Monthly Archives: August 2017
What Is Afflicting This Woman With Celiac Disease?
Question: A 75-year-old woman with celiac disease diagnosed 30 years ago who is not compliant with a gluten-free diet, and has gastroesophageal reflux disease and hypothyroidism, presented with gradually worsening abdominal distension, severe intermit… Continue reading
An Unusual Cause of Hematochezia
Question: A 21-year-old man with a 3-year history of hematochezia presented to the gastroenterology department with drop bright red blood after defecation, which was aggravated after eating spicy foods. He denied any history of hepatitis. On physical e… Continue reading
Chronic Abdominal Pain and Cutaneous Swelling
Question: A 51-year-old man was referred to our tertiary medical center for a 3-year history of intermittent abdominal pain, diarrhea, and associated nontender, nonitchy cutaneous erythema and swelling of his upper and lower extremities (Figure A) and … Continue reading
Therapeutic Drug Monitoring in Inflammatory Bowel Disease
This document presents the official recommendations of the American Gastroenterological Association (AGA) on therapeutic drug monitoring (TDM) in inflammatory bowel disease (IBD). The guideline was developed by the AGA’s Clinical Guidelines Committee… Continue reading
Circulating and Tissue-resident CD4+ T Cells With Reactivity to Intestinal Microbiota Are Abundant in Healthy Individuals and Function is Altered During Inflammation
Interactions between commensal microbes and the immune system are tightly regulated and maintain intestinal homeostasis, but little is known about these interactions in humans. We investigated responses of human CD4+ T cells to the intestinal microbiot… Continue reading
The Epidemiology of Esophageal Adenocarcinoma
The incidence of esophageal adenocarcinoma (EAC) has increased in many Western countries, and is higher in men than women. Some risk factors for EAC have been identified—mainly gastroesophageal reflux disease (GERD), Barrett’s esophagus, obesity, a… Continue reading
Presentation and Epidemiology of Gastroesophageal Reflux Disease
Gastroesophageal reflux disease (GERD) is the most prevalent gastrointestinal disorder in the United States, and leads to substantial morbidity, though associated mortality is rare. The prevalence of GERD symptoms appeared to increase until 1999. Risk … Continue reading
BRCA1 Associated Protein Increases Invasiveness of Esophageal Squamous-Cell Carcinoma
We performed a screen for genes whose expression correlates with invasiveness of esophageal squamous-cell carcinoma (ESCC) cells. We studied the effects of overexpression and knockdown of these genes in cell lines and expression levels in patient samples. Continue reading
BMI1 and MEL18 Promote Colitis-Associated Cancer in Mice via REG3B and STAT3
This study documents that BMI1 and MEL18 are required for colitis-associated cancer (CAC) development via regulating a novel REG3B-STAT3 signaling pathway. The findings may have wide implications for the prevention and treatment of CAC. Continue reading
Intra-hepatic Depletion of Mucosal Associated Invariant T cells in Hepatitis C Virus-induced Liver Inflammation
Chronic hepatitis affects phenotypes of innate and adaptive immune cells. Mucosal associated invariant T (MAIT) cells are enriched in the liver as compared to the blood, respond to intra-hepatic cytokines, and (via the semi-invariant T-cell receptor) t… Continue reading