Current Issue

Treatment algorithm updated for chronic HBV

The recommendations address use of newer therapies and are intended to offer guidance on treating chronic hepatitis B virus (HBV) infection while additional antiviral agents are in development.

Transportation, patient education among factors affecting colonoscopy rates after abnormal FIT, survey finds

Primary care physicians and staff were asked to identify patients' barriers to completing colonoscopy after an abnormal fecal immunochemical test (FIT) result, as well as factors that made completion more likely.

Low FODMAP diet beat other dietary interventions for IBS, review finds

A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) ranked first for abdominal pain severity and abdominal bloating or distension severity in irritable bowel syndrome (IBS) but was not superior for bowel habit.

MKSAP Quiz: VTE prophylaxis during hospitalization for ulcerative colitis

This month's quiz asks readers to determine the appropriate venous thromboembolism (VTE) prophylaxis in a 30-year-old man hospitalized for an acute flare of ulcerative colitis.

Spotlight on early transplants for alcoholic liver disease

Two studies showed that providing liver transplants to patients who hadn't abstained from alcohol for six months didn't reduce survival rates, while another found that relatively few patients with severe alcoholic hepatitis experience spontaneous remission.

Colorectal cancer risk higher after incomplete polyp resection

A follow-up analysis of patients who had a 5- to 20-mm neoplastic polyp resected found significantly greater risk of advanced neoplasia on their next colonoscopy if the resection was incomplete.

In decompensated cirrhosis, targeted albumin infusions did not improve an in-hospital composite outcome at 15 days

The results of this randomized trial should not discourage clinicians from using albumin for recognized indications, but they do not support targeting an arbitrary serum albumin level, an ACP Journal Club commentary said.

Low-value cancer screening may be commonly provided to older U.S. adults

An observational study found that patients often continued to be screened for cervical, breast, and colorectal cancer after passing guideline-recommended age thresholds.