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Road to recompensation:BavenoⅦcriteria and transjugular intrahepatic portosystemic shunt in liver cirrhosis

World Journal of Gastroenterology 2024年第32期30卷 3743-3747页

作者： muhammad aarish anis Ammara Abdul Majeed Shahab Abid Department of Medicine Section of GastroenterologyAga Khan University HospitalSindhKarachi 74800Pakistan

Liver cirrhosis has long been considered a point of no return,with limited hope for ***,recent advancements,particularly the Baveno VII criteria and the utilization of transjugular intrahepatic portosystemic shunt(TIPS),have illuminated the concept of hepatic *** this editorial we comment on the article by Gao et al published in the recent *** editorial provides a comprehensive overview of the evolution of understanding cirrhosis,the criteria for recompensation,and the efficacy of TIPS in achieving *** discuss key findings from recent studies,including the promising outcomes observed in patients who achieved recompensation post-TIPS *** further research is needed to validate these findings and elucidate the mechanisms underlying recompensation,the insights presented here offer renewed hope for patients with decompensated cirrhosis and highlight the potential of TIPS as a therapeutic option in their management.

关键词： Decompensated hepatic cirrhosis Hepatic recompensation Transjugular intrahepatic portosystemic shunt Variceal bleeding Refractory ascites

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Foregut tuberculosis:Too close but miles apart

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World Journal of Clinical Cases 2024年第32期12卷 6517-6525页

作者： Yumna Shahid muhammad aarish anis Shahab Abid Department of Medicine Section of GastroenterologyAga Khan University HospitalKarachi 74800Pakistan Medical College Aga Khan University HospitalKarachi 74800Pakistan

The worldwide burden of tuberculosis(TB)has increased and it can involve virtually any organ of the *** TB accounts for about 2%of the cases of TB *** ileocecal region is the most commonly affected site,and the foregut is rarely *** reported incidence is approximately 0.5%.Esophageal TB presents with dysphagia,weight loss,and hematemesis in rare *** TB usually manifests with symptoms such as nausea,vomiting,weight loss,and sometimes with gastric outlet *** may reveal shallow ulcers in stomach and duodenal deformity when underlying TB is suspected,therefore histopathology plays pivotal *** computed tomography,duodenal TB typically manifests as duodenal strictures predominantly,accompanied by extrinsic compression,and occasionally as intraluminal *** their diagnosis can easily be missed if proper biopsies are not taken and samples are not sent for GeneXpert testing,TB polymerase chain reaction investigation and histopathological *** being in close proximity to the lungs,the esophagus and stomach are rare sites of *** reasons could be low gastric pH and acidity which does not let mycobacterium *** there are various case reports of TB involving the *** have summarized the rare cases of foregut TB in different sections and highlighted the importance of esophagogastroduodenoscopy,histopathology and advanced techniques like endoscopic ultrasound in establishing the diagnosis.

关键词： Foregut Tuberculosis Gastroduodenal Esophagogastroduodenoscopy Mycobacterium Caseating granulomas

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