Search results for "Dyspepsia"
Spotlight on gluten avoidance
An industry-funded trial of patients with self-reported gluten sensitivity found that symptoms were tied to the expectation of gluten more than actual consumption, while a study of celiac disease patients found that their symptoms often persisted after elimination of gluten.
https://gastroenterology.acponline.org/archives/2023/12/22/5.htm
22 Dec 2023
MKSAP Quiz: Persistent epigastric pain despite PPI therapy
This month's quiz asks readers to determine the most appropriate next step in treatment for a 30-year-old patient with progressively worsening epigastric pain that is more severe with eating and has not improved with proton-pump inhibitor (PPI) therapy.
https://gastroenterology.acponline.org/archives/2023/01/27/4.htm
27 Jan 2023
MKSAP Quiz: Gastroparesis symptoms in a patient with diabetes
This month's quiz asks readers to determine the most appropriate next step in management of a 60-year-old patient with a history of type 2 diabetes and daily nausea, fullness, and other symptoms suggestive of gastroparesis.
https://gastroenterology.acponline.org/archives/2022/10/28/4.htm
28 Oct 2022
Spotlight on Helicobacter pylori treatment
A review found that susceptibility-guided therapy may be the superior first-line treatment for H. pylori infection in areas with high antibiotic resistance, while a study of trial participants with 26.5 years of follow-up showed that H. pylori eradication may provide long-term protection against gastric cancer.
https://gastroenterology.acponline.org/archives/2022/04/22/5.htm
22 Apr 2022
H. pylori eradication therapy may lead to better outcomes for functional dyspepsia
A systematic review and meta-analysis found that Helicobacter pylori eradication therapy was associated with higher cure rates and rates of symptom improvement in H. pylori-positive patients with functional dyspepsia.
https://gastroenterology.acponline.org/archives/2022/01/28/2.htm
28 Jan 2022
New best practice advice tackles pain in disorders of gut-brain interaction
An expert review from the American Gastroenterological Association cautioned against using opioids to treat pain from irritable bowel syndrome, functional dyspepsia, or centrally mediated abdominal pain syndrome, among other advice.
https://gastroenterology.acponline.org/archives/2021/07/23/2.htm
23 Jul 2021
Education for patients reduced upper GI endoscopies for uninvestigated dyspepsia
To reduce overuse, a Dutch trial provided a self-managed, web-based educational intervention containing information on gastric function, dyspepsia, and upper GI tract endoscopy to some patients referred for the procedure by their primary care clinicians.
https://gastroenterology.acponline.org/archives/2021/05/28/3.htm
28 May 2021
Spotlight on COVID-19's impact on gastroenterology
Speakers at Digestive Disease Week shared research on how the COVID-19 pandemic has affected health care utilization, telehealth, and outcomes for patients with GI cancers.
https://gastroenterology.acponline.org/archives/2021/05/28/6.htm
28 May 2021
Spotlight on functional GI disorders
Research in the past month focused on irritable bowel syndrome (IBS) and functional dyspepsia, finding a worse disease prognosis among patients with both conditions versus IBS alone, as well as sex-based differences and an inverse association between fruit intake and functional dyspepsia symptoms.
https://gastroenterology.acponline.org/archives/2021/04/23/5.htm
23 Apr 2021
H. pylori eradication therapy may reduce gastric cancer risk; rifabutin-based therapy effective in industry-sponsored trial
A meta-analysis suggested that, in addition to preventing progression, early Helicobacter pylori eradication therapy reduces gastric cancer risk, and a novel rifabutin-based therapy may offer physicians another option for initiating eradication treatment, an ACP Journal Club commentary on both studies said.
https://gastroenterology.acponline.org/archives/2020/09/25/9.htm
25 Sep 2020