In the News

Low-volume bowel prep appears as effective as high-volume for colonoscopy

No significant between-group differences were seen for low-volume versus high-volume split-dose regimens in adequacy of bowel cleansing, while low-volume regimens had higher odds of patient adherence or completion, tolerability, and willingness to repeat.

Studies examine effects of EHR nudges, physician uptake on CRC screening

Active choice interventions in an EHR prompted an increase in ordering of cancer screenings but not patient follow-through, while physicians who themselves underwent colorectal cancer (CRC) screening had more patients do so as well.

Specialty groups offer updated guidelines on care surrounding bariatric surgery

The update from endocrinology, obesity, surgery, anesthesiology, and nutrition experts covers perioperative nutritional, metabolic, and nonsurgical support of patients undergoing bariatric procedures.

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.

Spotlight on Clostridioides difficile infection

Recent research on Clostridioides difficile infection found changing trends in infection rates at Veterans Health Administration hospitals and questioned common practices with regard to treatment.

Ranitidine recalled due to detection of impurity

In response to the detection of N-nitrosodimethylamine, a probable carcinogen, several companies have recalled the histamine H2 receptor antagonist, although FDA testing has found that levels detected are low.

FDA clears first duodenoscope with disposable elevator piece

While the FDA has previously cleared duodenoscopes with removable endcap components, the device is the first to have a disposable elevator component, a part that has been traditionally difficult to clean and reprocess.

ACP issues new guidance on colorectal cancer screening

For asymptomatic, average-risk patients ages 50 to 75 years, the guidance suggests use of a fecal immunochemical test (FIT) or high-sensitivity guaiac-based fecal occult blood test every two years, colonoscopy every 10 years, or flexible sigmoidoscopy every 10 years plus FIT every two years.

C. diff-related bloodstream infection seen less often with FMT vs. antibiotics

While fecal microbiota transplantation (FMT) was associated with fewer bloodstream infections than antibiotics in one study, a brief report described two cases of drug-resistant bacteremia transmitted by FMT.