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Antibiotics may not reduce length of stay in patients hospitalized for uncomplicated diverticulitis

A randomized trial found that median length of hospital stay was 40.0 hours in the antibiotic group and 45.8 hours in the placebo group, with no significant between-group differences in adverse events or readmissions.
https://gastroenterology.acponline.org/archives/2020/04/24/2.htm
24 Apr 2020

ACG updates clinical guidelines on prevention, diagnosis, treatment of C. difficile infection

While the American College of Gastroenterology (ACG) included new recommendations for using fecal microbiota transplantation in recurrent Clostridioides difficile infection, it recommended against the use of probiotics for both primary and secondary prevention.
https://gastroenterology.acponline.org/archives/2021/05/28/1.htm
28 May 2021

ACG guideline updates recommendations on diagnosis, management of GERD

Proton-pump inhibitors remain a standard treatment for gastroesophageal reflux disease (GERD) despite increased scrutiny of side effects, although new treatments are emerging, the guideline from the American College of Gastroenterology (ACG) stated.
https://gastroenterology.acponline.org/archives/2021/12/17/1.htm
17 Dec 2021

Inflammatory bowel disease associated with higher risk for dementia

Patients with inflammatory bowel disease were diagnosed with dementia an average of seven years earlier than matched controls in a Taiwanese study.
https://gastroenterology.acponline.org/archives/2020/06/26/2.htm
26 Jun 2020

CT, MRI recommended for first-line diagnosis of chronic pancreatitis

Endoscopic ultrasonography should be used only if the diagnosis is in question after cross-sectional imaging, according to a guideline from the American College of Gastroenterology.
https://gastroenterology.acponline.org/archives/2020/03/27/2.htm
27 Mar 2020

Risk and severity of NAFLD differ in men and women

Women have a significantly lower risk of developing nonalcoholic fatty liver disease (NAFLD) but a higher risk of developing advanced fibrosis from NAFLD, according to a systematic review and meta-analysis.
https://gastroenterology.acponline.org/archives/2020/05/22/3.htm
22 May 2020

Internists may overestimate risks of PPIs, survey suggests

A survey of internists showed that 79% inappropriately recommended stopping proton-pump inhibitors (PPIs) in a prevention scenario focusing on high-risk upper gastrointestinal bleeding.
https://gastroenterology.acponline.org/archives/2020/02/28/3.htm
28 Feb 2020

C. diff colonization more common in patients living near livestock

Testing for Clostridioides difficile at one Wisconsin hospital found higher risk for colonization among hematology-oncology patients but an association of residential proximity to livestock farms and colonization only among patients admitted to other units.
https://gastroenterology.acponline.org/archives/2020/01/24/3.htm
24 Jan 2020

Rivaroxaban associated with increased risk for GI bleeding compared to other DOACs

A study in Iceland of direct oral anticoagulants (DOACs) found a higher risk for overall and major GI bleeding with rivaroxaban than with either apixaban or dabigatran.
https://gastroenterology.acponline.org/archives/2021/10/22/1.htm
22 Oct 2021

Steroids may not be needed with anti-TNF induction in Crohn's disease

Rates of clinical remission and clinical response were 32.0% and 42.7%, respectively, in Crohn's disease patients receiving therapy with both corticosteroids and anti-tumor necrosis factor (TNF) agents and 35.5% and 46.8% in those receiving only anti-TNF agents, a systematic review and meta-analysis found.
https://gastroenterology.acponline.org/archives/2020/06/26/3.htm
26 Jun 2020

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