Search results for "Gastrointestinal bleeding"
H. pylori eradication therapy may reduce gastric cancer risk; rifabutin-based therapy effective in industry-sponsored trial
A meta-analysis suggested that, in addition to preventing progression, early Helicobacter pylori eradication therapy reduces gastric cancer risk, and a novel rifabutin-based therapy may offer physicians another option for initiating eradication treatment, an ACP Journal Club commentary on both studies said.
https://gastroenterology.acponline.org/archives/2020/09/25/9.htm
25 Sep 2020
Urgent endoscopy did not improve outcomes from acute upper GI bleeds
Thirty-day mortality was slightly lower among high-risk patients who underwent endoscopy for an acute upper GI bleed within 24 hours of a consult instead of within six hours, although the difference was not statistically significant.
https://gastroenterology.acponline.org/archives/2020/04/24/3.htm
24 Apr 2020
MKSAP Quiz: A 1-month history of bloody diarrhea
A 25-year-old woman is evaluated for a 1-month history of intermittent, loose, bloody bowel movements associated with pain in the left lower quadrant before defecation. She reports no fever, chills, night sweats, arthralgia, eye pain, or rash. What is the most likely diagnosis?
https://gastroenterology.acponline.org/archives/2020/04/24/4.htm
24 Apr 2020
MKSAP Quiz: A new diagnosis of anemia
A 65-year-old woman is reevaluated following an initial evaluation for anemia. Other than a gradually increasing sense of fatigue, she has no symptoms. Her only other medical problem is autoimmune thyroid disease. What is the most appropriate diagnostic test to perform next?
https://gastroenterology.acponline.org/archives/2020/03/27/4.htm
27 Mar 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
GI bleeding prophylaxis recommended in high-risk critically ill patients
Proton-pump inhibitors appeared to reduce bleeding risk more than histamine-2 receptor antagonists.
https://gastroenterology.acponline.org/archives/2020/01/24/9.htm
24 Jan 2020
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.
https://gastroenterology.acponline.org/archives/2019/11/22/4.htm
22 Nov 2019
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
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