Search results for "GI bleeding"
Case reports published on gastroenterology topics
Reports on gastric hyperplastic polyps and upper GI bleeding, rectal ulceration after radiation therapy, and primary epiploic appendagitis were published this month.
https://gastroenterology.acponline.org/archives/2022/05/27/8.htm
27 May 2022
MKSAP Quiz: Next steps after a GI bleed
This month's quiz asks readers to determine the most appropriate next step in management for a 40-year-old patient who was discharged six weeks ago after hospitalization for upper GI bleeding and whose most recent upper endoscopy showed a healing Mallory-Weiss tear.
https://gastroenterology.acponline.org/archives/2022/05/27/4.htm
27 May 2022
Two risk scores most accurately predict outcomes after lower GI bleeding
The Oakland score performed best for predicting safe discharge, major bleeding, and transfusion, while the Strate score performed best for hemostasis, according to a recent review and meta-analysis that assessed four scores.
https://gastroenterology.acponline.org/archives/2022/06/24/6.htm
24 Jun 2022
PPI use in the ICU associated with mortality risk
A systematic review and meta-analysis found that critically ill patients who received proton-pump inhibitors (PPIs) versus any comparator for stress ulcer prophylaxis had a higher risk for death, especially if they were more severely ill at baseline.
https://gastroenterology.acponline.org/archives/2022/06/24/3.htm
24 Jun 2022
ACG-CAG provided suggestions for periendoscopic management of anticoagulants and antiplatelets
The recommendations from the American College of Gastroenterology (ACG) and the Canadian Association of Gastroenterology (CAG), particularly those for withholding antithrombotics before planned endoscopic procedures, require individualized decision making with multidisciplinary input, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2022/07/22/7.htm
22 Jul 2022
Case reports, series published on gastroenterology topics
Reports on sarcomatoid carcinoma of the colon, intestinal histopathologic findings in multisystem inflammatory syndrome, and chronic gastric ischemia with ulceration, as well as a case series on immune checkpoint inhibitor use in microscopic colitis, were published in the past month.
https://gastroenterology.acponline.org/archives/2022/07/22/9.htm
22 Jul 2022
GI bleeding risks with warfarin and DOACs compared
Warfarin was associated with a similar risk of lower GI bleeding as direct oral anticoagulants (DOACs) but more than twice the rate of upper GI bleeding, which led study authors to suggest that DOACs may be preferable to warfarin in patients at high risk of upper GI bleeds.
https://gastroenterology.acponline.org/archives/2022/08/26/1.htm
26 Aug 2022
Spotlight on hospital care for cirrhosis
In recent studies of patients with cirrhosis, an admission order set was associated with better care quality, data supported culture-based deescalation of antibiotics during hospitalization, and nonvariceal upper GI bleeding was associated with higher readmission rates.
https://gastroenterology.acponline.org/archives/2022/08/26/5.htm
26 Aug 2022
In adults using oral anticoagulants, PPI use may be associated with lower risk for upper GI bleeding
An ACP Journal Club commentary on the meta-analysis stressed the importance of assessing patients' underlying risk for GI bleeding and using overall clinical risk to guide shared decision making in those at higher risk or with lower baseline bleeding tolerance.
https://gastroenterology.acponline.org/archives/2022/11/18/9.htm
18 Nov 2022
Apixaban associated with lower risk of GI bleeding compared to other DOACs
Apixaban users experienced similar rates of ischemic stroke or systemic embolism, intracranial hemorrhage, and all-cause mortality as patients taking other direct oral anticoagulants (DOACs), a retrospective analysis found.
https://gastroenterology.acponline.org/archives/2022/11/18/6.htm
18 Nov 2022