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炎症性腸疾患と障害のジャーナル

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音量 6, 問題 5 (2021)

社説

Irritable Bowel Disorder Syndrome

Dani Fasil

Irritable Bowel Disorder syndrome is a common bowel disorder that infect large intestine. Large Intestine is part of digestive system that affects water absorption from indigestible food residue. Irritable bowel disorder is a long term chronic disorder which includes symptoms such as Gassiness, Constipation, Bloating, Crampy Stomach pain. In the beginning, medical science was capable of describing the features of Inflammatory Bowel Disease (IBD), and medical therapeutics were guided by trial and error, misguided hypotheses about disease pathogenesis, and some measure of serendipity. Inflammatory bowel disease remain is not yet known, considerable progress has been made in the identification of important pathophysiologic mechanisms. IBD is most commonly seen in developed countries. Irritable bowel syndrome is a bio psychosocial disorder in which three major mechanisms interact: psychosocial factors; altered motility; and/or sensory function of the intestine

社説

Editorial note on chronic inflammatory conditions

Aleah Ahadi

Inflammation is your body's attempt to heal itself by fighting against things that hurt it, such as infections, injuries, and toxins. When your cells are damaged, your body releases substances that cause your immune system to respond. This response includes the release of antibodies and proteins, as well as increased blood flow to the damaged area. The whole process usually lasts for a few hours or days in the case of acute inflammation. some time, this can prompt DNA harm, tissue passing, and inner scarring. All of these are linked to the development of several diseases, including cancer, heart disease, rheumatoid arthritis, type 2 diabetes, obesity, asthma.

社説

Brief study about lymphocytic colitis

Amir Karban

Lymphocytic colitis is a medical issue that causes aggravation of your internal organ. It causes scenes of watery the runs and midsection torment. Your internal organ is important for your stomach related (gastrointestinal or GI) parcel. It incorporates both the colon and rectum. It goes from your mouth right to your rectal opening. The digestive organ gets the separated results of food from the small digestive tract. One of its primary positions is to reabsorb water and electrolytes, like salt. The colon prompts the rectum, which stores your excrement before your body removes them.

社説

Insights into the Microscopic colitis

Prathap Nadar

Microscopic Colitis (MC) is a provocative inside problem portrayed by watery nonbloody looseness of the bowels. It is all the more entirely expected in females and patients more than 50 years old and its pathophysiology isn't completely perceived. Clinical biomarkers, for example, fecal calprotectin are typically ordinary and side effect cross-over with useful problems may prompt dithering in continuing with additional examinations, subsequently postponing the finding. Clinical scores can assist with anticipating those in danger of MC, just as screen illness action. Histology is fundamental in diagnosing MC and its two subtypes, lymphocytic and collagenous colitis. In any case, ongoing mechanical advances have empowered us to depict a few inconspicuous naturally visible changes that can make the sharp looked at endoscopist aware of the presence of the condition. Endorsed drugs can represent about 10% of MC cases. Other danger factors incorporate simultaneous immune system problems and smoking. Along these lines, the remedy of proper prescriptions along with the appraisal for any auxiliary reason, are fundamental in the administration calculation of this infection.

全長の研究論文

Irritable Bowel Syndrome or Just Inefficient Bowel-Emptying Syndrome - Explaining the Overlap of Gastro-Oesophageal Reflux Disease with Functional Gastrointestinal Disorders through the Effects of Colonic Distension

Scott B. Simpson

Colonic distension is not only the main trigger of functional colonic pain, but also activates multiple different reflexes affecting both upper and lower gastrointestinal (GI) motility. Irritable bowel syndrome (IBS) patients have been documented with increased colonic faecal loading on abdominal x-ray. Medications, reduced mobility and probably hereditary factors which promote colonic stasis along with poorly digested fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) which increase colonic distension are known to trigger colonic symptoms. Colonic decompression has been shown to improve both functional colonic and upper gut symptoms as well as reducing typical gastro-oesophageal reflux disease (GORD) and laryngopharyngeal reflux (LPR) symptoms. The right colon appears to play an important role in regulating whole gut motility. GI smooth muscle functions according to the Frank-Starling principle where progressive distension initially promotes and later impairs motility and must be taken into account when selecting appropriate medical therapy. Colonic stasis is associated with the more benign form of acute ischaemic colitis. In mouse studies, colonic distension from a high FODMAP diet may well induce low-grade mucosal ischaemia, barrier dysfunction and ongoing low-grade inflammation causing IBS symptoms. Gut physiology suggests that occult constipation or proximal colonic faecal loading acts as a functional obstruction, which must be addressed by medical therapy to treat functional upper GI symptoms and refractory reflux optimally. Improvement in functional colonic symptoms with simple laxative therapy and other agents which promote colonic motility such as prucalopride correlates strongly with improvement in dyspeptic, refractory GORD and LPR symptoms.

コメント

Coffee consumption prevents liver cancer development

Abhishek Bhurwal

Coffee consumption has its benefits on human health. In the specific area of hepatology, previous studies have suggested that coffee
decreases liver enzymes and inhibits progression of liver fibrosis. Additionally, in a recent systematic review and meta-analysis, coffee
consumption was shown to have an inverse association with the development of liver cancer. That well-designed study suggested that coffee
drinking would be beneficial in terms of preventing liver cancer. Coffee drinkers at risk of developing hepatocellular cancer should consider the
potential benefits of drinking coffee.

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