scispace - formally typeset
Search or ask a question

Showing papers in "Gastroenterology in 1996"


Journal ArticleDOI
TL;DR: Endoscopists can identify mucosal breaks confined to a mucosal fold and lesions that extend throughout the esophageal circumference and Complications of reflux disease can be reproducibly recorded.

1,002 citations


Journal ArticleDOI
TL;DR: Anatomic studies suggest that interstitial cells of Cajal (ICC) may be pacemakers and conductors of electrical activity, and they respond to neurotransmitters.

946 citations


Journal ArticleDOI
TL;DR: Cirrhotics with increased portal pressure are at high risk of hepatic decompensation after resection of hepatocellular carcinoma, and surgical resection should therefore be restricted to patients without portal hypertension.

831 citations


Journal ArticleDOI
TL;DR: Prognosis of hemochromatosis and most of its complications, including liver cancer, depend on the amount and duration of iron excess, and early diagnosis and therapy largely prevent the adverse consequences of iron overload.

817 citations


Journal ArticleDOI
TL;DR: Estimates of cancer risk that may contribute to the appropriate management of gene carriers within families with hereditary nonpolyposis colorectal cancer are provided.

809 citations


Journal ArticleDOI
TL;DR: Female sex, relevant and severe postprandial fullness, and severe vomiting are independently associated with delayed gastric emptying of solids in patients with functional dyspepsia seen in a referral center.

631 citations


Journal ArticleDOI
TL;DR: The current literature strongly suggests that H. pylori eradication 4 weeks after therapy should be used as the primary efficacy end point for reduced gastric and duodenal ulcer recurrence for the purpose of clinical trial design.

594 citations


Journal ArticleDOI
TL;DR: Findings suggest that iNOS is induced in the inflamed human colonic epithelium and is associated with the formation of peroxynitrite and the nitration of cellular proteins.

584 citations


Journal ArticleDOI
TL;DR: Postparacentesis circulatory dysfunction is not spontaneously reversible and is associated with a shorter time to first readmission and shorter survival, and albumin is the best plasma expander to prevent this complication.

561 citations


Journal ArticleDOI
TL;DR: Both acid and DGER show a graded increase in severity across the gastroesophageal reflux disease (GERD) spectrum.

526 citations


Journal ArticleDOI
TL;DR: Findings provide plausible explanations for a variety of clinical scenarios ranging from inflammatory bowel disease to pseudo-obstruction syndromes and subgroups of functional bowel disorders.


Journal ArticleDOI
TL;DR: The present concept of peptic esophagitis dates back to 1935, when Winkelstein suggested that gastric secretions were the cause of mucosal damage observed in peptic eosinophitis.

Journal ArticleDOI
TL;DR: Results indicate that prostaglandins produced in normal gastrointestinal tissue and required for normal physiological functioning are derived from the PGHS-1 isoform.

Journal ArticleDOI
TL;DR: COX-2 but not COX-1 gene expression is markedly elevated in most colonic tumors examined in azoxymethane-treated rodents, suggesting this enzyme may provide a target for chemopreventive strategies for colorectal cancer.

Journal ArticleDOI
TL;DR: RER positivity occurs from an early stage of carcinogenesis in HNPCC but in later stages in non-HNPCC, and most H NPCC tumors may develop through different genetic changes from those in the adenoma-carcinoma sequence, although a certain percentage develops through APC mutation.

Journal ArticleDOI
TL;DR: In this article, the authors investigated the relationship between hepatitis C virus replication, genotype, and the evolution of graft damage in liver transplant recipients with recurrence of HCV infection and found that acute lobular hepatitis was accompanied by a steep increase in HCV RNA levels and the appearance of core and NS4 antigens in the graft.

Journal ArticleDOI
TL;DR: Dilated intercellular spaces are a feature of reflux damage to human esophageal epithelium as a morphological marker of increased paracellular permeability, its presence in patients without endoscopic abnormalities may help explain their development of heartburn.

Journal ArticleDOI
TL;DR: Endoscopic therapy may be a viable management option for a subset of patients who remain symptomatic after an episode of acute pancreatic necrosis after the necrosis has become organized and partially liquefied.

Journal ArticleDOI
TL;DR: Both TNF as well as IFN-gamma are critical mediators of liver injury in concanavalin A-treated mice, whereas hepatic DNA fragmentation and liver failure in the D-galactosamine models depend only on TNF.

Journal ArticleDOI
TL;DR: Endothelin (ET) 1 may act as a paracrine and autocrine factor for activated HSC and contribute to the increased resistance to portal flow in cirrhotic liver.

Journal ArticleDOI
TL;DR: The finding of biochemical and histological similarities between this nutritional model of hepatic steatosis with inflammation and alcoholic hepatitis indicates possible clues to common pathogenetic mechanisms and the relevance of this finding to human nonalcoholic steatohepatitis remains uncertain.

Journal ArticleDOI
TL;DR: TGF-alpha may contribute to epithelial hyperproliferation and the increased risk of malignancy in long-standing ulcerative colitis and TGF-beta may be a key cytokine during periods of active inflammation, modulating epithelial cell restitution and functional features of cells within the lamina propria.

Journal ArticleDOI
TL;DR: Polyps in patients previously diagnosed with hyperplastic polyposis were much more similar to serrated adenomas than to hyperplastics polyps and were characterized by large size, prominent architectural distortion, cytologically atypical nuclei, focal nuclear crowding and nuclear dispolarity, and rare upper zone mitotic figures.

Journal ArticleDOI
TL;DR: IPT is a dysplastic and likely precancerous lesion that is frequently diagnosed as chronic pancreatitis and is separate from MCN and the treatment of choice whenever appropriate.

Journal ArticleDOI
TL;DR: Increased expression of tissue inhibitors of metalloproteinases relative to interstitial collagenase may promote deposition of interstitial collagens in liver fibrosis, and studies further suggest that lipocytes are an important source of tissue inhibitor of meetallop Proteinase 1 and 2 in progressive Liver fibrosis.

Journal ArticleDOI
TL;DR: Patients who smoke, particularly women and heavy smokers, run a high risk of developing severe disease and immunosuppressive therapy neutralizes the influence of smoking on surgical rates.

Journal ArticleDOI
TL;DR: Age and type of achalasia seem to be important predictors of response to botulinum toxin, with about two thirds of patients receiving treatment, with a duration of response averaging 1.3 years.

Journal ArticleDOI
TL;DR: MLH1-associated colorectal cancer has a natural history different from that of common sporadic coloreCTal cancer, and the better survival rates may be caused by the heavy mutation burden affecting mismatch repair deficient tumor cells.

Journal ArticleDOI
TL;DR: Stratification of Crohn's disease by age at diagnosis provides support for the concept of genetic heterogeneity and is associated with more complicated disease and a greater likelihood of having affected relatives.