Monthly Archives: February 2017

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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

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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

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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

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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

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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

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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

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