Falk Gastro Info 6/2017

Video

Video course abdominal ultrasound

Examination of the liver: Portal vein

Author: Prof. Dr. Christoph F. Dietrich, Caritas Krankenhaus Bad Mergentheim.

© 2017 Falk Foundation e.V., Freiburg. All rights reserved.

 

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Latest research in brief:

 

Bowel

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Paramsothy S et al, Lancet. 2017;389(10075):1218–28

Fecal microbiota transplantation (FMT) for ulcerative colitis: Multidonor intensive FMT induces steroid-free clinical remission and endoscopic improvement in approx. 25% of the patients.

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Desai RJ et al, BMJ. 2017;356:j895

Risk of serious infections in pregnant women with autoimmune disease: Risk is similar following treatment with steroids, conventional immunosuppressants and TNF inhibitors, however, high-dose steroid use is an independent risk factor of serious infections during pregnancy.

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Stevens VW et al, JAMA Intern Med. 2017;177(4):546–53

Clostridium difficile infection: Recurrence rates are similar following therapy with metronidazole and vancomycin. However, the risk of 30-day mortality was reduced in vancomycin-treated patients with severe disease.

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Liver Biliary Tracts

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El-Khoueiry AB et al, Lancet. 2017 [Epub ahead of print]

Hepatocellular carcinoma (HCC): In an open-label, non-comperative phase 1/2 study, the checkpoint inhibitor nivolumab demonstrated acceptable tolerability and durable objective response in 15–20% of patients with advanced HCC.

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Seto WK et al, Hepatology. 2017;65(5):1451–61

Hepatitis B virus (HBV): A prospective study demonstrates that 40% of patients with “resolved” hepatitis B (HBsAg-negative, anti-HBc-positive) undergoing allogeneic hematopoietic stem cell transplantation experience HBV reactivation at a median of 44 (8–100) weeks. Age > 50 years and chronic graft versus host disease were associated with HBV reactivation.

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Matsuura K et al, Gastroenterology. 2017;152(6):1383–94

Hepatitis C virus (HCV) and hepatocellular carcinoma (HCC): A single nucleotide polymorphism in the TLL1 gene (tolloid like 1; rs 17047200) is associated with a substantially increased risk for HCC development after successful antiviral therapy for chronic HCV infection.

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Oesophagus Stomach Duodenum

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Thota PN et al, Gastroenterology. 2017;152(5):987–92

Barrett’s esophagus: Risk of high-grade dysplasia or esophageal adenocarcinoma among patients with Barrett’s esophagus < 1 cm (irregular Z line) within 5 years of index endoscopy is very low. [x_button type="transparent" shape="pill" size="regular" block="false" circle="false" icon_only="false" href="http://www.drfalkpharma.com/index.php?L=1&id=23927#c33178" title="" target="blank" info="none" info_place="top" info_trigger="hover" info_content=""]Link to text[/x_button]   Text: Jensen DM et al, Am J Gastroenterol. 2017;112(3):441–6

Upper gastrointestinal bleeding: Patients with Forrest IB peptic ulcer bleeding (oozing) have a low rebleeding risk within 72 hours irrespective of proton-pump inhibitor therapy with esomeprazole.

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Terheggen G et al, Gut. 2017;66(5):783–93

Neoplastic Barrett’s esophagus: Endoscopic submucosa dissection (ESD) and endoscopic mucosa resection (EMR) are equally effective for endoscopic eradication of early Barrett’s neoplasia. ESD achieves a higher R0 resection rate.

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Pancreas

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Kamal A et al, Am J Gastroenterol. 2017;112(3):503–10

Acute biliary pancreatitis: Approx. 80% of patients underwent cholecystectomy within 30 days. The remaining patients were likely not to be operated and display an elevated risk for subsequent hospitalizations for acute and chronic pancreatitis.

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International Symposia and Workshops

Symposium 208

IX GASTRO-CONFERENCE (Part I)
Eosinophilic Esophagitis – Medical and Dietary Treatment

October 4 – 5, 2017, Berlin, Germany
Maritim Hotel Berlin, Stauffenbergstr. 26, 10785 Berlin, Germany

Program

 

Registration

 

Online registration

 

Symposium 209

IX GASTRO-CONFERENCE (Part II)
IBD 2017 – Therapeutic and Biological Barriers

October 6 – 7, 2017, Berlin, Germany
Maritim Hotel Berlin, Stauffenbergstr. 26, 10785 Berlin, Germany

Program

 

Registration

 

Online registration

 
Current Falk literature:

NEW
Liver function test values
Significance, interpretation, algorithms and peculiarities

Authors: A. Canbay, J. Best, G. Gerken

(35 pages)

U46e

Picture:

http://newsletter.drfalkpharma.de/FGI_6-17/U46e_1-3-17.jpg

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