Gastroenterology (all articles)
Cohort Study: Among patients with resolved Hepatitis B infections and concomitant autoimmune disease, exposure to prednisone doses greater than 20 mg/day were associated with a high risk for HBV reactivation or hepatitis flare.
21 Jan, 2022 | 09:39h | UTCAverage corticosteroid dose and risk for HBV reactivation and hepatitis flare in patients with resolved hepatitis B infection – Annals of Rheumatic Disease (link to abstract – $ for full-text)
Commentary on Twitter
Patients with time-weighted average prednisone dose greater than 20 mg/day would be classified as the high risk for HBV reactivation or hepatitis flare. Prophylactic Anti-HBV therapy may be needed for these high-risk patientshttps://t.co/qLuirdyXDK pic.twitter.com/yDJ4c072qm
— Annals of the Rheumatic Diseases (@eular_ARD) December 23, 2021
Sleeping on the LEFT side seems to be associated with reduced nocturnal acid exposure compared with supine and right lateral decubitus positions.
21 Jan, 2022 | 09:45h | UTCAssociations Between Sleep Position and Nocturnal Gastroesophageal Reflux: A Study Using Concurrent Monitoring of Sleep Position and Esophageal pH and Impedance – American Journal of Gastroenterology (link to abstract – $ for full-text)
RCT: Among patients with recurrent Clostridioides difficile infection, the use of SER-109, an oral microbiome therapy, reduced recurrence rate compared to placebo (12% vs. 40%).
20 Jan, 2022 | 09:11h | UTCSER-109, an Oral Microbiome Therapy for Recurrent Clostridioides difficile Infection – New England Journal of Medicine (link to abstract – $ for full-text)
M-A: the accuracy of serological tests to support the diagnosis of celiac disease.
20 Jan, 2022 | 09:02h | UTC
Rumination syndrome: pathophysiology, diagnosis and practical management.
19 Jan, 2022 | 08:25h | UTC
Dyspepsia: A stepwise approach to evaluation and management.
19 Jan, 2022 | 08:24h | UTCDyspepsia: A stepwise approach to evaluation and management – Family Practice
ACP Guideline: Diagnosis and management of acute left-sided colonic diverticulitis.
18 Jan, 2022 | 09:38h | UTCRelated Systematic Reviews:
Annals Video Summary: Diagnostic Imaging and Medical Management of Acute Left-Sided Colonic Diverticulitis: A Systematic Review – Annals of Internal Medicine
News Release: ACP releases two new clinical guidelines on the diagnosis and management of diverticulitis – American College of Physicians
RCT: In patients with immune-mediated inflammatory diseases (rheumatoid arthritis, spondyloarthritis, psoriatic arthritis, ulcerative colitis, Crohn disease, or psoriasis) treated with Infliximab, a proactive therapeutic drug monitoring protocol was more likely to lead to sustained disease control.
14 Jan, 2022 | 07:57h | UTCEffect of Therapeutic Drug Monitoring vs Standard Therapy During Maintenance Infliximab Therapy on Disease Control in Patients With Immune-Mediated Inflammatory Diseases: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
Commentary on Twitter
Study found proactive therapeutic drug monitoring (TDM) compared with treatment without TDM during maintenance infliximab therapy was more likely to lead to sustained disease control over 52 weeks for patients with immune-mediated inflammatory diseases https://t.co/yfJjyADaOT pic.twitter.com/JtOfQxFFDS
— JAMA (@JAMA_current) December 21, 2021
Clinical Guideline: Acute-on-chronic liver failure.
11 Jan, 2022 | 02:43h | UTCAcute-on-Chronic Liver Failure Clinical Guidelines – American Journal of Gastroenterology
Related: Guidelines for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU
Commentary on Twitter
📣NEW ACG Guidelines Acute-on-Chronic #Liver Failure by @JasmohanBajaj et al.
📕https://t.co/T3CqvOAMrj#Cirrhosis #GItwitter #LiverTwitter #MostReadinRed pic.twitter.com/LHwIkUtGZt
— AJG – The American Journal of Gastroenterology (@AmJGastro) January 10, 2022
M-A: Fecal immunochemical test to triage patients with possible colorectal cancer symptoms.
11 Jan, 2022 | 02:18h | UTC
Commentary on Twitter
🆕#CuttingEdgeBlog Plain English summary📰
"Worried about symptoms of bowel cancer? A simple stool test may help."@ian_bissett @SawKS88 @ChenLiu_NZ @williamxu_98 @chrisvarghese98
Blog🔗: https://t.co/Pb7zfsfWT3
Based on the paper 🔗: https://t.co/20proTApNd pic.twitter.com/IAUsHIqUrn
— BJS (@BJSurgery) January 10, 2022
Prevention of Chemotherapy-induced nausea and vomiting in the older patient: optimizing outcomes.
17 Dec, 2021 | 08:32h | UTCPrevention of Chemotherapy-Induced Nausea and Vomiting in the Older Patient: Optimizing Outcomes – Drugs & Aging (if the link is paywalled, try this one)
Review: Diagnosis and management of acute appendicitis in adults.
15 Dec, 2021 | 08:28h | UTCDiagnosis and Management of Acute Appendicitis in Adults: A Review – JAMA (free for a limited period)
Author Interview: Current Management of Acute Appendicitis: Antibiotics or Surgical Intervention
Commentary: Antibiotics can be first-line therapy for uncomplicated appendicitis cases – Duke University Medical Center
Colorectal cancer incidence, mortality, tumor characteristics, and treatment before and after the introduction of the fecal immunochemical testing-based screening program in the Netherlands: a population-based study.
13 Dec, 2021 | 08:50h | UTCColorectal cancer incidence, mortality, tumour characteristics, and treatment before and after introduction of the faecal immunochemical testing-based screening programme in the Netherlands: a population-based study – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)
Commentary on Twitter
New research – Breekveldt et al – #Colorectalcancer incidence, mortality, tumour characteristics, and treatment before and after introduction of the FIT-based #screening programme in the #Netherlands: a population-based studyhttps://t.co/nW9SVAhRxE#GITwitter #crcsm pic.twitter.com/GGRF9Az0tg
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) November 23, 2021
Global strategy for the diagnosis and management of acute kidney injury in patients with liver cirrhosis.
10 Dec, 2021 | 09:58h | UTC
M-A: Effects of immediate or early oral feeding on acute pancreatitis.
9 Dec, 2021 | 10:14h | UTC
M-A: Major adverse events related to endoscopic or laparoscopic procedures in achalasia.
7 Dec, 2021 | 08:33h | UTC
ESGE Guideline: Endoscopic management of enteral tubes in adult patients.
3 Dec, 2021 | 10:02h | UTCEndoscopic management of enteral tubes in adult patients: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Endoscopy
Part 1: Definitions and indications.
Part 2: Peri- and post-procedural management.
Guideline | Endoscopic tissue sampling – Part 1: Upper gastrointestinal and hepatopancreatobiliary tracts.
26 Nov, 2021 | 09:41h | UTC
Guideline | Endoscopic tissue sampling – Part 2: Lower gastrointestinal tract.
26 Nov, 2021 | 09:39h | UTC
M-A: Incidence, prevalence and determinants of discomfort in inflammatory bowel disease.
25 Nov, 2021 | 09:54h | UTC
AGA Clinical practice update on management of chronic gastrointestinal pain in disorders of gut–brain interaction.
24 Nov, 2021 | 08:42h | UTC
Systematic Review: Vaccines for preventing rotavirus diarrhea.
24 Nov, 2021 | 08:20h | UTCVaccines for preventing rotavirus diarrhoea: vaccines in use – Cochrane Library
Commentary: Vaccines for preventing rotavirus diarrhoea: an updated Cochrane review – Cochrane Library
ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease.
23 Nov, 2021 | 08:40h | UTC
Commentary on Twitter (thread – click for more)
⭐️NEW @AmCollegeGastro guidelines on #GERD!⭐️
🔥 🤭 🌶 💊 ✂️
"A lot has changed, much remains the same." 🧵 ⬇️#MedTwitter #GITwitter #GI #motility #MedEd https://t.co/HS26GDk8Jd
— John Damianos, M.D. (@john_damianosMD) November 22, 2021
RCT: Educating outpatients for bowel preparation before colonoscopy using virtual reality videos improved bowel preparation, polyp and adenoma detection rates, and improved compliance and satisfaction.
23 Nov, 2021 | 08:28h | UTC
Commentary on Twitter
RCT finds patients who received virtual reality video education before a colonoscopy had better bowel preparation, higher polyp and adenoma detection rates, and improved compliance and satisfaction. https://t.co/dAUtFf2m4B pic.twitter.com/RKAVZcVGuy
— JAMA Network Open (@JAMANetworkOpen) November 22, 2021
Consensus Statement: U.S. Multi-Society Task Force on Colorectal Cancer now suggests average-risk CRC screening begins at age 45.
21 Nov, 2021 | 23:01h | UTCRelated:
State of the Art Review: Screening and prevention of colorectal cancer.
USPSTF Statement: Start colorectal cancer screening at 45 years for most patients.
ACG Clinical Guidelines: Start colorectal cancer screening at 45