Current Issue


Inflammatory bowel disease in childhood linked to increased cancer risk

A study in Sweden matched 9,405 incident cases of childhood-onset inflammatory bowel disease with 92,870 comparators from the general population and followed participants through adulthood until a median age of 27 years.

Patient navigators, clinician reminders may improve follow-up after positive fecal blood test

Patient navigators were effective but potentially costly, while using clinician reminder systems in the EHR and directly notifying endoscopists of positive fecal test results appeared to be promising low-cost interventions.

Keeping tabs: Spotlight on colorectal cancer screening intervals

One recent study looked at screening based on age and family history, while another looked at the effectiveness of fecal immunochemical testing with and without postpolypectomy surveillance colonoscopy.

Liraglutide associated with delayed gastric emptying, study finds

A randomized, double-blind, placebo-controlled pilot trial compared the effects of liraglutide and placebo on gastric motor function, satiation, satiety, and weight in obese patients over a 16-week period.

MKSAP quiz: Long-term follow-up of bariatric surgery

This month's quiz asks readers to evaluate a 55-year-old woman who had bariatric surgery eight years ago.

Warning issued on dosing of drug for primary biliary cholangitis

Clinicians should determine baseline liver function before starting patients on obeticholic acid, the FDA said.

Gastric bypass benefits persist over long-term follow-up, study finds

The authors said their study shows long-term durability of weight loss after bariatric surgery with Roux-en-Y gastric bypass, as well as related improvements in type 2 diabetes, hypertension, and lipid levels.

IDSA issues updated guidelines on infectious diarrhea

Among the recommendations, physicians should obtain a detailed clinical exposure history from all people with diarrhea, and patients who have fever or bloody diarrhea should be evaluated for enteropathogens that may respond to antimicrobial agents.

Short course of antibiotics worked as well as long for Enterobacteriaceae bacteremia

Rates of mortality, recurrent bloodstream infections, and Clostridium difficile infections within 30 days were similar whether patients received eight or 15 days of antibiotics.

Review: In adult inpatients with mild or moderate acute pancreatitis, early feeding may reduce length of stay

A commentary in ACP Journal Club said the findings reinforce the recommended strategy of attempting early oral feeding in patients with mild acute pancreatitis using a low-fat solid diet as the first meal.