Abstract:
:Hepatocellular carcinoma (HCC) ranks number three among the most frequent causes of death from solid tumors worldwide. With obesity and fatty liver diseases as risk factors on the rise, HCC represents an ever increasing challenge. While there is still no curative treatment for most patients numerous novel drugs have been proposed, but most ultimately failed in phase III trials. This manuscript targets therapeutic advances and most burning issues. Expert key point summaries and urgent research agenda are provided regarding risk factors, including microbiota, need for prognostic and predictive biomarkers and the equivocal role of liver biopsy. Therapeutic topics highlighted are locoregional techniques, combination therapies and the potential of immunotherapy. Finally the manuscript provides a critical evaluation of novel targets and strategies for personalized treatment of HCC.
journal_name
Gutjournal_title
Gutauthors
Gerbes A,Zoulim F,Tilg H,Dufour JF,Bruix J,Paradis V,Salem R,Peck-Radosavljevic M,Galle PR,Greten TF,Nault JC,Avila MAdoi
10.1136/gutjnl-2017-315068subject
Has Abstractpub_date
2018-02-01 00:00:00pages
380-388issue
2eissn
0017-5749issn
1468-3288pii
gutjnl-2017-315068journal_volume
67pub_type
相关文献
GUT文献大全abstract:BACKGROUND AND AIMS:Many neuroendocrine gastrointestinal tumours express receptors for the regulatory peptide somatostatin. Among the five existing somatostatin receptor (sst) subtypes, sst2A is the most frequently expressed in these tumours. However, little information is available about the cellular location of sst2A...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.2004.042002
更新日期:2004-10-01 00:00:00
abstract:BACKGROUND:Ethanol undergoes a first pass metabolism (FPM) in the stomach and liver. Gastric FPM of ethanol primarily depends on the activity of gastric alcohol dehydrogenase (ADH). In addition, the speed of gastric emptying (GE) may modulate both gastric and hepatic FPM of ethanol. AIMS:To study the effect of modulat...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.43.5.612
更新日期:1998-11-01 00:00:00
abstract::Jejunal biopsies from 15 Greenlandic and three Danish patients with adult type hypolactasia and nine Greenlandic and 15 Danish patients with normal lactase activity were analysed quantitatively for lactase protein by crossed immunoelectrophoresis. A constant correlation between the amount of lactase activity and immun...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.21.5.360
更新日期:1980-05-01 00:00:00
abstract::To examine socioeconomic factors, dietary and other personal habits, and medical history as risk factors for ulcerative colitis, we studied 167 (98%) of all prevalent cases of ulcerative colitis diagnosed in Uppsala county from 1945 to 1964 and 167 age and sex matched population controls. Ulcerative colitis patients w...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.32.12.1526
更新日期:1991-12-01 00:00:00
abstract::Nutritional status and immune function were correlated with clinical features in 56 patients with Crohn's disease. These were divided arbitrarily into either undernourished or well nourished groups according to whether their midarm circumference was below or above 90% of ideal standard. Results were also compared with...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.25.5.465
更新日期:1984-05-01 00:00:00
abstract:BACKGROUND:In this study, we identify the nature of the immunological response of human peripheral blood mononuclear cells (PBMC) and lamina propria gastric lymphocytes (LPL) to two Helicobacter pylori antigens, the neutrophil activating protein (NapA) and alkyl hydroperoxide reductase (AphC). These antigens were ident...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.2003.025494
更新日期:2005-01-01 00:00:00
abstract::Dysmotility of the duodenum and proximal jejunum has been reported in patients with irritable bowel syndrome. This study extended these findings by recording fasting ambulatory motility from electronic strain gauge sensors sited in the jejunum and ileum of eight diarrhoea predominant irritable bowel syndrome patients ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.35.2.203
更新日期:1994-02-01 00:00:00
abstract::Rats were subjects to right hemicolectomy (including removal of the caecum), left hemicolectomy or subtotal colectomy. Body weight resumed and maintained a rate of increase very similar to that in control rats. After hemicolectomy, food intake showed no change. Faecal weight increased by about one-third after right he...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.18.1.37
更新日期:1977-01-01 00:00:00
abstract:OBJECTIVE:Diverticulitis is a common disease with a substantial clinical and economic burden. Besides dietary fibre, the role of other foods in the prevention of diverticulitis is underexplored. DESIGN:We prospectively examined the association between consumption of meat (total red meat, red unprocessed meat, red proc...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2016-313082
更新日期:2018-03-01 00:00:00
abstract::Removal of the right lobe of the liver which was occupied largely by metastases, together with resection of ileal primary tumours, brought about complete remission of symptoms and signs in a 43-year-old man with a six-year history of the carcinoid syndrome. Investigations should be orientated toward surgery. When prac...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.10.8.617
更新日期:1969-08-01 00:00:00
abstract::The metabolism of pure radioiodine labelled Clq has been observed in five patients with ulcerative colitis, five patients with Crohn's disease, and in five control subjects. Both the fractional catabolic rate and the synthesis rate of Clq were increased in the five patients with Crohn's disease and in four of the five...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.20.11.1012
更新日期:1979-11-01 00:00:00
abstract::Hepatitis B and hepatitis C infections are important causes of end-stage liver disease and primary liver cancer. Successful antiviral treatment prior to the development of cirrhosis will prevent most of the morbidity and mortality associated with those infections. This can be achieved for a high proportion of patients...
journal_title:Gut
pub_type: 杂志文章,评审
doi:10.1136/gutjnl-2012-302076
更新日期:2012-05-01 00:00:00
abstract::Nineteen healthy subjects were studied and 17 patients with gastric ulcer before and after ulcer healing with carbenoxolone. Gastric deoxytibonucleic acid (DNA) loss was measured as an index of epithelial cell turnover, and N-acetylneuraminic acid (NANA) content of gastric juice as an index of mucus secretion. In norm...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.18.10.817
更新日期:1977-10-01 00:00:00
abstract:BACKGROUND AND AIM:There is controversy regarding whether paramyxovirus infection is causally associated with inflammatory bowel disease (IBD). The latest cohort study claimed that atypical measles and mumps infections in childhood may be risk factors for later IBD. This study was conducted to clarify the validity of a...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.48.5.637
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVE:Postpolypectomy surveillance guidelines for colorectal cancer introduced the concept of 'risk stratification'; however, few studies have been conducted for validation of its usefulness. The aim of this study was to assess the 5-year incidence of advanced neoplasia recurrence based on the risk stratification s...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.2010.232876
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND AND AIMS:Many lines of evidence suggest that T helper cell type 1 (Th1) immune responses predominate in Crohn's disease (CD). Recently, a novel transcription factor T-box expressed in T cells (T-bet) has been reported as the master regulator of Th1 development. This study was designed to investigate the role...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.2003.024190
更新日期:2004-09-01 00:00:00
abstract::Continued bleeding or early rebleeding is associated with a poor prognosis in patients with variceal haemorrhage. It is not clear why bleeding stops in some patients and continues or restarts in others. It is suggested that secondary haemodynamic changes in the splanchnic circulation after a bleed may contribute to th...
journal_title:Gut
pub_type: 杂志文章,评审
doi:10.1136/gut.36.1.100
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Wilson's disease is a rare inborn disease related to copper storage, leading to liver cirrhosis and neuropsychological deterioration. Clinical data on larger cohorts are limited owing to low disease frequency. OBJECTIVE AND METHODS:We performed a retrospective analysis of 163 patients with Wilson's disease,...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.2005.087262
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:A previous pilot study showed that early arrival time of a microbubble in a hepatic vein is a sensitive indicator of cirrhosis. AIM:To see if this index can also grade diffuse liver disease. PATIENTS:Thirty nine fasted patients with histologically characterised disease were studied prospectively. Nine pati...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.52.8.1188
更新日期:2003-08-01 00:00:00
abstract::This paper describes the construction and use of "radio pills" which transmit changes in intraluminar pressure. ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.1.3.266
更新日期:1960-09-01 00:00:00
abstract::The effects on gastric emptying of a solid meal of the specific 5-HT3-receptor antagonist ICS 205-930, 10 mg and 20 mg intravenously were assessed with a scintigraphic technique in 12 normals. The 50% emptying time was less, the lag phase was shorter and the post lag emptying rate was faster after 20 mg ICS 205-930 (p...
journal_title:Gut
pub_type: 临床试验,杂志文章
doi:10.1136/gut.29.9.1249
更新日期:1988-09-01 00:00:00
abstract:BACKGROUND AND AIMS:Large numbers of plasma cells (PC) localise in the intestinal lamina propria (LP) where they play a critical role in the defence against pathogens. This study analyses the level of maturation reached by normal human colon LPPC in comparison with that of bone marrow (BM) PC. METHODS:A technique was ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.52.3.383
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND AND AIMS:Low grade dysplasia (LGD) is believed to predispose to colorectal cancer (CRC), and proctocolectomy has been advocated when this is identified. Between 1978 and 1990, 160 patients with longstanding extensive ulcerative colitis (UC) were recruited for annual colonoscopic surveillance and 40 developed...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.52.8.1127
更新日期:2003-08-01 00:00:00
abstract::A manometric method was developed to study the motor activity in the unprepared human colon, and the results in eight healthy subjects were compared with those obtained in the same subjects after bowel cleansing with a non-absorbable solution containing polyethylene glycol 4000 (PEG). A tube assembly (4.5 m long, 12 l...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.37.5.649
更新日期:1995-11-01 00:00:00
abstract::This case report describes the histological and macroscopic changes seen within a few months in the gastric mucosa of a 28 year old woman patient with upper abdominal symptoms. With hindsight these changes were the first signs of Sjögren's syndrome. ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.34.8.1142
更新日期:1993-08-01 00:00:00
abstract::Completeness of vagotomy has been assessed by use of the electrical stimulation test and the insulin test in 50 patients suffering from chronic duodenal ulceration. A positive result from either was taken as evidence of incomplete vagotomy. The electrical stimulation test provided such evidence more often than the ins...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.12.8.629
更新日期:1971-08-01 00:00:00
abstract:BACKGROUND/AIMS:By contrast with animal models, in most cases it is not possible to examine the systemic response in patients in the first hours after onset of acute pancreatitis. The aim was to determine whether endoscopic retrograde cholangiopancreaticography (ERP)-induced pancreatitis can be used as a human model fo...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.40.1.80
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Sulfhydryl (SH) compounds are essential in maintaining mucosal integrity in the gastrointestinal tract. A decrease in colonic mucosal SH compounds affects the redox status of the mucosa, resulting in vulnerability to further attacks. Therefore, there is a strong need for in vivo evaluation of SH compounds in...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.52.9.1291
更新日期:2003-09-01 00:00:00
abstract::To investigate factors which predispose to relapse in patients with ulcerative colitis, we conducted a survey to compare the events occurring in the four weeks preceding the clinic attendance of 62 outpatients in remission with those taking place in the same period before the onset of relapse in 21 patients attending ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gut.24.3.187
更新日期:1983-03-01 00:00:00
abstract::Our life expectancy is increasing, leading to a rise in the ageing population. Ageing is associated with a decline in physiological function and adaptive capacity. Altered GI physiology can affect the amount and types of nutrients digested and absorbed as well as impact the intestinal microbiota. The intestinal microb...
journal_title:Gut
pub_type: 杂志文章,评审
doi:10.1136/gutjnl-2017-315542
更新日期:2018-12-01 00:00:00