American Journal of Gastroenterology




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New Therapies and Management Options for Hepatitis D.

Martin, Paul MD, FACG 1; Jacobson, Ira M. MD, FACG 2

doi : 10.14309/ajg.0000000000002153

Volume 118(7) pgs. 1105-1302 July 2023

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A Pragmatic Approach to the Management of Gastric Outlet Obstruction From Pancreaticobiliary Malignancy.

Ma, Michael MD 1; Benias, Petros C. MD 1; Trindade, Arvind J. MD 1,2

doi : 10.14309/ajg.0000000000002196

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Use of the Stethoscope to Diagnose Gastrointestinal and Hepatic Disorders.

Brandt, Lawrence J. MD, MACG, AGAF, FASGE, NYSGEF 1,2

doi : 10.14309/ajg.0000000000002233

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Paralysis of the Left Hemidiaphragm With Organ Distortion.

Zheng, Ting MD 1; Camilleri, Michael MD, DSc 1

doi : 10.14309/ajg.0000000000002197

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Do Not Eat.

Hamidu, Rukaiya Bashir MD 1,2; Kalachi, Kourosh MD 1,2; Raufman, Jean-Pierre MD 1,2

doi : 10.14309/ajg.0000000000002202

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"Open a Can of Worms": Eosinophilic Liver Infiltration Due to Clonorchis sinensis Infection.

Lan, Tian MD 1,2; Tai, Yang MD, PhD 1,2; Tang, Chengwei MD, PhD 1,2

doi : 10.14309/ajg.0000000000002212

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Spontaneous Fistulization of Walled-Off Pancreatic Necrosis Into the Stomach.

Elfert, Khaled MD 1,2; Ho, Sammy MD 1,3

doi : 10.14309/ajg.0000000000002217

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Neonatal Meckel's Diverticula With Perforation.

Shen, Yong MD 1; Lin, Yu MD 1; Ling, Wen MD 2; Zhuang, XiaoJin MD 3; Chen, Fei MD 1; Wu, DianMing MD 1; Fang, YiFan MD 1

doi : 10.14309/ajg.0000000000002223

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Combined Anteroretrograde Endoscopic Rendezvous Approach for Placing a Colonic Stent in a Short Bowel Syndrome.

Fugazza, Alessandro MD 1; Andreozzi, Marta MD 1; Colombo, Matteo MD 1; Koleth, Glenn MD 1; Massimi, Davide MD 1; Spadaccini, Marco MD 1; Repici, Alessandro MD 1,2

doi : 10.14309/ajg.0000000000002213

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Large Recurrent Lateral-Spreading Tumor Resected En Bloc With a Soft Bipolar Snare.

Yamamoto, Shunsuke MD, PhD, FJGES 1; Matsushima, Kensuke MD 1; Sakakibara, Yuko MD 1; Sakamori, Ryotaro MD, PhD 1; Mita, Eiji MD, PhD 1

doi : 10.14309/ajg.0000000000002236

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Continuing Medical Education Questions: July 2023.

Hoppmann, Nicholas A. MD

doi : 10.14309/ajg.0000000000002341

AB Article Title: American College of Gastroenterology Acute Liver Failure Guidelines (C) The American College of Gastroenterology 2023. All Rights Reserved.

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Continuing Medical Education Questions: July 2023.

Skeans, Jacob M. MD

doi : 10.14309/ajg.0000000000002343

AB Article Title: Diagnosis and Management of Cyclic Vomiting Syndrome: A Critical Review (C) The American College of Gastroenterology 2023. All Rights Reserved.

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Acute Liver Failure Guidelines.

Shingina, Alexandra MD, MSc 1; Mukhtar, Nizar MD 2; Wakim-Fleming, Jamile MD, FACG 3; Alqahtani, Saleh MBChB, MS 4,5; Wong, Robert J. MD, MS, FACG 6; Limketkai, Berkeley N. MD, PhD, FACG 7; Larson, Anne M. MD 8; Grant, Lafaine MD 9

doi : 10.14309/ajg.0000000000002340

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It Is Time for a Paradigm Shift in Design, Execution, and Publishing of Comparative Helicobacter pylori Treatment Trials.

Graham, David Y. MD, MACG 1

doi : 10.14309/ajg.0000000000002298

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Diagnosis and Management of Cyclic Vomiting Syndrome: A Critical Review.

Frazier, Rosita MD 1; Li, B.U.K. MD 2; Venkatesan, Thangam MD 3

doi : 10.14309/ajg.0000000000002216

AB Cyclic vomiting syndrome (CVS) is a chronic disorder of gut-brain interaction characterized by recurrent disabling episodes of nausea, vomiting, and abdominal pain. CVS affects both children and adults with a prevalence of approximately 2% in the United States.

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Yield of Repeat Endoscopy for Barrett's Esophagus After Normal Index Endoscopy.

Rubenstein, Joel H. MD, MS 1,2,3,4; Burns, Jennifer A. MHSA 1; Arasim, Maria E. MPT 1; Firsht, Elizabeth M. BSW 1; Harbrecht, Matthew MD 2; Widerquist, Marilla MSW 1; Evans, Richard R. MS 1; Inadomi, John M. MD 5; Chang, Joy W. MD, MS 2; Hazelton, William D. PhD 6; Hur, Chin MD, MPH 7; Kurlander, Jacob E. MD, MS 1,2,4; Lim, Francesca MS 7; Luebeck, Georg PhD 6; Macdonald, Peter W. MMath 8; Reddy, Chanakyaram A. MD 9; Saini, Sameer D. MD, MS 1,2,4; Tan, Sarah Xinhui BS 7; Waljee, Akbar K. MD, MS 1,2,4; Lansdorp-Vogelaar, Iris PhD 10

doi : 10.14309/ajg.0000000000002204

Guidelines suggest 1-time screening with esophagogastroduodenoscopy (EGD) for Barrett's esophagus (BE) in individuals at an increased risk of esophageal adenocarcinoma (EAC).

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Curative Management After Endoscopic Resection for Esophageal Squamous Cell Carcinoma Invading Muscularis Mucosa or Shallow Submucosal Layer-Multicenter Real-World Survey in Japan.

Katada, Chikatoshi MD, PhD 1,2; Yokoyama, Tetsuji MD, PhD 3; Hirasawa, Dai MD 4; Iizuka, Toshiro MD, PhD 5; Kikuchi, Daisuke MD, PhD 5; Yano, Tomonori MD, PhD 6; Hombu, Takuya MD 6; Yoshio, Toshiyuki MD, PhD 7; Yoshimizu, Shoichi MD 7; Ono, Hiroyuki MD, PhD 8; Yabuuchi, Yohei MD 9; Terai, Shuji MD, PhD 10; Hashimoto, Satoru MD, PhD 10; Takahashi, Kazuya MD, PhD 10; Tanaka, Shinji MD, PhD 11; Urabe, Yuji MD, PhD 12; Arima, Miwako MD 13; Tanabe, Satoshi MD, PhD 14; Wada, Takuya MD 15; Furue, Yasuaki MD, PhD 15; Oyama, Tsuneo MD, PhD 16; Takahashi, Akiko MD 16; Sakamoto, Yasutoshi PhD 17; Muto, Manabu MD, PhD 1

doi : 10.14309/ajg.0000000000002106

Curative management after endoscopic resection (ER) for esophageal squamous cell carcinoma (ESCC), which invades the muscularis mucosa (pMM-ESCC) or shallow submucosal layer (pSM1-ESCC), has been controversial.

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Hybrid, High-Dose Dual and Bismuth Quadruple Therapies for First-Line Treatment of Helicobacter pylori Infection in Taiwan: A Multicenter, Open-Label, Randomized Trial.

Hsu, Ping-I MD 1; Chen, Kuan-Yang MD 2; Tai, Wei-Chen MD 3; Yang, Jyh-Chin MD, PhD 4; Tsay, Feng-Woei MD 5; Liu, Yu-Hwa MD 6; Chen, Chien-Lin MD 7; Lee, Chia-Long MD 8; Yeh, Hong-Zen MD 9; Kuo, Chao-Hung MD, PhD 10; Chuah, Seng-Kee MD 3; Lee, Hsi-Chang MD 2; Shie, Chang-Bih MD 1; Shiu, Sz-Iuan MD 9; Kao, John Y. MD, PhD 11; Yamaoka, Yoshio MD, PhD 12,13; Graham, David Y. MD, PhD 13,14; Wu, Deng-Chyang MD, PhD 10,15,16

doi : 10.14309/ajg.0000000000002255

The study aimed to compare the efficacies and safety of 14-day hybrid therapy, 14-day high-dose dual therapy, and 10-day bismuth quadruple therapy in the first-line treatment of Helicobacter pylori infections.

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Ursodeoxycholic Acid Treatment-Induced GLOBE Score Changes Are Associated With Liver Transplantation-Free Survival in Patients With Primary Biliary Cholangitis.

de Veer, Rozanne C. MD 1; van Hooff, Maria C. MD 1; Corpechot, Christophe MD, PhD 2; Thorburn, Douglas MD, PhD 3; Invernizzi, Pietro MD, PhD 4,5; Lammers, Willem J. MD, PhD 1; Janssen, Harry L.A. MD, PhD 1,6; Battezzati, Pier M. MD, PhD 7; Nevens, Frederik MD, PhD 8; Lindor, Keith D. MD, PhD 8,9,10; Floreani, Annarosa MD, PhD 11,12; Ponsioen, Cyriel Y. MD, PhD 13; Mayo, Marlyn J. MD, PhD 14; Pares, Albert MD, PhD 15; Mason, Andrew L. MD, PhD 16; Kowdley, Kris V. MD, PhD 17; Trivedi, Palak J. MD, PhD 18; Hirschfield, Gideon M. MD, PhD 6,18; Goet, Jorn C. MD, PhD 1; Bruns, Tony MD, PhD 19,20; Dalekos, George N. MD, PhD 21,22; Gatselis, Nikolaos K. MD, PhD 21,22; Verhelst, Xavier MD, PhD 23; Hansen, Bettina E. MD, PhD 1,6; Harms, Maren H. MD, PhD 1; van der Meer, Adriaan J. MD, PhD 1

doi : 10.14309/ajg.0000000000002128

Treatment of primary biliary cholangitis (PBC) can improve the GLOBE score. We aimed to assess the association between changes in the GLOBE score ([DELTA]GLOBE) and liver transplantation (LT)-free survival in patients with PBC who were treated with ursodeoxycholic acid (UDCA).

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Exercise Training Is Associated With Treatment Response in Liver Fat Content by Magnetic Resonance Imaging Independent of Clinically Significant Body Weight Loss in Patients With Nonalcoholic Fatty Liver Disease: A Systematic Review and Meta-Analysis.

Stine, Jonathan G. MD, MSc 1,2,3,4; DiJoseph, Kara DO 1; Pattison, Zach DO 1; Harrington, Alex MLIS 5; Chinchilli, Vernon M. PhD 2; Schmitz, Kathryn H. PhD 2,4,6,7; Loomba, Rohit MD, MHSc 8,9,10

doi : 10.14309/ajg.0000000000002098

Exercise training is crucial in the management of nonalcoholic fatty liver disease (NAFLD); however, whether it can achieve clinically meaningful improvement in liver fat is unclear.

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Randomized Trial of Tenofovir With or Without Peginterferon Alfa Followed by Protocolized Treatment Withdrawal in Adults With Chronic Hepatitis B.

Terrault, Norah A. MD, MPH 1; Lok, Anna S. MD 2; Wahed, Abdus S. PhD 3; Ghany, Marc G. MD 4; Perrillo, Robert P. MD 5; Fried, Michael W. MD 6; Wong, David K. MD 7; Khalili, Mandana MD, MAS 8; Lau, Daryl T.Y. MD 9; Sterling, Richard K. MD 10; Di Bisceglie, Adrian M. MD 11; Lisker-Melman, Mauricio MD 12; Cooper, Stewart L. MD 13; Chung, Ray T. MD 14; Patel, Keyur MD 7; Roberts, Lewis R. MD 15; Belle, Steven H. PhD 3; Janssen, Harry L.A. MD 7; for the Hepatitis B Research Network

doi : 10.14309/ajg.0000000000002125

Hepatitis B surface antigen (HBsAg) loss is associated with improved long-term outcomes of patients with chronic hepatitis B but is infrequently achieved with current monotherapies.

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Withdrawal of Long-Term Nucleotide Analog Therapy in Chronic Hepatitis B: Outcomes From the Withdrawal Phase of the HBRN Immune Active Treatment Trial.

Feld, Jordan J. MD, MPH 1,2; Wahed, Abdus S. PhD 3,4; Fried, Michael MD 5; Ghany, Marc G. MD 6; Di Bisceglie, Adrian M. MD 7; Perrillo, Robert P. MD 8; Khalili, Mandana MD 9; Yang, Xue PhD 3; Belle, Steven H. PhD 3,4; Janssen, Harry L.A. MD, PhD 1,2; Terrault, Norah MD 10; Lok, Anna S. MD 11; for the Hepatitis B Research Network (HBRN)

doi : 10.14309/ajg.0000000000002176

Withdrawal of nucleos(t)ide analog therapy is increasingly being evaluated in chronic hepatitis B infection as a strategy to induce hepatitis B surface antigen (HBsAg) loss.

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Real-World Evidence of Tofacinitib in Ulcerative Colitis: Short-Term and Long-Term Effectiveness and Safety.

Chaparro, Maria MD, PhD 1,*; Acosta, Diana Sc 1,*; Rodriguez, Cristina MD 2; Mesonero, Francisco MD 3; Vicuna, Miren MD 2; Barreiro-de Acosta, Manuel MD, PhD 4; Fernandez-Clotet, Agnes MD 5; Hernandez Martinez, Alvaro MD, PhD 6; Arroyo, Maite MD, PhD 7; Vera, Isabel MD, PhD 8; Ruiz-Cerulla, Alexandra MD 9; Sicilia, Beatriz MD, PhD 10; Cabello Tapia, M. Jose MD, PhD 11;

doi : 10.14309/ajg.0000000000002145

The objective of this study was to assess the durability, short-term and long-term effectiveness, and safety of tofacitinib in ulcerative colitis (UC) in clinical practice.

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Effect of Biologics on the Risk of Advanced-Stage Inflammatory Bowel Disease-Associated Intestinal Cancer: A Nationwide Study.

Seishima, Ryo MD, PhD 1; Okabayashi, Koji MD 1; Ikeuchi, Hiroki MD, PhD 2; Uchino, Motoi MD, PhD 2; Futami, Kitaro MD, PhD 3; Noguchi, Tatsuki MD, PhD 4; Ohge, Hiroki MD, PhD 5; Iseki, Yasuhito MD, PhD 6; Watanabe, Kazuhiro MD, PhD 7; Itabashi, Michio MD, PhD 8; Okamoto, Kinya MD, PhD 9; Toiyama, Yuji MD, PhD 10; Ogino, Takayuki MD, PhD 11; Nakamura, Masafumi MD, PhD 12; Yamada, Kazutaka MD, PhD 13; Wakai, Toshifumi MD, PhD 14; Sato, Yu MD, PhD 15;

doi : 10.14309/ajg.0000000000002149

The aim of this study was to evaluate the effect of biologics on the risk of advanced-stage inflammatory bowel disease (IBD)-associated intestinal cancer from a nationwide multicenter data set.

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The Short-Term Efficacy of Bifidobacterium Quadruple Viable Tablet in Patients With Diarrhea-Predominant Irritable Bowel Syndrome: Potentially Mediated by Metabolism Rather Than Diversity Regulation.

Bai, Tao PhD 1,*; Xu, Zhiyue MD 1,*; Xia, Peijun PhD 2; Feng, Yichao PhD 3; Liu, Bing PhD 4; Liu, Hongling PhD 5; Chen, Yunwang PhD 6; Yan, Guangjun PhD 7; Lv, Bin PhD 8; Yan, Zaihong PhD 9; Dai, Ning PhD 10; Long, Yanqin PhD 10; Wei, Wei PhD 11; Shi, Zhihong PhD 12; Li, Xiaoqing PhD 13; Fang, Xiucai MD, PhD 13; Gao, Huibin PhD 14; Qi, Lingzhi PhD 15; Hou, Xiaohua MD, PhD 1

doi : 10.14309/ajg.0000000000002147

The therapeutic effect of probiotics for irritable bowel syndrome (IBS) was controversial. This study aims to evaluate the short-term efficacy of Bifidobacterium quadruple viable tablet in patients with diarrhea-predominant IBS and explore factors associated with response to probiotics.

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Cardiac Vagal Regulation Is Impeded in Children With Cyclic Vomiting Syndrome.

Kolacz, Jacek PhD 1,2,*; Kovacic, Katja MD 3,*; Dang, Linh BS 1,4; Li, B U.K. MD 3; Lewis, Gregory F. PhD 2; Porges, Stephen W. PhD 2,5

doi : 10.14309/ajg.0000000000002207

The pathophysiology underlying cyclic vomiting syndrome (CVS) remains undefined. Scant data and distinct clinical features point to altered autonomic nervous system function.

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Alpha-Gal Sensitization in a US Screening Population Is Not Associated With a Decreased Meat Intake or Gastrointestinal Symptoms.

McGill, Sarah K. MD, MSc 1; Commins, Scott P. MD, PhD 2; Peery, Anne F. MD, MSCR 1; Galanko, Joseph PhD 1; Keku, Temitope O. PhD 1; Shaheen, Nicholas J. MD, MPH 1; Anderson, Chelsea MPH, PhD 1; Sandler, Robert S. MD, MPH 1

doi : 10.14309/ajg.0000000000002219

Patients with alpha-gal syndrome, a delayed reaction to mammalian meat, can present with isolated gastrointestinal (GI) symptoms.

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Electronic Health Record Burden Among Gastroenterology Providers Associated With Subspecialty and Training.

Bali, Aman S. MD 1; Hashash, Jana G. MD, MSc 2; Picco, Michael F. MD, PhD 2; Kinnucan, Jami A. MD 2; Farraye, Francis A. MD, MSc 2

doi : 10.14309/ajg.0000000000002254

Use of the electronic health record (EHR) has become increasingly widespread. Higher EHR burden is associated with burnout, but this has not been specifically investigated among gastroenterology (GI) providers.

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Patients With Crohn's Disease and Permanent Ileostomy Are Universally Excluded From Clinical Trials: A Systematic Review.

Vuyyuru, Sudheer K. MD 1; Rieder, Florian MD 2,3; Solitano, Virginia MD 1; Nguyen, Tran M. MSc 4; Crowley, Eileen MD 5; Narula, Neeraj MD 6; Singh, Siddharth MD 7; Ma, Christopher MD 8,9; Jairath, Vipul MBChB, DPhil 1,4,10

doi : 10.14309/ajg.0000000000002215

We performed a systematic review to investigate whether patients with Crohn's disease (CD) and permanent ileostomy (PI) have been included in clinical trials evaluating biologics and small molecules.

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Incidence of Cirrhosis Among Recent Immigrants and Refugees to Ontario, Canada.

Sayed, Nawid MD 1; Selzner, Nazia MD, PhD 2; Djerboua, Maya MSc 3; Muaddi, Hala MD, PhD 4; Neves, Paula PhD 5; Flemming, Jennifer A. MD, MAS, FRCPC 1,3,6

doi : 10.14309/ajg.0000000000002214

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Clinical Presentation of Alpha-Gal Syndrome in Pediatric Gastroenterology and Response to Mammalian Dietary Elimination.

Busing, Jordan D. MD 1; Stone, Cosby A. Jr MD, MPH 2; Nicholson, Maribeth R. MD, MPH 1

doi : 10.14309/ajg.0000000000002268

Alpha-gal syndrome is an immunoglobulin E (IgE)-mediated delayed hypersensitivity reaction to nonprimate mammalian products, which has a newly established gastrointestinal (GI) phenotype in adults.

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Measuring and Interpreting Ammonia Levels in Cirrhosis.

Ballester, Maria Pilar MPB, MD, PhD 1,2; Rose, Christopher F. 3; Carbonell-Asins, Juan-Antonio PhD 2; Jalan, Rajiv 4,5

doi : 10.14309/ajg.0000000000002245

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Response to Ballester et al.

Deutsch-Link, Sasha MD 1; Moon, Andrew M. MD, MPH 1

doi : 10.14309/ajg.0000000000002259

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Does Single Fasting Methane Levels Really Detect Intestinal Methanogen Overgrowth?.

Mion, Francois MD, PhD 1; Subtil, Fabien MD, PhD 2; Ropert, Alain MD, PhD 3; Jouet, Pauline MD, PhD 4

doi : 10.14309/ajg.0000000000002279

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Response to Mion et al.

Takakura, Will MD 1; Rezaie, Ali MD, MSc 2,3

doi : 10.14309/ajg.0000000000002270

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Calendar of Courses, Symposiums and Conferences.

doi : 10.14309/ajg.0000000000002342

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