Publications by authors named "Guo Tao Lu"

Article Synopsis
  • Fatigue is a common and serious symptom in chronic pancreatitis (CP) patients, affecting about 35.51% of those studied, which can lead to worse quality of life (QoL).
  • The study used various assessments to measure fatigue, QoL, sleep quality, anxiety, depression, and pain in 245 patients at Changhai Hospital in Shanghai, China.
  • Key factors linked to fatigue included steatorrhea, smoking history, depression, sleep disorders, and past endoscopic treatments, all of which significantly impacted the patients' overall health and functional abilities.
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Pancreatic enzyme replacement therapy (PERT) has been recommended as the preferred method for pancreatic exocrine insufficiency caused by chronic pancreatitis (CP). However, at present, the patient-related factors for the poor PERT management are not clear, and there are no studies on the adherence to PERT in patients with CP in East China. This was a mixed-method study following the principle of sequential explanatory design and included two parts: a quantitative and qualitative study.

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Introduction: Irisin is a newly discovered myokine which links exercise to inflammation and inflammation-related diseases through macrophage regulation. However, the effect of irisin on the activity of inflammation related immune cells (such as neutrophils) has not been clearly described.

Objectives: The objective of our study was to explore the effect of irisin on the neutrophil extracellular traps (NETs) formation.

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The present retrospective study aimed to explore the relationship between pancreatitis and pancreatic cancer in the population cohort of the UK Biobank (UKB) (https://www.ukbiobank.ac.

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Article Synopsis
  • The study investigates the role of serum glycosylated hemoglobin A1c (HbA1c) levels in assessing the severity and outcomes of acute pancreatitis (AP), focusing on two groups: normal HbA1c levels (<6.5%) and high levels.
  • It was found that higher HbA1c levels correlate with increased disease severity, complications, and the risk of organ failure in AP patients, with the optimal cutoff for predicting organ failure at 7.05%.
  • The results suggest that better glycemic control may lead to improved outcomes in AP, emphasizing the importance of monitoring HbA1c levels prior to the onset of the condition.
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  • The study examines how elevated serum ferritin (SF) levels relate to the severity of acute pancreatitis (AP), noting SF is an indicator of oxidative stress and inflammation.
  • An analysis of 200 AP patients revealed that nearly half had high SF levels, which were linked to a higher severity of the condition and increased systemic inflammatory response.
  • The study concluded that SF levels can effectively predict the severity of AP and the likelihood of organ failure in affected patients.
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Background: Acute pancreatitis (AP) is the most common pancreatic disease. Predicting the severity of AP is critical for making preventive decisions. However, the performance of existing scoring systems in predicting AP severity was not satisfactory.

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Background: Sexual dimorphism with critical diseases has been documented. However, the role of serum sex hormones for the presence of acute kidney injury (AKI) in moderately or severe acute pancreatitis (MSAP and SAP) patients remains controversial. Here we set out to evaluate whether early (first 48 h) serum estradiol level is associated with AKI in patients with MSAP and SAP.

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Objectives: Steatorrhea, a sign of severe pancreatic exocrine insufficiency (PEI), is related to consequences caused by pancreatitis. This study aimed to identify predictors and to construct a nomogram for steatorrhea in idiopathic chronic pancreatitis (ICP).

Methods: ICP patients admitted to our hospital from January 2000 to December 2013 were enrolled in this retrospective-prospective cohort study and randomly assigned to the training and validation cohorts.

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Article Synopsis
  • COVID-19 patients frequently exhibit elevated pancreatic enzymes (PE), with a prevalence of about 24%, indicating a potential pancreatic injury linked to the virus.
  • The study reviewed 13 research articles involving over 24,000 participants, finding that elevated PE significantly correlates with increased mortality and higher chances of ICU admission and other organ injuries.
  • Although results show a strong association between more severe PE elevations and worse outcomes, even mild increases (1-3 times the upper normal limit) pose a considerable risk of mortality, necessitating further validation by more studies.
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Background: Soft pancreas is widely recognized as an important risk factor for the development of postoperative pancreatic fistula (POPF). Although fatty pancreas (FP) has not been formally defined as a cause of pancreatic fistula, existing research has shown that it can increase the incidence of POPF by increasing pancreatic tenderness; therefore, it may be a potential risk factor. This study aimed to discern whether FP was associated with POPF.

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Introduction: Acute pancreatitis (AP) is a common clinical pancreatic disease. Patients with different severity levels have different clinical outcomes. With the advantages of algorithms, machine learning (ML) has gradually emerged in the field of disease prediction, assisting doctors in decision-making.

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Acute pancreatitis (AP) is one of the leading causes of hospital admission, 20% of which could progress to the severe type with extensive acinar cell necrosis. Clinical studies have reported that diabetes is an independent risk factor of the incidence of AP and is associated with higher severity than nondiabetic subjects. However, how diabetes participates in AP progression is not well defined.

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Chronic pancreatitis (CP) is characterized by persistent inflammation of the pancreas that results in progressive loss of the endocrine and exocrine compartment owing to atrophy and/or replacement with fibrotic tissue. Currently, the clinical therapeutic scheme of CP is mainly symptomatic treatment including pancreatic enzyme replacement, glycaemic control and nutritional support therapy, lacking of specific therapeutic drugs for prevention and suppression of inflammation and fibrosis aggravating in CP. Here, we investigated the effect of isoliquiritigenin (ILG), a chalcone-type dietary compound derived from licorice, on pancreatic fibrosis and inflammation in a model of caerulein-induced murine CP, and the results indicated that ILG notably alleviated pancreatic fibrosis and infiltration of macrophages.

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Article Synopsis
  • Hypertriglyceridemia (HTG) is a leading cause of acute pancreatitis (AP), often linked to genetic variants in five key lipid metabolism genes: LPL, APOA5, APOC2, GPIHBP1, and LMF1.
  • A 32-year-old Han Chinese man with HTG-induced AP was studied, revealing no significant genetic variants except for a novel heterozygous nonsense variant in the LMF1 gene.
  • This study marks the first identification of an LMF1 variant in an HTG-AP patient, underscoring the relationship between genetic predisposition and lifestyle factors like obesity and smoking.
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Clinical studies have confirmed that patients with diabetes had an elevated risk of acute pancreatitis (AP) and diabetes was associated with increased severity and mortality in patients with AP. However, these studies failed to prove a cause-and-effect relationship between diabetes and AP. In the present study, we for the first time have evaluated the effects of diabetes on AP by adopting a type 2 diabetes animal model db/db mice and investigated the possible underlying mechanisms.

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Article Synopsis
  • The study aimed to examine how common fatty pancreas is in Yangzhou, China, and what factors contribute to its development.
  • Out of 2,093 participants, 56 (2.7%) were found to have fatty pancreas after excluding incomplete data, leading to a total of 1,228 subjects analyzed.
  • Results indicated that older age, central obesity, and fatty liver disease are significant independent risk factors for developing fatty pancreas.
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Regulatory T cell (Treg)-mediated immunosuppression represents one of the crucial tumor immune evasion mechanisms and is a main obstacle for successful tumor immunotherapy. Hypoxia, a common feature of solid tumors, has been associated with potentiated immunosuppression, decreased therapeutic response, malignant progression and local invasion. Unfortunately, the link between hypoxia and Treg-mediated immune tolerance in gastric cancer remains poorly understood.

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Background: The integrin α6 subunit is part of the integrin α6β1 and α6β4 complexes, which are known to mediate the invasion of carcinoma cells. However, the precise role of integrin α6 in intrahepatic cholangiocarcinoma (ICC) has not yet been addressed.

Methods: Twenty cases of ICCs and matched nontumor samples were used to analyze integrin α6 expression by immunohistochemistry.

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