Daily Archives: August 4, 2017
Exam 4: American Gastroenterological Association Institute Guideline on Therapeutic Drug Monitoring in Inflammatory Bowel Disease
Does the Use of Doppler Endoscopic Probe in Hemostasis of Nonvariceal Gastrointestinal Bleeding Increase Efficacy or Work Load?
I read with interest the article by Jensen et al1 regarding the use of a Doppler endoscopic probe (DEP) in hemostasis of nonvariceal gastrointestinal bleeding. The authors demonstrated that use of a DEP can significantly reduce the rebleeding rate of … Continue reading
Management of Gastroesophageal Reflux Disease
Management of GERD commonly starts with an empiric trial of proton pump inhibitor (PPI) therapy and complementary lifestyle measures, for patients without alarm symptoms. Optimization of therapy (improving compliance and timing of PPI doses), or increa… Continue reading
Exam 2: Risk Stratification for Covert Invasive Cancer Among Patients Referred for Colonic Endoscopic Mucosal Resection: A Large Multicenter Cohort
Exam 5: American Gastroenterological Association Institute Technical Review on the Role of Therapeutic Drug Monitoring in the Management of Inflammatory Bowel Diseases
Transplant-Free Survival Rates After Covered Transjugular Intrahepatic Portosystemic Shunt
We acknowledge the challenges identified by the authors in the management of recurrent or refractory ascites.1 Although data identifying candidate suitability for transjugular intrahepatic portosystemic shunt (TIPSS) is satisfactory, the optimum timing… Continue reading
A Huge Mass in the Upper Esophagus
Question: A 56-year-old man with a history of mild dysphagia for 4 months experienced worsening of his symptoms when he caught a cold or was tired, but without nausea, vomiting, acid reflux, abdominal pain, or bloating. He had no history of diabetes me… Continue reading
Resistance-Associated Substitutions in Short Duration of Interferon-Free Direct-Acting Antivirals for Hepatitis C
We read with great interest the report of Gane et al.1 They evaluated the efficacy and safety of direct-acting antivirals, ledipasvir-sofosbuvir fixed dose combination, for chronic hepatitis C virus genotype 2 infection. The rate of sustained virologi… Continue reading
A Case Report of a Child With Purpura, Severe Abdominal Pain, and Hematochezia
Question: A 5-year old Caucasian boy presented with sudden onset of diffuse purpuric and petechial skin lesions without fever at the pediatric department. The following days he developed diffuse abdominal pain with bloody stools (4-6 times a day). He a… Continue reading
Gastroenterology 2017-08-04 16:00:00
The difficult task of linking histology findings with the clinical picture daunts many beginning clinicians, and can be a source of frustration for seasoned practitioners as well. Resorting to review of detailed pathology textbooks, clinicopathologic c… Continue reading