Colonoscopy outreach increased CRC screening more than FIT outreach; both were better than usual care
Those choosing screening tests may need to start considering the feasibility of achieving all related downstream actions as well as sensitivity, false-positive rates, safety, and cost, an ACP Journal Club ... Fletcher, MD, MSc, MACP, appeared in the ACP
In uncomplicated acute appendicitis, 61% of patients initially treated with antibiotics had not had appendectomy at 5 years
While delay of surgery was not associated with major complications, potential candidates for nonsurgical management of uncomplicated acute appendicitis should be chosen carefully, an ACP Journal Club commentary said. ... The following commentary by
Genotypic resistance–guided and medication-guided therapies did not differ for eradicating refractory H pylori
Patients with Helicobacter pylori infection had similar cure rates with resistance-guided and medication-guided therapy, an unexpected finding, according to an ACP Journal Club commentary. ... The study was published in the October 2018 Gastroenterology.
Review: In adult inpatients with mild or moderate acute pancreatitis, early feeding may reduce length of stay
A commentary in ACP Journal Club said the findings reinforce the recommended strategy of attempting early oral feeding in patients with mild acute pancreatitis using a low-fat solid diet as ... The following commentary by Dennis Yang, MD, and Christopher
Review: In chronic hepatitis C virus infection, oral direct-acting antivirals have high sustained virologic response
A commentary in ACP Journal Club noted that while screening and treating all patients with chronic hepatitis C virus (HCV) would be cost-effective and probably cost-saving, some payers are ... The following commentary, by Henry S. Sacks, PhD, MD, FACP,
In primary biliary cholangitis, adding bezafibrate to ursodeoxycholic acid increased complete biochemical response
Bezafibrate is currently unavailable in the U.S., but fenofibrate can be offered off-label in these patients with close monitoring of adverse effects, an ACP Journal Club commentary said. ... The following commentary by Jacob Korula, MD, FACP, appeared
Clinical judgment will be needed to determine whether the relatively modest improvement in outcomes will be important to patients for whom the drug is considered, according to an accompanying ACP Journal ... The following commentary by Sander Veldhuyzen
Cholecystectomy reduced major complications vs catheter drainage in high-risk patients with acute cholecystitis
a broader age range, an ACP Journal Club commentary said. ... The following commentary by Joseph F. Rappold, MD, appeared in the ACP Journal Club section of the Feb.
In Barrett esophagus, high- vs low-dose esomeprazole improved clinical outcomes; aspirin vs no aspirin did not
ACP Journal Club commentary said. ... The following commentary by John K. Marshall, MD, MSc, FRCPC, appeared in the ACP Journal Club section of the Nov.
In uncomplicated, left-sided acute diverticulitis, observation did not differ from antibiotics for recovery
Feuerstein, MD, was published in the ACP Journal Club section of the Feb. ... All articles from the February 24, 2017, ACP Gastroenterology Monthly Newsletter.