European journal of gastroenterology & hepatology
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Eur J Gastroenterol Hepatol · Apr 2014
Multicenter Study Comparative StudyIs the Glasgow Blatchford score useful in the risk assessment of patients presenting with variceal haemorrhage?
The Glasgow Blatchford score (GBS) is a pre-endoscopic risk assessment tool for patients presenting with upper gastrointestinal haemorrhage. There are few data regarding use in patients with variceal bleeding, who are generally accepted as being at high risk. ⋯ At presentation, GBS correctly identifies patients with variceal bleeding as high risk and appears superior to the admission Rockall score. However, GBS and both Rockall scores are poor at predicting clinical outcome within this group.
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Eur J Gastroenterol Hepatol · Mar 2014
Comparative Study Controlled Clinical TrialLiver resection and radiofrequency ablation of very early hepatocellular carcinoma cases (single nodule <2 cm): a single-center study.
The aim of our study was to compare the short-term and long-term outcomes of resection and radiofrequency ablation (RFA) in cases of very early hepatocellular carcinoma (HCC) (tumors<2 cm in diameter). ⋯ With comparable short-term and long-term effects on overall survival and tumor recurrence rate and with a shorter operative time, less blood loss, and a shorter hospital stay, RFA should be considered as the first choice for the treatment for very early HCCs as it presents an efficacious and economic option.
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Eur J Gastroenterol Hepatol · Mar 2014
Comparative StudySame-day bidirectional endoscopy with nonanesthesiologist administration of propofol: safety and cost-effectiveness compared with separated exams.
The safety and cost-effectiveness of a combination of esophagogastroduodenoscopy (EGD) and colonoscopy [or bidirectional endoscopy (BDE)] versus alternative-day EGD and colonoscopy when using nonanesthesiologist administration of propofol have never been evaluated. ⋯ Same-day BDE with nonanesthesiologist administration of propofol resulted in reductions in propofol doses, recovery time, and procedure-related costs as compared with carrying out EGD and colonoscopy separately, without an increase in adverse events.
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Eur J Gastroenterol Hepatol · Jan 2014
Comparative StudyA UK study assessing the population prevalence of self-reported gluten sensitivity and referral characteristics to secondary care.
Reports suggest that gluten sensitivity (GS) exists in the absence of coeliac disease (CD). This clinical entity has been termed noncoeliac gluten sensitivity (NCGS). ⋯ GS is commonly self-reported with symptoms suggesting an association with irritable bowel syndrome. The majority of patients have NCGS, an entity which demonstrates clinical and immunologic difference to CD.