Publications by authors named "Huifang Xiong"

Article Synopsis
  • The study compares two methods of endoscopic necrosectomy—percutaneous endoscopic necrosectomy (PEN) and endoscopic transmural necrosectomy (ETN)—for treating necrotizing pancreatitis (NP), focusing on their safety and efficacy.
  • A total of 280 adult NP patients were analyzed, revealing that while those who underwent PEN experienced higher rates of complications like sepsis and respiratory failure, there were no significant differences in overall outcomes, such as clinical success or postoperative complications, between the two methods.
  • The findings suggest that PEN may be a suitable option for managing sicker patients with NP, as it shows similar efficacy and safety compared to ETN in a real-world setting.
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Article Synopsis
  • A study investigated late-onset vascular complications in patients with necrotizing pancreatitis (NP) after discharge, focusing on their incidence and prognosis.* -
  • Out of 104 NP patients initially free of vascular issues, 35.6% experienced portal venous involvement within a year, with factors like pancreatic necrosis volume and location being significant predictors.* -
  • Findings revealed that nearly one-third of these patients developed gastric varices, indicating a common trend of persistent vascular complications post-discharge related to the extent of necrosis.*
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Background: Portal vein tumor thrombus (PVTT) is a major risk factor of recurrence of hepatocellular carcinoma (HCC) after hepatectomy. Whether postoperative adjuvant immunotherapy and molecular targeted therapy (I-O and MTT) is effective in reducing the risk of recurrence of HCC with minimal portal invasion after hepatectomy and improving prognosis is unknown.

Methods: We collected the data of HCC with Vp1 or Vp2 PVTT patients who underwent hepatectomy at our center between January 2019 and June 2022 from the hospital database.

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  • Exo70 is a vital component of the exocyst complex that aids in cancer cell movement and the remodeling of the extracellular matrix, making it a potential drug target in cancer treatment.
  • Researchers found that Exo70 undergoes a specific modification called transamidation that enhances its interaction with other proteins necessary for cancer metastasis.
  • Cantharidin, an FDA-approved drug, can inhibit this modification, which could help slow down tumor cell migration and invasion, particularly in cancers with inactivated LKB1.
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The methylation of N6-methyladenosine (m6A) involves writers, erasers, and readers, acting synergistically in posttranscriptional regulation. These processes influence various biological processes, including plant floral transition. However, the specific role of m6A modifications in photoperiod sensitivity in cotton (Gossypium hirsutum) remains obscure.

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  • Assessment of choledocholithiasis (gallstones in the common bile duct) is essential in patients with acute biliary pancreatitis (ABP), with MRCP and EUS being the main diagnostic tools, but EUS is more accurate albeit riskier due to sedation.
  • A study of 2321 ABP patients found 337 with negative MRCP results, and out of these, 75 showed positive EUS findings; researchers used logistic regression to identify risk factors for negative MRCP diagnoses.
  • Key findings indicate that older age, a history of cholecystectomy, and being male are independent risk factors for negative MRCP diagnoses, suggesting these patients should be prioritized for EUS instead
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T-cell immunoglobulin domain and mucin domain-3 (Tim-3) is a versatile immunomodulator that protects against intestinal inflammation. Necroptosis is a type of cell death that regulates intestinal homeostasis and inflammation. The mechanism(s) underlying the protective role of macrophage Tim-3 in intestinal inflammation is unclear; thus, we investigated whether specific Tim-3 knockdown in macrophages drives intestinal inflammation via necroptosis.

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Background: The worldwide incidence of acute pancreatitis (AP) is increasing, but the dominant etiology of AP may vary by country. Mixed etiologies are involved in the increase in the number of AP patients.

Aims: This study was to analyze the etiological changes and prognosis of AP patients and explore the prognosis of AP patients with mixed etiologies.

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Aim: Cardiac injury, reflected by the measured concentrations of chemicals released from injured cardiac muscle, is common in acute pancreatitis (AP). However, there is no adequate evidence assessing the impact of cardiac injury on AP-related outcomes. Creatine kinase-myocardial band (CK-MB) mainly exists in the myocardium.

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Background: There has been great progress in the use of endoscopic ultrasound (EUS)-guided drainage in acute pancreatitis patients using a novel lumen-apposing metal stent (LAMS) in the last decade, but some patients experience bleeding. Our research analyzed the preprocedural risk factors for bleeding.

Methods: From July 13, 2016 to June 23, 2021, we retrospectively analyzed all patients who received endoscopic drainage by the LAMS in our hospital.

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Background: Although immune checkpoint inhibitor (ICI) therapy has improved the prognosis of unresectable hepatocellular carcinoma (HCC), it has also resulted in unique immune-related adverse events (irAEs). The relationship between irAE and treatment outcomes in ICI-treated unresectable HCC patients remains unknown.

Aim: To elucidate the correlation between immune-related toxic effects and prognosis in patients with unresectable HCC treated with pembrolizumab.

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Background: Intestinal dysfunction is one of the common complications in the early stage of acute pancreatitis (AP), which often associates with bad outcome. Lactulose, as a prebiotic, has been widely used to improve gut health, yet its effect on AP is unclear.

Methods: This was a prospective, randomized trial of moderate severe AP patients complicated with intestinal dysfunction.

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Aim: To analyze the clinical profile of patients with acute hypertriglyceridemic pancreatitis (HTGP) and explore risk factors for recurrence.

Methods: A retrospective observational study was conducted in patients who experienced an attack of HTGP for the first time. Patients were followed until the recurrence of acute pancreatitis (AP) or 1 year.

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Objective: Tripterygium glycoside (TG) is a fat-soluble extract of Tripterygium wilfordii, with anti-inflammatory properties associated with TLR signaling pathways. This study constructed a targeted delivery system for experimental colitis, namely, eudragit (EuL)-coated chitosan (Ch)-TG conjugate microspheres (Ch-TG-MS/EuL), and evaluated its therapeutic efficacy and underlying mechanisms.

Methods: Ch-TG-MS was fabricated using emulsification cross-linking technique and then coated with EuL to create Ch-TG-MS/EuL.

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Background: Patients with inflammatory bowel disease (IBD) often require immunosuppressive therapy and are hence susceptible to various opportunistic viral and bacterial infections. In this regard, many studies on IBD and COVID-19 have been conducted. However, no bibliometric analysis has been performed.

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Background: Data on recurrent hypertriglyceridemia-induced acute pancreatitis (HTG-AP) are scarce.

Objective: To investigate the incidence and risk factors for recurrence of HTG-AP, and the effect of triglyceride (TG) lowering drugs post index attack on recurrence.

Methods: This study was a prospective cohort study of adult patients with first episode of HTG-AP from December 2019 to February 2021 who were followed until recurrence or death, or February 2022.

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Inflammatory bowel disease (IBD) have a complex pathogenesis that is yet to be completely understood. However, a strong correlation between Toll-like receptor 4 (TLR4)/nuclear factor-κB (NF-κB) signaling and IBD has been observed. T-cell immunoglobulin and mucin domain-containing-3 (Tim-3) has been reported to regulate TLR4/NF-κB by interacting with Galectin-9 (Gal-9), and recombinant Gal-9 can activate Tim-3; however, its potential properties in IBD and the underlying mechanism remain unclear.

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Objectives: Bibliometric analysis has not comprehensively summarized studies of acute pancreatitis (AP)-associated intestinal diseases. This work aimed to evaluate cooperative networks of authors, countries, and institutions and explore the field's developing trends and hot topics.

Methods: Original articles and reviews of AP-associated intestinal diseases were obtained from the Web of Science Core Collection on October 11, 2021.

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Purpose: To determine the correlation between the pancreatic necrosis volume (PNV) and readmission as well as reintervention.

Method: This was a retrospective cohort study that included necrotizing pancreatitis (NP) patients who were examined with contrast-enhanced computed tomography (CT) one week before discharge. The PNV was calculated manually based on the postprocessing workstation software.

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Objectives: To investigate the dynamic changes in gastric varices in patients with acute pancreatitis (AP) and to develop a novel nomogram for the early prediction of sinistral portal hypertension (SPH).

Methods: This was a retrospective, case-control study with an analysis of the quantitative, dynamic computed tomography imaging results of SPH in patients with moderate and severe AP with a long-term follow-up. Multivariate logistic regression analysis and nomogram were employed.

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Although many studies have emphasized the prognostic and diagnostic value of tumor markers and various inflammation-related markers, their clinical significance in differentiating benign and malignant pancreatic cystic neoplasms (PCNs) remains to be clarified. The present study explored the value of serum tumor markers and inflammation-related biomarkers in the differentiation of pancreatic serous cystic neoplasms (SCNs) and pancreatic mucinous cystic neoplasms (MCNs). A total of 79 patients with PCNs were included in this study, including 35 patients with SCNs and 44 patients with MCNs.

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We investigated whether faecal microbiota transplantation (FMT) decreases intra-abdominal pressure (IAP) and improves gastrointestinal (GI) dysfunction and infectious complications in acute pancreatitis (AP). In this first randomised, single-blind, parallel-group, controlled study, we recruited and enrolled consecutive patients with AP complicated with GI dysfunction. Eligible participants were randomly assigned to receive faecal transplant ( = 30) or normal saline ( = 30) via a nasoduodenal tube once and then again 2 days later.

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Background: Although metal stents have been widely used in the endoscopic step-up approach for necrotizing pancreatitis, the exact timing of transmural stent removal has not been well studied. Here, we report a novel strategy for stent removal and compare it with the conventional strategy.

Materials And Methods: This retrospective, nested, case-control study analyzed all adult necrotizing pancreatitis patients who underwent endoscopic transmural necrosectomy (ETN).

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Background: A prediction model for 30-day readmission in patients with acute pancreatitis (AP) was needed.

Aims: To develop a nomogram to predict 30-day readmission in patients with AP and validate the usefulness of serum indicators after discharge for the prediction of 30-day readmission.

Methods: This was a retrospective cohort study enrolling patients with the first attack of AP.

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Background: Epidemiological evidence indicates that hemodialysis may be a risk factor for acute pancreatitis. This meta-analysis was conducted with the aim of summarizing all available data and examining the present evidence.

Aim: To quantify the association between hemodialysis and the incidence of acute pancreatitis.

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