Development and early prognosis of esophageal varices in severe chronic active liver disease (CALD) treated with prednisone.

Abstract:

:The prevalence of gastroesophageal varices and gastrointestinal hemorrhage was determined in 124 patients with severe chronic active liver disease (CALD) receiving prednisone and followed regularly for up to 10 yr. Varices were demonstrated by contrast radiography in only 19 patients (15%). Ten had varices before therapy and nine developed them after 12-102 mo of observation (mean, 38 +/- 9 mo.). The likelihood of developing varices within 5 yr after therapy was 8% in all patients and 13% after documentation of cirrhosis. Hemorrhage from varices occurred in only 1 patient, who had varices and bled once before treatment. Bleeding from other sites was commoner in the presence of varices (P less than 0.025), but mortality was not increased by bleeding from any site. The probability of upper gastrointestinal bleeding was only 6% within 5 yr after therapy and the 5 yr survival was 93%. In severe CALD, varices are an uncommon initial finding and do not develop quickly or hemorrhage early after steroid therapy.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Czaja AJ,Wolf AM,Summerskill WH

subject

Has Abstract

pub_date

1979-10-01 00:00:00

pages

629-33

issue

4 Pt 1

eissn

0016-5085

issn

1528-0012

pii

S0016508579001797

journal_volume

77

pub_type

杂志文章
  • Study of the subcellular localization of 59Fe and iron-binding proteins in the duodenal mucosa of pregnant and nonpregnant rats.

    abstract::The subcellular localization of intraduodenally administered 59Fe has been studied in control, pregnant, and nonpregnant rats absorbing iron at different rates. Binding of iron to the particulate fractions of mucosal homogenates produced by centrifugation at 500, 10,000, and 100,000 X g did not vary among groups despi...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Batey RG,Gallagher ND

    更新日期:1977-08-01 00:00:00

  • LST-2, a human liver-specific organic anion transporter, determines methotrexate sensitivity in gastrointestinal cancers.

    abstract:BACKGROUND & AIMS:One approach to the development of targeted cancer chemotherapy exploits increased uptake of the agent into neoplastic cells. In this scenario, higher concentrations of the agent in cancer cells are responsible for differential killing, whereas the low concentration in normal human cells decreases sid...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/gast.2001.24804

    authors: Abe T,Unno M,Onogawa T,Tokui T,Kondo TN,Nakagomi R,Adachi H,Fujiwara K,Okabe M,Suzuki T,Nunoki K,Sato E,Kakyo M,Nishio T,Sugita J,Asano N,Tanemoto M,Seki M,Date F,Ono K,Kondo Y,Shiiba K,Suzuki M,Ohtani H,S

    更新日期:2001-06-01 00:00:00

  • Defective Fc receptor-mediated clearance in patients with primary biliary cirrhosis.

    abstract::Fc receptor-mediated clearance of immunoglobulin G-coated autologous erythrocytes was studied in patients with primary biliary cirrhosis (n = 14), alcoholic liver cirrhosis (n = 5) and healthy reference individuals (n = 14). The mean half-life of the sensitized erythrocytes was significantly prolonged in patients with...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(91)90736-5

    authors: Ekdahl KN,Lööf L,Nyberg A,Nilsson UR,Nilsson B

    更新日期:1991-10-01 00:00:00

  • Management Strategies to Improve Outcomes of Patients With Inflammatory Bowel Diseases.

    abstract::Strategies for management of inflammatory bowel diseases are shifting from simple control of symptoms toward full control of these diseases (clinical and endoscopic remission), with the final aim of blocking their progression and preventing bowel damage and disability. New goals have been proposed for treatment, such ...

    journal_title:Gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1053/j.gastro.2016.09.046

    authors: Colombel JF,Narula N,Peyrin-Biroulet L

    更新日期:2017-02-01 00:00:00

  • The natural history of esophageal candidiasis after successful treatment in patients with AIDS.

    abstract:BACKGROUND/AIMS:Antifungal therapy cures esophageal candidiasis in most patients with acquired immunodeficiency syndrome, but the subsequent course of these patients is not established. This study examines the natural history of esophageal candidiasis after successful treatment. METHODS:Patients with endoscopic and cl...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(94)90122-8

    authors: Laine L

    更新日期:1994-09-01 00:00:00

  • Hepatitis in children with acquired immune deficiency syndrome. Histopathologic and immunocytologic features.

    abstract::Hepatic morphology and immunocytology were evaluated in 4 children with clinical and immunologic characteristics of the acquired immune deficiency syndrome or acquired immune deficiency syndrome related complex. All 4 children had hepatomegaly and increased serum alanine and aspartate aminotransferase activity. Both l...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(86)90090-9

    authors: Duffy LF,Daum F,Kahn E,Teichberg S,Pahwa R,Fagin J,Kenigsberg K,Kaplan M,Fisher SE,Pahwa S

    更新日期:1986-01-01 00:00:00

  • Dopamine as a possible neurotransmitter in gastric relaxation.

    abstract::In dogs with gastric fistulas, intragastric pressure was measured with a flaccid ballon containing 500 ml of water. Graded doses of dopamine caused graded decreases in intragastric pressure. The effect was blocked by pimozide or by metoclopramide but was not significantly affected by phenoxybenzamine, propranolol, gua...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Valenzuela JE

    更新日期:1976-12-01 00:00:00

  • Successful Interferon-Free Therapy of Chronic Hepatitis C Virus Infection Normalizes Natural Killer Cell Function.

    abstract:BACKGROUND & AIMS:Chronic hepatitis C virus infection activates an intrahepatic immune response, leading to increased expression of interferon (IFN)-stimulated genes and activation of natural killer (NK) cells-the most prevalent innate immune cell in the liver. We investigated whether the elimination of hepatitis C vir...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2015.03.004

    authors: Serti E,Chepa-Lotrea X,Kim YJ,Keane M,Fryzek N,Liang TJ,Ghany M,Rehermann B

    更新日期:2015-07-01 00:00:00

  • C-kit inhibition by imatinib mesylate attenuates progenitor cell expansion and inhibits liver tumor formation in mice.

    abstract:BACKGROUND & AIMS:Numerous studies have linked the proliferation of liver progenitor cells (LPCs) during chronic liver disease to the risk for development of hepatocellular carcinoma. Thus, selective inhibition of LPC growth during preneoplastic injury may prevent or delay the onset of liver cancer. Rats carrying a ger...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2008.05.077

    authors: Knight B,Tirnitz-Parker JE,Olynyk JK

    更新日期:2008-09-01 00:00:00

  • Arginine vasopressin inhibits phasic contractions and stimulates giant contractions in monkey colon.

    abstract::Abdominal cramps and urgent defecation are common side effects of clinical doses of arginine vasopressin, indicating that the drug may have stimulating effects on colonic motor activity. Four strain-gauge transducers were implanted on the colon in six monkeys. A blood flow probe was fixed on the inferior mesenteric ar...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(92)90171-t

    authors: Zhu YR,Cowles VE,Herranz ES,Schulte WJ,Condon RE

    更新日期:1992-03-01 00:00:00

  • Reduced mortality rates following elective percutaneous liver biopsies.

    abstract:BACKGROUND & AIMS:Estimates of complication rates following elective percutaneous liver biopsy vary and might not accurately reflect current practice. We studied mortality and complication rates, by indication, in patients after they underwent liver biopsies. METHODS:We performed a study using hospital episode statist...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2010.06.015

    authors: West J,Card TR

    更新日期:2010-10-01 00:00:00

  • ANXA8 down-regulation by EGF-FOXO4 signaling is involved in cell scattering and tumor metastasis of cholangiocarcinoma.

    abstract:BACKGROUND & AIMS:The sarcomatoid change in cholangiocarcinoma (CC) contributes to more aggressive intrahepatic spread and widespread metastasis. Therefore, the aim of this study was to identify the molecular mechanisms of CC metastasis during tumor progression and sarcomatoid change. METHODS:Using the subtraction sup...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2009.04.015

    authors: Lee MJ,Yu GR,Yoo HJ,Kim JH,Yoon BI,Choi YK,Kim DG

    更新日期:2009-09-01 00:00:00

  • Hyperplasia of histamine-depleted enterochromaffinlike cells in rat stomach using omeprazole and alpha-fluoromethylhistidine.

    abstract::In the rat, gastric histamine is stored mainly in the enterochromaffinlike cells. Gastrin releases histamine from these cells, and long-term hypergastrinemia results in hyperplasia. The effect of sustained hypergastrinemia on histamine-depleted enterochromaffinlike cells was studied by measuring histidine decarboxylas...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(92)90023-r

    authors: Andersson K,Håkanson R,Mattsson H,Ryberg B,Sundler F

    更新日期:1992-09-01 00:00:00

  • Effects of thyroidectomy and triiodothyronine administration on rat liver alcohol dehydrogenase.

    abstract::The effect of thyroidectomy on the activity of liver alcohol dehydrogenase and on the rate of ethanol elimination was determined in the rat. Thyroidectomy resulted in a marked increase in liver alcohol dehydrogenase activity. Three isoenzymes of alcohol dehydrogenase activity were demonstrated in thyroidectomized anim...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Mezey E,Potter JJ

    更新日期:1981-03-01 00:00:00

  • EpCAM-positive hepatocellular carcinoma cells are tumor-initiating cells with stem/progenitor cell features.

    abstract:BACKGROUND & AIMS:Cancer progression/metastases and embryonic development share many properties including cellular plasticity, dynamic cell motility, and integral interaction with the microenvironment. We hypothesized that the heterogeneous nature of hepatocellular carcinoma (HCC), in part, may be owing to the presence...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2008.12.004

    authors: Yamashita T,Ji J,Budhu A,Forgues M,Yang W,Wang HY,Jia H,Ye Q,Qin LX,Wauthier E,Reid LM,Minato H,Honda M,Kaneko S,Tang ZY,Wang XW

    更新日期:2009-03-01 00:00:00

  • Ca2+ responses in enteric glia are mediated by connexin-43 hemichannels and modulate colonic transit in mice.

    abstract:BACKGROUND & AIMS:In the enteric nervous system, neurotransmitters initiate changes in calcium (Ca(2+) responses) in glia, but it is not clear how this process affects intestinal function. We investigated whether Ca(2+)-mediated responses in enteric glia are required to maintain gastrointestinal function. METHODS:We u...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2013.10.061

    authors: McClain J,Grubišić V,Fried D,Gomez-Suarez RA,Leinninger GM,Sévigny J,Parpura V,Gulbransen BD

    更新日期:2014-02-01 00:00:00

  • Hepatic injury associated with ketoconazole therapy. Analysis of 33 cases.

    abstract::Ketoconazole has only recently been recognized as a cause of hepatic injury, with most reports coming from outside the United States. In order to characterize more fully the U.S. experience, we undertook an analysis of 54 reports of alleged ketoconazole-induced liver injury submitted to the Food and Drug Administratio...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Lewis JH,Zimmerman HJ,Benson GD,Ishak KG

    更新日期:1984-03-01 00:00:00

  • Association Between Screen-Detected Gallstone Disease and Cancer in a Cohort Study.

    abstract:BACKGROUND & AIMS:Knowledge of temporal associations between screen-detected gallstone disease and specific cancers is limited. The objective of this study was to determine if screen-detected gallstones or cholecystectomy are associated with occurrence of gastrointestinal and nongastrointestinal cancers. METHODS:We pe...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2017.02.013

    authors: Shabanzadeh DM,Sørensen LT,Jørgensen T

    更新日期:2017-06-01 00:00:00

  • Scanning electron microscopy of the rat liver. Studies of the effect of taurolithocholate and other models of cholestasis.

    abstract::The normal surface anatomy of rat hepatocytes, sinusoids, and bile canaliculi was examined by scanning electron microscopy following finger fracture of tissues that were perfused via the portal vein and fixed with 2.5% glutaraldehyde. These normal findings were contrasted with several models of cholestasis, including ...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Layden TJ,Schwarz,Boyer JL

    更新日期:1975-09-01 00:00:00

  • Ramosetron Reduces Symptoms of Irritable Bowel Syndrome With Diarrhea and Improves Quality of Life in Women.

    abstract:BACKGROUND & AIMS:Previous studies have indicated that serotonin-3-receptor antagonists might have a sex-specific effect in patients with irritable bowel syndrome with diarrhea (IBS-D). Alosetron has been approved for the treatment of only women, and ramosetron has been approved for the treatment for only men. We perfo...

    journal_title:Gastroenterology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1053/j.gastro.2015.10.047

    authors: Fukudo S,Kinoshita Y,Okumura T,Ida M,Akiho H,Nakashima Y,Nishida A,Haruma K

    更新日期:2016-02-01 00:00:00

  • Magnetic resonance imaging diagnosis of Budd-Chiari syndrome.

    abstract::Noninvasive imaging modalities may suggest the diagnosis of Budd-Chiari syndrome but they are rarely diagnostic. Inferior vena cavography, hepatic venography, and liver biopsy, alone or in combination, are usually necessary for definitive diagnosis. Because of its excellent depiction of blood vessels as regions of abs...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/s0016-5085(86)80029-4

    authors: Friedman AC,Ramchandani P,Black M,Caroline DF,Radecki PD,Heeger P

    更新日期:1986-11-01 00:00:00

  • Effects of short-term pancreatic duct obstruction in rats.

    abstract::The short-term effects of rat pancreatic duct obstruction were evaluated and compared with those recently reported to follow obstruction of the rabbit pancreatic duct. In both species pancreatic edema and hyperamylasemia are noted, and the lysosomal hydrolase cathepsin B is redistributed from the lysosome-enriched to ...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(91)90601-g

    authors: Ohshio G,Saluja A,Steer ML

    更新日期:1991-01-01 00:00:00

  • Analysis of Ki-ras codon 12 mutations in the duodenal juice of patients with pancreatic cancer.

    abstract:BACKGROUND & AIMS:Point mutations of the Ki-ras gene at codon 12 have been frequently identified in pure pancreatic juice of patients with pancreatic cancer in studies examining pancreatic cancer tissues. The aim of this study was to examine mutations of the Ki-ras codon 12 in the duodenal juice collected from patients...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/gast.1996.v110.pm8536860

    authors: Iguchi H,Sugano K,Fukayama N,Ohkura H,Sadamoto K,Ohkoshi K,Seo Y,Tomoda H,Funakoshi A,Wakasugi H

    更新日期:1996-01-01 00:00:00

  • Aging is associated with decreased pancreatic acinar cell regeneration and phosphatidylinositol 3-kinase/Akt activation.

    abstract:BACKGROUND & AIMS:The effects of aging on pancreatic acinar cell proliferation have not been clearly defined. Phosphatidylinositol 3-kinase (PI3K)-mediated phosphorylation of Akt is a critical step for proliferation of various cell types and insulin secretion from pancreatic endocrine cells; however, its role in acinar...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2005.03.016

    authors: Watanabe H,Saito H,Rychahou PG,Uchida T,Evers BM

    更新日期:2005-05-01 00:00:00

  • Lipase and pepsin activity in the gastric mucosa of infants, children, and adults.

    abstract::The range of activity and the location of lipase and pepsin were determined in the stomach and duodenum of infants, children, and adults. The range of lipase activity in biopsy specimens from the gastric body, in 29 subjects aged from 3 months to 26 years, was 1.8-5.3 U/mg protein (1 U is 1 mumol [3H]oleic acid releas...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1016/0016-5085(91)90467-y

    authors: DiPalma J,Kirk CL,Hamosh M,Colon AR,Benjamin SB,Hamosh P

    更新日期:1991-07-01 00:00:00

  • A genetic screen identifies interferon-α effector genes required to suppress hepatitis C virus replication.

    abstract:BACKGROUND & AIMS:Hepatitis C virus (HCV) infection is a leading cause of end-stage liver disease. Interferon-α (IFNα) is an important component of anti-HCV therapy; it up-regulates transcription of IFN-stimulated genes, many of which have been investigated for their antiviral effects. However, all of the genes require...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2013.02.026

    authors: Fusco DN,Brisac C,John SP,Huang YW,Chin CR,Xie T,Zhao H,Jilg N,Zhang L,Chevaliez S,Wambua D,Lin W,Peng L,Chung RT,Brass AL

    更新日期:2013-06-01 00:00:00

  • Enterogastric reflux in normal subjects and patients with Bilroth II gastroenterostomy. Measurement of enterogastric reflux.

    abstract::Initially, scintigraphy was established as a valid method for detecting and quantitating enterogastric reflux. A new, tubeless technique for the measurement of enterogastric reflux was developed. 99mTc bound to [(2,6 dimethylphenylcarbamoylmethyl) iminodiacetic acid] (5 mCi) was administered intravenously to visualize...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Tolin RD,Malmud LS,Stelzer F,Menin R,Makler PT Jr,Applegate G,Fisher RS

    更新日期:1979-11-01 00:00:00

  • Delayed-release oral mesalamine 4.8 g/day (800-mg tablet) is effective for patients with moderately active ulcerative colitis.

    abstract:BACKGROUND AND AIMS:It is not clear what induction dose of mesalamine is optimal for treating patients with mildly and moderately active ulcerative colitis (UC). This study was conducted to determine the efficacy and safety of mesalamine 4.8 g/day compared with 2.4 g/day for the treatment of moderately active UC. METH...

    journal_title:Gastroenterology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1053/j.gastro.2009.08.069

    authors: Sandborn WJ,Regula J,Feagan BG,Belousova E,Jojic N,Lukas M,Yacyshyn B,Krzeski P,Yeh CH,Messer CA,Hanauer SB

    更新日期:2009-12-01 00:00:00

  • Detection of dysplasia in Barrett's esophagus with in vivo depth-resolved nuclear morphology measurements.

    abstract:BACKGROUND & AIMS:Patients with Barrett's esophagus (BE) show increased risk of developing esophageal adenocarcinoma and are routinely examined using upper endoscopy with biopsy to detect neoplastic changes. Angle-resolved low coherence interferometry (a/LCI) uses in vivo depth-resolved nuclear morphology measurements ...

    journal_title:Gastroenterology

    pub_type: 杂志文章

    doi:10.1053/j.gastro.2010.09.008

    authors: Terry NG,Zhu Y,Rinehart MT,Brown WJ,Gebhart SC,Bright S,Carretta E,Ziefle CG,Panjehpour M,Galanko J,Madanick RD,Dellon ES,Trembath D,Bennett A,Goldblum JR,Overholt BF,Woosley JT,Shaheen NJ,Wax A

    更新日期:2011-01-01 00:00:00

  • Coffee consumption is associated with response to peginterferon and ribavirin therapy in patients with chronic hepatitis C.

    abstract:BACKGROUND & AIMS:High-level coffee consumption has been associated with reduced progression of pre-existing liver diseases and lower risk of hepatocellular carcinoma. However, its relationship with therapy for hepatitis C virus infection has not been evaluated. METHODS:Patients (n=885) from the lead-in phase of the H...

    journal_title:Gastroenterology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1053/j.gastro.2011.02.061

    authors: Freedman ND,Curto TM,Lindsay KL,Wright EC,Sinha R,Everhart JE,HALT-C TRIAL GROUP.

    更新日期:2011-06-01 00:00:00