In the News
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.
U.S. sees increase in alcohol-associated liver disease mortality
Deaths from alcohol-associated liver disease increased among men and women, across all ages, and in all racial/ethnic populations in the U.S. from 2017 through 2020, leading researchers to call for a nationwide effort to reduce national alcohol consumption, improve screening, and optimize early treatment.
Excess weight over time associated with increased CRC risk
A German study found that the weighted number of years lived with overweight and obesity was associated with a higher risk for colorectal cancer (CRC) than excess body mass index at a single point in time.
MKSAP Quiz: Dysphagia to solid foods
This month's quiz asks readers to determine the most appropriate diagnostic test to perform in a 57-year-old patient with dysphagia to solid foods, weight loss, and a history of gastroesophageal reflux disease.
Spotlight on improving HCV care
A systematic review and meta-analysis assessed which interventions may improve hepatitis C virus (HCV) testing, linkage to care, and treatment initiation, while a randomized trial found that an accessible care model may be superior to facilitated referral at curing HCV in individuals who inject drugs.
Severe insulin-resistant diabetes associated with better metabolic surgery outcomes
Patients with severe insulin-resistant diabetes had better outcomes after metabolic surgery than those with mild obesity-related diabetes or severe insulin-deficient diabetes, both in terms of type 2 diabetes remission and renal function, with no additional surgical risk.
Invitation to a single FS screening vs. usual care reduced colorectal cancer mortality and incidence at >15 y
The SCORE trial demonstrated the long-term protective effect from flexible sigmoidoscopy (FS) screening for colorectal cancer at ages 55 to 64 years, supporting the safety of using it as a single intervention, an ACP Journal Club commentary noted.
Case reports published on gastroenterology, hepatology topics
Reports on spontaneous hepatic artery thrombosis, refractory celiac disease type II, and melanoma of the GI tract were published this month by Annals of Internal Medicine: Clinical Cases, a new journal co-published by ACP and the American Heart Association.