Daily Archives: June 2, 2017
Febrile Attacks With a Refractory Colonic Lesion
Question: In April 2015, a 68-year-old woman with refractory inflammatory bowel disease was referred to our hospital for further examination. She had a history of pulmonary tuberculosis. Her symptoms of self-remitting fever, diarrhea, and abdominal pai… Continue reading
Risk Stratification for Covert Invasive Cancer Among Patients Referred for Colonic Endoscopic Mucosal Resection: A Large Multi-center Cohort
Among patients with large colorectal sessile polyps or laterally spreading lesions, it is important to identify those at risk for submucosal invasive cancer (SMIC). Lesions with overt endoscopic evidence of SMIC are referred for surgery, although those… Continue reading
Detection of HCV RNA in Sustained Virologic Response to Direct-Acting Antiviral Agents: Occult or Science Fiction?
We read with interest the article by Elmasry et al.1 Among the 9 patients in whom serum alanine aminotransferase (ALT) levels did not normalize despite a sustained virologic response (SVR) 12 weeks after therapy with direct-acting antiviral (DAA) agen… Continue reading
Practice Patterns for Cholecystectomy Following Endoscopic Retrograde Cholangio-Pancreatography for Patients With Choledocholithiasis
Cholecystectomy (CCY) following an episode of choledocholithiasis requiring endoscopic retrograde cholangio-pancreatography (ERCP) with stone extraction reduces recurrent biliary events, compared to expectant management. We studied practice patterns fo… Continue reading
Association Between Proton Pump Inhibitor Use and Risk of Progression of Chronic Kidney Disease
Proton pump inhibitors (PPI) have been associated with acute kidney injury (AKI) and recent studies suggest that they may be associated with the risk of chronic kidney disease (CKD). Continue reading
A Selection of Best AGA Abstracts of DDW 2017
This is a summary of 12 abstracts selected for review during the Tuesday afternoon Best of DDW Session at DDW 2017. These abstracts were selected from the presentations at the Presidential Plenary, the Basic Science Plenary, and individual section plen… Continue reading
When to Search for Occult Infection After Eradication of Hepatitis C?
We read with great interest the article by Elmasry et al on the detection of occult hepatitis C virus (HCV) infection (OCI) in patients with abnormal levels of serum aminotransferases despite a sustained virologic response (SVR), after treatment with … Continue reading
A Summary of the 2016 James W. Freston Conference of the American Gastroenterological Association: Intestinal Metaplasia in the Esophagus and Stomach: Origins, Differences, Similarities and Significance
Metaplasia, wherein 1 type of adult tissue replaces another, is a consequence of chronic inflammation.1 Presumably, metaplasias develop and persist because they are more adept than the native tissue at resisting injury from the underlying inflammatory … Continue reading
“Errare Humanum Est, Perseverare Autem Diabolicum”
Question: A 79-year-old man with no significant past medical history presented to the emergency department with a 2-day history of melena. He was hemodynamically stable and laboratory tests were unremarkable, except for normocytic anemia (hemoglobin, 9… Continue reading