Search results for "Highlights"
In adults using oral anticoagulants, PPI use may be associated with lower risk for upper GI bleeding
An ACP Journal Club commentary on the meta-analysis stressed the importance of assessing patients' underlying risk for GI bleeding and using overall clinical risk to guide shared decision making in those at higher risk or with lower baseline bleeding tolerance.
https://gastroenterology.acponline.org/archives/2022/11/18/9.htm
18 Nov 2022
Guidance offered on management of extraesophageal GERD
The clinical practice update from the American Gastroenterological Association was based on a review of the evidence and expert opinion regarding extraesophageal symptoms of gastroesophageal reflux disease (GERD).
https://gastroenterology.acponline.org/archives/2023/04/21/2.htm
21 Apr 2023
EHR-based clinical pathway may improve care for advanced liver disease in type 2 diabetes
A trial in Asia found that automated calculation of fibrosis scores and electronic reminder messages to clinicians increased referrals of patients with abnormal results to appropriate care, although subsequent diagnosis of advanced liver disease was uncommon.
https://gastroenterology.acponline.org/archives/2023/08/25/3.htm
25 Aug 2023
Review finds only two efficacious medications to treat gastroparesis
Clebopride ranked first for efficacy, followed by domperidone, and no other drug was superior to placebo for improving symptoms of gastroparesis, according to a recent meta-analysis.
https://gastroenterology.acponline.org/archives/2023/01/27/2.htm
27 Jan 2023
Risk for CRC with young-onset adenomas may vary by stage
A cohort study in U.S. veterans younger than age 50 years found that those with advanced adenomas had an eightfold increased risk for incident colorectal cancer (CRC) versus those with normal results, whereas cumulative CRC incidence and mortality at 10 years were relatively low overall.
https://gastroenterology.acponline.org/archives/2023/04/21/3.htm
21 Apr 2023
Defensiveness may help explain limited uptake of FIT, Irish study finds
Patients who declined an invitation to fecal immunochemical testing (FIT) scored higher on a measure of defensive information processing, indicating that certain psychological approaches may be more likely to increase screening uptake.
https://gastroenterology.acponline.org/archives/2023/02/24/2.htm
24 Feb 2023
Patient-facing web platform helped identify those with higher colorectal cancer risk
A program that asked patients to enter their family health history identified more high-risk patients but didn't change rates of colorectal cancer screening or genetic counseling, a trial of U.S. veterans found.
https://gastroenterology.acponline.org/archives/2022/11/18/1.htm
18 Nov 2022
Societies issue joint statement on metabolic, bariatric surgery
The American Society for Metabolic and Bariatric Surgery and the International Federation for the Surgery of Obesity and Metabolic Disorders support surgery for patients with a body mass index of 35 kg/m2 or higher regardless of comorbid conditions, among other guidance.
https://gastroenterology.acponline.org/archives/2022/11/18/3.htm
18 Nov 2022
EoE patients with high BMI may be less likely to respond to topical corticosteroids
A retrospective cohort study of patients with eosinophilic esophagitis (EoE) found that each 1-point increase in body mass index (BMI) was associated with a 7% decrease in odds of histologic response to topical corticosteroids and that patients with obesity had about 40% odds of responding compared to those without.
https://gastroenterology.acponline.org/archives/2022/12/23/2.htm
23 Dec 2022
NASH management conflicts with guidelines in real-world setting, study finds
Researchers sought to learn how patient characteristics vary by stages of liver scarring and how U.S. physicians manage nonalcoholic steatohepatitis (NASH).
https://gastroenterology.acponline.org/archives/2023/05/26/2.htm
26 May 2023