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Gastrointestinal Disorders, Volume 8, Issue 3

2026 September - 27 articles

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Articles (27)

  • Systematic Review
  • Open Access

Metabolic and Bariatric Surgery Before Kidney Transplantation: Referral Considerations, Access Outcomes, Procedure Choice, Safety, and Evidence Gaps—A Systematic Review and Exploratory Meta-Analysis

  • Moshe Argaman,
  • Chen Klechevski,
  • Aviad Gravetz,
  • Yael Ben Avraham,
  • Nadav Vaknin,
  • Rotem Horowitz,
  • Ali Safadi,
  • Ali Mousa Saida,
  • Murtaja Satea and
  • Fahim Kanani
  • + 3 authors

Background/Objectives: Obesity can delay kidney-transplant listing, and metabolic and bariatric surgery (MBS) may help address this barrier, but its role, timing, and procedure choice are not established for every candidate. We evaluated transplant-a...

(This article belongs to the Special Issue GastrointestinaI & Bariatric Surgery)
  • Review
  • Open Access
6 Views
45 Pages

Background: Eosinophilic esophagitis (EoE) is a chronic, immune-mediated esophageal disease characterized by symptoms of esophageal dysfunction and eosinophil-predominant inflammation. Increasing recognition of EoE and advances in its diagnosis and m...

  • Article
  • Open Access
220 Views
19 Pages

Feasibility of Transitioning Adults with Mild-to-Moderate Reflux from Proton Pump Inhibitors to a Patented Papaya–Oat Food Supplement: A Single-Arm Pilot Study

  • Svetoslav Stoev,
  • Vesselina Yanachkova,
  • Hristina Lebanova,
  • Elina Petkova-Gueorguieva,
  • Stanislav Gueorguiev and
  • Vasil Koynarski

Background: Proton pump inhibitors (PPIs) serve as efficacious therapies for acid-related conditions; nonetheless, the possibility of unwarranted prolonged usage has led to heightened focus on PPI management and suitable deprescribing practices. Inve...

  • Brief Report
  • Open Access
172 Views
6 Pages

Elevated Plasma Adrenomedullin Levels in Patients with Unresectable Advanced Gastrointestinal Cancers

  • Yoshinori Ozono,
  • Hotaka Tamura,
  • Kazuo Kitamura,
  • Ayumu Hosokawa,
  • Yukiko Otsuki,
  • Hiroshi Hatada,
  • Naomi Uchiyama,
  • Satoshi Shimamoto,
  • Koji Igarashi and
  • Hiroshi Kawakami

Background/Objectives: Adrenomedullin (AM) is a circulating peptide involved in tumor progression, angiogenesis, and fibrosis. However, its clinical utility as a biomarker in gastrointestinal cancers remains unclear. Methods: This single-center prosp...

(This article belongs to the Special Issue Feature Papers in Gastrointestinal Disorders in 2025–2026)
  • Case Report
  • Open Access
222 Views
12 Pages

Background: Liver abscesses represent uncommon yet potentially life-threatening infections of the hepatic parenchyma. Their imaging appearances can vary widely, and—in rare instances—may closely resemble hepatocellular carcinoma (HCC) on...

(This article belongs to the Topic Advances in Gastrointestinal and Liver Disease: From Physiological Mechanisms to Clinical Practice, 2nd Edition)
  • Article
  • Open Access
275 Views
19 Pages

Public Awareness, Label Literacy, and Consumer Behavior Regarding Gluten-Free Products in Arar, Saudi Arabia: Implications for the Supportive Environment of Immune-Mediated Gastrointestinal Disorders

  • Anshoo Agarwal,
  • Sadeem Fahad Alwulayi,
  • Asayil Saleh Alanazi,
  • Ghaliah Farraj Alanzi,
  • Rawan Sawab Albanaqi,
  • Danah Naif Salem Alanzi,
  • Nada Faleh AlRuwaili,
  • Ghala Sultan Ageel Al Enezi,
  • Baraah Abu Alsel and
  • Manal S. Fawzy
  • + 3 authors

Background/Objectives: Community-level knowledge, food-label literacy, and consumer perceptions may shape the environment in which medically indicated gluten-free diets are followed. This study assessed prior exposure to the term “gluten,&rdquo...

  • Article
  • Open Access
229 Views
18 Pages

Cross-Cultural Adaptation and Structural Validation of the Arabic Fecal Incontinence Score in Egyptian Colorectal Disease Patients

  • Rasha Ashmawy,
  • Medhat M. Anwar,
  • Mona Nagy Elwany,
  • Ehab Kamal,
  • Khaled Abd ElAziz Kamal,
  • Sonia S. Saleh,
  • Nourelhoda E. Hassan and
  • Fayek Elkhwsky

Background/Objectives: Fecal incontinence (FI) is an underrecognized complication of inflammatory bowel disease (IBD) and colorectal neoplasia that substantially impairs quality of life. This study translated, culturally adapted, and validated the Ar...

  • Article
  • Open Access
233 Views
22 Pages

Feeding Beyond Diagnosis: Parental Beliefs and Dietary Practices Among Children at Familial Risk for Celiac Disease

  • Vaios Svolos,
  • Dimitra Eleftheria Strongylou,
  • Athanasia Vlachou,
  • Anastasia Triantafyllou,
  • Athina Samara,
  • Georgios Charmantzis,
  • Elli Zoupa,
  • Evanthia Balafa,
  • Eleni Georgakli and
  • Odysseas Androutsos
  • + 3 authors

Background/Objectives: Celiac disease (CD) is a chronic immune-mediated disorder triggered by gluten ingestion in genetically predisposed individuals with higher prevalence among first-degree relatives. Despite its hereditary risk, little is known ab...

(This article belongs to the Special Issue The Interactions of Diet, Genes, Gut Microbiota and Immune System in Health and Disease)
  • Article
  • Open Access
449 Views
15 Pages

Autoimmune, Inflammatory, Autonomic and Enteric Measurements in Patients with Symptoms of Gastroparesis

  • Aishwarya Gollamudi,
  • Prateek Mathur,
  • Harsh Tiwari,
  • Fariah Asha Haque,
  • Chanelle Benjamin,
  • Le Yu Naing,
  • Abigail Stocker,
  • Michael W. Daniels,
  • Matthew Cave and
  • Thomas L. Abell

Background/Objectives: Gastroparesis is a disorder in which individuals experience dysfunctional gastric motor symptoms, but the underlying etiology is unclear. This exploratory study investigates autoimmune, inflammatory, metabolic, autonomic, and e...

  • Article
  • Open Access
293 Views
15 Pages

Background: Patients with inflammatory bowel disease (IBD) are prone to low vitamin D levels; however, data from Southeast Europe on this topic remain sparse. We measured serum 25-hydroxyvitamin D [25(OH)D] concentrations in Albanian patients with in...

  • Case Report
  • Open Access
411 Views
18 Pages

Background: Amoxicillin–clavulanate (AC) is the antibiotic most frequently implicated in idiosyncratic drug-induced liver injury (DILI) worldwide, and it characteristically produces a cholestatic or mixed pattern in older adults. A predominantl...

  • Article
  • Open Access
332 Views
19 Pages

Hemopatch Serosal Reinforcement of Colocolic Anastomoses in Elective Left Colectomy: Feasibility, Safety and Anastomotic Leak Patterns in a Single-Centre Cohort

  • Alaa Zahalka,
  • Moshe Kamar,
  • Moshe Argaman,
  • Moran Cozin,
  • Anastasiia Iserlis,
  • Wasim Shakkur,
  • Firas Abu Akar,
  • Arckadi Isakov,
  • Fahim Kanani and
  • Catia Dayan

Background and Objectives: Anastomotic leak after left-sided colectomy has not declined despite refinements in technique and patient selection, prompting interest in whether local reinforcement might influence the clinical course of leaks that occur...

  • Review
  • Open Access
439 Views
22 Pages

Sexually transmitted infections (STIs) are common and probably underreported causes of proctitis and colitis. Bacterial (chlamydia, gonorrhoea, syphilis, Mycoplasma genitalium), viral (herpes simplex virus, mpox), and amoebic (Entamoeba histolytica)...

  • Article
  • Open Access
301 Views
13 Pages

Site of Gastrointestinal Bleeding in Patients on Direct Oral Anticoagulants Versus Aspirin Monotherapy: A Single-Centre Retrospective Cohort Study

  • Pier-Valerio Mari,
  • Annalisa Schifano,
  • Angela Saviano,
  • Andrea Piccioni,
  • Giacomo Costati,
  • Carmine Petruzziello and
  • Veronica Ojetti

Background: Gastrointestinal (GI) bleeding is a recognised complication of long-term antithrombotic therapy. Whereas the overall bleeding risk associated with direct oral anticoagulants (DOACs) and low-dose aspirin has been extensively characterised,...

  • Review
  • Open Access
580 Views
20 Pages

Alpha-gal syndrome (AGS) is a tick-induced, IgE-mediated hypersensitivity to the oligosaccharide galactose-α-1,3-galactose (α-gal), which is expressed on glycoproteins and glycolipids of non-primate mammals but absent in humans. Gastroint...

  • Review
  • Open Access
463 Views
18 Pages

Genetic Screening and Lifestyle Prevention Strategies for Coeliac Disease: A Review of International Clinical Practice Guidelines

  • Vaios Svolos,
  • Anastasia Triantafyllou,
  • Maria Delliou,
  • Anna Maria Pentzerentzi,
  • Maria Misiou,
  • Elpida Galanopoulou,
  • Dimitra Eleftheria Strongylou and
  • Odysseas Androutsos

Background: Coeliac disease (CD) is a highly heritable autoimmune disease. Given the high risk among first-degree relatives, early screening and prevention are essential, yet clinical guidelines vary. This review analyzed clinical practice guidelines...

(This article belongs to the Special Issue Diagnosis and Treatment of Digestive Diseases: Emerging Mechanisms and Systemic Complications)
  • Systematic Review
  • Open Access
825 Views
28 Pages

Spontaneous Bile Duct Perforation in Children: A Systematic Review of 209 Cases and Practical Diagnostic and Management Considerations

  • Moshe Argaman,
  • Michael Gurevich,
  • Ofir Cohen,
  • Veronika Dadaev,
  • Rotem Horowitz,
  • Shai Hoffman,
  • Yael Ben Avraham,
  • Adi Litmanovich,
  • Aviad Gravetz and
  • Fahim Kanani
  • + 1 author

Background/Objectives: Pediatric spontaneous or non-traumatic extrahepatic bile duct perforation (SBDP) is a rare cause of bile ascites and biliary peritonitis. We aimed to characterize presentation, diagnosis, management, outcomes, and summarize pra...

  • Article
  • Open Access
600 Views
15 Pages

Effect of a Sequential Butyrate–Probiotic Administration on Symptoms and Stool Consistency in Patients with Irritable Bowel Syndrome: A Randomized Controlled Study

  • Nikos Viazis,
  • Konstantinos Mousourakis,
  • Panagiotis I. Kanellopoulos,
  • Dimitra Kozompoli,
  • Dimitra Provi,
  • Alexandra Agorogianni,
  • Vasilis Papastergiou,
  • Athanasios Soukovelos,
  • Ioanna Nefeli Mastorogianni and
  • Dimitrios Christodoulou
  • + 1 author

Background: Dysbiosis, mucosal inflammation and increased intestinal permeability have been implicated in the pathophysiology of irritable bowel syndrome (IBS). Objective: To evaluate the effectiveness of a sequential butyrate–probiotic adminis...

(This article belongs to the Special Issue The Interactions of Diet, Genes, Gut Microbiota and Immune System in Health and Disease)
  • Brief Report
  • Open Access
403 Views
8 Pages

Orodispersible Budesonide Tablets in Pediatric Patients with Eosinophilic Esophagitis—A Viennese Experience

  • Rebecca Einspieler,
  • Judith Pichler,
  • Wolf-Dietrich Huber,
  • Andreas Heilos,
  • Christoph Aufricht and
  • Bettina Bidmon-Fliegenschnee

Background: Orodispersible budesonide tablets (OBTs, Jorveza) are approved by the EMA as a therapy option in eosinophilic esophagitis (EoE) in adults. However, data on their use in pediatric patients remain limited and no approved pediatric OBT formu...

(This article belongs to the Special Issue Feature Papers in Gastrointestinal Disorders in 2025–2026)
  • Review
  • Open Access
777 Views
16 Pages

Patients with inflammatory bowel disease (IBD) often require long-term immunosuppressive or advanced therapy, raising concerns about treatment-associated malignancy risk. This systematic review evaluated malignancy outcomes associated with biologic,...

  • Article
  • Open Access
404 Views
17 Pages

Anatomical Reconstruction After Metabolic Bariatric Surgery (MBS): Indications and Biochemical Responses in Post-Bariatric Hyperinsulinemic Hypoglycemia Patients—A Single-Center Case Series

  • Chaled Alnakib,
  • Fahim Kanani,
  • Shachar Laks,
  • Eyal Leibovitz,
  • Adam Goldstein,
  • Mohamad Jazmawi,
  • Moshe Rubin,
  • Raul Rosenthal and
  • Mordechai Shimonov

Introduction: Anatomical gastrointestinal reconstruction following metabolic bariatric surgery (MBS) is a revisional procedure used for refractory complications, including malnutrition, intractable reflux, recurrent marginal ulcer disease, and post-b...

  • Review
  • Open Access
716 Views
14 Pages

Leak-Stratified Management of Early Bile Leaks After Liver Transplantation: A Narrative Review of Leak Characteristics, Patient Stability, and the Limited Evidence on Intervention Timing in the First 14 Postoperative Days

  • Murtaja Satea,
  • Alexandre G. Lellouch,
  • Haïzam Oubari,
  • Veronika Dadaev,
  • Rotem Horowitz,
  • Shai Hoffman,
  • Yael Ben Avraham,
  • Tobias Niederegger,
  • Karam Azem and
  • Fahim Kanani
  • + 3 authors

Background: Bile leaks complicate 5–25% of liver transplants and are among the most common early postoperative biliary events. Their management within the first 14 postoperative days has traditionally been framed around the timing of interventi...

  • Article
  • Open Access
634 Views
12 Pages

Enteric Infections in Relapsing Ulcerative Colitis Patients in Albania: The Predictive Value of CRP/Albumin Ratio

  • Marsela Sina,
  • Sara Hoxha,
  • Xhensila Pemaj,
  • Gentiana Qirjako,
  • Enkeleint A. Mechili and
  • Skerdi Prifti

Background and Aim: Ulcerative colitis (UC) is a chronic, relapsing inflammatory bowel disease (IBD) associated with increased susceptibility to enteric infections, which may mimic or exacerbate disease flares. The C-reactive protein (CRP)-to-albumin...

(This article belongs to the Special Issue Feature Papers in Gastrointestinal Disorders in 2025–2026)
  • Review
  • Open Access
648 Views
15 Pages

Indocyanine Green Fluorescence During Heller Dor Myotomy for Achalasia: Techniques, Intraoperative Applications, and Evidence Gaps—A Scoping Review

  • Agostino Fernicola,
  • Michele Santangelo,
  • Aldo Rocca,
  • Pasquale Avella,
  • Armando Calogero,
  • Felice Crocetto,
  • Luigi Ricciardelli,
  • Antonio Alvigi,
  • Andrea Paolillo and
  • Gennaro Quarto
  • + 6 authors

Background: Heller myotomy (HM) is the standard surgical treatment for achalasia. Complete muscular division while preserving mucosal integrity is essential for optimal outcomes. Indocyanine green fluorescence (ICG) imaging has recently emerged as a...

(This article belongs to the Special Issue Minimally Invasive Surgery for Upper Gastrointestinal Tract Diseases: New Trends and Future Perspectives)
  • Review
  • Open Access
1,121 Views
13 Pages

Background: Faecal incontinence (FI) may occur in patients with irritable bowel syndrome (IBS), particularly when loose stool, urgency, reduced warning time, fluctuating bowel habits, or constipation with retention interferes with timely defaecation....

  • Review
  • Open Access
955 Views
28 Pages

Cholangiocarcinoma (CCA) is a highly malignant tumor originating from the epithelium of the bile ducts. It has an insidious onset, is difficult to diagnose in its early stages, has a low rate of curative resection, and carries an extremely poor progn...

  • Article
  • Open Access
630 Views
13 Pages

Resilience in Gastroparesis Is Not Associated with Symptom Severity or Healthcare Utilization: An Exploratory Pilot Analysis

  • Elina Stoffel,
  • John William Blackett,
  • Alexa Choy,
  • Dakota Ma,
  • Wynette Almeida,
  • Brad Kuo,
  • Daniela Jodorkovsky and
  • Sydney Pomenti

Background: Gastroparesis presents with frequently debilitating symptoms of nausea, vomiting, abdominal pain, bloating and early satiety, resulting in high healthcare utilization. Resilience, defined as the inherent and modifiable ability of an indiv...

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Gastrointest. Disord. - ISSN 2624-5647