Search results for "Gastrointestinal bleeding"
MKSAP quiz: 2-month history of diarrhea
A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day.
https://gastroenterology.acponline.org/archives/2017/01/27/5.htm
27 Jan 2017
GI bleeding less common in U.S. veterans on NOACs than those on warfarin
Significant bleeding occurred in 2.5% of the patients on warfarin and 0.6% of the patients on non-vitamin K antagonist oral anticoagulants (NOACs).
https://gastroenterology.acponline.org/archives/2017/03/24/3.htm
24 Mar 2017
Clinical prediction model may help determine management for acute lower GI bleeding
Factors associated with safe discharge in the development and validation cohorts were age, female sex, no previous admission for lower GI bleeding, no blood on digital rectal exam, heart rate, systolic blood pressure, and hemoglobin level.
https://gastroenterology.acponline.org/archives/2017/07/28/3.htm
28 Jul 2017
MKSAP quiz: Medication management for joint pain due to degenerative disease
This month's quiz asks readers to evaluate medication management in a 67-year-old woman with a history of pain related to degenerative joint disease that is well controlled with diclofenac.
https://gastroenterology.acponline.org/archives/2017/11/28/4.htm
28 Nov 2017
Spotlight on PPIs
Myocardial infarction risk appeared no greater with proton-pump inhibitors (PPIs) than with histamine H2 receptor antagonists in one recent study, while another study looked at the effect of a trainee-led program on inappropriate PPI infusions in hospitalized patients.
https://gastroenterology.acponline.org/archives/2017/11/28/5.htm
28 Nov 2017
Misoprostol may help treat obscure GI bleeding in patients taking aspirin, NSAIDs
Complete healing of small-bowel ulcers and erosions, as assessed by video-capsule endoscopy, was significantly more common among patients receiving misoprostol than those randomized to placebo, a small British study found.
https://gastroenterology.acponline.org/archives/2018/05/25/3.htm
25 May 2018
MKSAP quiz: Recent history of mild nausea, dyspepsia
This month's quiz asks readers to determine the most appropriate next step in management for a 55-year-old man with a 2-day history of mild nausea and dyspepsia that is worse with fasting and improved with eating.
https://gastroenterology.acponline.org/archives/2018/08/24/4.htm
24 Aug 2018
PPI prophylaxis didn't affect 90-day mortality rates among ICU patients
Gastrointestinal bleeds were less common among at-risk ICU patients who received IV pantoprazole instead of placebo, but rates of clinically important events were similar overall.
https://gastroenterology.acponline.org/archives/2018/10/26/2.htm
26 Oct 2018
Anticoagulants compared for associated risk of hospitalization due to upper GI bleeding
Proton-pump inhibitor cotherapy significantly reduced risk among patients on anticoagulation, a cohort study found.
https://gastroenterology.acponline.org/archives/2018/12/28/9.htm
28 Dec 2018
In Barrett esophagus, high- vs low-dose esomeprazole improved clinical outcomes; aspirin vs no aspirin did not
The safety of high-dose proton-pump inhibitor therapy is probably acceptable, but the addition of aspirin carries more risk, has less evidence on efficacy, and needs an individualized approach, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2018/12/28/10.htm
28 Dec 2018