Monthly Archives: July 2018

Thank you for the first letter commenting on our paper. In a case of pulmonary arterial hypertension (PAH) occurring in patients with ulcerative colitis (UC) under indigo naturalis treatment, PAH was associated with patients with UC after using indigo … Continue reading →

We read with great interest the recent article by Naganuma et al.1 The authors showed a significant effect of indigo naturalis in treating patients with ulcerative colitis (UC) in a randomized, placebo-controlled trial. In their study, patients were randomly assigned to groups given a daily dose of 0.5, 1.0, or 2.0 g of indigo naturalis or placebo for 8 weeks. The proportion of patients with a clinical response at week 8 was significantly higher in the 0.5-g indigo naturalis group (69.6%; P = .0002), 1.0-g indigo naturalis group (75.0%; P = .0001), and 2.0-g indigo naturalis group (81.0%; P < .0001) than in the placebo group (13.6%). Continue reading →

Golimumab, a tumor necrosis factor (TNF) antagonist, is an effective treatment for patients with moderate-to-severe ulcerative colitis (UC). However, more than 50% of initial responders lose their response to the drug within the first year of therapy. … Continue reading →

The occlusion rate of plastic biliary stents is known to rise precipitously 3 months after placement. Thus, it is critical that they be exchanged or removed within the appropriate timeframe. After encountering an index case of acute cholangitis due to … Continue reading →

More than 3.3 million outpatient colonoscopies are performed annually in the United States. Successful evaluation relies on patient adherence to bowel preparation. Failure of adequate bowel evacuation results in reduced cecal intubation rates, decrease… Continue reading →

Acid suppressive therapy (AST) can reduce the development of stress and medication-related mucosal disease when prescribed appropriately. Previous data by our group show suboptimal prescribing of AST in the hospital among cardiac patients. The aim of t… Continue reading →

Inter-provider communication has an important role in the transition of patient care and patient safety. Several studies have demonstrated that communication breakdown plays a significant role in the root cause of sentinel and adverse events in health … Continue reading →

Constipation is a common pediatric complaint that accounts for about 5% of visits to a general pediatrician, 25% of referrals to pediatric gastroenterology, and up to 12% of all emergency department visits, leading to an estimated $3.9 billion per year… Continue reading →