Multicenter Randomized Controlled Trial of Terlipressin Versus Sclerotherapy in the Treatment of Acute Variceal Bleeding: The TEST Study

Àngels Escorsell, Luis Ruiz Del Arbol, Ramon Planas, Agustín Albillos, Rafael Bañares, Paul Calès, Dominique Pateron, Brigitte Bernard, Jean‐Pierre Vinel, Jaume Bosch – 30 December 2003 – Failure to control bleeding and early rebleeding account for the high mortality associated with variceal hemorrhage in cirrhosis. We compared endoscopic sclerotherapy to terlipressin, a drug that effectively controls acute bleeding while reducing in‐hospital mortality.

JAGGED1 Gene Expression During Human Embryogenesis Elucidates the Wide Phenotypic Spectrum of Alagille Syndrome

Cécile Crosnier, Tania Attié‐Bitach, Férechté Encha‐Razavi, Sophie Audollent, Fardouss Soudy, Michelle Hadchouel, Michèle Meunier‐Rotival, Michel Vekemans – 30 December 2003 – Mutations of the JAGGED1 gene, encoding a NOTCH receptor ligand, cause Alagille syndrome (AGS), a complex malformative disorder affecting mainly the liver, heart, vertebrae, eye, and face. Minor and occasional features involving kidney, pharynx, systemic arteries, skeleton, and ear are in some cases associated with the syndrome.

Effect of Bilirubin UDP Glucuronosyltransferase 1 Gene TATA Box Genotypes on Serum Bilirubin Concentrations in Chronic Liver Injuries

Hisashi Doyama, Toshihide Okada, Tomomi Kobayashi, Ayako Suzuki, Yasuo Takeda, Hiroshi Mabuchi – 30 December 2003 – TATA box abnormality in the promoter region of the bilirubin UDP glucuronosyltransferase 1 gene has been reported to cause Gilbert's syndrome in white subjects. It has also been reported that the majority of Japanese patients with Gilbert's syndrome are heterozygous for Gly71Arg in the coding region of this gene. On the other hand, some patients with chronic hepatitis often show signs of unexpected hyperbilirubinemia.

Radial artery wall alterations in genetic hemochromatosis before and after iron depletion therapy

Monica Failla, Cristina Giannattasio, Alberto Piperno, Anna Vergani, Alessandra Grappiolo, Gaetano Gentile, Ester Meles, Giuseppe Mancia – 30 December 2003 – Iron overload is believed to have an adverse influence on the cardiovascular system and animal studies have shown that iron may be involved in the events that lead to atherosclerosis via an enhancement of smooth muscle cell proliferation, lipid oxidation, and free radical production. There are no data on the effect of iron overload on arterial structural and mechanical properties in humans.

Triple Antiviral Therapy as a New Option for Patients With Interferon Nonresponsive Chronic Hepatitis C

Stefano Brillanti, Fabio Levantesi, Livia Masi, Mauro Foli, Luigi Bolondi – 30 December 2003 – The aim of the study was to evaluate the efficacy of triple antiviral therapy with interferon, ribavirin, and amantadine in comparison with interferon and ribavirin combination treatment in patients with interferon‐nonresponsive chronic hepatitis C. We performed an open‐label, prospective randomized controlled trial at a secondary referral center.

Population screening for hemochromatosis: A comparison of unbound iron‐binding capacity, transferrin saturation, and C282Y genotyping in 5,211 voluntary blood donors

Paul C. Adams, Ann E. Kertesz, Christine E. McLaren, Robert Barr, Anthony Bamford, Subrata Chakrabarti – 30 December 2003 – Early diagnosis and treatment of hemochromatosis is essential to prevent organ damage. Screening strategies to detect early hemochromatosis include testing for iron overload and/or genetic testing. Voluntary blood donors numbering 5,211 were screened with unbound iron‐binding capacity (UIBC), transferrin saturation (TS), and genetic testing for the C282Y mutation of the HFE gene.

p27Kip1 expression in normal epithelia, precancerous lesions, and carcinomas of the gallbladder: Association with cancer progression and prognosis

Ai‐Min Hui, Xin Li, Ya‐Zhou Shi, Guido Torzilli, Tadatoshi Takayama, Masatoshi Makuuchi – 30 December 2003 – p27Kip1 is a cyclin‐dependent kinase inhibitor that negatively regulates cell proliferation. This study was designed to evaluate the roles of p27Kip1 in gallbladder carcinogenesis and the prognostic value of p27Kip1 in patients with gallbladder carcinoma. p27Kip1 expression was examined immunohistochemically in surgically resected specimens of 8 normal epithelia, 8 adenomyomatosis lesions, 6 precancerous adenomas, and 37 carcinomas of the gallbladder.

Evolution of liver transplantation in Europe: Report of the European Liver Transplant Registry

René Adam, Paul McMaster, John G. O'Grady, Denis Castaing, Jurgen L. Klempnauer, Neville Jamieson, Peter Neuhaus, Jan Lerut, Mauro Salizzoni, Stephen Pollard, Ferdinand Muhlbacher, Xavier Rogiers, Juan Carlos Garcia Valdecasas, Joaquin Berenguer, Daniel Jaeck, Enrique Moreno Gonzalez – 30 December 2003 – The European Liver Transplant Registry (ELTR) currently allows for the analysis of 44,286 liver transplantations (LTs) performed on 39,196 patients in a 13‐year period. After an exponential increase, the number of LTs is plateauing due to a lack of organs.

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