Monthly Archives: July 2016
Intravenous Access in Acute Gastrointestinal Bleeding: A Quality-Improvement Project
Gastrointestinal bleeding (GIB) is common and carries substantial morbidity. While the available literature recommends placement of 2 large-bore intravenous lines (2LBIV) in every patient presenting with GIB, the adherence to and impact of this recomme… Continue reading
Patient Perception of Bowel Preparation for Colonoscopy in the Urban Tertiary Care Setting
Inadequate bowel preparation hampers visualization during colonoscopy, leading to missed lesions and the need to repeat screening colonoscopy. Patient perceptions and motivations can influence the quality of the bowel preparation as well as the likelih… Continue reading
“Skip the Drips”: An Initiative to Promote the Appropriate Use of Proton Pump Inhibitors in Patients With Upper Gastrointestinal Bleeding
Proton pump inhibitors (PPIs) are part of the standard of therapy in patients with upper gastrointestinal bleeding. The American College of Gastroenterology (ACG) and the American Society for Gastrointestinal Endoscopy (ASGE) recommend PPI use. In the … Continue reading
Instructions for Authors
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Preventing Poor Bowel Preps Before They Become a Problem
Multiple factors can predispose to poor bowel preparation (BP), which impairs adequate mucosal evaluation with colonoscopy and decreases safety of procedure. Despite split-dose BP, there are still a significant number of patients with poor BP. We perfo… Continue reading
Information for Authors and Readers
Gastroenterology is the premiere journal in the field of gastrointestinal disease and is led by an internationally renowned board of editors. As the official journal of the AGA Institute, Gastroenterology delivers up-to-date and authoritative coverag… Continue reading
Quality Indicators in Pediatric Digestive Endoscopy: Lessons Learned From a High-Volume Endoscopy Unit
Pediatric gastrointestinal endoscopy must be performed by an experienced operator within an appropriate environment for the safety of patients. Studies evaluating the quality and safety of pediatric endoscopy are scarce and none has attempted to evalua… Continue reading
Adherence to Clostridium difficile Infection Treatment Guidelines at a Tertiary Care Hospital: A Retrospective Chart Review
Morbidity secondary to Clostridium difficile infection (CDI) places a burden on the health care system. Updated practice guidelines for CDI have been published by the Infectious Diseases Society of America in 2010, with a supplement published in 2013 b… Continue reading
Inflammation and the Intestinal Barrier: Leukocyte–Epithelial Cell Interactions, Cell Junction Remodeling, and Mucosal Repair
The intestinal tract is lined by a single layer of columnar epithelial cells that forms a dynamic, permeable barrier allowing for selective absorption of nutrients while restricting access to pathogens and food-borne antigens. Precise regulation of epi… Continue reading