Search results for "From ACP Journal Club"
Colorectal cancer screening offering colonoscopy and FIT vs. colonoscopy alone improved participation
Results of a Polish trial corroborate studies showing that noninvasive tests, such as fecal immunochemical testing (FIT), or screening choice increases colorectal cancer screening participation over colonoscopy, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2021/07/23/6.htm
23 Jul 2021
In patients having transjugular intrahepatic portosystemic shunt, rifaximin prevented overt hepatic encephalopathy
Results from a French trial provide the best available evidence to justify using the expensive antibiotic in patients with hepatic encephalopathy associated with transjugular intrahepatic portosystemic shunt, according to an ACP Journal Club commentary.
https://gastroenterology.acponline.org/archives/2021/07/23/7.htm
23 Jul 2021
In decompensated cirrhosis, targeted albumin infusions did not improve an in-hospital composite outcome at 15 days
The results of this randomized trial should not discourage clinicians from using albumin for recognized indications, but they do not support targeting an arbitrary serum albumin level, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2021/08/27/7.htm
27 Aug 2021
In adults with obesity, metabolic–bariatric surgery vs. usual care is associated with lower all-cause mortality
A recent meta-analysis leaves little question that metabolic surgery is lifesaving compared with usual care, yet only 1% of eligible patients are treated with surgery, an ACP Journal Club commentary noted.
https://gastroenterology.acponline.org/archives/2021/09/24/8.htm
24 Sep 2021
Vonoprazan-containing therapy has an H pylori eradication rate >90% and increases eradication vs. standard triple therapy
Results of a systematic review and network meta-analysis support a shift toward a susceptibility-based approach to Helicobacter pylori infection based on principles of antimicrobial stewardship, an ACP Journal Club commentary noted.
https://gastroenterology.acponline.org/archives/2021/10/22/7.htm
22 Oct 2021
In mild acute diverticulitis, outpatient therapy without antibiotics was noninferior to antibiotics
The DINAMO-study is the first outpatient trial to show that withholding antibiotics may not have inferior outcomes, although the results may be partly explained by use of NSAIDs and/or acetaminophen in both groups, an ACP Journal Club commentary noted.
https://gastroenterology.acponline.org/archives/2022/02/25/9.htm
25 Feb 2022
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.
https://gastroenterology.acponline.org/archives/2022/03/25/7.htm
25 Mar 2022
Aspirin use is associated with reduced risk for hepatocellular carcinoma
The findings of a recent meta-analysis provide support for an association between aspirin use and reduced risk for hepatocellular carcinoma but do not warrant use of aspirin as prophylaxis, and more research is needed, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2022/07/22/8.htm
22 Jul 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
In IBS, a smartphone application for self-managing a FODMAP-lowering diet vs. otilonium bromide reduced symptoms at 8 wk
Delivery of a fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP)-lowering dietary intervention via an app may help educate patients about diet and augment the clinician-patient relationship, an ACP Journal Club commentary noted.
https://gastroenterology.acponline.org/archives/2022/08/26/9.htm
26 Aug 2022