Search results for "Highlights"
Mesalamine moderately useful in IBS, but confidence in evidence is low
The authors of a recent meta-analysis wrote that guidelines for irritable bowel syndrome (IBS) management should not recommend the drug until adequately powered studies are available.
https://gastroenterology.acponline.org/archives/2023/03/24/3.htm
24 Mar 2023
RYGB associated with more alcohol-related hospitalizations than other weight-loss strategies
A recent cohort study compared hospitalizations related to alcohol use disorder and mortality among veterans who received Roux-en-Y gastric bypass (RYGB) surgery, sleeve gastrectomy, or referral to a weight management program.
https://gastroenterology.acponline.org/archives/2022/12/23/3.htm
23 Dec 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
Patients with mild acute diverticulitis can be safely treated without antibiotics in outpatient setting
Patients who presented to an ED and were randomized to receive only anti-inflammatory and symptomatic treatment had similar rates of hospitalization, return to the ED, and pain control as those who received the usual antibiotic treatment, a Spanish trial found.
https://gastroenterology.acponline.org/archives/2021/11/19/2.htm
19 Nov 2021
Guidance issued on pharmacologic treatment of chronic idiopathic constipation
The joint clinical practice guideline from the American Gastroenterological Association and the American College of Gastroenterology reviewed evidence on fiber, osmotic laxatives, stimulant laxatives, secretagogues, and a serotonin type 4 agonist.
https://gastroenterology.acponline.org/archives/2023/05/26/1.htm
26 May 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
ACG updates its guideline on acute lower GI bleeding
The American College of Gastroenterology (ACG) now recommends risk stratification to identify patients who can be discharged early and advises on the use of anticoagulant reversal agents, among other changes.
https://gastroenterology.acponline.org/archives/2023/03/24/2.htm
24 Mar 2023
Bariatric surgery associated with lower risk of obesity-related cancer
An observational study found significant reductions in a composite outcome of 13 cancers and related mortality in patients with a body mass index of 35 kg/m2 or greater who had bariatric surgery in 2004 to 2017, compared to those who did not undergo surgery for their obesity.
https://gastroenterology.acponline.org/archives/2022/06/24/2.htm
24 Jun 2022
Healthy lifestyle may mitigate genetic risk for inflammatory bowel disease
In a cohort study, U.K. residents with high genetic risk for inflammatory bowel disease who met four or five lifestyle measures developed Crohn's disease or ulcerative colitis at higher-than-average rates, but at about half the rate of those with both genetic risk and an unhealthy lifestyle.
https://gastroenterology.acponline.org/archives/2023/01/27/3.htm
27 Jan 2023
Patient beliefs associated with successful antibiotic treatment of appendicitis
A secondary analysis of a randomized clinical trial found lower risk for appendectomy and higher likelihood of 30-day resolution of signs and symptoms among those who believed that antibiotics could be completely successful versus those who thought they would be unsuccessful or were unsure.
https://gastroenterology.acponline.org/archives/2022/10/28/2.htm
28 Oct 2022