Journal of clinical gastroenterology
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J. Clin. Gastroenterol. · Nov 2007
Endoscopic and surgical therapy for intrahepatic cholangiocarcinoma in the united states: a population-based study.
Intrahepatic cholangiocarcinoma (ICC) is a highly fatal disease with limited therapeutic options. The determinants, trends, and outcomes of different therapies for ICC are largely unknown in the United States. ⋯ Only a minority of patients with ICC receives potentially curative therapy. Young age is the strongest predictor of receiving potentially curative treatment. Older patients and those diagnosed in recent time periods are more likely to receive endoscopic palliation. Surgical resection was associated with improved survival. There was no difference in survival between surgical and endoscopic palliation.
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J. Clin. Gastroenterol. · Nov 2007
ReviewHepatic venous pressure gradient and outcomes in cirrhosis.
End-stage liver disease is characterized by the development of complications related to portal hypertension. Hepatic venous pressure gradient (HVPG), as an estimation of portal pressure, has been associated to the development of these complications. ⋯ However, HVPG has also been associated to the development or the outcome of other complications of portal hypertension, hepatocellular carcinoma, liver transplantation, and survival. This review analyses the published data regarding the association between the HVPG and the different possible outcomes in cirrhosis.
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J. Clin. Gastroenterol. · Sep 2007
Randomized Controlled TrialEffect of Lactobacillus rhamnosus GG in persistent diarrhea in Indian children: a randomized controlled trial.
To evaluate the role of Lactobacillus rhamnosus GG (LGG) as probiotic in persistent diarrhea (PD) in children of North Bengal, India. ⋯ LGG (dose of 60 million cells) could decrease the frequency and duration of diarrhea and vomiting and reduced hospital stay in patients of PD.
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J. Clin. Gastroenterol. · Jul 2007
Practice efficiency and economics: the case for rapid recovery sedation agents for colonoscopy in a screening population.
To determine rapidly acting agents' impact on practice efficiency and cost for outpatient colonoscopy in a screening population. ⋯ Rapid recovery agents for colonoscopy can improve practice efficiency and offer economic advantages over traditional sedation.