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Gastroenterology and Hepatology最新文献

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Capsule Technologies for Disorders of Gut-Brain Interaction: Hope or Hype? 胶囊技术治疗肠脑相互作用紊乱:希望还是炒作?
Q2 Medicine Pub Date : 2025-08-01
Braden Kuo
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引用次数: 0
Comparative Effectiveness of Risankizumab Versus Ustekinumab in Bio-naive CD Patients: A Real-World Multicenter Retrospective Cohort Study. 利桑单抗与乌斯特金单抗在生物初治CD患者中的比较疗效:一项真实世界多中心回顾性队列研究
Q2 Medicine Pub Date : 2025-08-01
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引用次数: 0
Low Remission Recapture After Ustekinumab Dose Optimization in CD: Results of the Randomized Placebo-Controlled Double-Blind REScUE Study. Ustekinumab剂量优化后的低缓解复发:随机安慰剂对照双盲救援研究的结果。
Q2 Medicine Pub Date : 2025-08-01
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引用次数: 0
How to Approach Immune Checkpoint Inhibitor Enterocolitis. 如何治疗免疫检查点抑制剂小肠结肠炎。
Q2 Medicine Pub Date : 2025-08-01
Yinghong Mimi Wang
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引用次数: 0
Long-Term Efficacy and Safety of Mirikizumab Following 104 Weeks of Continuous Treatment for CD: Results From the VIVID-2 Open-Label Extension Study. Mirikizumab连续治疗CD 104周后的长期疗效和安全性:来自于fresh 2开放标签扩展研究的结果
Q2 Medicine Pub Date : 2025-08-01
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引用次数: 0
Dual-Targeted Therapy With Risankizumab and Upadacitinib Is Clinically and Biochemically Effective in Medically Complex CD. 利桑单抗和Upadacitinib双靶向治疗在临床上和生物化学上是有效的。
Q2 Medicine Pub Date : 2025-08-01
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引用次数: 0
Irritable Bowel Syndrome in Inflammatory Bowel Disease Patients: Prevalence, Etiology, and Treatment. 炎症性肠病患者肠易激综合征:患病率、病因学和治疗。
Q2 Medicine Pub Date : 2025-07-01
David J Gracie, Alexander C Ford

One in 4 patients with endoscopically confirmed quiescent inflammatory bowel disease (IBD) reports persistent gastrointestinal symptoms, which are often compatible with irritable bowel syndrome (IBS). The reporting of these IBS-type symptoms is associated with psychological comorbidity, impaired quality of life, and increased health care utilization. The brain-gut axis, which provides the link between the central nervous system and gastrointestinal tract, may facilitate these relationships. In IBS, dietary manipulation, gut-brain neuromodulators, and brain-gut behavioral therapies may have a beneficial effect on symptom reporting and quality of life. However, evidence supporting their use in patients reporting IBS-type symptoms specifically in IBD is lacking. Despite this, observational studies describing the relationship between mood and inflammatory activity highlight the role of the brain-gut axis in the pathophysiology of IBD. There remains a need for further carefully designed clinical trials of treatments targeting the brain-gut axis in IBD patients reporting IBS-type symptoms, who may be most likely to respond to these therapies. An integrated approach to management, combining treatments targeting inflammatory activity and brain-gut axis dysfunction, has the potential to improve the natural history of symptoms, psychological well-being, and quality of life in this select group of patients with IBD. This article will review the prevalence, impact, etiology, and treatment options for the management of patients with quiescent IBD who report IBS-type symptoms.

四分之一的内窥镜确诊的静止性炎症性肠病(IBD)患者报告持续的胃肠道症状,这些症状通常与肠易激综合征(IBS)相一致。这些ibs型症状的报告与心理合并症、生活质量受损和医疗保健利用率增加有关。脑肠轴,提供中枢神经系统和胃肠道之间的联系,可能促进这些关系。在肠易激综合征中,饮食控制、肠-脑神经调节剂和脑-肠行为疗法可能对症状报告和生活质量有有益的影响。然而,缺乏证据支持它们用于报告ibbs型症状的患者,特别是IBD。尽管如此,描述情绪和炎症活动之间关系的观察性研究强调了脑肠轴在IBD病理生理中的作用。在报告ibs型症状的IBD患者中,仍需要进一步精心设计针对脑-肠轴治疗的临床试验,这些患者可能最有可能对这些治疗产生反应。综合治疗方法,结合针对炎症活动和脑肠轴功能障碍的治疗,有可能改善IBD患者的症状自然史、心理健康和生活质量。本文将回顾报告ibs型症状的静止性IBD患者的患病率、影响、病因和治疗选择。
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引用次数: 0
Patient-Provider Conversation About IBS-C Treatment With Tenapanor. 关于Tenapanor治疗IBS-C的患者-提供者对话
Q2 Medicine Pub Date : 2025-07-01
Christina Hanson
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引用次数: 0
Exploring Irritable Bowel Syndrome Symptoms in Patients With Inflammatory Bowel Disease. 炎性肠病患者肠易激综合征症状的探讨
Q2 Medicine Pub Date : 2025-07-01
Gary R Lichtenstein
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引用次数: 0
Checkpoint Inhibitor Combinations for Hepatocellular Carcinoma Treatment. 检查点抑制剂联合治疗肝细胞癌。
Q2 Medicine Pub Date : 2025-07-01
Laura M Kulik
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引用次数: 0
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Gastroenterology and Hepatology
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