جستجوی مقالات مرتبط با کلیدواژه « Digestive System » در نشریات گروه « پزشکی »

Today, chronic diseases have spread all over the world. The World Health Organization (WHO) mentions air pollution as the biggest environmental health hazard, attributing 7 million premature deaths every year to this pollution, which includes suspended particles and gases with concentrations that are detrimental to human health. Factors of interest in this field are micrometer diameter particles, tropospheric ozone, sulfur dioxide, nitrogen dioxide, and carbon monoxide. The purpose of this research is to increase public awareness of air pollution and its side effects on different parts of the digestive system.

A narrative review was done using several databases, including PubMed, Magiran, Web of Science, and Google Scholar. Relevant studies published from 1990-2021 were identified.

Globally, ecological studies have demonstrated a relationship between short-term exposure to air pollution and several gastrointestinal diseases.

The results of these studies showed that pollutants have a direct effect on the increased prevalence and number of cases of chronic gastrointestinal diseases. The results of this research can inform policymakers in making comprehensive decisions to solve the problem, individuals who are exposed to pollutants, and the public in raising awareness and promoting the use of protective equipment.

Probiotics are alive and beneficial microorganisms that affect the body’s microbial flora when consumed by humans or animals and have beneficial effects on the health of the host. Nowadays, probiotics are considered a factor in the prevention of many infectious diseases and cancers. Given the particular importance of probiotics, this study aimed to narratively review previous studies on the mode of action of probiotics and the beneficial effects of probiotics on enhancing intestinal immune responses. Articles on this topic were searched in Google Scholar, Springer, Science Direct, and Clinical Trial databases, and systematic review articles examining the effects of probiotics on the function of the intestinal immune response were included in the study. The results of the research showed that probiotics can boost the body’s immune system, break down food due to their ability to produce enzymes, lower the pH of the environment, and secrete bacteriocins. Furthermore, the effect of probiotics on the modulation mechanisms of the innate defense responses of the intestinal epithelium, including the stimulation of trefoil factor 3, induction of antimicrobial peptide (AMP) secretion, stimulation of secretory immunoglobulin production, and stimulation of toll-like receptors increase in heat shock protein production, modulation of P-glycoprotein (P-gp) and regulation of mucins by probiotics. Therefore, probiotics are expected to be used as an adjunct treatment for many digestive and infectious diseases.

Unlike some regions of the world where digestive system cancers are not considered as important health problems, these neoplasms are among the most common malignancies in the northern region of Iran.

This observational analytical study was carried out based on data collected by the Cancer Registration Center affiliated to the Vice Chancellery for Health of Babol University of Medical Sciences, North of Iran, during 2008-2017. Crude incidence rate (CR), and age-standardized incidence rate (ASR) have been calculated for different GI cancers, based on the primary involved site; and have been compared in different years, patients' age, gender and place of residence.

Totally, 4332 records were related to digestive system cancers. Mean age of patients was 63.48±14.73 years; men (2743; 63.3%) were more affected than women (1589; 36.7%) (p<0.001). The most incident malignancies of digestive system were from stomach, colorectal and esophagus in men; and colorectal, stomach and esophagus in women, respectively. These three cancers accounted for 3725 (85.98%) of total GI malignancies. The mean age of patients in various types of GI cancers was statistically different (p<0.001). Age- standardized incidence rate showed different values in different years; from 521.40 (95% CI: 462.79-580.00) in year 2016 to 1834.33 (95% CI: 1637.36-2031.29) in year 2008.

Gastric, esophageal and colorectal cancers were the most prevalent digestive system malignancies in Babol, North of Iran, and accounted for about 86% of all GI tract cancers. A considerable variation has been found in incident gastrointestinal cancers in different years.

Echinococcus granulosis is a parasitic infection most commonly involving the liver. Iran is a hyperendemic area for this disease according to WHO. Despite improvements in medical and interventional radiological techniques, surgery remains the gold standard of treatment; however evidence on different surgical modalities were explained. Considering the high population of referring patients presenting to Omid and Ghaem Hospitals, Mashhad, Iran, we decided to compare the complications of our modified technique with routine technique in hydatid cyst surgery. 56 patients with hydatid cyst of the liver who underwent modified and routine surgical treatment in Ghaem and Omid Hospitals Mashhad, Iran were studied during Aug 2013- Nov 2015. 27 patients underwent modified surgical technique, whereas the remaining 27 patients were treated by using routine surgical method. These two groups of patients were compared with each other according to their postoperative length of hospital stay and resulting complications. The mean age of our patients was 41 years. 27 patients were male and 29 were female. Our results showed no statistically significant difference regarding the incidence of postoperative complications between the two groups. However, mean length of hospital stay was significantly different between the groups (4.5±1.87 and 7.6±2.25 days, respectively, p<0.001). The method of modified surgery with closed cyst drainage, which does not use external drains, is a safe surgical modality in the treatment of hydatid cyst disease of the liver if applied properly on appropriate patients.

Saffron, the dried red-orange stigmas of Crocus sativus L, has been known as a flavoring agent, food coloring and traditional herbal medicine. Pharmacological effects of saffron are mainly attributed to crocin, crocetin, picrocrocin and safranal. These components especially crocin, have significant effects including antidepressant and anticonvulsant, analgesic, anti-cancer and other therapeutic effects on different parts of our body namely cardiovascular, immune, respiratory, genital-urinary and central nervous system. According to the reports and findings, saffron plays a key role to cure different digestive system disorders via chemopreventive, inhibition of cell proliferation, induction of apoptosis, antioxidant effects and radical scavenging, genoprotective property, prevention of lipid peroxidation and anti-inflammatory processes. The outcome of the above mentioned mechanisms shows potential therapeutic properties of saffron against liver cancer, hepatotoxicity, fatty liver, hyperlipidemia, stomach cancer, peptic ulcer, colon cancer, ulcerative colitis, diabetes and pancreas cancer and ileum contractions. According to global statistics, the susceptibility to intestinal diseases is considered as a significant matter and can be important in health planning in any community. Several strategies for treatment and prevention of the digestive system diseases have provided that the use of herbal remedies seems effective and useful. Considering the available findings, the present study aims to introduce saffron as a prophylactic and therapeutic agent against gastrointestinal tract disorders. However, further clinical studies seem necessary in various aspects of saffron effects in different parts of body to verify these findings.

Cyclospora species are rare among other Coccidia parasites and can cause recurrent gastroenteritis. Cyclospora spp. can infect reptiles, insects, rodents, and mammals. The present study aimed to determine the epidemiology of Cyclospora spp. in Malatya province and its neighboring provinces.Patients and Totally, 2281 stool samples taken from patients with digestive system complaints who referred to the polyclinics affiliated with Inonu University, Faculty of Medicine in Malatya Province and its neighboring provinces, in 2006, and whose stool specimens were submitted to the parasitology department were examined. A questionnaire was developed to determine the epidemiology of Cyclospora spp. in the patients as the dependent variable of the study. All the participants signed an informed written consent. The samples were coated with Entellan™ after staining via acid-fast staining and were examined on an immersion microscope objective. The data are presented as mean, standard deviation, or number/percentage. The chi-square test was used for the statistical analyses. Statistically, a P value < 0.05 was accepted as meaningful. The stool samples were examined via direct microscopic examination and acid-fast staining. Positivity was determined in 129 (5.7%) cases. In the overall assessment of the patients with respect to general body itching, rectal itching, allergy, immunosuppression plus cancer, shortness of breath, ulcerative colitis, diarrhea, abdominal pain, salivation, constipation, nausea, vomiting, growth retardation, and anemia, there was no significant relationship. However, in the statistical evaluations among the positive cases, the difference was found to be significant. The study was conducted in Malatya Province, but patients from the neighboring provinces were also included in the evaluation during the study. Of all the positive cases, 5.6% were those from Malatya Province and its surrounding areas. Additionally, Cyclospora spp. were observed among the patients referring to the polyclinics with digestive system complaints in 8.1% of those from the Adiyaman province and in 6.9% of those from the Kahramanmaraş region. The incidence of Cyclospora cayetanensis may be higher in these regions if an epidemiological study is performed. Consequently, we suggest that Cyclospora spp. be investigated in digestive system disorders, especially in immunosuppressed patients.

Helicobacter pylori (H. pylori) is one of the most common chronic bacterial infections world-wide and has several adverse consequences particularly on health of pediatric patients.. The current study addressed various clinical presentations associated with H. pylori infections among children of a rural community.. In this case-control study, the number of cases (H. pylori- positive) were 120 (52.5% boys and 47.5% girls) and the control group (H. pylori-negative) were 100 cases aged 7 - 12 years old (Mean 9.9 ± 3 years). H. pylori infection was defined by positive results for H. pylori stool antigen test and serum IgG or urea breath test. All pediatric participants were assessed for weight, height, sideropenic anemia and gastrointestinal symptoms.. The results showed that recurrent abdominal pain, recurrent vomiting and anorexia were 81 (67.5%), 24 (20%) and 15 (12.5%), respectively in H. pylori-infected patients, compared to 28 (28%), 8 (8%) and 4 (4%) in control group. Weight and height were 20.4 ± 1 kg and 128.1 ± 1 cm in case group compared to 25.6 ± 1.7 kg and 133.8 ± 2 cm in control group. Sideropenic anemia was 36.7% in patients compared to 15% in control.. In conclusion, the study findings revealed that pediatric H. pylori infection is associated with recurrent abdominal pain, anorexia and recurrent vomiting, also adversely affects the growth of children in various modalities; in particular weight, height and progressive incidence of sideropenic anemia..

Inflammatory bowel disease (IBD) is among the most common diseases of gastrointestinal system and includes two chronic relapsing diseases: ulcerative colitis and Crohn's disease. These diseases are the result of dysregulated immune response to the gastrointestinal bacteria in people with genetic background (1). There are clinical and microscopic differences between ulcerative colitis and Crohn's disease in terms of pattern of intestinal involvement and involvement of layers of bowel. Although these differences make the differentiation of the two mentioned diseases possible, there is also gray zone; meanwhile, indeterminate colitis (recently known as IBD of undetermined etiology, IBDU) includes 10-15% of the cases. Ulcerative colitis generally starts in the rectum and spreads continuously to the proximal areas. Inflammation is limited to mucosa and sub- mucosa and diffuse and uniform involvement of the affected area. The characteristic histological finding for this disease is defined as destruction and irregularity of colon crypts. Crohn's disease affects most of the gastrointestinal system from the mouth to the anus. The characteristic for this disease is the existence of skip areas and transmural involvement. Granuloma, fissure ulcer and several lymphoid follicles are evident in histology. There may be three factors leading to ulcerative colitis and Crohn's disease: - Genetic background, - Immune response, that is not able to down- regulate