Journal of gastroenterology and hepatology
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J. Gastroenterol. Hepatol. · Feb 2021
Challenges of developing artificial intelligence-assisted tools for clinical medicine.
Machine learning, a subset of artificial intelligence (AI), is a set of computational tools that can be used to enhance provision of clinical care in all areas of medicine. Gastroenterology and hepatology utilize multiple sources of information, including visual findings on endoscopy, radiologic imaging, manometric testing, genomes, proteomes, and metabolomes. However, clinical care is complex and requires a thoughtful approach to best deploy AI tools to improve quality of care and bring value to patients and providers. ⋯ There is still much work to be done on a broader societal level in developing ethical, regulatory, and reimbursement frameworks. A multidisciplinary approach and awareness of AI tools will create a vibrant ecosystem for using AI-assisted tools to guide and enhance clinical practice. From optically enhanced endoscopy to clinical decision support for risk stratification, AI tools will potentially transform our practice by leveraging massive amounts of data to personalize care to the right patient, in the right amount, at the right time.
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J. Gastroenterol. Hepatol. · Jan 2021
Meta AnalysisEffects of the herbal medicine Rikkunshito, for functional dyspepsia: A systematic review and meta-analysis.
Functional dyspepsia (FD) is characterized by chronic and unexplained indigestion at upper abdomen. Because of unsatisfactory effect of conventional treatments, demand is growing for complementary and alternative medicine. Rikkunshito (RKT) is a herbal medicine, which has been widely used for FD in Asia; however, the evidence is lacking. We carried out systematic review and meta-analysis to evaluate the effect and safety of RKT in the treatment of FD. ⋯ Rikkunshito and combination therapy might be considered an effective alternative treatment for FD. Further rigorously designed and high-quality RCTs are needed.
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J. Gastroenterol. Hepatol. · Dec 2020
Oligosaccharide-dependent anti-inflammatory role of galectin-1 for macrophages in ulcerative colitis.
Galectin-1 plays a protective role against colitis by binding with polylactosamine structures on macrophages in β-1,4-galactosyltransferase I-deficient mice, but the precise function of galectin-1 remains unknown. In the present study, we investigated the anti-inflammatory role of galectin-1 on macrophages to ameliorate ulcerative colitis in both animal model and human tissue samples. ⋯ Galectin-1, whose expression is decreased in the inflamed mucosa of ulcerative colitis patients, can ameliorate murine colitis by conferring oligosaccharide-dependent anti-inflammatory properties to macrophages.