Celiac disease should be part of the differential diagnosis for several classic clinical presentations, but atypical symptoms, including constipation, can cause doctors to overlook some patients.
1 Feb 2023
The diagnostic approach to celiac disease in adults using serological and histologic data remains unchanged from the American College of Gastroenterology's (ACG) 2013 clinical guidelines.
17 Jan 2023
ACP Internist provides news and information for internal medicine physicians about the practice of medicine and reports on the policies, products, and activities of ACP.
The College notes the passing of James (Jim) Foody III, MD, FACP; Marcus Boyd Shook, MD, MACP; C. Anderson (Andy) Hedberg, MD, MACP; and George Goldsand, MD, MACP.
1 Feb 2023
A 57-year-old man is evaluated for recurrent diarrhea and abdominal pain over the past 2 months. He was diagnosed with celiac disease 10 years ago when he presented with similar symptoms; at that time, symptoms resolved within 1 month of starting a gluten-free diet, which he has maintained since then. He has unintentionally lost 2 kg (5 lb) in the past 2 months. What condition should he be assessed for?
6 Sep 2022
Irritable bowel syndrome (IBS) is not a new disorder, but physicians' understanding of its pathophysiology and treatment has greatly progressed over the years.
1 Jan 2023
Removing milk, wheat, soy, eggs, tree nuts/peanuts, and fish/shellfish from one's diet and then gradually reintroducing these food categories identified a single food trigger for 69% of participating patients with eosinophilic esophagitis, a retrospective study found.
23 Aug 2022
A 21-year-old woman is evaluated at follow-up after upper endoscopy and colonoscopy, which were performed because of iron deficiency anemia unresponsive to oral iron therapy. Upper endoscopy revealed fundic gland polyps carpeting the stomach and multiple small adenomatous polyps in the duodenum. Following a colonoscopy, what is the most appropriate treatment?
14 Jun 2022
This month's issue addresses irritable bowel syndrome (IBS), bereavement among patients, and transgender care.
1 Jan 2023
This week's quiz asks readers to choose the most appropriate management of a 55-year-old man who was hospitalized two months ago for severe acute pancreatitis and had hypodense pancreatic lesions two weeks ago on contrast-enhanced pancreas-protocol CT.
29 Nov 2022