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Long-term outcomes after endoscopic removal of malignant colorectal polyps:Results from a 10-year cohort

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World Journal of Gastrointestinal Endoscopy 2024年第4期16卷 193-205页

作者： Anna Fábián Renáta bor Béla Vasas Mónika Szűcs Tibor Tóth zsófia Bősze Kata Judit Szántó Péter Bacsur Anita Bálint Bernadett Farkas Klaudia Farkas Ágnes Milassin Mariann Rutka Tamás Resál Tamás Molnár Zoltán Szepes Department of Internal Medicine University of SzegedSzent-Györgyi Albert Medical SchoolSzeged 6725Hungary Department of Pathology University of SzegedSzent-Györgyi Albert Medical SchoolSzeged 6725Hungary Department of Medical Physics and Medical Informatics University of SzegedSzent-Györgyi Albert Medical SchoolSzeged 6720Hungary USZ Translational Colorectal Research Group Hungarian Centre of Excellence for Molecular MedicineSzeged 6725Hungary

BACKGROUND Choosing an optimal post-polypectomy management strategy of malignant colorectal polyps is challenging,and evidence regarding a surveillance-only strategy is *** To evaluate long-term outcomes after endoscopic removal of malignant colorectal *** A single-center retrospective cohort study was conducted to evaluate outcomes after endoscopic removal of malignant colorectal polyps between 2010 and *** disease rate and nodal metastases after secondary surgery and local and distant recurrence rate for those with at least 1 year of follow-up were *** rates for categorical variables and means for continuous variables with 95%confidence intervals were calculated,and Fisher’s exact test and Mann-Whitney test were *** risk factors of adverse outcomes were RESULTS In total,135 lesions(mean size:22.1 mm;location:42%rectal)from 129 patients(mean age:67.7 years;56%male)were *** proportion of pedunculated and non-pedunculated lesions was similar,with en bloc resection in 82%and 47%of lesions,*** differentiation,distance from resection margins,depth of submucosal invasion,lymphovascular invasion,and budding were reported at 89.6%,45.2%,58.5%,31.9%,and 25.2%,*** tumor was found in 10 patients,and nodal metastasis was found in 4 of 41 patients who underwent secondary surgical *** analysis identified piecemeal resection as a risk factor for residual malignancy(odds ratio:1.74;P=0.042).At least 1 year of follow-up was available for 117 lesions from 111 patients(mean follow-up period:5.59 years).Overall,54%,30%,30%,11%,and 16%of patients presented at the 1-year,3-year,5-year,7-year,and 9-10-year surveillance *** outcomes occurred in 9.0%(local recurrence and dissemination in 4 patients and 9 patients,respectively),with no difference between patients undergoing secondary surgery and surveillance *** Reporting of histological featur

关键词： Malignant colorectal polyps T1 tumor Endoscopic removal Outcomes Long-term Surveillance

Sex-dependent increase of movement activity in the freshwater isopod Asellus aquaticus following adaptation to a predator-free cave habitat

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Current Zoology 2023年第4期69卷 418-425页

作者： ELTE Eötvös Loránd University Hajriz Berisha Gergely Horváth Žiga Fišer Gergely Balázs Cene Fišer Gábor Herczeg Author Notes Behavioural Ecology Group Department of Systematic Zoology and EcologyBiological InstituteELTE Eötvös Loránd UniversityPázmány Péter sétány 1/CBudapestHungary H-1117 ELKH-ELTE-MTM Integrative Ecology Research Group Pázmány Péter sétány 1/CBudapestHungary H-1117 Department of Biology Biotechnical FacultyUniversity of LjubljanaJamnikarjeva 1011000 LjubljanaSlovenia

Populations experiencing negligible predation pressure are expected to evolve higher behavioral ***,when sexes have different expected benefits from high activity,the adaptive shift is expected to be ***,we compared movement activity of one cave(lack of predation)and three adjacent surface(high and diverse predation)populations of Asellus aquaticus,a freshwater isopod known for its independent colonization of several caves across *** predicted 1)higher activity in cave than in surface populations,with 2)the difference being more pronounced in males as they are known for active mate searching behavior,while females are *** was assessed both in the presence and absence of *** results supported both predictions:movement activity was higher in the cave than in the surface populations,particularly in *** predation pressure in the cave-adapted population is most likely the main selective factor behind increased behavioral activity,but we also showed that the extent of increase is sex-specific.

关键词： adaptation cave colonization movement activity predator-free environment

Seroreactivity against Saccharomyces cerevisiae in patients with Crohn's disease and celiac disease

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World Journal of Gastroenterology 2003年第10期9卷 2308-2312页

作者： zsolt Barta István Csíp■ Gábor G.Szabó Gyula Szegedi 3~(nd) Department of Medicine University of DebrecenMóricz Zs.Krt.22.4004 DebrecenHungary

AIM:To explore whether there was anti-Saccharomyces cerevisiae antibodies (ASCA) positivity in our patients with biopsy-confirmed celiac disease. METHODS:A cohort of patients with inflammatory bowel diseases (42 patients with Crohn's disease and 10 patients with ulcerative colitis) and gluten sensitive enteropathy (16 patients) from Debrecen,Hungary were enrolled in the study. The diagnosis was made using the formally accepted criteria. Perinuclear antineutrophil cytoplasmic antibodies (pANCA) and anti-Saccharomyces cerevisiae antibodies (ASCA), antiendomysium antibodies (EMA),antigliadin antibodies (AGA) and anti human tissue transglutaminase antibodies (tTGA) were investigated. RESULTS:The results showed that ASCA positivity occurred not only in Crohn's disease but also in Celiac disease and in these cases both the IgG and IgA type antibodies were proved. CONCLUSION:It is conceivable that ASCA positivity correlates with the (auto-) immune inflammation of small intestines and it is a specific marker of Crohn's disease.

关键词： Adult Antibodies, Antineutrophil Cytoplasmic Antibodies, Fungal Celiac Disease Cohort Studies Crohn Disease Female Gliadin Humans Immunoglobulin A Immunoglobulin G Male Middle Aged Saccharomyces cerevisiae Seroepidemiologic Studies

Visceral leishmaniasis in an immunocompetent Hungarian adult patient

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Health 2011年第1期3卷 1-5页

作者： Zoltán Péterfi zsuzsanna Nemes Szabolcs Vigvári árpád Szomor László Kereskai István Kucsera Balázs Tánczos Gábor Ternák 不详

Visceral leishmaniasis caused by L. infantum Nicolle 1908 (Kinetoplastida, Trypanosomatidae) is very rare in immunocompetent adults. Clinical manifestation of the infection occurs in children and immune-compromised patients associated with AIDS, haemopoietic malignancies or after renal, liver, and heart transplantations in Europe. Hungary is regarded free of leishmaniasis. Except for a single infection in a small girl without a travel history, only a few imported cases have been recorded among Hungarians returning from endemic areas. Case presentation: Visceral leishmaniasis was diagnosed in a 32 years old immumocompetent Hungarian man who had spent his holidays during the previous 3 years in Dalmatian territories (Dubrovnik, Makarska and Trogir) of Croatia. He had two months history of fever, chills, and night sweating associated with weight loss. Physical examination showed mild hepatomegaly and extreme splenomegaly. The protozoon infection was confirmed by parasitological, serological and molecular biological methods. Clinical recovery of the patient was observed after treatment with amphotericin B. Conclusion: We want to highlight the effects of climate changes and to call attention of health care professionals in Central and Eastern European countries to consider the possibility of leishmaniasis as an emerging disease of tourists returned from endemic re-gions.

关键词： Visceral Leishmaniasis Immunocompetent Human Imported Hungary Amphotericin B

Visceral leishmaniasis in an immunocompetent Hungarian adult patient

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