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Concise review on short bowel syndrome: Etiology, pathophysiology, and management

World Journal of Clinical Cases 2022年第31期10卷 11273-11282页

作者： Saraswathi Lakkasani Deeksha Seth Imran Khokhar Masara Touza theodore Jr dacosta Gastroenterology and Hepatology Saint Michael’s Medical Center in Affiliation with New York Medical CollegeNewarkNJ 07102United States Gastroenterology Chandan Institute of Liver and Biliary SciencesLucknow 226001India Medicine Suburban Medical CenterNorristownPA 19401United States Medicine Saint Michael’s Medical Center in Affiliation with New York Medical CollegeNewarkNJ 07102United States

Adults have approximately 20 feet of small intestine,which is the primary site for absorbing essential nutrients and *** of the intestine for any medical reason may result in short bowel syndrome(SBS),leading to loss of major absorptive surface area and resulting in various malabsorption and motility *** mainstay of treatment is personalized close dietary *** we present SBS with its pathophysiology and different nutritional management options *** central perspective of this paper is to provide a concise review of SBS and the treatment options available,along with how proper nutrition can solve major dietary issues in SBS and help patients recover faster.

关键词： Short bowel Small bowel resection Malabsorption Nutrition Intestinal transplantation

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Association of non-alcoholic fatty liver and metabolic-associated fatty liver with COVID-19 outcomes:A systematic review and metaanalysis

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World Journal of Gastroenterology 2023年第21期29卷 3362-3378页

作者： Gowthami Sai Kogilathota Jagirdhar Rakhtan K Qasba Harsha Pattnaik Kaanthi Rama Akshat Banga Shiva Teja Reddy Anna Carolina Flumignan Bucharles Rahul Kashyap Praveen Reddy Elmati Vikas Bansal Yatinder Bains theodore dacosta Salim Surani Department of Medicine Saint Michaels Medical CenterNewarkNJ 07102United States Department of Medicine Green Life Medical College and HospitalDhaka 1205Bangladesh Department of Medicine Lady Hardinge Medical CollegeNew Delhi 110001India Department of Medicine Gandhi Medical CollegeTelangana 500003India Department of Medicine Sawai Man Singh Medical CollegeJaipur 302004RajistanIndia Department of Medicine Universidade PositivoCuritiba 81290-000PRBrazil Research WellSpan HealthYorkPA 17403United States Department of Interventional Pain Medicine University of LouisvilleLouisvilleKY 40292United States Department of Internal Medicine Mayo ClinicRochesterMN 55902United States Department of Gastroenterology Saint Michaels Medical CenterNewarkNJ 07102United States Department of Medicine Texas A&M UniversityCollege StationTX 77843United States

BACKGROUND Non-alcoholic fatty liver disease(NAFLD)and metabolic-associated fatty liver disease(MAFLD)are on the rise like any other liver disease,and tend to affect 25%of the United States *** impact of NAFLD and MAFLD on patients with coronavirus disease 2019(COVID-19)remains *** To identify the association of NAFLD and MAFLD with mortality,hospitalization,hospital length of stay,and supplemental oxygen utilization in COVID-19 *** A systematic review of literature on Cochrane,Embase,PubMed,ScienceDirect,and Web of Science databases was conducted from January 2019 to July *** that evaluated NAFLD/MAFLD using laboratory methods,noninvasive imaging,or liver biopsy were *** study protocol was registered in PROSPERO(ID CRD42022313259)and PRISMA guidelines were *** National Institutes of Health quality assessment tool was used to assess the quality of the *** analysis was conducted using software Rev Man version *** stability of the results was assessed using sensitivity *** Thirty-two studies with 43388 patients were included in the meta-analysis of whom 8538(20%)patients were observed to have *** were 42254 patients from 28 studies included in the mortality analysis.A total of 2008 patients died from COVID-19;837(10.52%)in the NAFLD group and 1171(3.41%)in the non-NAFLD *** odds ratio(OR)was 1.38 for mortality with a 95%confidence interval(95%CI)=0.97-1.95 and P=0.07.A total of 5043 patients from eight studies were included in the hospital length of stay *** were 1318 patients in the NAFLD group and 3725 patients in the non-NAFLD group.A qualitative synthesis showed that the mean difference in hospital length of stay was about 2 d between the NAFLD and non-NAFLD groups with a 95%CI=0.71-3.27 and P=*** hospitalization rates,the OR was 3.25 with a 95%CI of 1.73-6.10 and P=*** supplemental oxygen utilization,the OR was 2.04 with a 95%CI of 1.17-3.5

关键词： Non-alcoholic fatty liver Fatty liver Coronavirus COVID-19 Metabolic-associated fatty liver

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