twice in patients with MASLD and type 2 DM. Both higher age and T2DM were associated with advanced fibrosis in patients with MASLD.

背景:在非酒精性脂肪性肝病(NAFLD)患者中,糖尿病与肝纤维化之间的关系得到了很好的研究。随着最近术语和定义的变化,在代谢功能障碍相关的脂肪变性肝病(MASLD)患者中没有类似的数据。本研究旨在分析MASLD患者晚期纤维化(肝活检3期或4期)与2型糖尿病(T2DM)的关系。方法:在印度MASLD协会(ICOM-D)正在进行的一项包括30个中心的多中心研究中,分析了过去4年的数据,以确定导致MASLD患者肝脏疾病组织学严重程度的因素。结果:本研究纳入400例经活检证实的MASLD患者[平均年龄42±11岁,平均BMI 27±9 kg/m2, 258例(64.5%)男性]。159例(39.7%)患者存在代谢综合征,93例(23.3%)患者存在T2DM。纤维化分期为114例(28.5%)为0期,130例(32.5%)为1期,73例(18.3%)为2期,35例(8.8%)为3期,48例(12%)为4期。晚期纤维化患者(F0-F2)年龄较高(46.6±11.8岁vs 41.4±11.4岁,P = 0.000), T2DM患病率较高[32/83 (38.6%)vs 61/317 (19.2%), P = 0.000)],女性患病率较高[40/83 (48.2%)vs 102/317 (32.2%), P = 0.010],甘油三酯bb0 150 mg/dl [20/83 (24.1%) vs 158/317 (49.8%), P = 0.000)], HDL水平较低[64/83 (77.1%)vs 207/317 (65.3%), P = 0.048]。纳入年龄、性别和糖尿病的多因素分析模型显示,年龄[OR 1.025 (95% CI 1.001-1.049, P = 0.042]和T2DM [OR 1.943 (95% CI 1.099-3.433, P = 0.022]是晚期纤维化的显著预测因素。共有32/93(34.4%)T2DM患者发生晚期纤维化,而非dm组为51/307(16.6%)(P = 0.000)。结论:与没有T2DM的患者相比,MASLD和2型DM患者发生晚期纤维化的风险几乎是2倍。MASLD患者的高龄和T2DM均与晚期纤维化相关。
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引用次数: 0
Peripheral Venous Access for Low-Volume Centrifugal Plasma Exchange to Treat Patients With Liver Disorders 小容量离心血浆置换治疗肝脏疾病患者的外周静脉通路
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-07 DOI: 10.1016/j.jceh.2025.103465
Asisha M. Janeela , Gayathiri K. Chellaiya , Rohan Thomas , Alok Bansal , Snehil Kumar , Gnanadeepam Sunderraj , Sumathy Jayaraman , Santhosh E. Kumar , Vijay Alexander , Vinoi G. David , Santosh Varughese , Dolly Daniel , Sukesh C. Nair , Chundamannil E. Eapen , Ashish Goel , Uday G. Zachariah

Background/Aims

Centrifugal plasma exchange (PLEX), by virtue of low blood flow rates, can be performed via peripheral venous access. This study aims to assess the utilization, safety, and efficiency of low-volume centrifugal plasma exchange via peripheral venous access (P-PLEX) in liver disease patients.

Methods

This retrospective cohort study compared patients with liver disease who underwent low-volume centrifugal P-PLEX (2019–2024) with syndrome-matched patients who underwent plasma exchange via central venous access (C-PLEX). Data on PLEX procedure, venous access, and extraction efficiency for molecules of interest were noted.

Results

Of 448 liver disease patients who underwent centrifugal low-volume PLEX, 81 patients (18.1%) who underwent P-PLEX (M: 60; age: 37 [29.5–46.5] years; median, interquartile range) were compared with 81 syndrome-matched patients who underwent C-PLEX (M: 62; age: 37 [29.5–46.5] years; acute-on-chronic liver failure: 44, acute liver injury/acute liver failure: 21, others: 20). Targeted P-PLEX sessions were completed in 67 of 81 (82%). P-PLEX access was mostly 18-G (n = 64/72 for inlet/return) in antecubital fossa. Thirteen of 81 (16%) P-PLEX patients required access change to C-PLEX. Procedure time was longer in P-PLEX group (105 [82.5–120] min) than in the C-PLEX group (75 [60–91.3] min, P value< 0.001) due to lower flow rates in P-PLEX. When controlled for exchange volumes and baseline values, extraction efficiency of bilirubin (P-PLEX: 34.3% [21.2–42.6], C-PLEX: 27.1% [10.3–41.7]; P value: 0.14) and von Willebrand factor antigen (P-PLEX: 36.1% [21.8–46.8], C-PLEX: 45.6% [32.8–58.3]; P value: 0.19) were similar in both groups. PLEX was performed in the ward (in high monitoring area) in majority of patients in the P-PLEX group (73 [90.1%]) and in the high-dependency unit (43 [53.1%]) in the C-PLEX group. Lower line-related complications with P-PLEX (2/81) vis-à-vis C-PLEX (9/81, P-value: 0.03) were noted.

Conclusion

In this report, low-volume centrifugal PLEX to treat liver disease was performed via peripheral venous access in 18% of patients. P-PLEX was done in the ward, with similar efficiency and better line-related safety; however, the PLEX duration was prolonged by 30 min.
离心血浆交换术(PLEX)由于血流量低,可以通过外周静脉通道进行。本研究旨在评估外周静脉低容量离心血浆置换(P-PLEX)在肝病患者中的应用、安全性和有效性。方法本回顾性队列研究比较了接受低容量离心P-PLEX(2019-2024)治疗的肝病患者与通过中心静脉通道(C-PLEX)进行血浆置换的综合征匹配患者。记录了PLEX程序、静脉通路和感兴趣分子提取效率的数据。结果在448例接受离心低容量PLEX的肝病患者中,81例(18.1%)接受P-PLEX (M: 60;年龄:37[29.5-46.5]岁;中位数,四分位数范围)与81例综合征匹配的C-PLEX患者(M: 62;年龄:37[29.5-46.5]岁;急性慢性肝衰竭:44,急性肝损伤/急性肝衰竭:21,其他:20)进行比较。81例患者中有67例(82%)完成了靶向P-PLEX治疗。枕前窝P-PLEX通道主要为18-G(进/回通道n = 64/72)。81例P-PLEX患者中有13例(16%)需要改用C-PLEX。由于P- plex的流速较低,P- plex组的手术时间(105 [82.5-120]min)比C-PLEX组(75 [60-91.3]min, P值<; 0.001)更长。在控制交换量和基线值的情况下,两组胆红素(P- plex: 34.3% [21.2-42.6], C-PLEX: 27.1% [10.3-41.7], P值为0.14)和血管性血友病因子抗原(P- plex: 36.1% [21.8-46.8], C-PLEX: 45.6% [32.8-58.3], P值为0.19)的提取效率相似。P-PLEX组大多数患者(73例[90.1%])在病房(高监护区)进行PLEX, C-PLEX组大多数患者(43例[53.1%])在高依赖病房进行PLEX。P-PLEX(2/81)与-à-vis C-PLEX (9/81, p值:0.03)的下线相关并发症被注意到。结论在本报告中,18%的患者通过外周静脉通道行小容量离心PLEX治疗肝病。P-PLEX在病房内进行,效率相似,线相关安全性更好;然而,PLEX持续时间延长了30分钟。
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引用次数: 0
When Epstein-Barr Virus Strikes Twice: Concurrent Lymphoproliferative and Smooth Muscle Tumor After Liver Transplantation! 当eb病毒两次袭击:肝移植后并发淋巴增生性和平滑肌肿瘤!
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-03 DOI: 10.1016/j.jceh.2025.103461
Dhiraj Agrawal, Shwetha Kamath, Sunil Gupta, Guru N. Reddy, Vijay Yeldandi, Dharmesh Kapoor
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引用次数: 0
Endoscopic Ultrasound-Directed Trans-Gastric ERCP for Management of Choledocholithiasis in a Roux-en-Y Gastric Bypass Anatomy 内镜下超声引导的经胃ERCP在Roux-en-Y胃旁路解剖中治疗胆总管结石
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-03 DOI: 10.1016/j.jceh.2025.103466
Sanish Ancil , Jahnvi Dhar , Rahul Thakur, Pankaj Gupta, Cherring Tandup, Satish S. Nagaraj, Saroj K. Sinha, Jayanta Samanta
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引用次数: 0
Collagen Proportionate Area and Histological Grading of Fibrosis as Predictors of Clinical Outcomes and Mortality in Patients with Steatotic Liver Disease 胶原比例面积和纤维化组织学分级作为脂肪变性肝病患者临床结局和死亡率的预测因子
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-02 DOI: 10.1016/j.jceh.2025.103464
Andreas Bartholdy , Pernille Y. Nielsen , Lise L. Gluud , Laust H. Mortensen , Birgitte M. Viuff , Elisabeth D. Galsgaard , Majken K. Jensen

Background/Aims

Steatotic liver disease (SLD) including metabolic dysfunction-associated and alcoholic liver disease, is the most prevalent chronic liver condition globally. Liver biopsy remains the gold standard for fibrosis assessment, but traditional staging is difficult even for highly skilled experts. Collagen proportionate area (CPA), a quantitative digital pathology measure, may offer an alternative, yet its prognostic value in population-based settings is unclear.

Methods

Liver biopsies from a cohort of 166 adults with biopsy-confirmed SLD, diagnosed between 1995 and 2008, were retrieved. The liver biopsies underwent fibrosis staging (stages F0–F4) by a pathologist and digital CPA quantification. Clinical outcomes and mortality were tracked via national registries over a median follow-up of 14.8 years. Associations between fibrosis stage, CPA, and all-cause mortality and liver-related events were assessed using Cox regression and cause-specific hazard models, adjusting for alcohol use and age. Predictive performance was evaluated with area under the receiver operating characteristic curve (AUC), index of prediction accuracy (IPA), and calibration plots, internally validated by bootstrapping.

Results

CPA correlated significantly with fibrosis stage (Spearman's ρ = 0.63), particularly in advanced fibrosis. Higher fibrosis stages and greater CPA were associated with increased all-cause mortality and liver-related events, but the associations for CPA were nonsignificant after adjustment for age and alcohol use. Scaled estimates of HRs from CPA were lower compared to HRs from fibrosis stages. Predictive models for mortality demonstrated comparable and moderate discrimination for CPA and fibrosis stage, improving with age adjustment. IPA values and calibration plots indicated positive predictive accuracy for mortality but poor performance for liver-specific outcomes.

Conclusions

CPA closely correlates with fibrosis stage and has comparable long-term prognostic value in SLD. Interpretation of study results is limited by the small sample size and low number of liver-specific events. Larger studies are needed to validate CPA's clinical utility and explore its integration into routine practice.
背景/目的脂肪变性肝病(SLD)包括代谢功能障碍相关和酒精性肝病,是全球最常见的慢性肝病。肝活检仍然是评估纤维化的金标准,但即使对技术高超的专家来说,传统的分期也很困难。胶原蛋白比例面积(CPA),一种定量数字病理测量,可能提供另一种选择,但其在基于人群的情况下的预后价值尚不清楚。方法收集1995年至2008年间诊断的166例经活检证实的成人SLD的银切片。肝活检由病理学家进行纤维化分期(F0-F4期)和数字CPA量化。临床结果和死亡率通过国家登记处进行追踪,平均随访时间为14.8年。使用Cox回归和病因特异性危险模型,调整酒精使用和年龄,评估纤维化分期、CPA、全因死亡率和肝脏相关事件之间的关联。预测性能通过受试者工作特征曲线下面积(AUC)、预测精度指数(IPA)和校准图进行评估,并通过自举进行内部验证。结果scpa与纤维化分期显著相关(Spearman ρ = 0.63),尤其是晚期纤维化。较高的纤维化分期和较高的CPA与全因死亡率和肝脏相关事件的增加相关,但在调整年龄和酒精使用后,CPA的相关性不显著。与纤维化阶段的hr相比,CPA的hr比例估计较低。死亡率预测模型显示,CPA和纤维化分期具有可比性和中度的区别,随着年龄调整而改善。IPA值和校准图表明,对死亡率的预测准确性较高,但对肝脏特异性结局的预测准确性较差。结论scpa与纤维化分期密切相关,在SLD中具有相当的远期预后价值。研究结果的解释受到样本量小和肝脏特异性事件数量少的限制。需要更大规模的研究来验证注册会计师的临床效用,并探索其与日常实践的结合。
{"title":"Collagen Proportionate Area and Histological Grading of Fibrosis as Predictors of Clinical Outcomes and Mortality in Patients with Steatotic Liver Disease","authors":"Andreas Bartholdy ,&nbsp;Pernille Y. Nielsen ,&nbsp;Lise L. Gluud ,&nbsp;Laust H. Mortensen ,&nbsp;Birgitte M. Viuff ,&nbsp;Elisabeth D. Galsgaard ,&nbsp;Majken K. Jensen","doi":"10.1016/j.jceh.2025.103464","DOIUrl":"10.1016/j.jceh.2025.103464","url":null,"abstract":"<div><h3>Background/Aims</h3><div>Steatotic liver disease (SLD) including metabolic dysfunction-associated and alcoholic liver disease, is the most prevalent chronic liver condition globally. Liver biopsy remains the gold standard for fibrosis assessment, but traditional staging is difficult even for highly skilled experts. Collagen proportionate area (CPA), a quantitative digital pathology measure, may offer an alternative, yet its prognostic value in population-based settings is unclear.</div></div><div><h3>Methods</h3><div>Liver biopsies from a cohort of 166 adults with biopsy-confirmed SLD, diagnosed between 1995 and 2008, were retrieved. The liver biopsies underwent fibrosis staging (stages F0–F4) by a pathologist and digital CPA quantification. Clinical outcomes and mortality were tracked via national registries over a median follow-up of 14.8 years. Associations between fibrosis stage, CPA, and all-cause mortality and liver-related events were assessed using Cox regression and cause-specific hazard models, adjusting for alcohol use and age. Predictive performance was evaluated with area under the receiver operating characteristic curve (AUC), index of prediction accuracy (IPA), and calibration plots, internally validated by bootstrapping.</div></div><div><h3>Results</h3><div>CPA correlated significantly with fibrosis stage (Spearman's ρ = 0.63), particularly in advanced fibrosis. Higher fibrosis stages and greater CPA were associated with increased all-cause mortality and liver-related events, but the associations for CPA were nonsignificant after adjustment for age and alcohol use. Scaled estimates of HRs from CPA were lower compared to HRs from fibrosis stages. Predictive models for mortality demonstrated comparable and moderate discrimination for CPA and fibrosis stage, improving with age adjustment. IPA values and calibration plots indicated positive predictive accuracy for mortality but poor performance for liver-specific outcomes.</div></div><div><h3>Conclusions</h3><div>CPA closely correlates with fibrosis stage and has comparable long-term prognostic value in SLD. Interpretation of study results is limited by the small sample size and low number of liver-specific events. Larger studies are needed to validate CPA's clinical utility and explore its integration into routine practice.</div></div>","PeriodicalId":15479,"journal":{"name":"Journal of Clinical and Experimental Hepatology","volume":"16 2","pages":"Article 103464"},"PeriodicalIF":3.2,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characterization of Both CD24+ and CD24- T Cells can Better Elucidate the Influence of CD24 on Cytokine Production CD24+和CD24- T细胞的表征可以更好地阐明CD24对细胞因子产生的影响
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jceh.2025.103467
Zhencheng Zhang, Zaixing Yang
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引用次数: 0
Post-Liver Transplantation Acute Kidney Injury: New Concepts 肝移植后急性肾损伤:新概念
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jceh.2025.103443
Carmine Gambino, Paolo Angeli
{"title":"Post-Liver Transplantation Acute Kidney Injury: New Concepts","authors":"Carmine Gambino,&nbsp;Paolo Angeli","doi":"10.1016/j.jceh.2025.103443","DOIUrl":"10.1016/j.jceh.2025.103443","url":null,"abstract":"","PeriodicalId":15479,"journal":{"name":"Journal of Clinical and Experimental Hepatology","volume":"16 1","pages":"Article 103443"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Shunt to Strength: Toward an Indian Model of TIPS Prehabilitation 从分流到加强:印度的TIPS康复模式
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jceh.2025.103444
Vinay Jahagirdar, Ali Khan, Jasmohan S. Bajaj
{"title":"From Shunt to Strength: Toward an Indian Model of TIPS Prehabilitation","authors":"Vinay Jahagirdar,&nbsp;Ali Khan,&nbsp;Jasmohan S. Bajaj","doi":"10.1016/j.jceh.2025.103444","DOIUrl":"10.1016/j.jceh.2025.103444","url":null,"abstract":"","PeriodicalId":15479,"journal":{"name":"Journal of Clinical and Experimental Hepatology","volume":"16 1","pages":"Article 103444"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Genetic Protection: Revisiting Hepatic Resilience in Prader-Willi Syndrome 超越基因保护:重新审视普瑞德-威利综合征的肝脏恢复能力
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jceh.2025.103419
Nathkapach K. Rattanapitoon, Chutharat Thanchonnang, Patpicha Arunsan, Schawanya K. Rattanapitoon
{"title":"Beyond Genetic Protection: Revisiting Hepatic Resilience in Prader-Willi Syndrome","authors":"Nathkapach K. Rattanapitoon,&nbsp;Chutharat Thanchonnang,&nbsp;Patpicha Arunsan,&nbsp;Schawanya K. Rattanapitoon","doi":"10.1016/j.jceh.2025.103419","DOIUrl":"10.1016/j.jceh.2025.103419","url":null,"abstract":"","PeriodicalId":15479,"journal":{"name":"Journal of Clinical and Experimental Hepatology","volume":"16 1","pages":"Article 103419"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Issue Highlights 问题突出
IF 3.2 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jceh.2026.103483
{"title":"Issue Highlights","authors":"","doi":"10.1016/j.jceh.2026.103483","DOIUrl":"10.1016/j.jceh.2026.103483","url":null,"abstract":"","PeriodicalId":15479,"journal":{"name":"Journal of Clinical and Experimental Hepatology","volume":"16 1","pages":"Article 103483"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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
Journal of Clinical and Experimental Hepatology
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