Search results for "Constipation"
MKSAP Quiz: A 9-month history of pain, opioids
This month's quiz asks readers to determine the most appropriate management for a patient who has a 9-month history of abdominal pain that has increased with oxycodone use after surgery.
https://gastroenterology.acponline.org/archives/2021/11/19/4.htm
19 Nov 2021
Electronic alert about lactulose linked to lower readmissions in patients with cirrhosis
The alert, which encouraged clinicians to prescribe rifaximin for patients with cirrhosis and hepatic encephalopathy who were on lactulose, increased uptake of rifaximin in such patients.
https://gastroenterology.acponline.org/archives/2022/01/28/3.htm
28 Jan 2022
Spotlight on celiac disease diagnosis and treatment
Two studies this month focused on the accuracy of serological tests for detecting celiac disease and the impacts of delayed diagnosis, while two others evaluated group-based education and a more restrictive diet as potential add-on treatments to a gluten-free diet.
https://gastroenterology.acponline.org/archives/2022/01/28/5.htm
28 Jan 2022
AGA issues guidance on drug treatment for patients with IBS
Two new clinical practice guidelines from the American Gastroenterological Association (AGA) provide recommendations on the use of medications to treat irritable bowel syndrome (IBS) with constipation and IBS with diarrhea.
https://gastroenterology.acponline.org/archives/2022/06/24/1.htm
24 Jun 2022
Spotlight on long-term effects of FMT
Recent studies found evidence of long-term safety and efficacy of fecal microbiota transplantation (FMT) for irritable bowel syndrome and other GI diseases.
https://gastroenterology.acponline.org/archives/2022/06/24/5.htm
24 Jun 2022
MKSAP Quiz: Sudden-onset abdominal pain followed by bright red rectal bleeding
This month's quiz asks readers to determine the most likely diagnosis for a 68-year-old woman evaluated in the ED for sudden-onset, crampy, left-lower-quadrant abdominal pain followed several hours later by passage of bright red blood per rectum.
https://gastroenterology.acponline.org/archives/2022/07/22/4.htm
22 Jul 2022
In drug-refractory IBS, group CBT with interoceptive exposure improved symptoms and quality of life at 13 wk
Given the results of this small, randomized trial, a head-to-head comparison of multidisciplinary care versus group cognitive behavioral therapy (CBT) delivered over the internet for patients with irritable bowel syndrome (IBS) is now warranted, an ACP Journal Club commentary noted.
https://gastroenterology.acponline.org/archives/2022/08/26/10.htm
26 Aug 2022
Case reports published on gastroenterology, hepatology topics
Reports on purple urine in a patient with chronic constipation, long-term use of metronidazole mimicking hepatic encephalopathy, and chronic lymphocytic leukemia involving the liver were published in the past month.
https://gastroenterology.acponline.org/archives/2022/09/23/9.htm
23 Sep 2022
Recommendations for pharmacologic management of IBS with diarrhea, constipation
New guidelines suggest that there are several effective drugs available for irritable bowel syndrome (IBS), but a more detailed analysis indicates that the best treatments increase the rate of response by only 15% versus placebo, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2022/11/18/8.htm
18 Nov 2022
Response to linaclotide for IBS constipation can still appear after four weeks
An industry-funded analysis of four randomized trials of linaclotide for irritable bowel syndrome (IBS) with constipation found that improvement in abdominal and bowel symptoms occurred after four weeks of treatment in 1 in 6 and 1 in 10 patients, respectively.
https://gastroenterology.acponline.org/archives/2022/12/23/6.htm
23 Dec 2022