To the editor,
We read the article “Total parenteral nutrition-induced Wernicke’s encephalopathy after oncologic gastrointestinal surgery” with great interest. In this article, Fedeli et al. present a table with patients who developed Wernicke’s encephalopathy (WE) after oncologic gastrointestinal surgery.
In the case report by Onieva-González et al. [1], the patient underwent cephalic pancreaticoduodenectomy, and WE occurred postoperatively. However, the reason for pancreaticoduodenectomy was not pancreatic cancer but a duodenal ulcer penetrating the pancreas causing massive upper gastrointestinal bleeding. Moreover, the authors did not report histological data. Similarly, Iwase et al. [2] showed that thiamine levels were lower in patients who underwent gastrectomy; nonetheless, none of the patients presented WE. Therefore, these reports may not be included in the table.
Few cases of WE after oncologic gastrointestinal surgery have been reported in the literature. In turn, many cases of WE after non-oncologic gastrointestinal surgery (e.g., bariatric surgery) have been described. Notwithstanding the type of patients (alcoholic vs non-alcoholic or oncologic or non-oncologic), WE is associated with impaired thiamine uptake in the gastrointestinal tract.
We performed a brief literature review using the PubMed interface. We searched cases of WE or Wernicke–Korsakoff syndrome in patients with a history of oncologic gastrointestinal surgery. We included all the cases regardless of publication date. In addition to the cases in this article, 35 other case reports of WE after oncologic gastrointestinal surgery were found in the literature [3,4,5,6,7,8,9,10]. A total number of 51 cases of WE after oncologic gastrointestinal surgery were examined. Cancer types of these cases were gastric cancer, pancreatic cancer, colorectal cancer, gall-bladder cancer, duodenal cancer, ampulla of Vater cancer, and cholangiocellular cancer. Surgery techniques were subtotal gastrectomy, total gastrectomy, pancreaticoduodenectomy, anterior resection, abdominal-perineal resection, gastro-entero-anastomosis, hemicolectomy, cholecystectomy, subtotal stomach-preserving pancreatoduodenectomy, Roux-en-Y hepaticojejunostomy, and gastrojejunostomy. Most of these cases have not had the classic triad of confusion, ocular abnormality, and ataxia. Permanent neurological deficits occurred in cases where thiamine replacement was delayed [10,11]. Therefore, patients with malignancies, especially those who have undergone gastrointestinal surgery, are at increased risk of thiamine deficiency. In cancer patients with encephalopathy/confusion, WE should be suspected in addition to common etiologies such as infections, metastasis, and cerebrovascular events.
WE is not uncommon in cancer patients, especially those who have undergone gastrointestinal surgery. The European Federation of Neurological Societies guideline has reported that 18.1% of non-alcoholic WE is caused by cancer [12]. However, recommendations on prophylactic thiamine replacement in cancer patients who underwent gastrointestinal surgery are lacking. The National Comprehensive Cancer Network guidelines (version 1.2023) for gastric cancer make recommendations for vitamin B12 and iron replacement but not for thiamine replacement [13]. The recommendation for the treatment of WE is 500 mg thiamine administration three times per day until symptoms resolve [11], and the recommendation for the prevention of WE in high-risk patients is 100 mg thiamine administration three times per day [14].
In conclusion, thiamine deficiency and WE are common in cancer patients who underwent gastrointestinal surgery, and treatment delay can lead to permanent neurological deficits. Moreover, recommendations on thiamine replacement should be included in clinical practice guidelines in oncology. Furthermore, studies are needed to determine the effectiveness of preventive strategies in high-risk patients.
-
Funding information: Authors state no funding involved.
-
Conflict of interest: Authors state no conflict of interest.
-
Data availability statement: Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.
References
[1] Onieva-González F, Blanco-Fernández G, Munuera-Romero L, Márquez-Rojas J, Marcos M, Solórzano-Peck G. Wernicke’s encephalopathy after cephalic pancreaticoduodenectomy. Rev Esp Enferm Dig. 2011;103:594–6. 10.4321/S1130-01082011001100009.Suche in Google Scholar
[2] Iwase K, Higaki J, Yoon HE, Mikata S, Miyazaki M, Kamiike W. Reduced thiamine (vitamin B1) levels following gastrectomy for gastric cancer. Gastric Cancer. 2002;5:77–82. 10.1007/s101200200013.Suche in Google Scholar PubMed
[3] Tsutsumi C, Abe T, Shinkawa T, Watanabe H, Nishihara K, Nakano T. Development of Wernicke’s encephalopathy long after subtotal stomach-preserving pancreatoduodenectomy: a case report. Surg Case Rep. 2020;6(1):220. 10.1186/s40792-020-00982-y.Suche in Google Scholar PubMed PubMed Central
[4] Rufa A, Rosini F, Cerase A, Giannini F, Pretegiani E, Buccoliero R, et al. Wernicke encephalopathy after gastrointestinal surgery for cancer: causes of diagnostic failure or delay. Int J Neurosci. 2011;121:201–8.10.3109/00207454.2010.544430Suche in Google Scholar PubMed
[5] Wu L, Jin D, Sun X, Liang L, Huang D, Dong Z, et al. Cortical damage in Wernicke’s encephalopathy with good prognosis: a report of two cases and literature review. Metab Brain Dis. 2017;32:377–84.10.1007/s11011-016-9920-0Suche in Google Scholar PubMed
[6] Restivo A, Carta MG, Farci AMG, Saiu L, Gessa GL, Agabio R. Risk of thiamine deficiency and Wernicke’s encephalopathy after gastrointestinal surgery for cancer. Support Care Cancer. 2016;24:77–82.10.1007/s00520-015-2748-zSuche in Google Scholar PubMed
[7] Abdelrazek M, Han C, Albrecht A, Elsadek L, Yadollahikhales G, Elsadek R. Wernicke’s encephalopathy 5 years after a Whipple procedure. Neurohospitalist. 2018;8:NP3–4. 10.1177/1941874417710878.Suche in Google Scholar PubMed PubMed Central
[8] Li Q, Wang F, Cheng L, Chen L, Wu Z. Wernicke encephalopathy following advanced caecum cancer. Rev Esp Enferm Dig. 2021;113:856–7. 10.17235/reed.2021.8343/2021.Suche in Google Scholar PubMed
[9] Koca O, Demir B, Derin S, Turna ZH. A case report of Wernicke Korsakoff syndrome in a patient with cholangiocellular carcinoma: An underestimated cause of encephalopathy in cancer patients. Medicine. 2022;101(48):e31904. 10.1097/MD.0000000000031904.Suche in Google Scholar PubMed PubMed Central
[10] Isenberg-Grzeda E, Alici Y, Hatzoglou V, Nelson C, Breitbart W. Nonalcoholic thiamine-related encephalopathy (Wernicke-Korsakoff syndrome) among inpatients with cancer: A series of 18 cases. Psychosomatics. 2016;57(1):71–81. 10.1016/j.psym.2015.10.001.Suche in Google Scholar PubMed PubMed Central
[11] Oudman E, Wijnia JW, Oey MJ, van Dam M, Postma A. Wernicke-Korsakoff syndrome despite no alcohol abuse: A summary of systematic reports. J Neurol Sci. 2021;426:117482. 10.1016/j.jns.2021.117482.Suche in Google Scholar PubMed
[12] Galvin R, Bråthen G, Ivashynka A, Hillbom M, Tanasescu R, Leone MA. EFNS guidelines for diagnosis, therapy and prevention of Wernicke encephalopathy. Eur J Neurol. 2010;17(12):1408–18. 10.1111/j.1468-1331.2010.03153.x.Suche in Google Scholar PubMed
[13] National Comprehensive Cancer Network. Gastric Cancer (Version 1.2023). https://www.nccn.org/guidelines/guidelines-detail? category=1&id=1434.Suche in Google Scholar
[14] Sriram K, Manzanares W, Joseph K. Thiamine in nutrition therapy. Nutr Clin Pract. 2012;27(1):41–50. 10.1177/0884533611426149.Suche in Google Scholar PubMed
© 2024 the author(s), published by De Gruyter
This work is licensed under the Creative Commons Attribution 4.0 International License.
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Artikel in diesem Heft
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- Lactate dehydrogenase to albumin ratio is associated with in-hospital mortality in patients with acute heart failure: Data from the MIMIC-III database
- CD36-mediated podocyte lipotoxicity promotes foot process effacement
- Efficacy of etonogestrel subcutaneous implants versus the levonorgestrel-releasing intrauterine system in the conservative treatment of adenomyosis
- FLRT2 mediates chondrogenesis of nasal septal cartilage and mandibular condyle cartilage
- Challenges in treating primary immune thrombocytopenia patients undergoing COVID-19 vaccination: A retrospective study
- Let-7 family regulates HaCaT cell proliferation and apoptosis via the ΔNp63/PI3K/AKT pathway
- Phospholipid transfer protein ameliorates sepsis-induced cardiac dysfunction through NLRP3 inflammasome inhibition
- Postoperative cognitive dysfunction in elderly patients with colorectal cancer: A randomized controlled study comparing goal-directed and conventional fluid therapy
- Long-pulsed ultrasound-mediated microbubble thrombolysis in a rat model of microvascular obstruction
- High SEC61A1 expression predicts poor outcome of acute myeloid leukemia
- Comparison of polymerase chain reaction and next-generation sequencing with conventional urine culture for the diagnosis of urinary tract infections: A meta-analysis
- Secreted frizzled-related protein 5 protects against renal fibrosis by inhibiting Wnt/β-catenin pathway
- Pan-cancer and single-cell analysis of actin cytoskeleton genes related to disulfidptosis
- Overexpression of miR-532-5p restrains oxidative stress response of chondrocytes in nontraumatic osteonecrosis of the femoral head by inhibiting ABL1
- Autologous liver transplantation for unresectable hepatobiliary malignancies in enhanced recovery after surgery model
- Clinical analysis of incomplete rupture of the uterus secondary to previous cesarean section
- Abnormal sleep duration is associated with sarcopenia in older Chinese people: A large retrospective cross-sectional study
- No genetic causality between obesity and benign paroxysmal vertigo: A two-sample Mendelian randomization study
- Identification and validation of autophagy-related genes in SSc
- Long non-coding RNA SRA1 suppresses radiotherapy resistance in esophageal squamous cell carcinoma by modulating glycolytic reprogramming
- Evaluation of quality of life in patients with schizophrenia: An inpatient social welfare institution-based cross-sectional study
- The possible role of oxidative stress marker glutathione in the assessment of cognitive impairment in multiple sclerosis
- Compilation of a self-management assessment scale for postoperative patients with aortic dissection
- Left atrial appendage closure in conjunction with radiofrequency ablation: Effects on left atrial functioning in patients with paroxysmal atrial fibrillation
- Effect of anterior femoral cortical notch grade on postoperative function and complications during TKA surgery: A multicenter, retrospective study
- Clinical characteristics and assessment of risk factors in patients with influenza A-induced severe pneumonia after the prevalence of SARS-CoV-2
- Analgesia nociception index is an indicator of laparoscopic trocar insertion-induced transient nociceptive stimuli
- High STAT4 expression correlates with poor prognosis in acute myeloid leukemia and facilitates disease progression by upregulating VEGFA expression
- Factors influencing cardiovascular system-related post-COVID-19 sequelae: A single-center cohort study
- HOXD10 regulates intestinal permeability and inhibits inflammation of dextran sulfate sodium-induced ulcerative colitis through the inactivation of the Rho/ROCK/MMPs axis
- Mesenchymal stem cell-derived exosomal miR-26a induces ferroptosis, suppresses hepatic stellate cell activation, and ameliorates liver fibrosis by modulating SLC7A11
- Endovascular thrombectomy versus intravenous thrombolysis for primary distal, medium vessel occlusion in acute ischemic stroke
- ANO6 (TMEM16F) inhibits gastrointestinal stromal tumor growth and induces ferroptosis
- Prognostic value of EIF5A2 in solid tumors: A meta-analysis and bioinformatics analysis
- The role of enhanced expression of Cx43 in patients with ulcerative colitis
- Choosing a COVID-19 vaccination site might be driven by anxiety and body vigilance
- Role of ICAM-1 in triple-negative breast cancer
- Cost-effectiveness of ambroxol in the treatment of Gaucher disease type 2
- HLA-DRB5 promotes immune thrombocytopenia via activating CD8+ T cells
- Efficacy and factors of myofascial release therapy combined with electrical and magnetic stimulation in the treatment of chronic pelvic pain syndrome
- Efficacy of tacrolimus monotherapy in primary membranous nephropathy
- Mechanisms of Tripterygium wilfordii Hook F on treating rheumatoid arthritis explored by network pharmacology analysis and molecular docking
- FBXO45 levels regulated ferroptosis renal tubular epithelial cells in a model of diabetic nephropathy by PLK1
- Optimizing anesthesia strategies to NSCLC patients in VATS procedures: Insights from drug requirements and patient recovery patterns
- Alpha-lipoic acid upregulates the PPARγ/NRF2/GPX4 signal pathway to inhibit ferroptosis in the pathogenesis of unexplained recurrent pregnancy loss
- Correlation between fat-soluble vitamin levels and inflammatory factors in paediatric community-acquired pneumonia: A prospective study
- CD1d affects the proliferation, migration, and apoptosis of human papillary thyroid carcinoma TPC-1 cells via regulating MAPK/NF-κB signaling pathway
- miR-let-7a inhibits sympathetic nerve remodeling after myocardial infarction by downregulating the expression of nerve growth factor
- Immune response analysis of solid organ transplantation recipients inoculated with inactivated COVID-19 vaccine: A retrospective analysis
- The H2Valdien derivatives regulate the epithelial–mesenchymal transition of hepatoma carcinoma cells through the Hedgehog signaling pathway
- Clinical efficacy of dexamethasone combined with isoniazid in the treatment of tuberculous meningitis and its effect on peripheral blood T cell subsets
- Comparison of short-segment and long-segment fixation in treatment of degenerative scoliosis and analysis of factors associated with adjacent spondylolisthesis
- Lycopene inhibits pyroptosis of endothelial progenitor cells induced by ox-LDL through the AMPK/mTOR/NLRP3 pathway
- Methylation regulation for FUNDC1 stability in childhood leukemia was up-regulated and facilitates metastasis and reduces ferroptosis of leukemia through mitochondrial damage by FBXL2
- Correlation of single-fiber electromyography studies and functional status in patients with amyotrophic lateral sclerosis
- Risk factors of postoperative airway obstruction complications in children with oral floor mass
- Expression levels and clinical significance of serum miR-19a/CCL20 in patients with acute cerebral infarction
- Physical activity and mental health trends in Korean adolescents: Analyzing the impact of the COVID-19 pandemic from 2018 to 2022
- Evaluating anemia in HIV-infected patients using chest CT
- Ponticulus posticus and skeletal malocclusion: A pilot study in a Southern Italian pre-orthodontic court
- Causal association of circulating immune cells and lymphoma: A Mendelian randomization study
- Assessment of the renal function and fibrosis indexes of conventional western medicine with Chinese medicine for dredging collaterals on treating renal fibrosis: A systematic review and meta-analysis
- Comprehensive landscape of integrator complex subunits and their association with prognosis and tumor microenvironment in gastric cancer
- New target-HMGCR inhibitors for the treatment of primary sclerosing cholangitis: A drug Mendelian randomization study
- Population pharmacokinetics of meropenem in critically ill patients
- Comparison of the ability of newly inflammatory markers to predict complicated appendicitis
- Comparative morphology of the cruciate ligaments: A radiological study
- Immune landscape of hepatocellular carcinoma: The central role of TP53-inducible glycolysis and apoptosis regulator
- Serum SIRT3 levels in epilepsy patients and its association with clinical outcomes and severity: A prospective observational study
- SHP-1 mediates cigarette smoke extract-induced epithelial–mesenchymal transformation and inflammation in 16HBE cells
- Acute hyper-hypoxia accelerates the development of depression in mice via the IL-6/PGC1α/MFN2 signaling pathway
- The GJB3 correlates with the prognosis, immune cell infiltration, and therapeutic responses in lung adenocarcinoma
- Physical fitness and blood parameters outcomes of breast cancer survivor in a low-intensity circuit resistance exercise program
- Exploring anesthetic-induced gene expression changes and immune cell dynamics in atrial tissue post-coronary artery bypass graft surgery
- Empagliflozin improves aortic injury in obese mice by regulating fatty acid metabolism
- Analysis of the risk factors of the radiation-induced encephalopathy in nasopharyngeal carcinoma: A retrospective cohort study
- Reproductive outcomes in women with BRCA 1/2 germline mutations: A retrospective observational study and literature review
- Evaluation of upper airway ultrasonographic measurements in predicting difficult intubation: A cross-section of the Turkish population
- Prognostic and diagnostic value of circulating IGFBP2 in pancreatic cancer
- Postural stability after operative reconstruction of the AFTL in chronic ankle instability comparing three different surgical techniques
- Research trends related to emergence agitation in the post-anaesthesia care unit from 2001 to 2023: A bibliometric analysis
- Frequency and clinicopathological correlation of gastrointestinal polyps: A six-year single center experience
- ACSL4 mediates inflammatory bowel disease and contributes to LPS-induced intestinal epithelial cell dysfunction by activating ferroptosis and inflammation
- Affibody-based molecular probe 99mTc-(HE)3ZHER2:V2 for non-invasive HER2 detection in ovarian and breast cancer xenografts
- Effectiveness of nutritional support for clinical outcomes in gastric cancer patients: A meta-analysis of randomized controlled trials
- The relationship between IFN-γ, IL-10, IL-6 cytokines, and severity of the condition with serum zinc and Fe in children infected with Mycoplasma pneumoniae
- Paraquat disrupts the blood–brain barrier by increasing IL-6 expression and oxidative stress through the activation of PI3K/AKT signaling pathway
- Sleep quality associate with the increased prevalence of cognitive impairment in coronary artery disease patients: A retrospective case–control study
- Dioscin protects against chronic prostatitis through the TLR4/NF-κB pathway
- Association of polymorphisms in FBN1, MYH11, and TGF-β signaling-related genes with susceptibility of sporadic thoracic aortic aneurysm and dissection in the Zhejiang Han population
- Application value of multi-parameter magnetic resonance image-transrectal ultrasound cognitive fusion in prostate biopsy
- Laboratory variables‐based artificial neural network models for predicting fatty liver disease: A retrospective study
- Decreased BIRC5-206 promotes epithelial–mesenchymal transition in nasopharyngeal carcinoma through sponging miR-145-5p
- Sepsis induces the cardiomyocyte apoptosis and cardiac dysfunction through activation of YAP1/Serpine1/caspase-3 pathway
- Assessment of iron metabolism and iron deficiency in incident patients on incident continuous ambulatory peritoneal dialysis
- Tibial periosteum flap combined with autologous bone grafting in the treatment of Gustilo-IIIB/IIIC open tibial fractures
- The application of intravenous general anesthesia under nasopharyngeal airway assisted ventilation undergoing ureteroscopic holmium laser lithotripsy: A prospective, single-center, controlled trial
- Long intergenic noncoding RNA for IGF2BP2 stability suppresses gastric cancer cell apoptosis by inhibiting the maturation of microRNA-34a
- Role of FOXM1 and AURKB in regulating keratinocyte function in psoriasis
- Parental control attitudes over their pre-school children’s diet
- The role of auto-HSCT in extranodal natural killer/T cell lymphoma
- Significance of negative cervical cytology and positive HPV in the diagnosis of cervical lesions by colposcopy
- Echinacoside inhibits PASMCs calcium overload to prevent hypoxic pulmonary artery remodeling by regulating TRPC1/4/6 and calmodulin
- ADAR1 plays a protective role in proximal tubular cells under high glucose conditions by attenuating the PI3K/AKT/mTOR signaling pathway
- The risk of cancer among insulin glargine users in Lithuania: A retrospective population-based study
- The unusual location of primary hydatid cyst: A case series study
- Intraoperative changes in electrophysiological monitoring can be used to predict clinical outcomes in patients with spinal cavernous malformation
- Obesity and risk of placenta accreta spectrum: A meta-analysis
- Shikonin alleviates asthma phenotypes in mice via an airway epithelial STAT3-dependent mechanism
- NSUN6 and HTR7 disturbed the stability of carotid atherosclerotic plaques by regulating the immune responses of macrophages
- The effect of COVID-19 lockdown on admission rates in Maternity Hospital
- Temporal muscle thickness is not a prognostic predictor in patients with high-grade glioma, an experience at two centers in China
- Luteolin alleviates cerebral ischemia/reperfusion injury by regulating cell pyroptosis
- Therapeutic role of respiratory exercise in patients with tuberculous pleurisy
- Effects of CFTR-ENaC on spinal cord edema after spinal cord injury
- Irisin-regulated lncRNAs and their potential regulatory functions in chondrogenic differentiation of human mesenchymal stem cells
- DMD mutations in pediatric patients with phenotypes of Duchenne/Becker muscular dystrophy
- Combination of C-reactive protein and fibrinogen-to-albumin ratio as a novel predictor of all-cause mortality in heart failure patients
- Significant role and the underly mechanism of cullin-1 in chronic obstructive pulmonary disease
- Ferroptosis-related prognostic model of mantle cell lymphoma
- Observation of choking reaction and other related indexes in elderly painless fiberoptic bronchoscopy with transnasal high-flow humidification oxygen therapy
- A bibliometric analysis of Prader-Willi syndrome from 2002 to 2022
- The causal effects of childhood sunburn occasions on melanoma: A univariable and multivariable Mendelian randomization study
- Oxidative stress regulates glycogen synthase kinase-3 in lymphocytes of diabetes mellitus patients complicated with cerebral infarction
- Role of COX6C and NDUFB3 in septic shock and stroke
- Trends in disease burden of type 2 diabetes, stroke, and hypertensive heart disease attributable to high BMI in China: 1990–2019
- Purinergic P2X7 receptor mediates hyperoxia-induced injury in pulmonary microvascular endothelial cells via NLRP3-mediated pyroptotic pathway
- Investigating the role of oviductal mucosa–endometrial co-culture in modulating factors relevant to embryo implantation
- Analgesic effect of external oblique intercostal block in laparoscopic cholecystectomy: A retrospective study
- Elevated serum miR-142-5p correlates with ischemic lesions and both NSE and S100β in ischemic stroke patients
- Correlation between the mechanism of arteriopathy in IgA nephropathy and blood stasis syndrome: A cohort study
- Risk factors for progressive kyphosis after percutaneous kyphoplasty in osteoporotic vertebral compression fracture
- Predictive role of neuron-specific enolase and S100-β in early neurological deterioration and unfavorable prognosis in patients with ischemic stroke
- The potential risk factors of postoperative cognitive dysfunction for endovascular therapy in acute ischemic stroke with general anesthesia
- Fluoxetine inhibited RANKL-induced osteoclastic differentiation in vitro
- Detection of serum FOXM1 and IGF2 in patients with ARDS and their correlation with disease and prognosis
- Rhein promotes skin wound healing by activating the PI3K/AKT signaling pathway
- Differences in mortality risk by levels of physical activity among persons with disabilities in South Korea
- Review Articles
- Cutaneous signs of selected cardiovascular disorders: A narrative review
- XRCC1 and hOGG1 polymorphisms and endometrial carcinoma: A meta-analysis
- A narrative review on adverse drug reactions of COVID-19 treatments on the kidney
- Emerging role and function of SPDL1 in human health and diseases
- Adverse reactions of piperacillin: A literature review of case reports
- Molecular mechanism and intervention measures of microvascular complications in diabetes
- Regulation of mesenchymal stem cell differentiation by autophagy
- Molecular landscape of borderline ovarian tumours: A systematic review
- Advances in synthetic lethality modalities for glioblastoma multiforme
- Investigating hormesis, aging, and neurodegeneration: From bench to clinics
- Frankincense: A neuronutrient to approach Parkinson’s disease treatment
- Sox9: A potential regulator of cancer stem cells in osteosarcoma
- Early detection of cardiovascular risk markers through non-invasive ultrasound methodologies in periodontitis patients
- Advanced neuroimaging and criminal interrogation in lie detection
- Maternal factors for neural tube defects in offspring: An umbrella review
- The chemoprotective hormetic effects of rosmarinic acid
- CBD’s potential impact on Parkinson’s disease: An updated overview
- Progress in cytokine research for ARDS: A comprehensive review
- Utilizing reactive oxygen species-scavenging nanoparticles for targeting oxidative stress in the treatment of ischemic stroke: A review
- NRXN1-related disorders, attempt to better define clinical assessment
- Lidocaine infusion for the treatment of complex regional pain syndrome: Case series and literature review
- Trends and future directions of autophagy in osteosarcoma: A bibliometric analysis
- Iron in ventricular remodeling and aneurysms post-myocardial infarction
- Case Reports
- Sirolimus potentiated angioedema: A case report and review of the literature
- Identification of mixed anaerobic infections after inguinal hernia repair based on metagenomic next-generation sequencing: A case report
- Successful treatment with bortezomib in combination with dexamethasone in a middle-aged male with idiopathic multicentric Castleman’s disease: A case report
- Complete heart block associated with hepatitis A infection in a female child with fatal outcome
- Elevation of D-dimer in eosinophilic gastrointestinal diseases in the absence of venous thrombosis: A case series and literature review
- Four years of natural progressive course: A rare case report of juvenile Xp11.2 translocations renal cell carcinoma with TFE3 gene fusion
- Advancing prenatal diagnosis: Echocardiographic detection of Scimitar syndrome in China – A case series
- Outcomes and complications of hemodialysis in patients with renal cancer following bilateral nephrectomy
- Anti-HMGCR myopathy mimicking facioscapulohumeral muscular dystrophy
- Recurrent opportunistic infections in a HIV-negative patient with combined C6 and NFKB1 mutations: A case report, pedigree analysis, and literature review
- Letter to the Editor
- Letter to the Editor: Total parenteral nutrition-induced Wernicke’s encephalopathy after oncologic gastrointestinal surgery
- Erratum
- Erratum to “Bladder-embedded ectopic intrauterine device with calculus”
- Retraction
- Retraction of “XRCC1 and hOGG1 polymorphisms and endometrial carcinoma: A meta-analysis”
- Corrigendum
- Corrigendum to “Investigating hormesis, aging, and neurodegeneration: From bench to clinics”
- Corrigendum to “Frankincense: A neuronutrient to approach Parkinson’s disease treatment”
- Special Issue The evolving saga of RNAs from bench to bedside - Part II
- Machine-learning-based prediction of a diagnostic model using autophagy-related genes based on RNA sequencing for patients with papillary thyroid carcinoma
- Unlocking the future of hepatocellular carcinoma treatment: A comprehensive analysis of disulfidptosis-related lncRNAs for prognosis and drug screening
- Elevated mRNA level indicates FSIP1 promotes EMT and gastric cancer progression by regulating fibroblasts in tumor microenvironment
- Special Issue Advancements in oncology: bridging clinical and experimental research - Part I
- Ultrasound-guided transperineal vs transrectal prostate biopsy: A meta-analysis of diagnostic accuracy and complication rates
- Assessment of diagnostic value of unilateral systematic biopsy combined with targeted biopsy in detecting clinically significant prostate cancer
- SENP7 inhibits glioblastoma metastasis and invasion by dissociating SUMO2/3 binding to specific target proteins
- MARK1 suppress malignant progression of hepatocellular carcinoma and improves sorafenib resistance through negatively regulating POTEE
- Analysis of postoperative complications in bladder cancer patients
- Carboplatin combined with arsenic trioxide versus carboplatin combined with docetaxel treatment for LACC: A randomized, open-label, phase II clinical study
- Special Issue Exploring the biological mechanism of human diseases based on MultiOmics Technology - Part I
- Comprehensive pan-cancer investigation of carnosine dipeptidase 1 and its prospective prognostic significance in hepatocellular carcinoma
- Identification of signatures associated with microsatellite instability and immune characteristics to predict the prognostic risk of colon cancer
- Single-cell analysis identified key macrophage subpopulations associated with atherosclerosis