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In the Clinic, 2023 summary highlight gastroenterology topics

Colorectal cancer screening was the focus of the latest In the Clinic article, while an article in a supplement to Annals reviewed clinically important developments in gastroenterology and hepatology in 2023.
https://gastroenterology.acponline.org/archives/2024/04/26/5.htm
26 Apr 2024

Restricting PPI prescription refills reduced use without noticeable clinical effects

Restrictions on proton-pump inhibitor (PPI) refills for patients without a documented long-term indication were associated with a rapid and sustained 7.3% absolute reduction in such prescriptions—a relative decline of nearly 30%, a Veterans Affairs study found.
https://gastroenterology.acponline.org/archives/2024/04/26/1.htm
26 Apr 2024

In the Clinic: Acute colonic diverticulitis

A recent article provided an evidence-based, clinically relevant overview of the diagnosis and treatment of acute colonic diverticulitis.
https://gastroenterology.acponline.org/archives/2024/03/22/6.htm
22 Mar 2024

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

Spotlight on the cost of gastroenteritis

Two industry-funded studies looked at the economic burden of acute infectious gastroenteritis among U.S. adults and found that use of large multiplex polymerase chain reaction panels was associated with similar costs as traditional workup.
https://gastroenterology.acponline.org/archives/2023/02/24/5.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

AGA issues best practice advice on IBS and diet

Dietary advice is ideally prescribed to patients with irritable bowel syndrome (IBS) who have insight into their meal-related GI symptoms and are motivated to make changes, the American Gastroenterological Association (AGA) said.
https://gastroenterology.acponline.org/archives/2022/04/22/2.htm
22 Apr 2022

AGA clinical practice update offers guidance on PPI deprescribing

All patients taking a proton-pump inhibitor (PPI) should have a regular review and documentation of ongoing indications for use, which should be the responsibility of the primary care clinician, the American Gastroenterological Association (AGA) said.
https://gastroenterology.acponline.org/archives/2022/02/25/6.htm
25 Feb 2022

Q&A: A deeper dive into ACP's new diverticulitis guidelines

Authors discussed the College's first clinical guidelines on diagnosis and management of diverticulitis, which provide recommendations on when to use imaging, antibiotics, colonoscopy, and other interventions.
https://gastroenterology.acponline.org/archives/2022/01/28/1.htm
28 Jan 2022

ACG guideline updates recommendations on diagnosis, management of GERD

Proton-pump inhibitors remain a standard treatment for gastroesophageal reflux disease (GERD) despite increased scrutiny of side effects, although new treatments are emerging, the guideline from the American College of Gastroenterology (ACG) stated.
https://gastroenterology.acponline.org/archives/2021/12/17/1.htm
17 Dec 2021

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