{"title":"Effect of Continuous Intake of Onion Outer Skin Powder on Human Microbiota: A Preliminary Intervention Study and In Vitro Fecal Culture Study","authors":"","doi":"10.31488/bjg.1000123","DOIUrl":"https://doi.org/10.31488/bjg.1000123","url":null,"abstract":"","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69833498","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}
{"title":"Laparoscopic Roux-En-Y Gastric Bypass and Cholelithiasis: A Review","authors":"","doi":"10.31488/bjg.10000112","DOIUrl":"https://doi.org/10.31488/bjg.10000112","url":null,"abstract":"","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832363","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}
{"title":"How might recurrence of post-ablation Barrett’s dysplasia be prevented?","authors":"","doi":"10.31488/bjg.1000106","DOIUrl":"https://doi.org/10.31488/bjg.1000106","url":null,"abstract":"","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832384","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}
{"title":"Review about Clinical Application of the Use of Probiotics in Pediatric Age","authors":"","doi":"10.31488/bjg.1000109","DOIUrl":"https://doi.org/10.31488/bjg.1000109","url":null,"abstract":"","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832455","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}
{"title":"Unusual Presentations of Celiac Disease in the Pediatric Population: A Case Series","authors":"","doi":"10.31488/bjg.1000110","DOIUrl":"https://doi.org/10.31488/bjg.1000110","url":null,"abstract":"","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832499","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}
{"title":"Medications Commonly Used for Analgosedation During A Colonoscopy","authors":"","doi":"10.31488/bjg.1000114","DOIUrl":"https://doi.org/10.31488/bjg.1000114","url":null,"abstract":"","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832952","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}
Daniel González Hermosillo-Cornejo, Paola Suarez-Meade, F. Vélez-Pérez, Alejandro, Díaz Girón-Gidi, V. Castillo, A. G. C. Saldívar
Introduction: In the presence of complicated acute cholecystitis with a high risk of biliary tract injury, the laparoscopic technique of choice is the subtotal cholecystectomy. It is a safe and useful surgical procedure when the anatomical distortion hinders a total cholecystectomy. However, the presence of a vesicular remnant after performing a reconstituting technique can lead to the formation of cholelithiasis and acute cholecystitis of the remnant in a postoperated patient. Case presentation: It is a 51-year-old female patient who was admitted to the emergency room due to abdominal pain located in the mesogastrium and irradiating to the right hypochondrium, it was characteristic of biliary colic, with a pain scale chart of 9/10 points. It was triggered after eating copious foods, accompanied by nausea and vomit. Her surgical history was remarkable for a cholecystectomy 10 years prior to her admission. The laboratory tests and imaging studies suggested the presence of gallbladder remnant cholecystitis after a reconstituting subtotal cholecystectomy. The patient received surgical treatment by a total laparoscopic cholecystectomy with satisfactory results. Conclusion: A high level of suspicion of gallbladder remnant cholecystitis in patients that present to the emergency room for abdominal pain and a history of a reconstituting subtotal cholecystectomy has to be maintained. In these cases, surgical treatment by laparoscopic or open cholecystectomy has to be offered to the patient. 102 British Journal of Gastroenterology 2019; 1(1): 102 105 . doi: 10.31488/bjg.1000102
{"title":"Acute Cholecystitis after Cholecystectomy: Case Report","authors":"Daniel González Hermosillo-Cornejo, Paola Suarez-Meade, F. Vélez-Pérez, Alejandro, Díaz Girón-Gidi, V. Castillo, A. G. C. Saldívar","doi":"10.31488/bjg.1000102","DOIUrl":"https://doi.org/10.31488/bjg.1000102","url":null,"abstract":"Introduction: In the presence of complicated acute cholecystitis with a high risk of biliary tract injury, the laparoscopic technique of choice is the subtotal cholecystectomy. It is a safe and useful surgical procedure when the anatomical distortion hinders a total cholecystectomy. However, the presence of a vesicular remnant after performing a reconstituting technique can lead to the formation of cholelithiasis and acute cholecystitis of the remnant in a postoperated patient. Case presentation: It is a 51-year-old female patient who was admitted to the emergency room due to abdominal pain located in the mesogastrium and irradiating to the right hypochondrium, it was characteristic of biliary colic, with a pain scale chart of 9/10 points. It was triggered after eating copious foods, accompanied by nausea and vomit. Her surgical history was remarkable for a cholecystectomy 10 years prior to her admission. The laboratory tests and imaging studies suggested the presence of gallbladder remnant cholecystitis after a reconstituting subtotal cholecystectomy. The patient received surgical treatment by a total laparoscopic cholecystectomy with satisfactory results. Conclusion: A high level of suspicion of gallbladder remnant cholecystitis in patients that present to the emergency room for abdominal pain and a history of a reconstituting subtotal cholecystectomy has to be maintained. In these cases, surgical treatment by laparoscopic or open cholecystectomy has to be offered to the patient. 102 British Journal of Gastroenterology 2019; 1(1): 102 105 . doi: 10.31488/bjg.1000102","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832490","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}
Colonoscopy significantly reduces the incidence and mortality of colorectal cancer. The quality of bowel preparation plays a direct role in the efficacy, safety, and economic burden of colonoscopy. High-quality bowel preparation is essential for meeting colorectal cancer screening goals during colonoscopy, and consideration of risk factors for inadequate cleansing can help optimize the preparation regimen. If preparation is inadequate, there are salvage methods available to improve success. A number of patient-specific factors, comorbidities, and medications can contribute to inadequate bowel preparation. Age, gender, and socioeconomic status are all associated with poor quality preparation. Comorbidities such as chronic constipation, diabetes mellitus, neurological and neuropsychiatric disorders, history of gastrointestinal surgery, and cirrhosis, as well as the use of medications such as opiates and tricyclic antidepressants can also affect preparation quality. Improvement of preparation depends on the specific factor, but can involve variation in lavage regimen, the use of adjunctive agents, and medication management. For preparation deemed inadequate during colonoscopy, there are techniques described to intra-procedurally provide more cleansing. In addition, for patients requiring same-day salvage preparation or are at high risk for poor lavage, there are two technological options that provide increased preparation quality. 106 British Journal of Gastroenterology 2019; 1(1): 106 115 . doi: 10.31488/bjg.1000103
{"title":"The Dirty Side of Colonoscopy: Predictors of Poor Bowel Preparation and Novel Approaches to Overcome the Shortcomings","authors":"Steve M. D’Souza, P. Parekh, D. Johnson","doi":"10.31488/bjg.1000103","DOIUrl":"https://doi.org/10.31488/bjg.1000103","url":null,"abstract":"Colonoscopy significantly reduces the incidence and mortality of colorectal cancer. The quality of bowel preparation plays a direct role in the efficacy, safety, and economic burden of colonoscopy. High-quality bowel preparation is essential for meeting colorectal cancer screening goals during colonoscopy, and consideration of risk factors for inadequate cleansing can help optimize the preparation regimen. If preparation is inadequate, there are salvage methods available to improve success. A number of patient-specific factors, comorbidities, and medications can contribute to inadequate bowel preparation. Age, gender, and socioeconomic status are all associated with poor quality preparation. Comorbidities such as chronic constipation, diabetes mellitus, neurological and neuropsychiatric disorders, history of gastrointestinal surgery, and cirrhosis, as well as the use of medications such as opiates and tricyclic antidepressants can also affect preparation quality. Improvement of preparation depends on the specific factor, but can involve variation in lavage regimen, the use of adjunctive agents, and medication management. For preparation deemed inadequate during colonoscopy, there are techniques described to intra-procedurally provide more cleansing. In addition, for patients requiring same-day salvage preparation or are at high risk for poor lavage, there are two technological options that provide increased preparation quality. 106 British Journal of Gastroenterology 2019; 1(1): 106 115 . doi: 10.31488/bjg.1000103","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832040","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}
{"title":"Inaugural Editorial: My Vision for “British Journal of Gastroenterology”","authors":"","doi":"10.31488/bjg.1000101","DOIUrl":"https://doi.org/10.31488/bjg.1000101","url":null,"abstract":"","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832441","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}
Objective: Measuring outcomes, that are relevant to both the patient and clinician, in patients with intermittent attacks of abdominal pain, remains challenging. The aim of this study was to examine several definitions of ‘success’ for patients undergoing treatment for suspected Sphincter of Oddi dysfunction and identify valid and reliable outcome measures for future research studies. Methods: The recently completed EPISOD trial incorporated several patient reported outcome measures to determine improvement in patients’ pain and disability over time. The trial’s primary outcome was dichotomized as ‘success/failure’ based on the days of disability due to episodic abdominal pain using the RAPID, a 90-day patient recall instrument. Additional measures included the SF-36, frequency and intensity of pain, and the Patient Global Impression of Change (PGIC), which were collected periodically during the long term follow up period. Correlations between the different instruments were calculated accounting for repeated measures within patients. Agreement using a dichotomized definition of ‘success’ was also examined. Results: There was a moderate negative correlation of the RAPID score with the specific SF-36 physical domain scores of bodily pain, physical functioning and role limitation. Negative correlations were expected since a higher RAPID score indicates greater role impairment and a higher SF-36 score indicates higher levels of physical functioning. Aggregated one month assessments of pain frequency correlated well with the results of the 90 day recall (r= 0.84). When comparing the dichotomized definitions of ‘success’, the RAPID and PGIC had a high percentage of agreement (72%) and a moderate kappa coefficient of 0.44 (0.23, 0.65). Conclusion: These results support the validity of the 90-day recall of the RAPID instrument and a dichotomized definition of success based on disability days in patients with intermittent attacks of abdominal pain. We recommend using the objective RAPID disability score and the subjective PGIC instrument in future studies. 120 British Journal of Gastroenterology 2019; 1(1): 120 124. doi: 10.31488/bjg.1000105
{"title":"Measuring outcomes of treatment for patients with episodic abdominal pains; conclusions from the EPISOD study","authors":"V. Durkalski-Mauldin, Qi Pauls, P. Cotton","doi":"10.31488/bjg.1000105","DOIUrl":"https://doi.org/10.31488/bjg.1000105","url":null,"abstract":"Objective: Measuring outcomes, that are relevant to both the patient and clinician, in patients with intermittent attacks of abdominal pain, remains challenging. The aim of this study was to examine several definitions of ‘success’ for patients undergoing treatment for suspected Sphincter of Oddi dysfunction and identify valid and reliable outcome measures for future research studies. Methods: The recently completed EPISOD trial incorporated several patient reported outcome measures to determine improvement in patients’ pain and disability over time. The trial’s primary outcome was dichotomized as ‘success/failure’ based on the days of disability due to episodic abdominal pain using the RAPID, a 90-day patient recall instrument. Additional measures included the SF-36, frequency and intensity of pain, and the Patient Global Impression of Change (PGIC), which were collected periodically during the long term follow up period. Correlations between the different instruments were calculated accounting for repeated measures within patients. Agreement using a dichotomized definition of ‘success’ was also examined. Results: There was a moderate negative correlation of the RAPID score with the specific SF-36 physical domain scores of bodily pain, physical functioning and role limitation. Negative correlations were expected since a higher RAPID score indicates greater role impairment and a higher SF-36 score indicates higher levels of physical functioning. Aggregated one month assessments of pain frequency correlated well with the results of the 90 day recall (r= 0.84). When comparing the dichotomized definitions of ‘success’, the RAPID and PGIC had a high percentage of agreement (72%) and a moderate kappa coefficient of 0.44 (0.23, 0.65). Conclusion: These results support the validity of the 90-day recall of the RAPID instrument and a dichotomized definition of success based on disability days in patients with intermittent attacks of abdominal pain. We recommend using the objective RAPID disability score and the subjective PGIC instrument in future studies. 120 British Journal of Gastroenterology 2019; 1(1): 120 124. doi: 10.31488/bjg.1000105","PeriodicalId":72465,"journal":{"name":"British journal of gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69832118","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}
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