解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:OBJECTIVES:To characterise the association between type 2 diabetes mellitus (T2DM) subtypes (new-onset T2DM (NODM) or long-standing T2DM (LSDM)) and pancreatic cancer (PC) risk, to explore the direction of causation through Mendelian randomisation (MR) analysis and to assess the mediation role of body mass index (BMI)....
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319990
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:Crohn's disease (CD) is associated with increased risk of small bowel cancer (SBC), but previous studies have been small. We aimed to examine the risk of incident SBC and death from SBC in patients with inflammatory bowel disease (IBD). DESIGN:In a binational, population-based cohort study from Sweden and De...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-320945
更新日期:2021-02-01 00:00:00
abstract:INTRODUCTION:Survival from oesophageal cancer remains poor, even across high-income countries. Ongoing changes in the epidemiology of the disease highlight the need for survival assessments by its two main histological subtypes, adenocarcinoma (AC) and squamous cell carcinoma (SCC). METHODS:The ICBP SURVMARK-2 project...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321089
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:Although severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA was detected in faeces of patients with COVID-19, the activity and infectivity of the virus in the GI tract during disease course is largely unknown. We investigated temporal transcriptional activity of SARS-CoV-2 and its association wi...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-322294
更新日期:2021-02-01 00:00:00
abstract::Central reading, that is, independent, off-site, blinded review or reading of imaging endpoints, has been identified as a crucial component in the conduct and analysis of inflammatory bowel disease clinical trials. Central reading is the final step in a workflow that has many parts, all of which can be improved. Furth...
journal_title:Gut
pub_type: 杂志文章,评审
doi:10.1136/gutjnl-2020-320690
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:Gut microbiota and diet are known to contribute to human metabolism. We investigated whether the metagenomic gut microbiota composition and function changes over pregnancy are related to gestational diabetes mellitus (GDM) and can be modified by dietary supplements, fish oil and/or probiotics. DESIGN:The gut...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321643
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:Therapeutic strategies silencing and reducing the hepatitis B virus (HBV) reservoir, the covalently closed circular DNA (cccDNA), have the potential to cure chronic HBV infection. We aimed to investigate the impact of small interferring RNA (siRNA) targeting all HBV transcripts or pegylated interferon-α (peg-...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-322571
更新日期:2021-01-28 00:00:00
abstract:OBJECTIVE:Young-onset colorectal cancer (YCRC) incidence is rising. Scant data exist on YCRC risk after presentation with concerning symptoms such as iron-deficiency anaemia (IDA) or haematochezia. We examined the association between IDA and YCRC, and haematochezia and YCRC. DESIGN:Cohort study of US Veterans aged 18-...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321849
更新日期:2020-12-18 00:00:00
abstract:OBJECTIVE:In treating patients with inflammatory bowel disease (IBD), how concomitant medications influence the response to infliximab is largely unexplored. We aim to evaluate whether proton pump inhibitors (PPIs) affect the response to infliximab therapy in patients with IBD. DESIGN:Patient-level data of adult patie...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321609
更新日期:2020-12-17 00:00:00
abstract:OBJECTIVE:Tissue stem cells are central regulators of organ homoeostasis. We looked for a protein that is exclusively expressed and functionally involved in stem cell activity in rapidly proliferating isthmus stem cells in the stomach corpus. DESIGN:We uncovered the specific expression of Iqgap3 in proliferating isthm...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-322779
更新日期:2020-12-08 00:00:00
abstract:OBJECTIVE:Serrated polyps (SPs) are an important cause of postcolonoscopy colorectal cancers (PCCRCs), which is likely the result of suboptimal SP detection during colonoscopy. We assessed the long-term effect of a simple educational intervention focusing on optimising SP detection. DESIGN:An educational intervention,...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319804
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:Gastric cancer is strongly associated with Helicobacter pylori (H. pylori). We conducted a previous systematic review and meta-analysis that suggested eradication therapy reduced future incidence of gastric cancer, but effect size was uncertain, and there was no reduction in gastric cancer-related mortality....
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-320839
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:Population-based studies demonstrating the clinical impact of interferon-free direct-acting antiviral (DAA) therapies are lacking. We examined the impact of the introduction of DAAs on HCV-related decompensated cirrhosis (DC) through analysis of population-based data from Scotland. DESIGN:Through analysis of...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-320007
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:The intestinal microbiome affects the prevalence and pathophysiology of a variety of diseases ranging from inflammation to cancer. A reduced taxonomic or functional diversity of the microbiome was often observed in association with poorer health outcomes or disease in general. Conversely, factors or manifest ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-322753
更新日期:2020-11-09 00:00:00
abstract:OBJECTIVE:Non-coeliac gluten sensitivity (NCGS) is characterised by intestinal and extraintestinal symptoms related to the ingestion of gluten-containing foods, in the absence of coeliac disease (CD) and wheat allergy. No biomarkers are available to diagnose NCGS and the gold standard double-blind placebo-controlled gl...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319281
更新日期:2020-11-01 00:00:00
abstract::There has been a vast increase in GI literature focused on the use of machine learning in endoscopy. The relative novelty of this field poses a challenge for reviewers and readers of GI journals. To appreciate scientific quality and novelty of machine learning studies, understanding of the technical basis and commonly...
journal_title:Gut
pub_type: 杂志文章,评审
doi:10.1136/gutjnl-2019-320466
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:Pancreatic ductal adenocarcinoma (PDAC) is the deadliest cancer. Cancer-associated thrombosis/thromboembolism (CAT), frequently observed in PDAC, is known as a poor prognostic factor. Here, we investigated the underlying mechanisms between PDAC and CAT, and performed a trial of therapeutic approach for PDAC u...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-320608
更新日期:2020-10-21 00:00:00
abstract::The human gut microbiome is a complex ecosystem, densely colonised by thousands of microbial species. It varies among individuals and depends on host genotype and environmental factors, such as diet and antibiotics. In this review, we focus on stability and resilience as essential ecological characteristics of the gut...
journal_title:Gut
pub_type: 杂志文章,评审
doi:10.1136/gutjnl-2020-321747
更新日期:2020-10-13 00:00:00
abstract:OBJECTIVE:Thiopurines are widely used as maintenance therapy in inflammatory bowel disease (IBD) but the evidence base for their use is sparse and their role increasingly questioned. Using the largest series reported to date, we assessed the long-term effectiveness of thiopurines in ulcerative colitis (UC) and Crohn's ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-320185
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:Despite being proposed 4 years ago, there has been no independent validation study of the Rome IV criteria for IBS. We assessed their performance for the diagnosis of IBS in secondary care and compared them with the previous iteration, the Rome III criteria. DESIGN:We collected complete symptom data from co...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-322519
更新日期:2020-09-24 00:00:00
abstract:OBJECTIVE:Hepatocellular carcinoma (HCC) is a prevalent and aggressive cancer usually arising on a background of chronic liver injury involving inflammatory and hepatic regenerative processes. The triggering receptor expressed on myeloid cells 2 (TREM-2) is predominantly expressed in hepatic non-parenchymal cells and i...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319227
更新日期:2020-09-09 00:00:00
abstract:OBJECTIVE:Helicobacter pylori (Hp) is a major risk factor for gastric cancer (GC). Hp promotes DNA damage and proteasomal degradation of p53, the guardian of genome stability. Hp reduces the expression of the transcription factor USF1 shown to stabilise p53 in response to genotoxic stress. We investigated whether Hp-me...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-318640
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between Mediterranean diet and risk of later-onset Crohn's disease (CD) or ulcerative colitis (UC). DESIGN:We conducted a prospective cohort study of 83 147 participants (age range: 45-79 years) enrolled in the Cohort of Swedish Men and Swedish Mammography Cohort. A validated food...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319505
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:Lipid mediators in the GI tract regulate satiation and satiety. Bile acids (BAs) regulate the absorption and metabolism of dietary lipid in the intestine, but their effects on lipid-regulated satiation and satiety are completely unknown. Investigating this is challenging because introducing excessive BAs or ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319693
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:Adaptive immune resistance mediated by the cytokine interferon gamma (IFNG) still constitutes a major problem in cancer immunotherapy. We develop strategies for overcoming IFNG-mediated adaptive immune resistance in pancreatic ductal adenocarcinoma cancer (PDAC). DESIGN:We screened 429 kinase inhibitors for ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-320441
更新日期:2020-08-14 00:00:00
abstract:BACKGROUND:Treatment cessation in chronic HBV infection may be durable in certain patient subgroups before hepatitis B surface antigen (HBsAg) seroclearance. The role of serum HBV RNA in determining treatment cessation suitability has not been well-investigated. METHODS:Nucleos(t)ide analogue (NUC) treatment was disco...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321116
更新日期:2020-08-05 00:00:00
abstract:OBJECTIVES:National guidelines for the management of irritable bowel syndrome (IBS) recommend that psychological therapies should be considered, but their relative efficacy is unknown, because there have been few head-to-head trials. We performed a systematic review and network meta-analysis to try to resolve this unce...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321191
更新日期:2020-08-01 00:00:00
abstract::Liver biopsy is required when clinically important information about the diagnosis, prognosis or management of a patient cannot be obtained by safer means, or for research purposes. There are several approaches to liver biopsy but predominantly percutaneous or transvenous approaches are used. A wide choice of needles ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321299
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:Chronic gastro-oesophageal reflux might lead to the development of Barrett's oesophagus (BO) or even oesophageal adenocarcinoma. There has been no definitive systematic review and meta-analysis of data to estimate global prevalence of BO or oesophageal adenocarcinoma in individuals with gastro-oesophageal re...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321365
更新日期:2020-07-30 00:00:00
abstract:OBJECTIVE:Patients with Lynch syndrome (LS) are at markedly increased risk for colorectal cancer. It is being increasingly recognised that the immune system plays an essential role in LS tumour development, thus making an ideal target for cancer prevention. Our objective was to evaluate the safety, assess the activity ...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-320946
更新日期:2020-07-08 00:00:00
abstract:OBJECTIVE:Dietary fibre has beneficial effects on energy metabolism, and the majority of studies have focused on short-chain fatty acids produced by gut microbiota. Ginseng has been reported to aid in body weight management, however, its mechanism of action is not yet clear. In this study, we focused on the potential m...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319114
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:COVID-19 has rapidly become a major health emergency worldwide. Patients with IBD are at increased risk of infection, especially when they have active disease and are taking immunosuppressive therapy. The characteristics and outcomes of COVID-19 in patients with IBD remain unclear. DESIGN:This Italian prosp...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2020-321411
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:The epithelial layer of the GI tract is equipped with innate immune receptors to sense invading pathogens. Dysregulation in innate immune signalling pathways is associated with severe inflammatory diseases, but the responsiveness of GI epithelial cells to bacterial stimulation remains unclear. DESIGN:We gene...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319919
更新日期:2020-06-22 00:00:00
abstract:OBJECTIVE:Bleeding after endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) is a frequent adverse event after ESD. We aimed to develop and externally validate a clinically useful prediction model (BEST-J score: Bleeding after ESD Trend from Japan) for bleeding after ESD for EGC. DESIGN:This retrospe...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319926
更新日期:2020-06-04 00:00:00
abstract:OBJECTIVE:Liver fibrosis and cirrhosis resulting from chronic liver injury represent a major healthcare burden worldwide. Growth differentiation factor (GDF) 11 has been recently investigated for its role in rejuvenation of ageing organs, but its role in chronic liver diseases has remained unknown. Here, we investigate...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-318812
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:Shortage of organ donors, a critical challenge for treatment of end-stage organ failure, has motivated the development of alternative strategies to generate organs in vitro. Here, we aim to describe the hepatorganoids, which is a liver tissue model generated by three-dimensional (3D) bioprinting of HepaRG cel...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-319960
更新日期:2020-05-20 00:00:00
abstract:OBJECTIVE:Pancreatic ductal adenocarcinoma (PDAC) is the most aggressive type of GI tumour, and it possesses deregulated cellular energetics. Although recent advances in PDAC biology have led to the discovery of recurrent genetic mutations in Kras, TP53 and SMAD4, which are related to this disease, clinical application...
journal_title:Gut
pub_type: 杂志文章,评审
doi:10.1136/gutjnl-2018-317163
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:This study was designed to evaluate the roles of microRNAs (miRNAs) in slow transit constipation (STC). DESIGN:All human tissue samples were from the muscularis externa of the colon. Expression of 372 miRNAs was examined in a discovery cohort of four patients with STC versus three age/sex-matched controls by...
journal_title:Gut
pub_type: 杂志文章
doi:10.1136/gutjnl-2019-318747
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:Guidelines mandate expert pathology review of Barrett's oesophagus (BO) biopsies that reveal dysplasia, but there are no evidence-based standards to corroborate expert reviewer status. We investigated BO concordance rates and pathologist features predictive of diagnostic discordance. DESIGN:Pathologists (n=5...
journal_title:Gut
pub_type: 杂志文章,多中心研究
doi:10.1136/gutjnl-2019-318985
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:Patients with a history of Helicobacter pylori-negative idiopathic bleeding ulcers have a considerable risk of recurrent ulcer complications. We hypothesised that a proton pump inhibitor (lansoprazole) is superior to a histamine 2 receptor antagonist (famotidine) for the prevention of recurrent ulcer bleeding...
journal_title:Gut
pub_type: 杂志文章,随机对照试验
doi:10.1136/gutjnl-2019-318715
更新日期:2020-04-01 00:00:00