Falk Gastro Info 3/2022

Video course abdominal ultrasound

Examination of the abdominal vessels – Left renal vein

Author: Prof. Dr. Christoph F. Dietrich ©Falk Foundation e.V., Freiburg. All rights reserved
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Latest research in brief:
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Bowel
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Feuerstadt P et al, N Engl J Med. 2022;386(3):220–9

Therapy with purified Firmicutes spores (SER-109) reduces the risk of recurrent Clostridioides difficile infection (CDI): In CDI patients with symptom resolution after standard-of-care antibiotics, SER-109 for 3 days was superior to placebo in reducing the risk of recurrent CDI infection in a phase 3 trial. The safety profile of SER-109 was comparable to placebo.

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Edelman-Klapper H et al, Gastroenterology. 2022;162(2):454–67

Impaired immune response to a SARS-CoV2 mRNA vaccine in patients with inflammatory bowel disease (IBD) treated with anti-TNFα: Antibody responses and functions against viral spike proteins were impaired in IBD patients treated with anti-TNFα as compared to other therapies or healthy controls in a prospective trial from Israel.

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Liver Biliary Tracts
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Tantai X et al, J Hepatol. 2022;76(3):588–99

Sarcopenia as predictor of mortality in cirrhosis: A recent meta-analysis shows that almost 40% of patients with liver cirrhosis are sarcopenic. Sarcopenia significantly increases the risk of mortality in patients with cirrhosis. Thus, adequate nutrition and physical training play an important role in cirrhosis.

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Koh JH et al, Dig Liver Dis. 2022;54(1):56–62

Efficacy and safety of direct oral anticoagulants (DOAC) in cirrhosis-related portal vein thrombosis: A recent meta-analysis indicates that for the treatment of cirrhosis-associated portal vein thrombosis, the bleeding risk is comparable between DOAC and vitamin K antagonists. However, DOAC were associated with a higher recanalization rate of portal vein thrombosis.

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Scheiner B et al, J Hepatol. 2022;76(2):353–63

Prognostic score for immunotherapy with atezolizumab plus bevacizumab in hepatocellular carcinoma: The newly developed CRAFITY score, composed of C-reactive protein and alpha-fetoprotein, is associated with survival and radiological response in patients receiving immunotherapy for hepatocellular carcinoma. The score can be helpful in patients counseling but needs prospective validation.

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Esophagus Stomach Duodenum
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Doki Y et al, N Engl J Med. 2022;386(5):449–62

Nivolumab combination therapy in advanced esophageal squamous-cell carcinoma: Both first-line treatment with Nivolumab plus chemotherapy and Nivolumab plus Ipilimumab resulted in significantly longer overall survival than chemotherapy alone in a phase 3 trial.

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van Munster S et al, Gut. 2022;71(2):265–76

Long-term outcomes after endoscopic treatment for Barrett’s neoplasia with radiofrequency ablation (RFA) ± endoscopic resection (ER): In a national Dutch cohort RFA ± ER was effective and had remarkably low rates of dysplastic recurrence. Moreover, these data support more lenient follow-up intervals and question the value of random biopsies from neo-squamous epithelium and cardia during follow-up.

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Pancreas
No Abstract.

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Current Falk literature:

No literature.