Advances in Gastroenterology and Hepatology: Bridging Basic Science, Clinical Insights, and Translational Medicine

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 137

Special Issue Editors


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Guest Editor
2nd Department of Internal Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania
Interests: chronic liver disease; MASLD; liver cirrhosis; IBS; disorders of gut–brain interaction; non-invasive markers

E-Mail Website
Guest Editor
2nd Department of Internal Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania
Interests: disorders of gut–brain interaction; artificial intelligence; esophageal motility disorders; high-resolution esophageal ma-nometry

Special Issue Information

Dear Colleagues,

Gastroenterology and hepatology are dynamic fields that integrate basic science, clinical innovation, and translational research to enhance patient outcomes. The growing burden of gastrointestinal and liver diseases worldwide underscores the urgency of advancing diagnostic approaches, therapeutic strategies, and preventive measures.

This Special Issue aims to provide a comprehensive platform for researchers and clinicians to showcase cutting-edge developments in gastroenterology and hepatology. We welcome submissions that explore innovative research, clinical trials, and multidisciplinary approaches to the following topics:

  • Emerging biomarkers for gastrointestinal and liver diseases.
  • Advances in endoscopic and imaging techniques.
  • Novel therapeutic strategies for inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS).
  • Hepatocellular carcinoma: Early detection and personalized treatment.
  • Gut microbiota and its implications in systemic diseases.
  • Advances in the management of liver fibrosis and cirrhosis.
  • Translational approaches for autoimmune and metabolic liver disorders.
  • Integration of artificial intelligence in diagnostic and therapeutic tools in gastroenterology.

We encourage submissions of original research articles, reviews, and perspectives that foster collaboration across disciplines. By featuring contributions that span basic science, translational studies, and clinical practice, this Special Issue seeks to bridge gaps in knowledge and promote innovative solutions to pressing challenges in gastroenterology and hepatology.

Dr. Abdulrahman Ismaiel
Dr. Ștefan Lucian Popa
Guest Editors

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Keywords

  • hepatology
  • gastroenterology
  • IBD
  • IBS
  • MASLD
  • liver cirrhosis
  • artificial intelligence
  • disorders of gut–brain interaction
  • cancer
  • gut microbiota
  • diagnosis
  • management

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Published Papers (1 paper)

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Research

16 pages, 580 KiB  
Article
The Impact of Non-Invasive Scores and Hemogram-Derived Ratios in Differentiating Chronic Liver Disease from Cirrhosis
by Abdulrahman Ismaiel, Evrard Katell, Daniel-Corneliu Leucuta, Stefan-Lucian Popa, Cristina Sorina Catana, Dan L. Dumitrascu and Teodora Surdea-Blaga
J. Clin. Med. 2025, 14(9), 3072; https://doi.org/10.3390/jcm14093072 - 29 Apr 2025
Abstract
Background: Chronic liver disease (CLD) is a major global health concern, contributing significantly to morbidity and mortality. Cirrhosis and liver cancer are the leading causes of liver-related deaths, with various etiological factors, such as metabolic disorders and alcohol-related and viral hepatitis, driving its [...] Read more.
Background: Chronic liver disease (CLD) is a major global health concern, contributing significantly to morbidity and mortality. Cirrhosis and liver cancer are the leading causes of liver-related deaths, with various etiological factors, such as metabolic disorders and alcohol-related and viral hepatitis, driving its global prevalence. Non-invasive biomarkers and scoring systems have emerged as key tools for assessing liver disease severity and differentiating CLD from cirrhosis. This study evaluates biomarkers and non-invasive scores and their utility in distinguishing CLD from cirrhosis. Methods: This retrospective observational study included 250 adult patients hospitalized between January 2021 and December 2023 at Cluj County Emergency Clinical Hospital, Romania. Patients were diagnosed with either cirrhosis or CLD of viral, autoimmune, or primary biliary cholangitis (PBC) etiology. Non-invasive biomarkers, scores, and various hemogram-derived ratios were evaluated. Statistical analysis involved descriptive statistics, comparative tests, and receiver operating characteristic (ROC) curve analysis. Results: Among the 250 patients, 137 had liver cirrhosis (54.8%) and 113 had CLD without cirrhosis (45.2%). Significant differences were observed in laboratory parameters, with cirrhosis patients showing lower hemoglobin, platelet count, and albumin levels alongside higher liver enzymes and INR values. Non-invasive scores such as APRI, FIB-4, and NFS demonstrated higher values in the cirrhosis group, indicating more advanced liver damage. Hemogram-derived ratios, particularly the neutrophil-to-lymphocyte ratio (NLR), were higher in cirrhosis patients. ROC analysis revealed that the Lok index had the highest discriminatory power (AUC 0.89), followed by the King score (AUC 0.864) and the Fibrosis index (AUC 0.856), which effectively distinguished cirrhosis from CLD. Conclusions: This study underscores the utility of non-invasive biomarkers and scoring systems in differentiating CLD from cirrhosis. The Lok index, King score, and Fibrosis index demonstrated excellent diagnostic accuracy, while hemogram-derived ratios, such as NLR, offer insights into systemic inflammation associated with liver disease progression. These findings support the integration of non-invasive markers into clinical practice for improved risk stratification and management of liver diseases. Full article
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