Search results for "GI bleeding"
In high-risk patients with acute upper GI bleeding, urgent vs. early endoscopy did not differ for 30-day mortality
While a randomized trial found no better outcomes with endoscopy within six hours of gastroenterology consult, “middle-of-the-night” endoscopy should still be considered for certain higher-risk patients who were excluded from the trial, an ACP Journal Club commentary noted.
https://gastroenterology.acponline.org/archives/2020/08/28/7.htm
28 Aug 2020
New international guideline updates recommendations on managing patients with nonvariceal GI bleeding
The new guideline is “a step forward,” particularly with regard to new endoscopic therapies and management of upper gastrointestinal (GI) bleeding in patients on antiplatelet or anticoagulant drugs, an editorial noted.
https://gastroenterology.acponline.org/archives/2019/10/25/6.htm
25 Oct 2019
H2 blockers prevented clinically important GI bleeding better than PPIs in ICU patients
The retrospective study included 70,093 ICU patients who had at least one risk factor for stress ulcers and therefore had received a proton-pump inhibitor (PPI) or histamine H2-receptor antagonist (H2 blocker) for three or more days.
https://gastroenterology.acponline.org/archives/2018/06/22/9.htm
22 Jun 2018
Spotlight on hospitalizations for cirrhosis
Recent studies looked at predicting readmissions, treating acute kidney injury, and improving health literacy in patients hospitalized with cirrhosis.
https://gastroenterology.acponline.org/archives/2023/08/25/5.htm
25 Aug 2023
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
Glasgow Blatchford score predicted intervention or death better than 4 other prediction models in upper GI bleeding
Commentary authors writing in ACP Journal Club said the findings add to a growing body of literature that supports the use of the Glasgow Blatchford score for selecting low-risk patients who can safely be discharged from the ED (with a minimal false-negative rate).
https://gastroenterology.acponline.org/archives/2017/04/28/6.htm
28 Apr 2017
Case reports published on gastroenterology topics
Reports on gastric hyperplastic polyps and upper GI bleeding, rectal ulceration after radiation therapy, and primary epiploic appendagitis were published this month.
https://gastroenterology.acponline.org/archives/2022/05/27/8.htm
27 May 2022
Spotlight on hospital care for cirrhosis
In recent studies of patients with cirrhosis, an admission order set was associated with better care quality, data supported culture-based deescalation of antibiotics during hospitalization, and nonvariceal upper GI bleeding was associated with higher readmission rates.
https://gastroenterology.acponline.org/archives/2022/08/26/5.htm
26 Aug 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
Case reports, series published on gastroenterology, hepatology topics
Recent cases include massive empyema with Edwardsiella tarda in a patient with cirrhosis, paraneoplastic myositis in a patient with extrahepatic cholangiocarcinoma, and two patients with refractory iron deficiency anemia secondary to angiodysplasia-related GI bleeding.
https://gastroenterology.acponline.org/archives/2023/04/21/8.htm
21 Apr 2023