Clinics and Research in Hepatology and Gastroenterology Volume 45, Issue 4 2021 (original pdf)
Articles in this issue:
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Editorial board
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The endless history or search for the true role of alloantibodies in liver transplantation
Article 101544.
The clear role of donor-specific anti-HLA antibodies (DSA) is recognized in most transplants with the sole exception of the liver. This is a classically “immunologically privileged” organ and it is well known that, due to their special allogeneic …
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In vivo endoscopic blood flow visualization by magnified blue laser imaging
Article 101577.
High-quality image-enhanced endoscopy has opened up altogether novel perspectives on mucosal surface, vascular pattern and pathology in recent years, which is even more true when combined with magnification endoscopy. Multi-light illumination tech…
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Stones in the esophagus
Article 101582.
A 69-year-old institutionalized male patient with alcoholic disease and Korsakoff syndrome first presented with an estimated 30-mm large esophageal perforation complicating bolus impaction. At the time, the patient underwent stenting using a 28 × …
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Iatrogenic bilhemia after transjugular portal stent placement
Article 101597.
A 53-year-old man was admitted to our liver unit for a rapid increase in serum bilirubin after a vascular procedure for alcohol-related chronic pancreatitis. The patient had undergone transjugular spleno-portal and mesenteric-portal stent placemen…
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Pressurized submucosal water infusion as a novel endoscopic principle to optimize defect margin assessment after cold snare mucosectomy
Article 101642.
Given its speed and ease in use, cold snare polypectomy/mucosectomy (CSP/CSM) has been widely embraced in clinical endoscopy practice for colorectal lesions and is recommended by authorative international guidelines [1]. Though visual control of l…
High-quality endoscopic perspective on pseudomelanosis ilei: underwater, magnified and image-enhanced
Article 101643.
A 26-year-old male patient was admitted due to a flare of previously diagnosed ulcerative colitis (UC). After exclusion of superimposed infection, the patient underwent ileocolonoscopy revealing severe left-sided UC (Mayo Endoscopic Score 3), and …
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Muscle mass depletion in chronic liver diseases: An accelerated model of aging or a distinct entity?
Article 101721.
AbstractSarcopenia was initially defined as loss of muscle mass, strength and function related to aging. This phenomenon is a multifactorial process. The evaluation of the geriatric population in which sarcopenia has extensively been studied opens…
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Treatment of hepatitis C virus infection
Article 101578.
AbstractHepatitis C virus infection affects 71 million people worldwide. It is at the origin of a multi-organ disease associating hepatic manifestations, cryoglobulinemic vasculitis and general manifestations linked to chronic inflammation (diabet…
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Pathogenetic mechanisms of nonalcoholic fatty liver disease and inhibition of the inflammasome as a new therapeutic target
Article 101710.
Highlights•The nonalcoholic fatty disease is currently the most common liver disease in the United States. •Lifestyle modification remains the primary therapy as no pharmacological therapy has been approved. •NLR family pyrin domain-containing pro…
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Angioedema with severe acute abdominal pain: Think of hereditary angioedema
Article 101702.
Highlights•Intestinal angioedema (IA) can mimic other causes of acute abdominal pain. •IA can be histamine- or bradykinin-mediated, with distinct treatment requirements. •Hereditary angioedema (HAE) is a rare form of bradykinin-mediated angioedema…
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Prevalence and clinical features of hepatitis E virus infection in pregnant women: A large cohort study in Inner Mongolia, China
Article 101536.
Highlights•6% of past HEV infection and 0.6% of recent/ongoing infection in Chinese pregnant women •Ongoing/recent infection appears to associate with adverse maternal and neonatal outcomes. •Future research is warranted to further confirm our fin…
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Drug-eluting bead transarterial chemoembolization is an effective downstaging option for subsequent radical treatments in patients with hepatocellular carcinoma: A cohort study
Article 101535.
Highlights•59.4% unresectable HCC patients had successful down-staging after DEB-TACE, and followed radical treatment reached CR of 81.3%. •CNLC stage (IIb vs. IIa) was an independent factor for non-successful down-stating in unresectable HCC pati…
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A novel online calculator based on noninvasive markers (ALBI and APRI) for predicting post-hepatectomy liver failure in patients with hepatocellular carcinoma
Article 101534.
Highlights•Post-hepatectomy liver failure (PHLF) is a devastating complication. •Multivariable analysis identified high ALBI and APRI grades as independent risks of PHLF in both pre- and postoperative models. •The AUCs for the pre- and postoperati…
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Modified AST to platelet ratio index improves APRI and better predicts advanced fibrosis and liver cirrhosis in patients with non-alcoholic fatty liver disease
Article 101528.
Highlights•m-APRI, a non-invasive tool, can predict the presence or absence of advanced fibrosis and liver cirrhosis with accuracy. •m-APRI performs better than APRI and BARD in predicting both advanced fibrosis and liver cirrhosis in NAFLD. •The …
The clinical value of kinesin superfamily protein 2A in hepatocellular carcinoma
Article 101527.
Highlights•KIF2A is upregulated in tumor tissue compared to adjacent tissue. •Tumor KIF2A is associated with worse liver function as well as raised tumor stage in HCC patients. •Tumor KIF2A severs as an independent factor predicting poor OS in HCC…
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Systematic review on the prevalence of nonalcoholic fatty liver disease in South Korea Download PDF
Article 101526.
Highlights•The current study is the first systematic review on NAFLD prevalence in Korea. •The overall NAFLD prevalence in Korea was 30.3% as two-fold higher in men (41.4%) than women (20.3%). •The prevalence of NAFLD in Korea was further analyzed…
Prevalence and clinical characteristics of alpha-1 antitrypsin deficiency in liver explants in a Mexican cohort
Article 101519.
Highlights•α1 antitrypsin deficiency is an unrecognized cause of liver disease. •α1 antitrypsin deficiency was found unexpectedly in 4.5% of liver explants. •Heterozygous variants were found in all patients with α1 antitrypsin deficiency. •Coexist…
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De novo hepatocellular carcinoma in cirrhotic hepatitis C virus: Are directly acting antivirals beneficial?
Article 101517.
Highlights•Impact of chronic HCV treatment by DAAs on HCC is controversial. •De novo HCC characteristics were compared between patients treated and untreated with DAAs. •No difference in BCLC staging in DAAs exposed and unexposed patients. Summary…
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Risk factors of de novo malignancies after liver transplantation: a French national study on 11004 adult patients
Article 101514.
Highlights•After liver transplantation (LT), de novo malignancies are one of the leading causes of late mortality. •Risk factors of de novo malignancies in a large cohort of LT recipients (n=11004) are described using Fine and Gray competing risks…
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Do renin-angiotensin system inhibitors reduce risk for hepatocellular carcinoma?: A nationwide nested case-control study
Article 101510.
Highlights•A much-debated question is whether renin-angiotensin system inhibitors (RASi) have any beneficial effects in patients with HCC. •The present study did not prove a significant association between RASi use and HCC across the entire cohort…
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Impact of the first Covid-19 outbreak on liver transplantation activity in France: A snapshot
Article 101560.
Highlights•The global pandemic of Coronavirus Disease 2019 has drastically affected liver transplantation programs worldwide. •There was a significant decrease in the number of organ donations and liver transplantations performed in France. •The N…
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Covid-19 in liver transplant recipients: the French SOT COVID registry
Article 101639.
Highlights•Coronavirus disease-2019 (Covid-19) is an ongoing global pandemic of major concern. •Available data on clinical presentation and prognosis in liver transplant (LT) recipients remains limited. •Disease presentation, immunosuppression man…
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Low serum alkaline phosphatase levels in patients with chronic liver diseases: Possible contributions to disease pathogenesis
Article 101694.
Highlights•Persistently low serum ALP levels are found in 0.25% of liver disease patients. •Low serum ALP levels are associated with attenuated serum aminotransferase and bilirubin levels. •ALP expression may impact the severity and course of chro…
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B-cell compartment abnormalities are associated with ACLF and mortality in patients with liver cirrhosis
Article 101698.
Highlights•B-cell compartment is deeply altered in cirrhotic patients. •Cirrhotic patients with ACLF have increased proportions of double-negative B cells. •Transitional B cells are markedly reduced in patients that died in one year. AbstractBackg…
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Impact of sarcopenia on clinical outcomes of patients undergoing simultaneous liver and kidney transplantation: a cohort study
Article 101692.
Highlights•Sarcopenia is associated with an increased risk of infections and mortality post-LT. •No data are available on the impact of sarcopenia in SLKT recipients. •Sarcopenia threshold was defined as TPA 24 h, ICU stay >5 days, hospital stay >…
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Diagnostic yield of esophagogastroduodenoscopy in France
Article 101540.
Highlights•Over 1 000 000 esophagogastroduodenoscopies are performed annually in France. •Barrett’s esophagus is diagnosed in 4% of all esophagogastroduodenoscopies. •Esophageal or gastric neoplasms account for 2.2% of all diagnoses. •33% of these…
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The relationship between cardiac muscularis propria and clinical outcomes of peroral endoscopic myotomy in achalasia
Article 101529.
Highlights•A study included the largest sample size of achalasia patients investigated using EUS. •A study offered new insights into the contributions of EUS in achalasia. •Cardiac muscularis propria was a potential risk factor for POEM failure. A…
Abnormal post-prandial glucagon-like peptide release in patients with Crohn’s disease
Article 101533.
Highlights•What is already known on this subject? •Glucagon-like peptide (GLP)-1 and -2 have been shown to regulate immune responses in immune-mediated disorders, such as Crohn’s disease (CD) •What are the new findings? •Basal GLP-1 levels were up…
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Effect of N-acetylcysteine on remission maintenance in patients with ulcerative colitis: A randomized, double-blind controlled clinical trial
Article 101532.
Highlights•we assessed the effect of NAC on remission maintenance in patients with UC •There was a significant difference between the NAC and placebo groups regarding the relapse-free period. •Compared with the NAC group (6.1%), significantly more…
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Vitamin D deficiency negatively affects both the intestinal epithelial integrity and bone metabolism in children with Celiac disease
Article 101523.
Highlights•Vitamin D deficiency is common among children with Celiac disease. •Expression of VDR and epithelial barrier proteins was decreased in children with Celiac disease. •Vitamin D deficiency was related to decreased expression of VDR and ep…
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MiR-142 suppresses progression of gastric carcinoma via directly targeting LRP8
Article 101520.
Highlights•MiR-142 expression is reduced in GC tissues and cells. •MiR-142 inhibits cell proliferation and in vivo tumor growth. •MiR-142 inhibits EMT, migration and invasion. •MiR-142 directly targets LRP8. SummaryRecently, the role of miRNA-142 …
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The longitudinal changes of anxiety and depression, their related risk factors and prognostic value in colorectal cancer survivors: a 36-month follow-up study
Article 101511.
Highlights•Post-operative anxiety and depression are highly prevalent in CRC patients after resection. •Post-operative anxiety and depression continuously progress with time. •Baseline/1-year anxiety are associated with worse prognosis. •Baseline/…
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Long noncoding RNA PVT1 promotes tumour progression via the miR-128/ZEB1 axis and predicts poor prognosis in esophageal cancer
Article 101701.
Highlights•PVT1 both in cancer tissues and serum was significantly correlated with OS and MFS. •Knockdown of PVT1 significantly decreased the cell proliferation, migration and invasion of ESCC. •Knockdown of miR-128 recovered the altered prolifera…
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A predictive score of inadequate bowel preparation based on a self-administered questionnaire: PREPA-CO
Article 101693.
Highlights•The proportion of patients with inadequate bowel preparation is around 25%, generating significant costs due to repeat procedures. •In this prospective study, risk factors of inadequate bowel preparation were identified. •A predictive s…
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Prevalence and prognosis of microsatellite instability in oesogastric adenocarcinoma, NORDICAP 16-01
Article 101691.
Highlights•Microsatellite instability prevalence is 12.4%. •Patients in MSI group have a lower cumulative incidence of recurrence after surgery. •There is a 100% concordance between molecular analysis and IHC to determine MSI. •Tumors with MSI phe…
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Vedolizumab for steroid & infliximab refractory immune checkpoint inhibitor associated colitis
Article 101604.
The GEMINI trials demonstrated the benefit of vedolizumab on clinical outcomes in moderate-to-severe ulcerative colitis and Crohn’s disease [1,2]. Subsequently, the VARSITY trial went further to show endoscopic, radiologic and histologic healing i…
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Chromogranin A and NSE in cystic pancreatic neuroendocrine tumors
Article 101601.
Highlights•Endoscopic ultrasound fine-needle aspiration (EUS-FNA) with cytology is the standard pre-operative diagnosis of cystic pancreatic neuroendocrine tumors (cPanNETs). •Elevated Chromogranin A and NSE in pancreatic cyst fluid accurately ide…
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Citrin deficiency: Early severe cases in a European country
Article 101595.
Citrin deficiency is an inborn error of metabolism with a functional deficit of the mitochondrial glutamate-aspartate carrier called citrin, which plays a key role in the malate-aspartate NADH shuttle, the urea cycle and gluconeogenesis. The disea…
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Hepatitis A seroprevalence in homeless persons, in Marseille, France
Article 101571.
In the USA, homeless persons sleeping on the street, outdoors in vehicles or in abandoned buildings are considered at high risk of hepatitis A (as the result of exposure to unhygienic environments) [1]. Previous epidemiological surveys carried out…
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Metamizole-induced acute liver failure in a boy
Article 101570.
Metamizole, also known as dipyrone, was launched commercially by Hoechst AG in 1922 and classified as a nonsteroidal antinflammatory drug (NSAID) [1]. Due to its excellent analgesic, antipyretic, and spasmolytic properties combined with its favora…
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DIPS, a safe and effective alternative in patients with unfavorable anatomy to TIPSS: first experience in a tertiary center
Article 101715.
Transjugular intrahepatic portosystemic shunt (TIPSS) is a recognized approach to treat severe portal hypertension (PH) [1–3]. Regularly, TIPSS is not feasible due to unfavorable anatomy. In this situation, the only non-surgical alternative is the…
Contraceptive vaginal ring-induced cholestasis in a patient with a history of intrahepatic cholestasis of pregnancy
Article 101475.
Highlights•Patients with a history of intrahepatic cholestasis of pregnancy are at risk of developing contraceptive-induced cholestasis, especially if they harbor a biliary transporter mutation. •Contraceptive-induced cholestasis is a diagnosis of…
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Enhancing digestive fistula healing by the off-label use of a thermoresponsive vessel occluder polymer associated with esophageal stent placement: A case report
Article 101474.
SummaryThis case report relates to the first-in-man use of a vessel occluder gel medical device as a fistula occluder in a repurposing strategy. A patient with chronic colocutaneous fistula received an off-label treatment with a thermoresponsive P…
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A case series of eosinophilic esophagitis and primary adrenal insufficiency
Article 101699.
AbstractAlthough previously associated with secondary adrenal insufficiency and other autoimmune diseases, eosinophilic esophagitis has not been described in patients with primary adrenal insufficiency. In this case series, we describe three patie…