681. Association between Helicobacter pylori infection and hospital-acquired upper gastrointestinal bleeding: a prospective case-control study.
作者: Setthachai Piwchan.;Ekawee Sripariwuth.;Suppana Chuensakul.
来源: BMC Gastroenterol. 2025年25卷1期814页
In-hospital bleeding increases hospital stays and mortality. Prolonged mechanical ventilation and coagulopathy are known risk factors. Helicobacter pylori (H. pylori) is associated with upper gastrointestinal bleeding (UGIB), but its role in hospitalized patients remains unclear.
686. Postoperative Ileum Transcriptomics Implicate Sex-Biased Mechanisms in Crohn's Disease Recurrence.
作者: Kyle Gettler.;Sini Nagpal.;Savannah Washburn.;Christopher Tastad.;Jiayu Zhang.;Ksenija Sabic.;Mark Lazarev.;Alain Bitton.;Rita Cohen.;Marc B Schwartz.;Arthur Barrie.;Philip Gu.;Philip Fleshner.;Michelle Bao.;Cristian Hernández-Rocha.;Jacob McCauley.;Maria Abreu.;Subra Kugathasan.;Dermot P McGovern.;Steven R Brant.;Richard H Duerr.;Mark S Silverberg.;John D Rioux.;Greg Gibson.;Judy H Cho.
来源: Gastroenterology. 2026年170卷3期511-522页
Despite widespread biologic use, more than 70% of patients with Crohn's disease require resectional surgery, most commonly of the terminal ileum. Gene expression and genetics of the neoterminal ileum at postoperative, surveillance colonoscopies highlight pathways of disease recurrence. Postoperative colonoscopy transcriptomes were interrogated to evaluate the hypothesis that specific molecular mechanisms contribute to recurrent Crohn's pathophysiology.
687. Early lactate and its metabolism for predicting persistent renal failure in patients with acute pancreatitis: a retrospective observational study.
作者: Jianhua Wan.;Huajing Ke.;Wenhua He.;Yin Zhu.;Nonghua Lu.;Liang Xia.
来源: BMC Gastroenterol. 2025年25卷1期811页
Acute pancreatitis (AP) is common and clinically complex, and persistent renal failure (PRF) is a severe complication. This study retrospectively analyzed 798 AP patients admitted within three days of onset and divided them into a PRF group (n = 111) and a non-PRF group (n = 687), comparing the characteristics of the two groups. Multivariate analysis showed that lactate (β = 0.340, P < 0.001, OR = 1.405) and lactate dehydrogenase (LDH, β = 0.002, P < 0.001, OR = 1.002) were significant risk factors for PRF. Stratified analysis indicated that patients with LDH ≥ 700 U/L and lactate ≥ 2 mmol/L had a higher incidence of PRF. The ROC curve analysis showed that the areas under the curve for lactate, LDH, and the combined lactate + LDH were 0.752, 0.828, and 0.866, respectively, with the highest diagnostic accuracy for the combined indicator. The characteristics of different risk groups showed that the incidence of PRF in the high-risk group was significantly higher than that in the low-risk group. The levels of lactate and LDH within 24 h of admission have a significant predictive effect on PRF in AP patients, which helps clinicians identify high-risk patients early and guide treatment decisions.
688. Resting energy expenditure in adults with nonalcoholic fatty liver disease and type 2 diabetes mellitus: comparison between measured and predicted values.
作者: Asieh Mansour.;Sara Ebrahimi Mousavi.;Amirhossein Hemmati.;Azita Hekmatdoost.;Mostafa Qorbani.;Hadis Gerami.;Maryam Mirahmad.;Mohammad Reza Mohajeri-Tehrani.;Fatemeh Baradaran.;Seyed Hossein Mirlohi.;Sayed Mahmoud Sajjadi-Jazi.
来源: BMC Gastroenterol. 2025年25卷1期809页
Indirect calorimetry (IC) is the gold standard for determining energy requirements. Resting energy expenditure (REE) equations could noninvasively estimate energy requirements in healthy individuals. Whether the published equations could accurately predict the REE of adults with nonalcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus (T2DM) remains unclear. Here, we aimed to investigate the accuracy of predicted REE in patients with NAFLD and T2DM using different equations.
689. Pathophysiological mechanisms, diagnostic innovations, and multimodal therapeutic strategies for slow transit constipation.
作者: Xuesong Tang.;Yiman Huang.;Tao Jiang.;Jiaxin Wu.;Keying Wang.;Wenjiang Wu.
来源: BMC Gastroenterol. 2025年25卷1期810页
Slow transit constipation (STC), a subtype of functional constipation characterized by delayed colonic transit (> 72 h), imposes substantial physical and psychological burdens.
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