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By Jeff Bank Internal Medicine R2 at the University of Utah
Anna M Duloy, Tonya R Kaltenbach, Mariah Wood, Dyanna L Gregory, Rajesh N Keswani
BACKGROUND & AIMS: Polypectomy competency varies significantly among providers. Poor polypectomy technique may lead to interval cancer and/or adverse events. Our aim was to determine the effect of a polypectomy skills report card upon subsequent polypectomy performance. METHODS: We conducted a 3-phase prospective single-blinded study. In Phase 1 ("baseline"), we graded 10 polypectomies/endoscopist using the Direct Observation of Polypectomy Skills tool (DOPyS; scores 1-4); mean overall scores >3 are competent...
February 27, 2019: Gastrointestinal Endoscopy
Nicolas M Intagliata, Stephen H Caldwell, Armando Tripodi
Portal vein thrombosis unrelated to solid malignancy is common in patients with cirrhosis but less frequently observed in patients without cirrhosis. Prompt diagnosis and management of acute symptomatic portal vein thrombosis are essential. Failure to detect and treat thromboses can result in mesenteric ischemia, chronic cavernous transformation, and complications of portal hypertension. In patients with cirrhosis, development of portal vein thrombosis is often insidious and remains undetected until its incidental detection...
February 13, 2019: Gastroenterology
Sampsa Pikkarainen, Timi Martelius, Ari Ristimäki, Sanna Siitonen, Mikko R J Seppänen, Martti Färkkilä
OBJECTIVES: Common variable immunodeficiency (CVID) is associated with a spectrum of autoimmune complications. We studied the prevalence of gastrointestinal (GI) manifestations and infections in patients with CVID. METHODS: Complete clinical data of 132 Finnish patients with CVID (106 probable and 26 possible CVID) followed up between 2007 and 2016 were collected to a structured database. Data on endoscopies, histology, and laboratory studies were retrieved from patient files...
February 8, 2019: American Journal of Gastroenterology
Peter S Liang, Jason A Dominitz
No abstract text is available yet for this article.
February 12, 2019: Clinical Gastroenterology and Hepatology
Johan Burisch, Tine Jess
No abstract text is available yet for this article.
February 12, 2019: Clinical Gastroenterology and Hepatology
Margaret S Sozio Indiana
No abstract text is available yet for this article.
February 13, 2019: Clinical Gastroenterology and Hepatology
Jean R Kuo, Shabana F Pasha, Jonathan A Leighton
Small bowel bleeding accounts for 5-10% of gastrointestinal bleeding. With the advent of capsule endoscopy, device-assisted enteroscopy, and multiphase CT scanning, a small bowel source can now be found in many instances of what has previously been described as obscure gastrointestinal bleeding. We present a practical review on the evaluation and management of small bowel bleeding for the practicing clinician.
December 20, 2018: American Journal of Gastroenterology
Sachin Wani, Samuel Han, Violette Simon, Matthew Hall, Dayna Early, Eva Aagaard, Wasif M Abidi, Subhas Banerjee, Todd H Baron, Michael Bartel, Erik Bowman, Brian C Brauer, Jonathan M Buscaglia, Linda Carlin, Amitabh Chak, Hemant Chatrath, Abhishek Choudhary, Bradley Confer, Gregory A Coté, Koushik K Das, Christopher J DiMaio, Andrew M Dries, Steven A Edmundowicz, Abdul Hamid El Chafic, Ihab El Hajj, Swan Ellert, Jason Ferreira, Anthony Gamboa, Ian S Gan, Lisa Gangarosa, Bhargava Gannavarapu, Stuart R Gordon, Nalini M Guda, Hazem T Hammad, Cynthia Harris, Sujai Jalaj, Paul Jowell, Sana Kenshil, Jason Klapman, Michael L Kochman, Sri Komanduri, Gabriel Lang, Linda S Lee, David E Loren, Frank Lukens, Daniel Mullady, Raman V Muthusamy, Andrew S Nett, Mojtaba S Olyaee, Kavous Pakseresht, Pranith Perera, Patrick Pfau, Cyrus Piraka, John M Poneros, Amit Rastogi, Anthony Razzak, Brian Riff, Shreyas Saligram, James M Scheiman, Isaiah Schuster, Raj J Shah, Rishi Sharma, Joshua P Spaete, Ajaypal Singh, Muhammad Sohail, Jayaprakash Sreenarasimhaiah, Tyler Stevens, James H Tabibian, Demetrios Tzimas, Dushant S Uppal, Shiro Urayama, Domenico Vitterbo, Andrew Y Wang, Wahid Wassef, Patrick Yachimski, Sergio Zepeda-Gomez, Tobias Zuchelli, Rajesh N Keswani
BACKGROUND AND AIMS: Minimum EUS and ERCP volumes that should be offered per trainee in "high quality" advanced endoscopy training programs (AETPs) are not established. We aimed to define the number of procedures required by an "average" advanced endoscopy trainee (AET) to achieve competence in technical and cognitive EUS and ERCP tasks to help structure AETPs. METHODS: ASGE-recognized AETPs were invited to participate; AETs were graded on every fifth EUS and ERCP examination using a validated tool...
February 7, 2019: Gastrointestinal Endoscopy
I N Guha, R Harris, S Berhane, A Dillon, L Coffey, M W James, A Cucchetti, D J Harman, G P Aithal, O Elshaarawy, I Waked, S Stewart, P J Johnson
BACKGROUND & AIMS: It is important to rapidly identify patients with advanced liver disease. Routine tests to assess liver function and fibrosis provide data that can be used to determine patients' prognoses. We tested the validated the ability of combined data from the ALBI and FIB-4 scoring systems to identify patients with compensated cirrhosis at highest risk for decompensation. METHODS: We collected data from 145 patients with compensated cirrhosis (91% Child A cirrhosis and median MELD scores below 8) from a cohort in Nottingham, United Kingdom, followed for a median 4...
February 1, 2019: Clinical Gastroenterology and Hepatology
Giuseppe Cullaro, Elizabeth C Verna, Jennifer C Lai
BACKGROUND & AIMS: Renal dysfunction increases risk of death for patients with cirrhosis. We investigated whether mortality differs significantly among patients with acute kidney injury (AKI), chronic kidney disease (CKD), and both. METHODS: We performed a retrospective analysis of all non-status 1 adults on the waitlist for liver transplantation for at least 90 days, collected from the Organ Procurement and Transplantation Network registry from July 1, 2007 through July 1, 2014...
February 1, 2019: Clinical Gastroenterology and Hepatology
Nan Lan, Luca Stocchi, Conor P Delaney, Tracy L Hull, Bo Shen
BACKGROUND AND AIMS: Endoscopic stricturotomy is a novel technique in the treatment of anastomotic strictures in Crohn's disease (CD). The aim of this study was to compare the outcome of patients with ileocolonic anastomotic stricture treated with endoscopic stricturotomy (ESt) versus ileocolonic resection (ICR). METHODS: This historical cohort study included consecutive CD patients with ileocolonic anastomotic stricture treated with ESt or ICR from 2010 to 2017...
January 30, 2019: Gastrointestinal Endoscopy
Shira Zelber-Sagi
No abstract text is available yet for this article.
January 12, 2019: Clinical Gastroenterology and Hepatology
Evan S Dellon
No abstract text is available yet for this article.
February 2019: Clinical Gastroenterology and Hepatology
Simon Brisebois, Albert Merati, John Paul Giliberto
Proton pump inhibitors (PPIs) are among the most prescribed classes of drugs in this day and age. These may be beneficial to treat many gastrointestinal conditions, such as gastroesophageal reflux or Barrett's esophagus as well as laryngopharyngeal reflux. However, many reports have emerged in the literature exposing the potential association of PPIs with various risks and complications such as bone fracture, infection, myocardial infarction, renal disease, and dementia. This review highlights many of these potential adverse side effects by exploring relevant publications and addressing the controversies associated with those findings...
December 2018: Laryngoscope Investigative Otolaryngology
Tao Ran, Chih-Yuan Cheng, Benjamin Misselwitz, Hermann Brenner, Jasper Ubels, Michael Schlander
BACKGROUND & AIMS: Widespread screening for colorectal cancer (CRC) has reduced its incidence and mortality. Previous studies investigated the economic effects of CRC screening. We performed a systematic review to provide up to date evidence of the cost effectiveness of CRC screening strategies by answering 3 research questions. METHODS: We searched PubMed, NHS EED, SSCI, EconLit, and 3 supplemental databases for original articles published in English from January 2010 through December 2017...
January 16, 2019: Clinical Gastroenterology and Hepatology
Shailja C Shah, Adam Tepler, Richard M Peek, Jean-Frederic Colombel, Ikuo Hirano, Neeraj Narula
BACKGROUND & AIMS: Previous or current infection with Helicobacter pylori (exposure) has been reported to protect against eosinophilic esophagitis (EoE), perhaps due to H pylori-induced immunomodulation. However, findings vary. We performed a systematic review and meta-analysis of comparative studies to more clearly define the association between H pylori exposure and EoE. METHODS: We searched 4 large databases to identify comparative clinical studies that included sufficient detail to determine the odds or risk of EoE (primary outcome) or esophageal eosinophilia (secondary outcome) among individuals exposed to H pylori (exposed) vs individuals who were tested and found to be unexposed...
January 16, 2019: Clinical Gastroenterology and Hepatology
Trevor S Barlowe, Jenna L Koliani-Pace, Kerrington D Smith, Stuart R Gordon, Timothy B Gardner
No abstract text is available yet for this article.
January 18, 2019: Clinical Gastroenterology and Hepatology
Douglas G Adler
No abstract text is available yet for this article.
February 2019: Gastrointestinal Endoscopy
Abdul Haseeb, Martin L Freeman
No abstract text is available yet for this article.
February 2019: Gastrointestinal Endoscopy
Ahmed Adel Amin, Eman Ibrahim Alabsawy, Rajiv Jalan, Andrew Davenport
Acute kidney injury (AKI) is a common presentation in patients with advanced cirrhosis hospitalized with acute decompensation. A new revised classification now divides AKI in cirrhotic patients into two broad subgroups: hepatorenal syndrome AKI (HRS AKI) and non-hepatorenal syndrome AKI (non-HRS AKI). HRS AKI represents the end-stage complication of decompensated cirrhosis with severe portal hypertension and is characterized by worsening of renal function in the absence of prerenal azotemia, nephrotoxicity, and intrinsic renal disease...
January 2019: Seminars in Nephrology
2019-01-24 01:11:13
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