Daily Archives: July 24, 2021
Use of Tokyo Guidelines (TG-18) for Acute Cholangitis Provides Improved Specificity and Accuracy Compared to Fellow Clinical Assessment: A US Academic Center Pilot Study
Acute cholangitis is a serious medical problem unless treated early. Although the diagnostic grading criteria on the 2018 Tokyo Guidelines (TG18) are used worldwide as the primary standard for management of acute cholangitis (AC), they need to be valid… Continue reading
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Improving Adherence to Gastric Intestinal Metaplasia Clinical Practice Guidelines Among Gastroenterologists at a U.S. Academic Institution
Gastric cancer (GC) is the 5th leading cause of cancer-related mortality worldwide. Endoscopic surveillance of gastric intestinal metaplasia (GIM) may lead to earlier GC detection. Recent guidelines from the American Gastroenterological Association (AG… Continue reading
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The Role of a Pharmacist in Improving Vaccination Discussions and Completion in Patients With Inflammatory Bowel Disease
Patients with inflammatory bowel disease (IBD) receive preventive care services at a lower rate than the general population. Previous research exploring preventive care services at a tertiary referral center observed that at most 75% of patients comple… Continue reading
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Impact of Epic Smartlist and Lumens Software in Improving Op-29 Compliance at a Tertiary Health Care Network
OP-29 is a Centers for Medicaid and Medicare Services (CMS) measure to ensure that endoscopists recommend appropriate follow-up intervals after normal colonoscopy in average risk patients. Failure to report OP-29 compliance can adversely affect hospita… Continue reading
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Improving Physician Documentation of Anticoagulant and Antiplatelet Recommendations After Endoscopy: A Multifaceted, Longitudinal Quality Improvement Success Story at the Durham Veterans Affairs Medical Center
Careful post-procedural anticoagulation/antiplatelet (AC/AP) management is required to mitigate the risk of bleeding and/or thrombotic complications. Clearly documented recommendations for when to restart AC/AP medications after endoscopy are an essent… Continue reading
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A Quality Improvement Project on the Development of an Evidence-Based Management Algorithm for Iatrogenic Endoscopic Perforations and the Long Term Impact on Physician Knowledge
Acute iatrogenic endoscopic perforations (AIEP) can lead to serious complications and death. If identified immediately, perforations can be closed endoscopically with a 90% success rate. Knowledge of AIEP may decrease the associated morbidity and morta… Continue reading
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Assessment of Provider and Patient Knowledge of Pneumococcal Vaccination and Barriers to Vaccination in Inflammatory Bowel Disease
Prior studies have shown low pneumococcal vaccination rates among inflammatory bowel disease (IBD) patients, yet few have assessed barriers to vaccination. In addition, minimal data exist regarding gastroenterologist (GI) and primary care provider (PCP… Continue reading
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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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The Timing of Inpatient Diagnostic Paracentesis: An Opportunity to Improve
Prompt diagnostic paracentesis upon hospital admission to evaluate for spontaneous bacterial peritonitis (SBP) has been shown to decrease mortality and length of hospitalization. Time constraints of admitting physicians and lack of training in paracent… Continue reading
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