Daily Archives: August 20, 2020
Information for Authors and Readers
Gastroenterology is the premiere journal in the field of gastrointestinal disease and is led by an internationally renowned board of editors. As the official journal of the AGA Institute, Gastroenterology delivers up-to-date and authoritative coverage … Continue reading
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In-Service Education and Changes to the Electronic Health Record System Improve Intravenous Fluid Hydration in the Emergency Department in Patients With a Diagnosis of Acute Pancreatitis
According to ACG guidelines, initial management of acute pancreatitis includes aggressive hydration defined as 250-500 mL/hr of isotonic crystalloid solution. Based on literature, morbidity and mortality can be further reduced with early resuscitation … Continue reading
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Overutilization of Fecal Occult Blood Test in the Acute Hospital Setting and its Impact on Clinical Management and Outcomes
Fecal occult blood test (FOBT) was traditionally used as a non-invasive screening tool for colorectal cancer (CRC) screening, however it is increasingly used in the inpatient setting despite the controversy for indications other than CRC screening. Mor… Continue reading
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Inflammatory Bowel Disease Patients Hospitalized for Flares Are at Risk for Chronic Steroid Use Due to Lack of Clear Instructions at Discharge: A 15-Month Retrospective Study at a Private, Not-For-Profit Academic Hospital
Patients with inflammatory bowel disease (IBD) who are hospitalized with an IBD flare can be managed acutely with short-term (4-6 weeks) high dose glucocorticoid taper. Corticosteroid use beyond 3-4 months can cause serious and significant side effects… Continue reading
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HP QI Abstract: Improving Helicobacter pylori Testing in Patients With Acute Upper GI Bleeding Due to Peptic Ulcer Disease
Peptic ulcer disease (PUD) is a common cause of acute upper gastrointestinal (GI) bleeding with a significant impact on healthcare costs in the United States.1 Helicobacter pylori is a main risk factor for PUD, with high rates of rebleeding (27% to 81%… Continue reading
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CME Exam 1: Corticosteroids, But Not TNF Antagonists, Are Associated with Adverse COVID-19 Outcomes in Patients With Inflammatory Bowel Diseases: Results from an International Registry
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Inappropriate Discharge on Proton Pump Inhibitors After Intensive Care Unit Hospitalization
Proton pump inhibitors (PPIs) are recommended for stress ulcer prophylaxis in critically ill patients at high risk for upper gastrointestinal bleeding. We hypothesized that many PPIs started in the intensive care unit (ICU) for prophylaxis are continue… Continue reading
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Selection of an Appropriate Helicobacter Pylori Eradication Regimen in an Urban Population: A Quality Improvement Project
Helicobacter pylori (H pylori) infection is one of the most common chronic bacterial infection. H pylori infection is associated with peptic ulcer disease and gastric cancer. In the US, most commonly used therapies for H pylori eradication include clar… Continue reading
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Biopsy and Empiric Dilation Practices in Veterans with Dysphagia and Normal Appearing Esophagus
ASGE and ACG guidelines recommend performing EGD for patients presenting with dysphagia. Both societies suggest that even if the esophageal mucosa appears normal, two to four proximal and distal esophageal biopsies should be obtained to evaluate for eo… Continue reading
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Dedicated Cytopathologists vs Community Pathologist Significantly Affects Overall Diagnostic Accuracy of Endoscopic Ultrasound Guided Sampling of Solid Pancreatic Lesions: Outcomes From a Large Healthcare System
Endoscopic ultrasound (EUS) is the most sensitive modality in detecting solid lesions of pancreas and is commonly performed for staging, and tissue acquisition. Correct pathologic diagnosis is crucial for timely diagnosis and initiation of therapy in c… Continue reading
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