Search results for "Gastrointestinal bleeding"
MKSAP quiz: Recent history of mild nausea, dyspepsia
This month's quiz asks readers to determine the most appropriate next step in management for a 55-year-old man with a 2-day history of mild nausea and dyspepsia that is worse with fasting and improved with eating.
https://gastroenterology.acponline.org/archives/2018/08/24/4.htm
24 Aug 2018
MKSAP Quiz: Confusion and a history of cirrhosis
This month's quiz asks readers to determine the most appropriate next step in evaluation in the ED for a 56-year-old patient with symptoms of progressive confusion and a history of cirrhosis due to alcohol use, as well as depression and anxiety.
https://gastroenterology.acponline.org/archives/2023/03/24/4.htm
24 Mar 2023
Misoprostol may help treat obscure GI bleeding in patients taking aspirin, NSAIDs
Complete healing of small-bowel ulcers and erosions, as assessed by video-capsule endoscopy, was significantly more common among patients receiving misoprostol than those randomized to placebo, a small British study found.
https://gastroenterology.acponline.org/archives/2018/05/25/3.htm
25 May 2018
Internists may overestimate risks of PPIs, survey suggests
A survey of internists showed that 79% inappropriately recommended stopping proton-pump inhibitors (PPIs) in a prevention scenario focusing on high-risk upper gastrointestinal bleeding.
https://gastroenterology.acponline.org/archives/2020/02/28/3.htm
28 Feb 2020
In Barrett esophagus, high- vs low-dose esomeprazole improved clinical outcomes; aspirin vs no aspirin did not
The safety of high-dose proton-pump inhibitor therapy is probably acceptable, but the addition of aspirin carries more risk, has less evidence on efficacy, and needs an individualized approach, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2018/12/28/10.htm
28 Dec 2018
Spotlight on PPIs
Myocardial infarction risk appeared no greater with proton-pump inhibitors (PPIs) than with histamine H2 receptor antagonists in one recent study, while another study looked at the effect of a trainee-led program on inappropriate PPI infusions in hospitalized patients.
https://gastroenterology.acponline.org/archives/2017/11/28/5.htm
28 Nov 2017
MKSAP Quiz: Evaluation of small-bowel bleeding
This month's quiz asks readers to determine the most appropriate diagnostic test to perform next in a 55-year-old patient with iron deficiency anemia after an upper endoscopy and a colonoscopy did not find the source of suspected small-bowel bleeding.
https://gastroenterology.acponline.org/archives/2021/09/24/4.htm
24 Sep 2021
PPI prophylaxis didn't affect 90-day mortality rates among ICU patients
Gastrointestinal bleeds were less common among at-risk ICU patients who received IV pantoprazole instead of placebo, but rates of clinically important events were similar overall.
https://gastroenterology.acponline.org/archives/2018/10/26/2.htm
26 Oct 2018
MKSAP Quiz: Management of hepatic encephalopathy
This month's quiz asks readers to determine the most appropriate course of management for a 56-year-old man presenting with altered mental status and a history of cirrhosis and anxiety.
https://gastroenterology.acponline.org/archives/2019/11/22/4.htm
22 Nov 2019
GI bleeding less common in U.S. veterans on NOACs than those on warfarin
Significant bleeding occurred in 2.5% of the patients on warfarin and 0.6% of the patients on non-vitamin K antagonist oral anticoagulants (NOACs).
https://gastroenterology.acponline.org/archives/2017/03/24/3.htm
24 Mar 2017