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Will artificial intelligence reach any limit in gastroenterology?

Artificial Intelligence in Gastroenterology 2024年第2期5卷 1-9页

作者： joseph bou jaoude Rose Al Bacha Bassam Abboud Department of Gastroenterology Levant HospitalBeirut 166830Lebanon Department of General Surgery Geitaoui HospitalFaculty of MedicineLebanese UniversityLebanonBeirut 166830Lebanon

Endoscopy is the cornerstone in the management of digestive *** the last few decades,technology has played an important role in the development of this field,helping endoscopists in better detecting and characterizing luminal ***,despite ongoing advancements in endoscopic technology,the incidence of missed pre-neoplastic and neoplastic lesions remains high due to the operator-dependent nature of endoscopy and the challenging learning curve associated with new *** intelligence(AI),an operator-independent field,could be an invaluable *** can serve as a“second observer”,enhancing the performance of endoscopists in detecting and characterizing luminal *** utilizing deep learning(DL),an innovation within machine learning,AI automatically extracts input features from targeted endoscopic *** encompasses both computer-aided detection and computer-aided diagnosis,assisting endoscopists in reducing missed detection rates and predicting the histology of luminal digestive *** applications in clinical gastrointestinal diseases are continuously expanding and evolving the entire digestive *** all published studies,real-time AI assists endoscopists in improving the performance of non-expert gastroenterologists,bringing it to a level comparable to that of *** development of DL may be affected by selection *** have utilized different AI-assisted models,which are *** the future,algorithms need validation through large,randomized ***,AI has no limit to assist endoscopists in increasing the accuracy and the quality of endoscopic ***,practically,we still have a long way to go before standardizing our AI models to be accepted and applied by all gastroenterologists.

关键词： Artificial intelligence Digestive tract Gastroenterology Gastroscopy Coloscopy

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Isolated fever induced by mesalamine treatment

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World Journal of Gastroenterology 2013年第7期19卷 1147-1149页

作者： Rita Slim joseph Amara Roy Nasnas Khalil Honein joseph bou jaoude Cesar Yaghi Fady Daniel Raymond Sayegh Department of Gastroenterology Hotel Dieu de France University HospitalSaint Joseph University Department of Infectious Diseases Hotel Dieu de France University HospitalSaint Joseph University

Adverse reactions to mesalamine,a treatment used to induce and maintain remission in inflammatory bowel diseases,particularly ulcerative colitis,have been described in the literature as case *** case illustrates an unusual adverse *** patient developed an isolated fever of unexplained etiology,which was found to be related to mesalamine treatment.A 22-year-old patient diagnosed with ulcerative colitis developed a fever with rigors and anorexia 10 d after starting oral mesalamine while his colitis was clinically *** revealed no infection.A mesalamineinduced fever was considered,and treatment was stopped,which led to spontaneous resolution of the *** diagnosis was confirmed by reintroducing the *** year later,this side effect was noticed again in the same patient after he was administered topical *** reaction to mesalamine seems to be idiosyncratic,and the mechanism that induces fever remains *** encountered in the course of a mesalamine treatment in ulcerative colitis must be considered a mesalamine-induced fever when it cannot be explained by the disease activity,an associated extraintestinal manifestation,or an infectious etiology.

关键词： Mesalamine 5-aminosalicylic acid Side effects Adverse reactions Fever

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Consequences of dysthyroidism on the digestive tract and viscera

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世界胃肠病学杂志：英文版 2009年第23期15卷 2834-2838页

作者： Ronald Daher Thierry Yazbeck Joe bou jaoude Bassam Abboud Department of General Surgery Hotel Dieu de France Hospital Faculty of Medicine Saint-Joseph University Beirut 16-6830 Lebanon Department of Gastroenterology Hotel Dieu de France Hospital Faculty of Medicine Saint-Joseph University Beirut 16-6830 Lebanon

Thyroid hormones def ine basal metabolism throughout the body, particularly in the intestine and viscera. Gastrointestinal manifestations of dysthyroidism are numerous and involve all portions of the tract. Thyroid hormone action on motility has been widely studied, but more complex pathophysiologic mechanisms have been indicated by some studies although these are not fully understood. Both thyroid hormone excess and def iciency can have similar digestive manifestations, such as diarrhea, although the mechanism is different in each situation. The liver is the most affected organ in both hypo-and hyperthyroidism. Specifi c digestive diseases may be associated with autoimmune thyroid processes, such as Hashimoto's thyroiditis and Grave's disease. Among them, celiac sprue and primary biliary cirrhosis are the most frequent although a clear common mechanism has never been proven. Overall, thyroid-related digestive manifestations were described decades ago but studies are still needed in order to conf irm old concepts or elucidate undiscovered mechanisms. All practitioners must be aware of digestive symptoms due to dysthyroidism in order to avoid misdiagnosis of rare but potentially lethal situations.

关键词：消化道内脏消化系统疾病甲状腺激素生理机制甲状腺功能自身免疫性基础代谢

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