Monthly Archives: February 2017
RE: Risks of Bleeding Recurrence and Cardiovascular Events With Continued Aspirin Use After Lower Gastrointestinal Hemorrhage
We read with interest the paper by Chan et al1 on the effects of resuming aspirin on clinical outcomes in patients with lower gastrointestinal bleeding (LGIB).1 In a retrospective study on patients who had LGIB on aspirin, the authors found that patie… Continue reading
The Value of a 24/7 Online Nationwide Multidisciplinary Expert Panel for Acute Necrotizing Pancreatitis
Acute pancreatitis is the most common gastrointestinal reason for acute hospitalization.1 Approximately 20% of patients with acute pancreatitis develop necrotizing pancreatitis.2,3 In approximately 30% of these patients, secondary infection of the necr… Continue reading
Unusually High Rates of Hepatocellular Carcinoma After Treatment With Direct-Acting Antiviral Therapy for Hepatitis C Related Cirrhosis
Direct-acting antiviral (DAA) therapy has revolutionized the treatment of hepatitis C virus (HCV) infection, with very high rates of sustained virologic response (SVR) and an excellent safety profile.1,2 Interferon-based therapies in the past have show… Continue reading
Unusually High Rates of Hepatocellular Carcinoma After Treatment With Direct-Acting Antiviral Therapy for Hepatitis C Related Cirrhosis
Direct-acting antiviral (DAA) therapy has revolutionized the treatment of hepatitis C virus (HCV) infection, with very high rates of sustained virologic response (SVR) and an excellent safety profile.1,2 Interferon-based therapies in the past have show… Continue reading
Unusual Cause of Small Intestinal Bleeding in a Renal Transplant Recipient
Question: A 63-year-old man was admitted to our hospital because of hematochezia for days. He underwent renal transplantation 1 year before admission, with immunosuppressant mycophenolate mofetil (MMF) 360 mg bid. Upper endoscopy and colonoscopy reveal… Continue reading
Back to the Basics: High-Tech Imaging Is Not Always Necessary or Indicated
Question: A 43-year-old woman with a clinical diagnosis of Crohn disease presented to her physician with severe rectal pain and increasing abdominal distension. An immediate supine abdominal radiograph was obtained. Continue reading