Patients with familial adenomatous polyposis (FAP) are at increased risk of several gastrointestinal and extraintestinal cancers. Although prophylactic surgery has reduced colorectal cancer (CRC) incidence, the lifetime incidence of other cancers has increased. This study assessed the cumulative risks in Dutch FAP patients over the past decades.

Phosphatidylethanol (PEth) is a direct, objective alcohol biomarker for detecting excessive alcohol use in steatotic liver disease, including metabolic dysfunction and alcohol-associated liver disease (MetALD) and alcohol-associated liver disease (ALD). However, its use in routine clinical practice may be limited by cost and accessibility. This study aimed to develop a novel, accurate, and scalable indirect alcohol biomarker panel to screen for MetALD-ALD in general population settings.

In diagnosing type 1 autoimmune pancreatitis (AIP), serum IgG4 (sIgG4) can be false-negative. EUS-guided fine-needle aspiration/biopsy (EUS-FNA/FNB) pathology is key for diagnosis, but clinical features’ impact on pathologic confirmation is unclear. This study analyzed their link and factors improve diagnostic accuracy.

To understand the heterogeneity of single-B cell responses to Metabolic Dysfunction-Associated Steatohepatitis (MASH), we performed Single-cell RNA sequencing (scRNA-seq) on single-B cells isolated from control and MCD-fed mice livers. Subsequent analyses included clustering, identification of differentially expressed genes (DEGs) and enrichment analysis. The expressions of high specific DEGs were validated using quantitative real-time PCR (qRT-PCR), immunofluorescence staining and function study. Four single-B cell clusters (3, 14, 16 and 20) were identified. The total number and proportion of B cells significantly decreased in MASH mice livers. In cluster 3, the decreasing Fcer2α+ mature B cells were supposed with anti-inflammatory role associated with B cell activation and differentiation of other immune cells in MASH. The DEGs (Fcer2α, Cd22, Cr2 and Fcmr) of cluster 3 were consistently downregulated in B cells cocultued with lipotoxic hepatocytes. And the portal area of livers contained fewer Fcer2α+ B cells in MASH patients and mice compared with controls. Fcer2α+ B cells attenuated lipotoxicity-driven inflammation by enhancing anti-inflammatory factor (IL-10, IL-35) secretion and inhibiting T cell inflammatory factor (IFN-γ, TNF-α, IL-17) production and proliferation. The other 3 clusters (14, 16 and 20) contained small numbers of single-B cell. Tnfrsf17+ plasmacytes (PCs) of cluster 14 were identified with the effect related to endoplasmic reticulum stress and N-Glycan biosynthesis. Klk1+ B cells of cluster 16 were implicated in regulating immune response in MASH. Apol7c+ B cells of cluster 20 participated in apoptosis, NF-κB, TNF and JAK-STAT signaling pathway in MASH. Thus, a subgroup of Fcer2α+ mature B cells, diminished in MASH, may exerted anti-inflammatory or immunosuppressive effects.

Stress-related gastric ulcer (SRGU) is a common complication among critically ill patients, and inappropriate use of stress ulcer prophylaxis (SUP) remains a global challenge in hospitalized populations.

This meta-analysis evaluates the prognostic significance of the Prognostic Nutritional Index (PNI) in colorectal cancer (CRC) patients, focusing on overall survival (OS), disease-free survival (DFS), and progression-free survival (PFS).

Gastric cancer (GC) incidence in older adults is usually higher than in the general population. Whereas surgical resection accompanied by an extended lymphadenectomy is the current standard treatment for GC, the impact of the extent of lymphadenectomy on survival in older adult patients has not been sufficiently studied and may be associated with a higher rate of complications in this group of patients.

Liver fibrosis is a common outcome of chronic liver disease, characterized by accumulating extracellular matrix proteins. Aims: While the gold standard in the assessment of liver fibrosis remains liver biopsy, non-invasive methods have been increasingly used for estimating liver fibrosis. This study aims at contributing to our understanding of the role of leptin,vitamin D, APRI, and FIB-4 in the progression of liver disease. For this purpose, we evaluate the clinical significance of leptin, vitamin D, APRI, and FIB-4 in cirrhotic patients with different ratios of steatosis and in cirrhotic pateints with different grades of hepatocellular carcinoma. We compare the performance of simple biochemical scores (FIB-4 and APRI) with leptin and vitamin D. Also, We identified the proteins in the serum of liver fibrosis and showed the role of these proteins in the pathogenesis of liver fibrosis. Also, we identified the relationship between leptin and vitamin D with extracellular matrix proteins using bioinformatics analysis.

The optimal timing for direct endoscopic necrosectomy (DEN) after endoscopic ultrasound (EUS)-guided transmural drainage of symptomatic necrotizing pancreatitis remains unknown. We hypothesized that immediate DEN after EUS-guided drainage might reduce the time to disease resolution compared with a drainage-oriented step-up approach.

Anastomotic stricture (AS) is a common complication following low-level anastomosis of the colon and rectum in rectal cancer (RC) surgery. The aim of this study is to evaluate whether intraoperative stay sutures combined with postoperative anal dilatation reduce the incidence of AS after low anterior resection with defunctioning stoma.

This article defines diagnostic criteria, and reviews clinical evaluation and management of fecal incontinence, anorectal pain, dyssynergic defecation (DD), and rectal hyposensitivity and hypersensitivity. Diagnostic evaluation includes anorectal manometry, balloon expulsion test (BET), anal ultrasound, magnetic resonance imaging, defecography and neurophysiology testing. FI is defined as recurrent uncontrolled passage of fecal material for 3 months. Management includes antidiarrheals, Kegels exercise, biofeedback therapy, dextranomer injection, surgery, sacral nerve stimulation and translumbosacral neuromodulation therapy (TNT). Anorectal pain lasting seconds to minutes is defined as proctalgia fugax whereas pain lasting more than 30 minutes with puborectalis tenderness is defined as levator ani syndrome. Biofeedback and TNT may be useful. DD is defined by both symptoms of difficult defecation and objective evidence of dyssynergia. Biofeedback therapy is efficacious in DD. Rectal sensory disorders are defined by both anorectal symptoms and increased (hyposensitivity) or decreased (hypersensitivity) sensory thresholds during rectal balloon distension, and sensory biofeedback is useful.