Daily Archives: July 27, 2019
Clip Closure After Resection of Large Colorectal Lesions With Substantial Risk of Bleeding
It is not clear whether closure of mucosal defects with clips after colonic endoscopic mucosal resection (EMR) prevents delayed bleeding, although it seems to have no protective effects when risk is low. We performed a randomized trial to evaluate the … Continue reading
ECM1 Prevents Activation of Transforming Growth Factor beta, Hepatic Stellate Cells, and Fibrogenesis in Mice
Activation of transforming growth factor beta (TGFB) promotes liver fibrosis by activating hepatic stellate cells (HSCs), but the mechanism of TGFB activation are not clear. We investigated the role of extracellular matrix protein 1 (ECM1), which inter… Continue reading
New Patient Access in a Gastroenterology Clinic: A Quality Improvement Initiative
Subspecialty access is an important aspect of the healthcare system, especially in gastroenterology. Given that gastroenterologists’ time is divided between endoscopy and clinic and not solely clinic, it is difficult to accommodate the clinic demand,… Continue reading
Standardizing Inpatient Bowel Preparation Orders Improves Colonoscopy Outcomes and Reduces Provider Frustration
The quality of bowel preparation for inpatient colonoscopies is frequently poor. Many factors may account for this, including system-level issues such as varying and non-standardized methods of prep administration by covering providers. Quality improve… Continue reading
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Standardizing the Care of Acute Severe Ulcerative Colitis Inpatients at an Inflammatory Bowel Disease Referral Hospital
Patients who present with acute severe ulcerative colitis (ASUC) are at high risk for short-term colectomy. Despite consensus guidelines on the management of inpatient ASUC, variations in practice exist that can delay time-sensitive therapy. The variab… Continue reading
Fentanyl Waste Was Reduced by Conservation Measures While Maintaining Patient Comfort During Moderate Sedation Endoscopy Procedures
Injectable fentanyl is widely used as part of moderate sedation for endoscopic procedures. In the setting of a national injectable fentanyl shortage, conservation measures were enacted in 4/2018 at our academic medical center, which performs over 14,0… Continue reading