Search results for "From ACP Internist Weekly"
Start screening for colorectal cancer at age 50 years, ACP suggests
An update of ACP's 2019 guidance statement on the topic suggests that clinicians start screening for colorectal cancer in asymptomatic average-risk adults at age 50 years and consider not screening those between the ages of 45 and 49 years.
https://gastroenterology.acponline.org/archives/2023/08/25/6.htm
25 Aug 2023
Higher fecal hemoglobin concentration on FIT may support shorter screening interval
Patients with a hemoglobin concentration on fecal immunochemical testing (FIT) in the range directly below the positive result cutoff had significantly increased risk of adenoma on follow-up screening compared to those with lower results, a new analysis from Germany found.
https://gastroenterology.acponline.org/archives/2023/11/17/6.htm
17 Nov 2023
Long-term PPI use associated with higher incidence of dementia
While patients who took proton-pump inhibitors (PPIs) from mid- to late life had a modestly higher risk of dementia in late life versus nonusers, shorter-term use was not associated with increased risk.
https://gastroenterology.acponline.org/archives/2023/08/25/7.htm
25 Aug 2023
Guideline suggests prescription medications when lifestyle change ineffective for weight loss
For adults with obesity or overweight with weight-related complications, the American Gastroenterological Association found moderate certainty of benefit for four medications: semaglutide, liraglutide, phentermine-topiramate ER, or naltrexone-bupropion.
https://gastroenterology.acponline.org/archives/2022/10/28/6.htm
28 Oct 2022
Penicillin allergy associated with risk of MRSA, C. diff, due to use of other antibiotics
Systematically addressing penicillin allergies may be an important public health strategy to reduce the incidence of methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile among patients with a documented penicillin allergy.
https://gastroenterology.acponline.org/archives/2018/07/27/7.htm
27 Jul 2018
Guidance issued on evaluation, treatment of hemorrhoids
Primary first-line therapy for patients with symptomatic hemorrhoid disease should typically include dietary modification to ensure adequate fluid and fiber intake and counseling on defecation habits, the guidelines said.
https://gastroenterology.acponline.org/archives/2018/03/23/8.htm
23 Mar 2018
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
Tailored thresholds for FIT may increase colorectal cancer detection
Rates of cancer detection and the number of positive test results per cancer case detected varied significantly by age and sex, which suggests that modifying positivity thresholds by subgroups might optimize screening program performance.
https://gastroenterology.acponline.org/archives/2018/09/28/6.htm
28 Sep 2018
Anticoagulants compared for associated risk of hospitalization due to upper GI bleeding
Proton-pump inhibitor cotherapy significantly reduced risk among patients on anticoagulation, a cohort study found.
https://gastroenterology.acponline.org/archives/2018/12/28/9.htm
28 Dec 2018
Guideline recommends colorectal cancer screening starting at age 45
Adults should be screened with either a high-sensitivity stool-based test or a structural (visual) examination, depending on patient preference and test availability, the guideline said.
https://gastroenterology.acponline.org/archives/2018/06/22/8.htm
22 Jun 2018