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chinese national clinical practice guidelines on the prevention,diagnosis,and treatment of early gastric cancer

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chinese medical Journal 2024年第8期137卷 887-908页

作者： Peng Li Ziyu Li Enqiang Linghu Jiafu Ji society of Digestive Endoscopy of the chinese medical a.socia.ion Colorectal Surgery Group of the chinese medical a.socia.ion chinese a.socia.ion of Gastroenterologists&Hepatologists National Clinical Research Center for Digestive Diseases chinese medical Journal Clinical Practice Guideline Collaborative Department of Gastroenterology Beijing Friendship HospitalCapital Medical UniversityNational Clinical Research Center for Digestive DiseaseBeijing 100050China Department of Gastrointestinal Surgery Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education)Peking University Cancer Hospital and InstituteBeijing 100142China Department of Gastroenterology and hepatology the First Medical CenterChinese People’s Liberation Army General HospitalBeijing 100853China 不详

Background:Gastric cancer is one of the most common malignant tumors in the digestive system in *** comprehensive practice guidelines for early gastric cancer in China are currently ***,we created the chinese national clinical practice guideline for the prevention,diagnosis,and treatment of early gastric ***:This clinical practice guideline(CPG)was developed in accordance with the World Health Organization’s recommended process and with the Grading of Recommendations Assessment,Development,and Evaluation(GRADE)in assessing evidence *** used the Evidence to Decision framework to formulate clinical recommendations to minimize bias and increase transparency in the CPG development *** used the Reporting Items for practice Guidelines in HealThcare(RIGHT)statement and the Appraisal of Guidelines for Research and Evaluation II(AGREE II)as reporting and conduct guidelines to ensure completeness and transparency of the ***:This CPG contains 40 recommendations regarding the prevention,screening,diagnosis,treatment,and follow-up of early gastric cancer based on available clinical studies and *** provide recommendations for the timing of Helicobacter pylori eradication,screening populations for early gastric cancer,indications for endoscopic resection and surgical gastrectomy,follow-up interval after treatment,and other ***:This CPG can lead to optimum care for patients and populations by providing up-to-date medical *** intend this CPG for widespread adoption to increase the standard of prevention,screening,diagnosis,treatment,and follow-up of early gastric cancer;thereby,contributing to improving national health care and patient quality of life.

关键词： Early gastric cancer Prevention Screening Diagnosis Treatment Follow-up

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中国遗传性血色病诊疗指南

中华肝脏病杂志 2024年第9期32卷 787-798页

作者：中华医学会肝病学分会贾继东徐小元不详首都医科大学附属北京友谊医院肝病中心北京100050 北京大学第一医院感染科北京100034

遗传性血色病(HH)是由于铁调节相关基因变异所引起的铁过载性疾病,因大量的铁沉积在肝脏、心脏、皮肤、胰腺及性腺等器官并导致相应的多系统损害。HH在欧美人群相对常见,主要由HFE基因突变引起;在中国和其他亚洲国家罕见,主要由非HEF基... 详细信息

遗传性血色病(HH)是由于铁调节相关基因变异所引起的铁过载性疾病,因大量的铁沉积在肝脏、心脏、皮肤、胰腺及性腺等器官并导致相应的多系统损害。HH在欧美人群相对常见,主要由HFE基因突变引起;在中国和其他亚洲国家罕见,主要由非HEF基因突变引起。其临床特征是原因不明的慢性肝炎或肝硬化,伴有血清铁蛋白升高和/或转铁蛋白饱和度升高,MRI显示肝脏铁沉积,肝活检显示肝细胞铁沉积,基因检测有助于确诊HH。放血治疗是治疗HH的首选疗法,对于不能耐受者可采用铁螯合剂治疗,发展至终末期肝病者需行肝移植。为帮助临床医师在HH的诊治中做出合理决策,中华医学会肝病学分会组织临床、分子遗传学、病理学、影像学和临床研究方法学等领域的专家,系统总结了国内外有关研究进展,共同制订了本指南。

关键词：遗传性血色病诊断治疗指南

加速消除乙型肝炎病毒感染:扩大预防和治疗专家建议

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中华肝脏病杂志 2024年第6期32卷 497-503页

作者：中华医学会肝病学分会肝炎学组中华肝脏病杂志编辑委员会胡鹏尤红窦晓光不详重庆医科大学附属第二医院重庆400010 首都医科大学附属北京友谊医院北京100050 中国医科大学附属盛京医院沈阳110000

为了早日实现世界卫生组织提出的"2030年消除病毒性肝炎作为公共卫生危害"目标,针对乙型肝炎预防和治疗方面尚未形成共识的相关问题,包括全人群筛查、成人乙型肝炎疫苗接种、乙型肝炎病毒DNA定量值的评价、启动抗病毒治疗的丙氨酸转氨... 详细信息

为了早日实现世界卫生组织提出的"2030年消除病毒性肝炎作为公共卫生危害"目标,针对乙型肝炎预防和治疗方面尚未形成共识的相关问题,包括全人群筛查、成人乙型肝炎疫苗接种、乙型肝炎病毒DNA定量值的评价、启动抗病毒治疗的丙氨酸转氨酶阈值、"不确定期"患者的治疗、合并感染及合并症患者的治疗等方面问题,形成专家建议,旨在进一步扩大乙型肝炎的预防与治疗,加速消除乙型肝炎病毒感染。

关键词：慢性乙型肝炎乙型肝炎病毒预防治疗专家建议

Guidelines for the Management of Cholestatic Liver Diseases (2021)

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Journal of Clinical and Translational hepatology 2022年第4期10卷 757-769页

作者： Lungen Lu chinese society of hepatology chinese medical a.socia.ion Department of Gastroenterology Shanghai General HospitalShanghai Jiaotong University School of MedicineShanghaiChina

In 2015, the chinese society of hepatology and the chinese society of Gastroenterology issued a consensus statement on the diagnosis and management of cholestatic liver diseases. More clinical data on this topic have appeared during recent years. The Autoimmune Liver Disease Group of the chinese society of hepatology organized an expert group to review recent evidence and provide an update to these previous guidelines. Herein, we provide 22 recommendations as a working reference for the management of cholestatic liver diseases by clinical practitioners.

关键词： Cholestatic liver disease Diagnosis Therapeutics Practice guidelines

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肝硬化肝性脑病诊疗指南(2024年版)

中华肝脏病杂志 2024年第9期32卷 799-812页

作者：中华医学会肝病学分会徐小元丁惠国李文刚韩莹关玉娟贾继东魏来段钟平南月敏庄辉不详北京大学第一医院感染科北京100034 首都医科大学附属北京佑安医院肝病中心解放军总医院第五医学中心肝脏肿瘤诊疗与研究中心广州医科大学附属市八医院肝病中心首都医科大学附属北京友谊医院肝病中心清华大学附属北京清华长庚医院肝胆胰中心河北医科大学第三医院中西医结合肝病科北京大学医学部病原生物学系

随着国内外有关肝硬化肝性脑病的基础和临床研究进展,中华医学会肝病学分会组织相关领域专家对2018年《肝硬化肝性脑病诊疗指南》进行了修订,对肝硬化肝性脑病的临床诊断、治疗、一级和二级预防提出了指导性建议。

关键词：肝硬化肝性脑病诊断治疗指南

Guidelines for Prevention and Treatment of Chronic Hepatitis B

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Journal of Clinical and Translational hepatology 2021年第5期9卷 769-791页

作者： Guiqiang Wang Zhongping Duan chinese society of Infectious Diseases,chinese medical a.socia.ion chinese society of hepatology,chinese medical a.socia.ion Center for Liver Diseases Department of Infectious DiseasesPeking University First Hospital Department of Infectious and Liver Diseases Peking University International HospitalBeijingChina

To achieve the goal of the World Health Organization to eliminate viral hepatitis as a major public health threat by 2030,the chinese society of Infectious Diseases and the chinese society of hepatology convened an expert panel in 2019 to update the guidelines for the prevention and treatment of chronic hepatitis B(CHB).The current guidelines cover recent advances in basic,clinical,and preventive studies of CHB infection and consider the actual situation in *** guidelines are intended to provide support for the prevention,diagnosis,and treatment of CHB.

关键词： Hepatitis B Chronic Guidelines Prevention Treatment

chinese national clinical practice guideline on diagnosis and treatment of biliary tract cancers

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中华医学杂志(英文版) 2024年第19期

作者： Wang Xu’an Bai Yongrui Chai Ningli Li Yexiong Linghu Enqiang Wang Liwei Liu Yingbin society of Hepato-pancreatobiliary Surgery of chinese Research Hospital a.socia.ion society of Digestive Endoscopy of the chinese medical a.socia.ion chinese medical Journal Clinical Practice Guideline Collaborative Department of Biliary and Pancreatic Surgery Renji Hospital Shanghai Jiao Tong University School of Medicine State Key Laboratory of Systems Medicine for Cancers Shanghai Cancer Institute Shanghai Key Laboratory for Cancer Systems Regulation and Clinical Translation Shanghai China Department of Radiation Oncology Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai China Department of Gastroenterology and hepatology the First Medical Center Chinese People’s Liberation Army General Hospital Beijing China State Key Laboratory of Molecular Oncology and Department of Radiation Oncology National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC) Beijing China State Key Laboratory of Oncogenes and Related Genes Shanghai Cancer Institute Department of Oncology Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai China

Background: Biliary tract carcinoma (BTC) is relatively rare and comprises a spectrum of invasive tumors arising from the biliary tree. The prognosis is extremely poor. The incidence of BTC is relatively high in Asian countries, and a high number of cases are diagnosed annually in China owing to the large population. Therefore, it is necessary to clarify the epidemiology and high-risk factors for BTC in China. The signs associated with BTC are complex, often require collaborative treatment from surgeons, endoscopists, oncologists, and radiation therapists. Thus, it is necessary to develop a comprehensive chinese guideline for ***: This clinical practice guideline (CPG) was developed following the process recommended by the World Health Organization. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to assess the certainty of evidence and make recommendations. The full CPG report was reviewed by external guideline methodologists and clinicians with no direct involvement in the development of this CPG. Two guideline reporting checklists have been adhered to: Appraisal of Guidelines for Research and Evaluation (AGREE) and Reporting Items for practice Guidelines in Healthcare (RIGHT).Results: The guideline development group, which comprised 85 multidisciplinary clinical experts across China. After a controversies conference, 17 clinical questions concerning the prevention, diagnosis, and treatment of BTC were proposed. Additionally, detailed descriptions of the surgical principles, perioperative management, chemotherapy, immunotherapy, targeted therapy, radiotherapy, and endoscopic management were ***: The guideline development group created a comprehensive chinese guideline for the diagnosis and treatment of BTC, covering various aspects of epidemiology, diagnosis, and treatment. The 17 clinical questions have important reference value for the management of BTC.

关键词： Biliary tract carcinoma Etiology Diagnosis Treatment Surgery

代谢相关(非酒精性)脂肪性肝病防治指南(2024年版)

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中华肝脏病杂志 2024年第4期32卷 418-434页

作者：中华医学会肝病学分会范建高南月敏魏来徐小元贾继东庄辉施军平李小英孙超李婕黄炜燊段钟平不详上海交通大学医学院附属新华医院消化内科上海200092 河北医科大学第三医院中西医结合肝病科石家庄050051 清华大学附属北京清华长庚医院肝胆胰中心北京102218 北京大学第一医院首都医科大学附属北京友谊医院北京大学医学部杭州师范大学附属医院复旦大学附属中山医院上海交通大学医学院附属新华医院南京大学医学院附属鼓楼医院香港中文大学医学院中国香港首都医科大学附属北京佑安医院

中华医学会肝病学分会组织相关专家对《非酒精性脂肪性肝病防治指南(2018更新版)》进行了修订,更名为《代谢相关(非酒精性)脂肪性肝病防治指南(2024年版)》,对代谢相关脂肪性肝病的筛查和监测、诊断和评估、治疗和随访等临床问题提出了... 详细信息

中华医学会肝病学分会组织相关专家对《非酒精性脂肪性肝病防治指南(2018更新版)》进行了修订,更名为《代谢相关(非酒精性)脂肪性肝病防治指南(2024年版)》,对代谢相关脂肪性肝病的筛查和监测、诊断和评估、治疗和随访等临床问题提出了指导性建议。

关键词：非酒精性脂肪性肝病脂肪性肝病代谢相关脂肪性肝病诊断治疗预后指南

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儿童慢性乙型肝炎防治专家共识

中华肝脏病杂志 2024年第5期32卷 435-448页

作者：中华医学会感染病学分会中华医学会肝病学分会中华医学会儿科学分会感染学组国家感染性疾病临床医学研究中心王福生朱世殊徐小元张敏王建设李双杰福军亮李元元郭玉明李静许红梅欧阳文献南月敏舒赛男党双锁李太生侯金林不详解放军总医院国家感染性疾病临床医学研究中心北京100039 解放军总医院第五医学中心北京100039 北京大学第一医院北京100034 复旦大学附属儿科医院湖南省儿童医院重庆医科大学附属儿童医院河北医科大学第三医院华中科技大学同济医学院附属同济医院西安交通大学第二附属医院中国医学科学院北京协和医院南方医科大学南方医院

为了规范儿童慢性乙型肝炎的预防、诊断和抗病毒治疗,实现世界卫生组织提出的"2030年消除病毒性肝炎公共卫生危害"目标,由中华医学会感染病学分会、肝病学分会、儿科学分会感染学组和国家感染性疾病临床医学研究中心组织有关专家,以国... 详细信息

为了规范儿童慢性乙型肝炎的预防、诊断和抗病毒治疗,实现世界卫生组织提出的"2030年消除病毒性肝炎公共卫生危害"目标,由中华医学会感染病学分会、肝病学分会、儿科学分会感染学组和国家感染性疾病临床医学研究中心组织有关专家,以国内外慢性乙型肝炎防治指南及近年来儿童乙型肝炎抗病毒治疗的临床研究进展为依据,结合我国诊疗实际情况及经验,制定了《儿童慢性乙型肝炎防治专家共识》。以期为临床医师做出合理的治疗决策提供更多的参考和依据。

关键词：慢性乙型肝炎儿童治疗预防共识