Search results for "Gastroenterology"
Colonoscopy may be more frequent than recommended in Medicare patients
Medicare patients may be receiving colonoscopies more frequently than recommended by guidelines, according to a new study.
https://immattersacp.org/weekly/archives/2011/05/17/6.htm
17 May 2011
Evaluating alcohol use in ‘Dry January’
With the pandemic's effects on drinking as a backdrop, public health initiatives like “Dry January” may be enticing to patients who want to pause their drinking and examine their habits.
https://immattersacp.org/archives/2022/01/evaluating-alcohol-use-in-dry-january.htm
1 Jan 2022
Further evidence indicates screening colonoscopy reduces mortality and may detect more adenomas than fecal occult blood testing
Two new studies provided evidence of colonoscopy's effectiveness at detecting cancer and reducing mortality.
https://immattersacp.org/weekly/archives/2012/02/28/5.htm
28 Feb 2012
MKSAP Quiz: Fatigue, intermittent rectal bleeding, abdominal pain
A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since her symptoms started. She has no personal or family history of colon cancer or other cancers. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/11/13/3.htm
13 Nov 2018
MKSAP Quiz: Progressive dysphagia for 8 months
A 75-year-old man is evaluated for progressive dysphagia of 8 months' duration for both solid food and water, and the necessity to induce vomiting several times each month to relieve his symptoms. He also has experienced chest pain and heartburn symptoms and has lost weight. After physical exam, upper endoscopy, and manometry, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/09/25/3.htm
25 Sep 2018
More restrictive blood transfusion rates may be better for upper GI bleeds
A blood transfusion threshold of 7 g/dL of hemoglobin significantly improved outcomes in patients with acute upper gastrointestinal bleeding compared to 9 g/dL, a study found.
https://immattersacp.org/weekly/archives/2013/01/08/5.htm
8 Jan 2013
Functional gut disorders become clearer as models emerge
One major finding is that irritable bowel syndrome and functional dyspepsia are connected.
https://immattersacp.org/archives/2019/01/functional-gut-disorders-become-clearer-as-models-emerge.htm
1 Jan 2019
MKSAP Quiz: Abdominal pain for several months
A 56-year-old man is evaluated for right-upper-quadrant abdominal pain of several months' duration. He otherwise has been well. Following a physical exam, lab studies, and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/02/01/4.htm
1 Feb 2022
Continuing anti-TNF therapy in pregnancy appears beneficial for patients with IBD
A French target trial emulation, which refers to the use of observational data to mimic a randomized controlled trial, found that maternal relapse of inflammatory bowel disease (IBD) and premature births were less common when patients continued anti-tumor necrosis factor (anti-TNF) therapy after 24 weeks of pregnancy than when the drugs were discontinued.
https://immattersacp.org/weekly/archives/2022/09/27/1.htm
27 Sep 2022
MKSAP Quiz: 4-year history of ulcerative colitis
A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years. What is the most appropriate interval at which to perform colonoscopy with biopsies in this patient?
https://immattersacp.org/weekly/archives/2016/11/15/3.htm
15 Nov 2016