Search results for "GI bleeding"
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
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
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
Manage meds to treat GI bleeding before, after endoscopy
Care of inpatients with GI bleeding is complicated and multidisciplinary, but hospitalists can contribute by starting and stopping the right drugs, according to conference coverage from Internal Medicine Meeting 2022.
https://gastroenterology.acponline.org/archives/2022/05/27/6.htm
27 May 2022
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
New guideline offers recommendations on managing antithrombotic drugs during GI bleeds, endoscopies
The American College of Gastroenterology and the Canadian Association of Gastroenterology offered suggestions for management of patients on warfarin, direct oral anticoagulants, and antiplatelet agents.
https://gastroenterology.acponline.org/archives/2022/03/25/1.htm
25 Mar 2022
AGA clinical practice update offers guidance on PPI deprescribing
All patients taking a proton-pump inhibitor (PPI) should have a regular review and documentation of ongoing indications for use, which should be the responsibility of the primary care clinician, the American Gastroenterological Association (AGA) said.
https://gastroenterology.acponline.org/archives/2022/02/25/6.htm
25 Feb 2022