The Microbiome in Crohn's Disease: Role in Pathogenesis and Role of Microbiome Replacement Therapies.

Abstract:

:Individuals with a genetic predisposition to Crohn's disease develop aberrant immune responses to environmental triggers. The gastrointestinal microbiota is increasingly recognized to play an important role in the development of Crohn's disease. Decrease in global gut microbial diversity and specific bacterial alterations have been implicated in Crohn's disease. Advances in sequencing techniques and bioinformatics and correlation with host genetics continue to improve insight into the structure and function of the microbial community and interactions with the host immune system. This article summarizes the existing literature on the role of the gut microbiome and its manipulation in the development and management of Crohn's disease.

authors

Khanna S,Raffals LE

doi

10.1016/j.gtc.2017.05.004

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

481-492

issue

3

eissn

0889-8553

issn

1558-1942

pii

S0889-8553(17)30058-4

journal_volume

46

pub_type

杂志文章,评审
  • The clinical manifestations and natural history of hepatocellular carcinoma.

    abstract::Striking geographical differences occur in the clinical presentation of hepatocellular carcinoma in high and low incidence areas. This tumor is also associated with a number of paraneoplastic phenomena that may antedate the clinical appearance. ...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Kassianides C,Kew MC

    更新日期:1987-12-01 00:00:00

  • Anal intraepithelial neoplasia and other neoplastic precursor lesions of the anal canal and perianal region.

    abstract::Anal cancer is rare and this helps to explain why anal pre-neoplastic conditions are poorly understood, especially with regard to their natural history and management. Anal intraepithelial neoplasia is closely linked to human papillomavirus infection and is particularly common in homosexuals and in immunosuppressed pa...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2007.08.001

    authors: Shepherd NA

    更新日期:2007-12-01 00:00:00

  • Idiopathic acute pancreatitis.

    abstract::In most patients presenting with acute pancreatitis, the cause can be established on the basis of initial history, physical examination, laboratory studies, and abdominal sonography. Patients with unexplained pancreatitis at that point are often considered to have idiopathic disease. However, a cause and, often, effec...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Grendell JH

    更新日期:1990-12-01 00:00:00

  • Chemical- and toxin-induced hepatotoxicity.

    abstract::Hepatic injury due to chemicals or natural toxins may occur from occupational, household, or environmental exposure. The liver may dominate the syndrome of toxicity from such agents as carbon tetrachloride, poison mushrooms, and toxic alkaloids, or may be only one facet of more generalized toxicity. The entire histolo...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Zimmerman HJ,Lewis JH

    更新日期:1995-12-01 00:00:00

  • Gastroesophageal reflux disease: new concepts in pathophysiology.

    abstract::The explanation as to why gastroesophageal reflux disease develops remains unanswered. We have learned much about the regulation of LES pressure, the single most important factor in the development of reflux disease. Our understanding of factors involved in the clearance of refluxed contents has also increased. The pr...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Ogorek CP,Cohen S

    更新日期:1989-06-01 00:00:00

  • Fecal incontinence in the elderly.

    abstract::Fecal incontinence affects up to 20% of community-dwelling adults and more than 50% of nursing home residents, and is one of the major risk factors for elderly persons in the nursing home. Institutionalization itself is a risk factor (eg, immobility due to physical restraints). Management should focus on identifying a...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2009.06.007

    authors: Leung FW,Rao SS

    更新日期:2009-09-01 00:00:00

  • Ischemic bowel disease in the elderly.

    abstract::The ischemic bowel diseases are a heterogeneous group of disorders usually seen in elderly individuals. They represent ischemic damage to different portions [figure: see text] of the bowel and produce a variety of clinical syndromes and outcomes. Colonic ischemia is the commonest of these disorders and has a favorable...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8553(05)70190-4

    authors: Greenwald DA,Brandt LJ,Reinus JF

    更新日期:2001-06-01 00:00:00

  • Radionuclide imaging in morbid obesity.

    abstract::Radionuclide studies of the upper gastrointestinal tract have been useful in many gastrointestinal disorders. However, the literature relating to radionuclide techniques in morbid obesity is limited and, at times, controversial. It is hoped that this brief review will stimulate interest in the use of tracer techniques...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: DeRogatis AJ

    更新日期:1987-06-01 00:00:00

  • Inflammatory bowel disease in the elderly.

    abstract::Ulcerative colitis and Crohn's disease both may occur in the elderly. In many populations, a second peak in the incidence of inflammatory bowel disease occurs near age 70. Clinical manifestations of inflammatory bowel disease in the elderly are generally similar to those seen in younger patients, although there is a t...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Grimm IS,Friedman LS

    更新日期:1990-06-01 00:00:00

  • Lymphocyte homing antagonists in the treatment of inflammatory bowel diseases.

    abstract::Lymphocyte homing antagonists represent promising therapeutic agents for the treatment of idiopathic inflammatory bowel disease (IBD). Several critical molecules involved in the recruitment of inflammatory cells in the intestine, including integrins and chemokine receptors, have been successfully targeted for the trea...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2014.05.012

    authors: Saruta M,Papadakis KA

    更新日期:2014-09-01 00:00:00

  • Autoimmune pancreatitis.

    abstract::Autoimmune pancreatitis is the pancreatic manifestation of a systemic disorder that affects various organs, including the bile duct, retroperitoneum, kidney, and parotid and lacrimal glands. It represents a recently described subset of chronic pancreatitis that is immune mediated and has unique histologic, morphologic...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.gtc.2008.02.004

    authors: Gardner TB,Chari ST

    更新日期:2008-06-01 00:00:00

  • Adherence to combination therapy: influence on sustained virologic response and economic impact.

    abstract::The health care burden of hepatitis C virus (HCV) infection is projected to continue to increase over the next two decades, so improving the efficacy of anti-HCV therapy has the potential to significantly affect health care utilization associated with the disease. Adherence to standard combination therapy and maintain...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.gtc.2003.12.003

    authors: Manns MP

    更新日期:2004-03-01 00:00:00

  • Molecular diagnostic techniques for viral hepatitis.

    abstract::The five different viruses that cause human viral hepatitis, A, B, C, D, and E share the unique property of hepatotropism. Identification of the nucleic acid sequences of each of these viruses, coupled with the application of recombinant DNA technology, has resulted in the rapid development of molecular diagnostic tec...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Hu KQ,Vierling JM

    更新日期:1994-09-01 00:00:00

  • Nutrition support in severe acute pancreatitis.

    abstract::Nutritional support can improve the outcome from severe acute pancreatitis in two ways: first by providing the building blocks for tissue repair and recovery, and second, by modulating the inflammatory response and preventing organ failure, both of which are responsible for most of the morbidity and mortality associat...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2007.03.009

    authors: O'Keefe SJ,Sharma S

    更新日期:2007-06-01 00:00:00

  • Computed tomography and magnetic resonance imaging evaluation of liver cancer.

    abstract::Focal liver lesions occur commonly and with varying histology, each requiring radically different management. There are a multitude of imaging modalities currently being used for detecting and characterizing focal liver neoplasms. The primary modalities include ultrasonography, computed tomography (CT), magnetic reson...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8553(02)00028-6

    authors: Harisinghani MG,Hahn PF

    更新日期:2002-09-01 00:00:00

  • Diarrhea in chronic inflammatory bowel diseases.

    abstract::Diarrhea is a common clinical feature of inflammatory bowel diseases and may be accompanied by abdominal pain, urgency, and fecal incontinence. The pathophysiology of diarrhea in these diseases is complex, but defective absorption of salt and water by the inflamed bowel is the most important mechanism involved. In add...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2012.06.006

    authors: Wenzl HH

    更新日期:2012-09-01 00:00:00

  • Hepatitis B: Current Status of Therapy and Future Therapies.

    abstract::Despite the availability of a protective vaccine for over 3 decades, the number of persons with chronic hepatitis B virus (HBV) infection remains high. These persons are at risk for cirrhosis and hepatocellular carcinoma. Current treatment is effective at inhibiting viral replication and reducing complications of chro...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2020.01.003

    authors: Spyrou E,Smith CI,Ghany MG

    更新日期:2020-06-01 00:00:00

  • The role of FDG-PET and staging laparoscopy in the management of patients with cancer of the esophagus or gastroesophageal junction.

    abstract::The effort to improve outcomes in esophageal cancer has included attempts at improving staging and patient selection. 2-Deoxy-2-[(18)F]fluoro-Dglucose positron emission tomography (FDG-PET) has been extensively studied in this context and has been widely accepted as a staging tool. Its role in restaging or assessing t...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2009.01.007

    authors: Yoon HH,Lowe VJ,Cassivi SD,Romero Y

    更新日期:2009-03-01 00:00:00

  • Probiotics in Inflammatory Bowel Disease.

    abstract::Evidence indicates that the gut microbiota and/or interactions between the microbiota and the host immune system are involved in the pathogenesis of inflammatory bowel disease (IBD). Strategies that target the microbiota have emerged as potential therapies and, of these, probiotics have gained the greatest attention. ...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2017.08.003

    authors: Abraham BP,Quigley EMM

    更新日期:2017-12-01 00:00:00

  • Exercise and Inflammatory Bowel Disease: Insights into Etiopathogenesis and Modification of Clinical Course.

    abstract::There is sparse information regarding exercise and inflammatory bowel disease (IBD). Furthermore, the importance of regular exercise in the optimal management of IBD has not received attention in guidelines and is often overlooked by practitioners. This article summarizes evidence regarding health benefits of exercise...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2017.08.010

    authors: Hashash JG,Binion DG

    更新日期:2017-12-01 00:00:00

  • Angiographic diagnosis and endovascular management of nonvariceal gastrointestinal hemorrhage.

    abstract::Diagnostic angiography still plays an essential role in the diagnosis of patients,particularly those with acute lower GI bleeding. Transcatheter therapy appears to be a viable treatment alternative in selected patients with GI bleeding. Many interventionists today believe embolotherapy to be more effective initially a...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.gtc.2005.09.001

    authors: Miller M Jr,Smith TP

    更新日期:2005-12-01 00:00:00

  • Prevention of colorectal cancer: diet, chemoprevention, and lifestyle.

    abstract::This article focuses on preventing the initiation and promotion of neoplastic growth in colon cancer, particularly with dietary measures. A goal of dietary epidemiology is to identify chemopreventive agents and strategies. The effects of diet are analyzed by observational approaches and experimental dietary, nutrition...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2007.12.008

    authors: Marshall JR

    更新日期:2008-03-01 00:00:00

  • Current Perspectives on Gastric Cancer.

    abstract::Gastric cancer (GC) is third leading cause of cancer-related death. Only 28.3% of new GC cases survive more than 5 years. Although incidence has declined in the United States, an increase is estimated for 2016. Risk factors include sex (risk is higher in men), Helicobacter pylori infection, heredity, and lifestyle. GC...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2016.04.002

    authors: Marqués-Lespier JM,González-Pons M,Cruz-Correa M

    更新日期:2016-09-01 00:00:00

  • Pathology of gastric cancer and its precursor lesions.

    abstract::Gastric cancers are a histologically heterogenous group of neoplasms arising from unique epidemiologic and molecular backgrounds. There is accumulating evidence that the intestinal type of gastric adenocarcinoma develops through a multistep process beginning with chronic gastritis triggered primarily by Helicobacter p...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2013.01.004

    authors: Yakirevich E,Resnick MB

    更新日期:2013-06-01 00:00:00

  • Early postoperative and postgastrectomy syndromes. Diagnosis, management, and prevention.

    abstract::The evaluation and treatment of patients after operations on the foregut is a challenge for physicians and surgeons. The early postoperative period is an especially important interval because the very survival of the patient as well as the success of the surgical intervention depends on the correct interpretation of t...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Donahue PE

    更新日期:1994-06-01 00:00:00

  • When Is Endoscopic Follow-up Appropriate After Helicobacter pylori Eradication Therapy?

    abstract::The effect of Helicobacter pylori eradication treatment needs confirmation in patients with persistent symptoms and in those with complicated peptic ulcer. Endoscopic surveillance after eradication is needed in patients with advanced premalignant gastric lesions, previous early gastric cancer, gastric MALT lymphoma, a...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2015.05.006

    authors: Kuipers EJ

    更新日期:2015-09-01 00:00:00

  • Immune disorders of the liver and bile duct.

    abstract::Several hepatobiliary diseases appear to be mediated by the host immune response. They can be subdivided into those in which the immune reaction is against an infectious agent such as hepatitis viruses, those in which the immune reaction appears to be against an autoantigen expressed on hepatobiliary cells, and those ...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Vierling JM

    更新日期:1992-06-01 00:00:00

  • Treatment of cholesterol gallstones with litholytic bile acids.

    abstract::Cholesterol gallstone disease is reversible and can be treated medically with either CDCA or UDCA. Both bile acids correct the hepatic metabolic defect that is responsible for hypersecretion of cholesterol into the bile, and both desaturate the bile. UDCA is preferred because it is more effective, desaturate the bile ...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Salen G,Tint GS,Shefer S

    更新日期:1991-03-01 00:00:00

  • Infectious diarrhea in human immunodeficiency virus.

    abstract::Chronic HIV-associated diarrhea is currently a field in flux. Improved noninvasive diagnostic tests, improved pathogen-specific regimens, and better empiric therapies may change some of the assumptions used to select algorithms for diagnostic evaluation and management. Any shift in the cause of diarrhea from pathogen-...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8553(05)70203-x

    authors: Cohen J,West AB,Bini EJ

    更新日期:2001-09-01 00:00:00

  • Update on Therapeutic Drug Monitoring in Crohn's Disease.

    abstract::In patients with Crohn's disease on biologic medications, the use of therapeutic drug monitoring leads to a personalized approach to optimize treatment. Using an algorithmic approach, measurement of drug concentrations and anti-drug antibodies can be used to improve treatment outcomes. Therapeutic drug concentrations ...

    journal_title:Gastroenterology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.gtc.2017.05.014

    authors: Heron V,Afif W

    更新日期:2017-09-01 00:00:00