The Clinical Diagnosis, Prognosis, and Management of Gastrointestinal Disease

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Clinical Diagnosis and Prognosis".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 717

Special Issue Editors


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Guest Editor
Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, Universitatea de Medicina si Farmacie Craiova, Craova, Romania
Interests: gastroenterology; chronic pancreatitis; elastography; EUS; liver cirrhosis; pancreatic cancer; endoscopic retrograde cholangiopancreatography; pancreatic diseases; hepatocellular carcinoma; gastric cancer
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Center for Research in Gastroenterology and Hepatology, Universitatea de Medicina si Farmacie Craiova, Craova, Romania
Interests: endoscopy; gastrointestinal diseases; endoscopic retrograde cholangiopancreatography; hepatocellular carcinoma; liver diseases and immunology; EUS; pancreas; biliary tract diseases; pancreatic cancer; surgery
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
1. Department of Oncology, Fundeni Clinical Institute, 022328 Bucharest, Romania
2. Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Interests: digestive oncology; cancer biomarkers; cancer screening; pancreatic cancer; clonal hematopoiesis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Gastrointestinal diseases are common clinical diseases, but different types of gastrointestinal diseases have different prognoses and treatment plans, especially tumors, so correct diagnosis is a prerequisite and is very critical.

Novel imaging techniques have prompted a sweeping transition from a clinical setting to a more complex management of gastrointestinal diseases. From ultrasonography (US) to computed tomography (CT) and magnetic resonance imaging (MRI), as well as endoscopy, and more complex procedures such as endoscopic ultrasound or ERCP, the diagnosis of and therapy for gastrointestinal diseases have evolved considerably, improving quality of life and disease prognosis.

In addition to the aforementioned themes, this Special Issue will also address prognostic assessments and the identification of biomarkers associated with disease progression and treatment response. By synthesizing the latest research findings and clinical insights across these diverse diagnostic modalities, this edition of Diagnostics will serve as a valuable resource for clinicians, researchers and healthcare professionals involved in the diagnosis and management of gastrointestinal diseases. Ultimately, these advancements will contribute to improved patient care, treatment outcomes and quality of life.

Prof. Dr. Adrian Saftoiu
Dr. Bogdan Silviu Ungureanu
Dr. Irina M. Cazacu
Guest Editors

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Keywords

  • gastrointestinal diseases
  • colon cancer
  • appendicitis
  • clinical outcomes
  • prognosis

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Published Papers (1 paper)

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Research

11 pages, 1823 KiB  
Article
Characteristics and Neoplastic Progression in Barrett’s Esophagus: A Large Population-Based Study from Iceland
by Ken Namikawa, Melkorka Sverrisdottir, Hilmar Freyr Fridgeirsson, Hjalti Dagur Hjaltason, Helgi Kristinn Sigmundsson, Jon Gunnlaugur Jonasson, Einar Stefan Bjornsson and Magnus Konradsson
Diagnostics 2025, 15(6), 684; https://doi.org/10.3390/diagnostics15060684 - 11 Mar 2025
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Abstract
Background: Barrett’s esophagus (BE) is a known precursor to esophageal adenocarcinoma (EAC). However, reports on incidence and progression-to-neoplasm rates have been very variable and conflicting. The aims of the study were to evaluate the characteristics of BE and its progression to neoplasm in [...] Read more.
Background: Barrett’s esophagus (BE) is a known precursor to esophageal adenocarcinoma (EAC). However, reports on incidence and progression-to-neoplasm rates have been very variable and conflicting. The aims of the study were to evaluate the characteristics of BE and its progression to neoplasm in a large homogeneous population. Methods: This was a retrospective population-based study with patients identified from 11 institutions through the databases in two centralized pathology laboratories. Demographics and relevant clinicopathological features were obtained from medical records among patients with a pathologically confirmed BE by the presence of intestinal metaplasia between 2003 and 2022. Results: A total of 1388 patients were identified with BE: 948 were men (69%); the median age at diagnosis was 62 years (IQR, 53–72). The ratio of long-segment BE to short-segment BE was significantly higher in patients ≥ 60 years (1.15, 284/248) than those ≤ 60 years (0.77, 205/265) (p = 0.0025). At BE diagnosis, 9.4% had neoplasms: LGD (n = 65), HGD (n = 16), and EAC (n = 49). Among 1258 non-dysplastic BE (NDBE) patients, 4.6% developed a neoplasm—LGD (n = 35), HGD (n = 8), and EAC (n = 15)—with a median observation-period of 5 years (IQR, 3–7). Overall, 160 cases with neoplasms were diagnosed in this BE cohort; 130 (74%) were present at initial BE diagnosis, and 58 (26%) progressed to neoplasms from NDBE. Conclusions: The ratio of long-segment BE was found to be significantly higher in patients ≥ 60 years. Around 9% of the patients were diagnosed as harboring a neoplasm concomitantly with BE, accounting for approximately 74% of all neoplasms. After a median follow-up of 5 years, about 5% of BE showed dysplastic or malignant progression. Full article
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