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D-dimer Level Is Non-Specifically Elevated Post-Living-Related Liver Transplantation in Children 儿童活体肝移植后 D-二聚体水平非特异性升高
Pub Date : 2024-05-17 DOI: 10.11648/j.ijg.20240801.15
Hadil Darwish, Nermin Adawy, Magdy Saber, Noha Radwan
Background/Objective: D-dimer, a soluble fibrin degradation product, is used to be a marker of vascular thrombosis. However, it has been reported to be elevated in different pathological conditions other than thrombosis. Moreover, its pattern post-liver transplantation (LT) in children is not known. So, we aimed to report its pattern within the first-month post-LT in children and its level in different early post-LT complications. Methods: It is a retrospective observational cohort study in which 52 children who underwent living-related liver transplantation (LRLT) were included. All the available clinical, imaging, and laboratory data including D-dimer level were collected from the patients' files. Those who developed complications within the first post-LT month were assigned to the complication group (n=41), and others were assigned to the non-complication group (n=11). Results: D-dimer level pre-LT ranged from 0.12-16.41 mg/l, with no significant difference between the complication and non-complication groups. Postoperatively, the D-dimer levels were elevated and did not normalize till the postoperative day (POD) 30. The minimum reported level was 1.2 mg/l on POD0 while the maximum one was 33.12 mg/l on POD12. There were no significant differences between the complication and non-complication groups about the D-dimer level from the pre-LT day till the POD30 (p>0.05). The D-dimer level at the onset of the different complications showed no significant difference among the thrombotic, ACR, and the other complication subgroups (p=0.748). Moreover, the vascular thrombosis subgroup didn’t show a significant difference between the D-dimer level before- and at the onset of thrombosis (p=0.480). Conclusion: D-dimer is non-specifically elevated within the 1st-month post-LRLT in children with no clear trend. Moreover, it doesn’t normalize till the end of the 1st post-LT month. Being high early postoperatively doesn't necessarily indicate vascular thrombosis or other complications but rather the nature of the transplantation circumstances.
背景/目的:D-二聚体是一种可溶性纤维蛋白降解产物,被用作血管血栓形成的标志物。然而,有报告称,除血栓形成外,D-二聚体在不同的病理情况下也会升高。此外,其在儿童肝移植(LT)后的变化规律也不为人所知。因此,我们旨在报告其在儿童肝移植后第一个月内的变化规律以及在肝移植后不同早期并发症中的水平。研究方法这是一项回顾性观察队列研究,纳入了 52 名接受活体肝移植(LRLT)的儿童。从患者档案中收集了所有可用的临床、影像学和实验室数据,包括D-二聚体水平。在肝移植术后第一个月内出现并发症的患儿被归入并发症组(41 人),其他患儿被归入非并发症组(11 人)。结果LT前的D-二聚体水平在0.12-16.41毫克/升之间,并发症组和非并发症组之间无明显差异。术后,D-二聚体水平升高,直到术后第 30 天(POD)才恢复正常。报告的最低水平为 POD0 时的 1.2 毫克/升,最高水平为 POD12 时的 33.12 毫克/升。并发症组和非并发症组从 LT 前一天到 POD30 的 D-二聚体水平没有明显差异(P>0.05)。不同并发症发病时的 D-二聚体水平在血栓形成亚组、ACR 亚组和其他并发症亚组之间无明显差异(P=0.748)。此外,血管血栓亚组的 D-二聚体水平在血栓形成前和血栓形成时没有明显差异(P=0.480)。结论儿童在接受 LRLT 后的第一个月内,D-二聚体会出现非特异性升高,且无明显趋势。此外,直到 LRT 术后第一个月结束时,D-二聚体才趋于正常。术后早期D-二聚体偏高并不一定预示着血管血栓形成或其他并发症,而是与移植手术环境的性质有关。
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引用次数: 0
A Case of Pemrolizumab-Associated Severe Gastritis Treated with Mycophenolate Mofetil 用霉酚酸酯治疗 Pemrolizumab 引起的严重胃炎病例
Pub Date : 2024-04-11 DOI: 10.11648/j.ijg.20240801.13
Emin Bodakçi
Immune checkpoint inhibitors have become a frequently used treatment in oncology practice. Although it has approved indications in many types of cancer, phase studies are ongoing in many types of cancer. Side effects due to the increasing use of immune checkpoint inhibitors have begun to be seen frequently. Cases of colitis, pancreatitis and hepatitis due to immune check point inhibitors have been reported very frequently; However, the number of gastritis cases is limited. Here, we presented a case of severe gastritis due to pembrolizumab in a patient with cholangiocellular carcinoma. When side effects develop due to immune check point inhibitors, infliximab and mycophenolate mofetil (MMF) treatments are used in steroid-refractory patients. In our patient, MMF treatment was started due to possible infectious processes due to a recent attack of cholangitis and the inability to remove the stones in the common bile duct. Response to MMF treatment was obtained after 3 months. We would like to state that MMF treatment is an option in cases that develop due to immune check point inhibitors. MMF treatment was used in a case of severe gastritis due to pembrolizumab, as it did not respond to steroid treatments. The patient responded after MMF treatment. We planned to present this rare side effect of pembrolizumab and the treatment strategies we applied in the development of side effects.
免疫检查点抑制剂已成为肿瘤治疗中的常用疗法。虽然它已被批准用于多种癌症,但对多种癌症的阶段性研究仍在进行中。由于越来越多地使用免疫检查点抑制剂,副作用也开始频繁出现。免疫检查点抑制剂导致结肠炎、胰腺炎和肝炎的病例已屡见报端;然而,胃炎病例的数量却十分有限。在此,我们介绍了一例胆管细胞癌患者因使用 pembrolizumab 而导致严重胃炎的病例。当免疫检查点抑制剂产生副作用时,类固醇难治性患者会使用英夫利西单抗和霉酚酸酯(MMF)治疗。在我们的患者中,由于近期胆管炎发作,胆总管结石无法取出,可能存在感染过程,因此开始了 MMF 治疗。3 个月后,患者对 MMF 治疗产生了反应。我们想说明的是,在因免疫检查点抑制剂而发病的病例中,可以选择 MMF 治疗。有一例因使用 pembrolizumab 而导致严重胃炎的患者,因对类固醇治疗无效而使用了 MMF 治疗。在 MMF 治疗后,患者出现了反应。我们计划介绍这种罕见的 pembrolizumab 副作用以及我们在副作用发生时采用的治疗策略。
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引用次数: 0
The Role of Lactobacillus Reuteri Probiotic for Preventing Functional Gastrointestinal Disorders in Toddlerhood 芦特氏乳杆菌益生菌对预防幼儿期功能性胃肠功能紊乱的作用
Pub Date : 2024-04-11 DOI: 10.11648/j.ijg.20240801.14
Mohammad Uddin, Shahab Uddin, Bishwajit Deb, Tania Hussain, Sohel Rafi, Azizul Islam
Probiotic Lactobacillus reuteri has been shown to be useful for a number of gastrointestinal disorders. Its ability to secrete antimicrobial compounds, prevent pathogenic microorganisms from colonizing the host, and alter the composition of the commensal microbiota in the host are all major contributors to its therapeutic advantages. Not only that, but L. reuteri treatment strengthens the host's defenses against infection and pro-inflammatory cytokine production while enhancing the growth and functionality of regulatory T cells. Numerous pediatric illnesses, particularly those pertaining to the intestinal health of infants, have been found to be well managed by L. reuteri, according to systematic reviews and meta-analyses. According to current research on L. reuteri, it may be useful in the management and avoidance of a number of common clinical disorders, including functional constipation, infantile colic, regurgitation, and diarrhea. Probiotic treatment for pediatric illnesses has had favorable benefits on bowel regularity in individuals with chronic constipation and has been found to successfully reduce screaming and/or fussing time in newborns with colic. Additionally, it quickens the emptying of the stomach and lessens distension. Several research have even come to the conclusion that this probiotic strain reduces the frequency of regurgitation. The potential of this probiotic strain for application in the treatment of several gastrointestinal disorders is evident from all of these findings. Therefore, this study aims to encapsulate and condense the advantages of this probiotic strain in clinical settings, with a particular emphasis on how it supports babies' and toddlers' immune systems and gut health.
事实证明,益生菌吕特氏乳杆菌可用于治疗多种胃肠道疾病。它能够分泌抗菌化合物,阻止病原微生物在宿主体内定植,并改变宿主体内共生微生物群的组成,这些都是其治疗优势的主要原因。不仅如此,L. reuteri 还能增强宿主对感染和促炎细胞因子产生的防御能力,同时提高调节性 T 细胞的生长和功能。根据系统综述和荟萃分析,许多儿科疾病,尤其是与婴儿肠道健康有关的疾病,都可以通过使用 L. reuteri 得到很好的控制。根据目前对 L. reuteri 的研究,它可能有助于治疗和避免一些常见的临床疾病,包括功能性便秘、婴儿肠绞痛、反胃和腹泻。益生菌治疗儿科疾病对慢性便秘患者的排便规律有好处,并能成功减少肠绞痛新生儿的尖叫和/或躁动时间。此外,它还能加快胃排空,减轻腹胀。一些研究甚至得出结论,这种益生菌株能减少反胃的频率。从所有这些研究结果来看,这种益生菌株在治疗多种胃肠道疾病方面的应用潜力是显而易见的。因此,本研究旨在总结和浓缩这种益生菌株在临床环境中的优势,特别强调它如何支持婴幼儿的免疫系统和肠道健康。
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引用次数: 0
Recurrent Diarrhoeal Disease is a Major Cause of Childhood Malnutrition and Necessity of Contravention of the Vicious Cycle of Diarrhoea Related Malnutrition in Bangladesh 反复腹泻是孟加拉国儿童营养不良的主要原因,必须遏制与腹泻有关的营养不良恶性循环
Pub Date : 2023-11-24 DOI: 10.11648/j.ijg.20230702.15
Mohammed Istiaque Hossain, Mohammad Delwar Hossain, Susanta Kumar Ghosh, Khadija Rahman, Mohammad Monir Hossain, Afsana Khanom, Riffat Mohiuddin, Tasnim Ahmed
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引用次数: 0
Clinical Outcome of Patients with COVID Transaminitis Given Essential Phospholipids in a Tertiary Medical Center: A Retrospective Cohort Study 三级医疗中心给予必需磷脂的COVID转氨炎患者的临床结果:一项回顾性队列研究
Pub Date : 2023-09-06 DOI: 10.11648/j.ijg.20230702.14
Daniel Frederick Cruz Ulep, Adolf Lim-Teodoro, Emmanuel Monsayac
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引用次数: 0
Endoscopic Management of Colonic Perforation Due to Biliary Stent Migration 胆道支架移位所致结肠穿孔的内镜治疗
Pub Date : 2023-08-31 DOI: 10.11648/j.ijg.20230702.13
Emin Bodakçı
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引用次数: 0
Empirical Research on the Anti-Inflammatory, Antibacterial, and Mucosal Protective Effects of Agarwood Based on the Oral and Intestinal Microenvironment 基于口腔和肠道微环境的沉香抗炎、抗菌和粘膜保护作用的实证研究
Pub Date : 2023-08-10 DOI: 10.11648/j.ijg.20230702.12
Yi-Nan Zhang, Zi-Lin Wang, Xiang Guo, Xue-Jing Lin, Hao-Yi Duan, Nan Wang, Shui-Chang Zhang, Wei-Ru Cheng, Fan-Di Xu, Minhaj Ahmad, Zhu-Ling Guo
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引用次数: 0
Outbreak of Gastroenteritis Among Riyadh Female Long-Term Elderly Care Facility Residents-Saudi Arabia, January 2023 2023年1月,沙特阿拉伯利雅得女性长期老年护理机构居民爆发肠胃炎
Pub Date : 2023-07-27 DOI: 10.11648/j.ijg.20230702.11
Khalid Khalfan Alnair, Shady A. Kamel, Abdulaziz S. Almeshal
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引用次数: 0
Association Between Food Specific IgG Antibodies with Clinical Activity in Patients with Inflammatory Bowel Disease: A Cross-Sectional Study 食物特异性IgG抗体与炎症性肠病患者临床活性之间的关系:一项横断面研究
Pub Date : 2023-05-31 DOI: 10.11648/j.ijg.20230701.15
Parhusip Santi, Rengganis Iris, Simadibrata Marcellus, Abdullah Murdani, Shatri Hamzah, E. Yunihastuti, Wibowo Heri
: Background and aim: Inflammatory Bowel Disease (IBD) is an autoimmune disease that is influenced by food, an important factor in accelerating its clinical disease activity because of intestinal inflammation trough formation of antigen-antibody complex. Food-specific IgG examination can identify the types of person foods consumes that are maybe responsible for disease activity. It is useful in treating IBD without risking malnourishment as it is tailored to the individual immune profile
背景与目的:炎症性肠病(IBD)是一种受食物影响的自身免疫性疾病,肠道炎症通过抗原-抗体复合物的形成而加速其临床疾病活动的重要因素。食物特异性IgG检测可以确定可能导致疾病活动的人的食物消费类型。它对治疗IBD是有用的,而不会有营养不良的风险,因为它是根据个人免疫状况量身定制的
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引用次数: 0
Mechanism and Therapeutic Value of Exosomes in Gastric Cancer 外泌体在胃癌中的作用机制及治疗价值
Pub Date : 2023-05-17 DOI: 10.11648/j.ijg.20230701.14
Zaibo Zhang
: Background Gastric cancer is a common gastrointestinal tumor with a high incidence and mortality rate, which is a serious threat to life and health; therefore, early diagnosis and interventions are particularly important. Currently, emerging gastric cancer-related targets Exosomes (EXOs) are being explored, (EXOs) are various bioactive substances, such as proteins, nucleic acids and lipids, actively secreted by various cells. It has been shown that exosomes are extensively involved in substance exchange and signal transduction between gastric cancer cells, affecting tumor proliferation and metastasis. Exosomes are biomarkers for the diagnosis and prognosis of gastric cancer, and are one of the hot spots in cancer research. Objective This paper mainly summarizes the research progress of related exosome detection methods and condenses a large amount of research evidence to systematically describe the characteristics of exosomes, related mechanisms and their diagnostic and therapeutic values in gastric cancer, hoping to provide new ideas and methods for the diagnosis and treatment of gastric cancer and new opportunities for better treatment of gastric cancer patients. Method Through extensive reading of relevant literature, we highly summarize relevant research mechanisms and diagnostic and therapeutic values, and explore and summarize the latest hot spots.
背景胃癌是一种常见的胃肠道肿瘤,发病率高、死亡率高,严重威胁生命健康;因此,早期诊断和干预尤为重要。目前,新兴的胃癌相关靶点外泌体(exosome, EXOs)正在被探索,外泌体是由各种细胞积极分泌的多种生物活性物质,如蛋白质、核酸、脂质等。研究表明外泌体广泛参与胃癌细胞间的物质交换和信号转导,影响肿瘤的增殖和转移。外泌体是胃癌诊断和预后的生物标志物,是肿瘤研究的热点之一。目的本文主要总结相关外泌体检测方法的研究进展,浓缩大量研究证据,系统描述外泌体的特点、相关机制及其在胃癌中的诊断和治疗价值,希望为胃癌的诊断和治疗提供新的思路和方法,为更好地治疗胃癌患者提供新的契机。方法通过广泛阅读相关文献,高度总结相关研究机制和诊疗价值,并探索总结最新热点。
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引用次数: 0
期刊
International Journal of Gastroenterology
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