American Gastroenterological Association

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Effects of Early Placement of Transjugular Portosystemic Shunts in Patients With High-Risk Acute Variceal Bleeding: a Meta-analysis of Individual Patient Data

Compared with drugs plus endoscopy, placement of transjugular portosystemic shunt within 72 hrs of admission to the hospital (early or preventive TIPS, also called preemptive TIPS) increases the proportion of high-risk patients with cirrhosis and acute variceal bleeding who survive for 1 year. However, the benefit of preemptive TIPS is less clear for patients with a Child-Pugh score of B and active bleeding (CP-B+AB). We performed a individual data meta-analysis to assess the efficacy of preemptive TIPS in these patients and identify factors associated with reduced survival of patients receiving preemptive TIPS.

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https://www.gastrojournal.org/article/S0016-5085(20)35207-0/fulltext?rss=yes

Sympathetic input to multiple cell types in mouse and human colon produces region-specific responses

The colon is innervated by intrinsic and extrinsic neurons that coordinate functions necessary for digestive health. Sympathetic input suppresses colon motility by acting on intrinsic myenteric neurons, but the extent of sympathetic-induced changes on large-scale network activity in myenteric circuits has not been determined. Compounding the complexity of sympathetic function, there is evidence that sympathetic transmitters can regulate activity in non-neuronal cells (such as enteric glia and innate immune cells).

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https://www.gastrojournal.org/article/S0016-5085(20)35211-2/fulltext?rss=yes

Artificial Intelligence System to Determine Risk of T1 Colorectal Cancer Metastasis to Lymph Node

In accordance with guidelines, most patients with T1 colorectal cancers (CRC) undergo surgical resection with lymph node dissection, despite the low incidence (∼10%) of metastasis to lymph node. To reduce unnecessary surgical resections, we used artificial intelligence to build a model to identify T1 colorectal tumors at risk for metastasis to lymph node and validated the model in a separate set of patients.

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https://www.gastrojournal.org/article/S0016-5085(20)35208-2/fulltext?rss=yes

Predicting Outcomes in Pediatric Crohn’s Disease for Management Optimization: Systematic Review and Consensus Statements from PIBD-Ahead Program

A better understanding of prognostic factors within the heterogeneous spectrum of pediatric Crohn’s disease (CD) should improve patient management and reduce complications. We aimed to identify evidence-based predictors of outcomes with the goal of optimizing individual patient management.

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https://www.gastrojournal.org/article/S0016-5085(20)35205-7/fulltext?rss=yes

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