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Acta gastro-enterologica Belgica最新文献

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Exploring parental thoughts and clinical experiences on blended food in a paediatric population, a qualitative study. 一项定性研究,探讨儿科人群中家长对混合食品的想法和临床经验。
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.12122
R Verheije, F Carbone, T Bosmans, L Van Scheppingen, K van Hoeve, I Hoffman

Background: There's a growing interest in blended food (BF) as an alternative to commercial food (CF) for tube-fed children. Thus, we investigated parental and medical experiences with BF as an option for tube feeding in children.

Methods: In this cross-sectional study, all patients were already using BF, chosen by parents. In March 2022, all patients using BF provided consent and completed a questionnaire assessing their experiences. Medical data were collected retrospectively from patient charts, including biometric changes, dietary adjustments, and nutritional status. A non-validated parent satisfaction score was computed from 17 questions, rated on a scale from one to five. A score of ≥ 51 points, indicating an average score of > 3 per question, was deemed indicative of a positive parental experience with BF.

Results: Nine children receiving BF were identified (median age: 4.7 years; weight: 14.9 kg; 66% male). All parents were satisfied with BF, reflected in the parent satisfaction score. Parents cited reduced feeding-related discomforts as the main reason for switching to BF. Weight (+0.3 SD) and length (+0.5 SD) showed positive changes. None discontinued BF, though modifications were made for five patients by the dietician. Nutritional deficiencies, mainly iron with or without zinc deficiency, were observed in four patients, with uncertain onset due to lack of pre-BF laboratory testing.

Conclusions: In this small BF cohort overseen by an experienced multidisciplinary team, BF was well tolerated, resulting in high parental satisfaction and maintaining good nutritional status.

背景:人们对混合食品(BF)作为管饲儿童商业食品(CF)的替代品越来越感兴趣。因此,我们调查了家长和医疗人员使用混合食物作为儿童管饲选择的经验:在这项横断面研究中,所有患者均已使用混合食物,由家长选择。2022 年 3 月,所有使用 BF 的患者均表示同意,并填写了一份评估其使用经验的问卷。研究人员从病历中回顾性地收集了医疗数据,包括生物测量变化、饮食调整和营养状况。根据 17 个问题计算出未经验证的家长满意度得分,得分从 1 分到 5 分不等。如果得分≥51分,即每个问题的平均得分大于3分,则表明家长对母乳喂养有积极的体验:结果:9 名儿童接受了婴儿喂养(中位年龄:4.7 岁;体重:14.9 千克;66% 为男性)。所有家长都对婴儿喂养感到满意,家长满意度得分反映了这一点。家长认为,减少喂养相关的不适是改用婴儿喂养的主要原因。体重(+0.3 SD)和身长(+0.5 SD)都出现了积极的变化。尽管营养师对五名患者的喂养方式进行了调整,但没有人中断母乳喂养。有四名患者出现了营养缺乏症,主要是缺铁或缺锌,但由于缺乏 BF 前的实验室检测,起病时间并不确定:在这个由经验丰富的多学科团队监督的小规模婴儿营养餐队列中,婴儿营养餐的耐受性良好,家长满意度高,并保持了良好的营养状况。
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引用次数: 0
An acute ileocolitis of unexpected origin. 意外引发的急性回结肠炎
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.12077
L Hulst, A Billiet, J Dekervel
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引用次数: 0
Post-colonoscopy appendicitis: a thought-provoking unresolved entity. 结肠镜检查后阑尾炎:一个令人深思的悬而未决问题。
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.12657
A Karam, A Hittelet, S Journe, F Flamme
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引用次数: 0
CYP2D6 polymorphism may contribute to Trazodone-induced hepatotoxicity: a rare case of drug-drug-gene induced liver injury. CYP2D6多态性可能导致曲唑酮诱发肝毒性:一例罕见的药物基因诱发肝损伤病例。
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.12034
K Ferdinande, L Declerck, C Melis, L Missiaen, L Seynhaeve, C De Vloo, J Decaestecker
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引用次数: 0
In Memoriam: René Fiasse (1936-2024). 悼念:勒内-菲亚塞(1936-2024)。
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.13357
I Borbath, P H Deprez, O Dewit, N Lanthier, T Moreels, P Stärkel, H Piessevaux
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引用次数: 0
How to better improve the treatment and outcomes of HCV in psychiatric patients: review of a Belgian monocentric psychiatric center. 如何更好地改善精神病患者的丙型肝炎病毒治疗和疗效:对比利时一家单一中心精神病治疗中心的回顾。
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.12355
S Chabert, X Saloppe, B Delaunoit, G Dupont, P Yengue

Introduction: Hepatitis C (HCV) is one of the major worldwide infections with 58 million infected persons in the world. HCV can lead to chronic liver disease, cirrhosis, and cancer. These past few years, clinical progress allowed a curative rate of 95% of the patients. There are still populations in which, treating the disease is more difficult, especially psychiatric patients, when substance abuse, psychiatric disorders are important risks factors for getting HCV. With the WHO organization establishing goals for clinical management and treatment of HCV, it is important to target where the difficulties lie in getting a better treatment program for those populations.

Aim: Try to highlight the challenges of treating a certain group of patients compare to the general population.

Method: This is a cross sectional monocentric study. 79 patients from a mental facility were included between 2012 and 2022. Inclusion criteria were: >18 years old, an active viral HCV infection.

Results: 34.7% of patients with a positive PCR were treated with a significant difference between the closed psychiatric unit and the open one (66.5 vs 22.6%, p<.05). There was an 82.4% eradication rate (Sustained Viral Response at 3 months). There were significantly more schizophrenic disorders in the closed unit and significantly more alcohol abuse in the open one.

Conclusion: Treatment of HCV in a psychiatric population is feasible with eradication rate equivalent at those in the general population. Patients with more severe mental illness are better treated in the configuration of a closed psychiatric unit.

导言:丙型肝炎(HCV)是全球主要传染病之一,全球有 5 800 万感染者。HCV 可导致慢性肝病、肝硬化和癌症。在过去的几年中,临床治疗取得了进展,95% 的患者得到了治愈。但仍有一些人群的疾病治疗较为困难,尤其是精神病患者,因为药物滥用、精神障碍是感染 HCV 的重要危险因素。随着世界卫生组织制定了 HCV 临床管理和治疗目标,针对这些人群制定更好的治疗方案就显得尤为重要:这是一项横断面单中心研究。研究纳入了 2012 年至 2022 年间精神病院的 79 名患者。纳入标准为>年龄大于 18 岁,活动性病毒性 HCV 感染:34.7%的 PCR 阳性患者接受了治疗,封闭式精神病院与开放式精神病院之间存在显著差异(66.5% vs 22.6%,p):在精神病患者中治疗丙型肝炎病毒是可行的,根除率与普通人群相当。重症精神病患者在封闭式精神病院中治疗效果更好。
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引用次数: 0
Recurrent cholangitis caused by a giant duodenal diverticulum (Lemmel syndrome) - effective treatment with endoscopic sphincterotomy. 巨大十二指肠憩室(Lemmel 综合征)引起的复发性胆管炎--内窥镜括约肌切开术治疗有效。
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.12885
I Mendes, F Vara-Luiz, G Nunes, J Cruz, J Veloso, J Fonseca
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引用次数: 0
A case of atypical rectal tumor in a 55-years-old man? 一名 55 岁男性的非典型直肠肿瘤病例?
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.12638
P Dandoy, M Poncin, J-P Loly
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引用次数: 0
Outcomes of endoscopic treatment for acute duodenal ectopic variceal bleeding: a single-center retrospective case series. 急性十二指肠异位静脉曲张出血的内镜治疗效果:单中心回顾性病例系列。
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.12100
T Tang, L Yang, D Yang, X Li, W Zhang, H Xu, Geng Chen
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引用次数: 0
Respiratory failure in a tofacitinib treated patient with ulcerative colitis. 一名接受托法替尼治疗的溃疡性结肠炎患者出现呼吸衰竭。
IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-04-01 DOI: 10.51821/87.2.11812
C Bosteels, M Truyens, Y Vande Weygaerde, T Malfait, S Libbrecht, L Ferdinande, J Geldof, T Lobaton
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引用次数: 0
期刊
Acta gastro-enterologica Belgica
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