World journal of gastroenterology : WJG
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World J. Gastroenterol. · Jun 2015
ReviewDiagnosis of gluten related disorders: Celiac disease, wheat allergy and non-celiac gluten sensitivity.
Cereal crops and cereal consumption have had a vital role in Mankind's history. In the recent years gluten ingestion has been linked with a range of clinical disorders. Gluten-related disorders have gradually emerged as an epidemiologically relevant phenomenon with an estimated global prevalence around 5%. ⋯ On the other hand, non-celiac gluten sensitivity is still mainly a diagnosis of exclusion, in the absence of clear-cut diagnostic criteria. A multimodal pragmatic approach combining findings from the clinical history, symptoms, serological and histological tests is required in order to reach an accurate diagnosis. A thorough knowledge of the differences and overlap in clinical presentation among gluten-related disorders, and between them and other gastrointestinal disorders, will help clinicians in the process of differential diagnosis.
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World J. Gastroenterol. · Jun 2015
Impact of body mass index on complications following pancreatectomy: Ten-year experience at National Cancer Center in China.
To examine the impact of body mass index (BMI) on outcomes following pancreatic resection in the Chinese population. ⋯ Higher BMI increases the risk for postoperative complications after pancreatectomy in the Chinese population. The findings require replication in future studies with larger sample sizes.
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World J. Gastroenterol. · Jun 2015
Effects of electroacupuncture on corticotropin-releasing hormone in rats with chronic visceral hypersensitivity.
To investigate the effect of electroacupuncture on corticotropin-releasing hormone (CRH) in the colon, spinal cord, and hypothalamus of rats with chronic visceral hypersensitivity. ⋯ Electroacupuncture at the Shangjuxu acupoint was able to significantly reduce the visceral hypersensitivity in rats, and regulated the expression of CRH protein and mRNA in the colon, spinal cord and hypothalamus at different levels, playing a therapeutic role in this model of irritable bowel syndrome.
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World J. Gastroenterol. · Jun 2015
Assessment of the correlation between serum prolidase and alpha-fetoprotein levels in patients with hepatocellular carcinoma.
To determine the predictive value of increased prolidase activity that reflects increased collagen turnover in patients with hepatocellular carcinoma (HCC). ⋯ Considering the levels of both serum prolidase and AFP could contribute to the early diagnosing of hepatocellular carcinoma.
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World J. Gastroenterol. · Jun 2015
Review Meta AnalysisStandard chemotherapy with cetuximab for treatment of colorectal cancer.
To review and assess the evidence related to cetuximab treatment in metastatic colorectal cancer (mCRC) with regard to KRAS status. ⋯ The clinical benefit of cetuximab was only confirmed in patients with wild-type KRAS. KRAS status could be considered a biomarker of efficacy of cetuximab.