Clip-and-band-assisted endoscopic full-thickness resection with modified purse-string closure for a duodenal gastrointestinal stromal tumor [0.03%]
改良荷包缝合的夹线联合内镜全层切除术治疗十二指肠胃肠间质瘤
Quan Lu,De-Feng Li,Li-Sheng Wang et al.
Quan Lu et al.
Duodenal gastrointestinal stromal tumors (GISTs) are rare and endoscopically challenging. We report a case of a 51-year-old man with a 13.9×13.5 mm submucosal tumor in the descending duodenum, located 3.0 cm distal to the major papilla. En...
Ana Catarina Bravo,Elena Resina Sierra,Sergio Casabona Francés et al.
Ana Catarina Bravo et al.
A 66-year-old woman with a history of Sjögren's syndrome without visceral involvement, and low-grade non-Hodgkin lymphoma without mediastinal involvement, treated with rituximab in 2022 and in complete remission, was referred to Gastroente...
Atypical excavated duodenal GIST mimicking ulcerative disease: an endoscopic diagnostic challenge [0.03%]
非典型挖空性十二指肠GIST伴发溃疡样改变：一项内镜诊断挑战
Marta Alguacil Cuéllar,Elena San Miguel Amelivia,Javier Pered-Bedmar Delgado
Marta Alguacil Cuéllar
This manuscript describes an uncommon presentation of a duodenal gastrointestinal stromal tumor (GIST), presenting as an excavated lesion mimicking ulcerative disease, without the typical endoscopic appearance of a protruding subepithelial ...
Pegylated interferon for chronic hepatitis delta: does it still have a role in the bulevirtide era? [0.03%]
布维立丁时代聚乙二醇干扰素仍可用于慢性δ肝炎治疗吗？
Maite González Aldama,Marta Santa Cruz Carrera,Paloma Liendo Arenzana et al.
Maite González Aldama et al.
Chronic hepatitis delta is the most aggressive form of chronic viral hepatitis. Although pegylated interferon alfa (PegIFNα) has been the reference treatment for decades, the recent introduction of bulevirtide raises questions about its cu...
Esophago-pericardial fistula and gastric perforation after esophageal stenting during ramucirumab treatment [0.03%]
使用雷莫卢单抗治疗时进行食管内支架置入后出现食管-心包瘘和胃穿孔并发症
Manuel Sánchez Cánovas,Juana María Plasencia Martínez,José Luis Rodrigo Agudo et al.
Manuel Sánchez Cánovas et al.
Esophageal stent migration is a known complication in malignant obstructions, but its severity can be critically exacerbated by antiangiogenic therapies like ramucirumab, which significantly increases the risk of gastrointestinal perforatio...
Characterization of the stages of chronic liver disease based on plasma proteins involved in systemic inflammation [0.03%]
基于参与全身性炎症的血浆蛋白对慢性肝病分期的研究
Marta Fortuny,Maria Torner,María Bermúdez-Ramos et al.
Marta Fortuny et al.
Introduction: Cirrhosis is characterized by progressive fibrosis, portal hypertension, and cirrhosis-associated immune dysfunction, combining systemic inflammation and immunodeficiency. Although systemic inflammation play...
Rome V: minimizing "functional", maximizing precision in gut-brain disorders [0.03%]
罗马五号：在胃肠-脑疾病中最小化“功能性的”，最大化精确的诊断
Jose María Remes-Troche
Jose María Remes-Troche
Rome V represents a major conceptual and clinical evolution in the field of disorders of gut-brain interaction (DGBI). Its most important contribution is the deliberate move away from the term "functional", a label that has often implied th...
Very late entecavir resistance after more than 10 years of therapy in a treatment-naïve patient with chronic hepatitis B genotype D3 [0.03%]
初始感染乙型肝炎病毒D3型的患者经恩替卡韦治疗超过十年后仍产生非常晚发的耐药变异
David Pereira Santiago,María Elisabeth Prieto Rodríguez,Elena Fernández Ruiz
David Pereira Santiago
Entecavir resistance in nucleos(t)ide-naïve patients with chronic hepatitis B is exceptional because of its high genetic barrier. We report a case of progressive virological breakthrough after more than 10 years of effective entecavir ther...
Beyond the scalpel ‒ The critical impact of lifestyle and tumor biology in non-cirrhotic hepatocellular carcinoma [0.03%]
超越手术刀——非肝硬化性肝细胞癌的生活方式和肿瘤生物学的critical影响
Paula Fernández-Álvarez,Andrés Castaño-García,María Varela Calvo
Paula Fernández-Álvarez
The epidemiological landscape of hepatocellular carcinoma (HCC) is shifting from viral-dominated etiologies toward metabolic dysfunction-associated steatotic liver disease (MASLD). While the majority of cases still occur within the context ...
Automated extraction of colonoscopy quality indicators from free-text reports using a prompt-based large language model pipeline [0.03%]
基于提示的大语言模型管道自动生成结肠镜检查质量指标报告摘要
Alda Andrade,Diogo Rodrigues,Helena Ribeiro et al.
Alda Andrade et al.
Background and aims: Artificial intelligence has increasingly enabled large-scale analysis of clinical documentation, offering new opportunities to improve quality monitoring in endoscopy. In colonoscopy, key quality indi...