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Clinical Practice Guidelines in Gastroenterology

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21 papers 100 to 500 followers
By Mark Mattar IBD specialist, educator
Mark S Riddle, Herbert L DuPont, Bradley A Connor
Acute diarrheal infections are a common health problem globally and among both individuals in the United States and traveling to developing world countries. Multiple modalities including antibiotic and non-antibiotic therapies have been used to address these common infections. Information on treatment, prevention, diagnostics, and the consequences of acute diarrhea infection has emerged and helps to inform clinical management. In this ACG Clinical Guideline, the authors present an evidence-based approach to diagnosis, prevention, and treatment of acute diarrhea infection in both US-based and travel settings...
May 2016: American Journal of Gastroenterology
Nicholas J Shaheen, Gary W Falk, Prasad G Iyer, Lauren B Gerson
Barrett's esophagus (BE) is among the most common conditions encountered by the gastroenterologist. In this document, the American College of Gastroenterology updates its guidance for the best practices in caring for these patients. These guidelines continue to endorse screening of high-risk patients for BE; however, routine screening is limited to men with reflux symptoms and multiple other risk factors. Acknowledging recent data on the low risk of malignant progression in patients with nondysplastic BE, endoscopic surveillance intervals are attenuated in this population; patients with nondysplastic BE should undergo endoscopic surveillance no more frequently than every 3-5 years...
January 2016: American Journal of Gastroenterology
Tadahiro Takada, Steven M Strasberg, Joseph S Solomkin, Henry A Pitt, Harumi Gomi, Masahiro Yoshida, Toshihiko Mayumi, Fumihiko Miura, Dirk J Gouma, O James Garden, Markus W Büchler, Seiki Kiriyama, Masamichi Yokoe, Yasutoshi Kimura, Toshio Tsuyuguchi, Takao Itoi, Toshifumi Gabata, Ryota Higuchi, Kohji Okamoto, Jiro Hata, Atsuhiko Murata, Shinya Kusachi, John A Windsor, Avinash N Supe, SungGyu Lee, Xiao-Ping Chen, Yuichi Yamashita, Koichi Hirata, Kazuo Inui, Yoshinobu Sumiyama
In 2007, the Tokyo Guidelines for the management of acute cholangitis and cholecystitis (TG07) were first published in the Journal of Hepato-Biliary-Pancreatic Surgery. The fundamental policy of TG07 was to achieve the objectives of TG07 through the development of consensus among specialists in this field throughout the world. Considering such a situation, validation and feedback from the clinicians' viewpoints were indispensable. What had been pointed out from clinical practice was the low diagnostic sensitivity of TG07 for acute cholangitis and the presence of divergence between severity assessment and clinical judgment for acute cholangitis...
January 2013: Journal of Hepato-biliary-pancreatic Sciences
Loren Laine, Tonya Kaltenbach, Alan Barkun, Kenneth R McQuaid, Venkataraman Subramanian, Roy Soetikno
No abstract text is available yet for this article.
March 2015: Gastroenterology
Jonathan P Terdiman, Claudia B Gruss, Joel J Heidelbaugh, Shahnaz Sultan, Yngve T Falck-Ytter
No abstract text is available yet for this article.
December 2013: Gastroenterology
Adil E Bharucha, Spencer D Dorn, Anthony Lembo, Amanda Pressman
No abstract text is available yet for this article.
January 2013: Gastroenterology
Francis A Farraye, Robert D Odze, Jayne Eaden, Steven H Itzkowitz, Robert P McCabe, Themistocles Dassopoulos, James D Lewis, Thomas A Ullman, Tom James, Robin McLeod, Lawrence J Burgart, John Allen, Joel V Brill
No abstract text is available yet for this article.
February 2010: Gastroenterology
Stuart J Spechler, Prateek Sharma, Rhonda F Souza, John M Inadomi, Nicholas J Shaheen
No abstract text is available yet for this article.
March 2011: Gastroenterology
Michael Camilleri, Henry P Parkman, Mehnaz A Shafi, Thomas L Abell, Lauren Gerson
This guideline presents recommendations for the evaluation and management of patients with gastroparesis. Gastroparesis is identified in clinical practice through the recognition of the clinical symptoms and documentation of delayed gastric emptying. Symptoms from gastroparesis include nausea, vomiting, early satiety, postprandial fullness, bloating, and upper abdominal pain. Management of gastroparesis should include assessment and correction of nutritional state, relief of symptoms, improvement of gastric emptying and, in diabetics, glycemic control...
January 2013: American Journal of Gastroenterology
David A Lieberman, Douglas K Rex, Sidney J Winawer, Francis M Giardiello, David A Johnson, Theodore R Levin
No abstract text is available yet for this article.
September 2012: Gastroenterology
Loren Laine, Dennis M Jensen
This guideline presents recommendations for the step-wise management of patients with overt upper gastrointestinal bleeding. Hemodynamic status is first assessed, and resuscitation initiated as needed. Patients are risk-stratified based on features such as hemodynamic status, comorbidities, age, and laboratory tests. Pre-endoscopic erythromycin is considered to increase diagnostic yield at first endoscopy. Pre-endoscopic proton pump inhibitor (PPI) may be considered to decrease the need for endoscopic therapy but does not improve clinical outcomes...
March 2012: American Journal of Gastroenterology
Asher Kornbluth, David B Sachar
Guidelines for clinical practice are aimed to indicate preferred approaches to medical problems as established by scientifically valid research. Double-blind placebo controlled studies are preferable, but compassionate-use reports and expert review articles are used in a thorough review of the literature conducted through Medline with the National Library of Medicine. When only data that will not withstand objective scrutiny are available, a recommendation is identified as a consensus of experts. Guidelines are applicable to all physicians who address the subject regardless of specialty training or interests and are aimed to indicate the preferable but not necessarily the only acceptable approach to a specific problem...
March 2010: American Journal of Gastroenterology
Philip O Katz, Lauren B Gerson, Marcelo F Vela
No abstract text is available yet for this article.
March 2013: American Journal of Gastroenterology
Satish S C Rao
No abstract text is available yet for this article.
August 2004: American Journal of Gastroenterology
Evan S Dellon, Nirmala Gonsalves, Ikuo Hirano, Glenn T Furuta, Chris A Liacouras, David A Katzka
Esophageal eosinophilia and eosinophilic esophagitis (EoE) are increasingly recognized and prevalent conditions, which now represent common clinical problems encountered by gastroenterologists, pathologists, and allergists. The study of EoE has become a dynamic field with an evolving understanding of the pathogenesis, diagnosis, and treatment. Although there are limited data supporting management decisions, clinical parameters are needed to guide the care of patients with eosinophilic-esophageal disorders. In this evidence-based review, recommendations developed by adult and pediatric gastroenterologists are provided for the evaluation and management of these patients...
May 2013: American Journal of Gastroenterology
Gary R Lichtenstein, Stephen B Hanauer, William J Sandborn
Guidelines for clinical practice are intended to suggest preferable approaches to particular medical problems as established by interpretation and collation of scientifically valid research, derived from extensive review of published literature. When data that will withstand objective scrutiny are not available, a recommendation may be made based on a consensus of experts. Guidelines are intended to apply to the clinical situation for all physicians without regard to specialty. Guidelines are intended to be flexible, not necessarily indicating the only acceptable approach, and should be distinguished from standards of care that are inflexible and rarely violated...
February 2009: American Journal of Gastroenterology
Douglas K Rex, David A Johnson, Joseph C Anderson, Phillip S Schoenfeld, Carol A Burke, John M Inadomi
This document is the first update of the American College of Gastroenterology (ACG) colorectal cancer (CRC) screening recommendations since 2000. The CRC screening tests are now grouped into cancer prevention tests and cancer detection tests. Colonoscopy every 10 years, beginning at age 50, remains the preferred CRC screening strategy. It is recognized that colonoscopy is not available in every clinical setting because of economic limitations. It is also realized that not all eligible persons are willing to undergo colonoscopy for screening purposes...
March 2009: American Journal of Gastroenterology
Alberto Rubio-Tapia, Ivor D Hill, Ciarán P Kelly, Audrey H Calderwood, Joseph A Murray
This guideline presents recommendations for the diagnosis and management of patients with celiac disease. Celiac disease is an immune-based reaction to dietary gluten (storage protein for wheat, barley, and rye) that primarily affects the small intestine in those with a genetic predisposition and resolves with exclusion of gluten from the diet. There has been a substantial increase in the prevalence of celiac disease over the last 50 years and an increase in the rate of diagnosis in the last 10 years. Celiac disease can present with many symptoms, including typical gastrointestinal symptoms (e...
May 2013: American Journal of Gastroenterology
Christina M Surawicz, Lawrence J Brandt, David G Binion, Ashwin N Ananthakrishnan, Scott R Curry, Peter H Gilligan, Lynne V McFarland, Mark Mellow, Brian S Zuckerbraun
Clostridium difficile infection (CDI) is a leading cause of hospital-associated gastrointestinal illness and places a high burden on our health-care system. Patients with CDI typically have extended lengths-of-stay in hospitals, and CDI is a frequent cause of large hospital outbreaks of disease. This guideline provides recommendations for the diagnosis and management of patients with CDI as well as for the prevention and control of outbreaks while supplementing previously published guidelines. New molecular diagnostic stool tests will likely replace current enzyme immunoassay tests...
April 2013: American Journal of Gastroenterology
Scott Tenner, John Baillie, John DeWitt, Santhi Swaroop Vege
This guideline presents recommendations for the management of patients with acute pancreatitis (AP). During the past decade, there have been new understandings and developments in the diagnosis, etiology, and early and late management of the disease. As the diagnosis of AP is most often established by clinical symptoms and laboratory testing, contrast-enhanced computed tomography (CECT) and/or magnetic resonance imaging (MRI) of the pancreas should be reserved for patients in whom the diagnosis is unclear or who fail to improve clinically...
September 2013: American Journal of Gastroenterology
2014-06-18 19:15:45
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