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Gastroenterology
Your concise source for authoritative clinical insight into the best and latest GI research.
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SUMMARY AND COMMENT
Colonoscopy and Right-Sided Cancers: More Bad News
- February 5, 2010
- Douglas K. Rex, MD
A new study confirms that colonoscopy provides strong protection against advanced neoplasms, but only in the left colon.
- Reviewing:
- Brenner H et al. J Natl Cancer Inst 2010 Jan 20; 102:89
Recent Gastroenterology Articles
SUMMARY AND COMMENT
Version 2 of a Capsule Colonoscope
- February 5, 2010
- Douglas K. Rex, MD
The sensitivity and specificity of this test for polyp detection might be improving.
- Reviewing:
- Eliakim R et al. Endoscopy 2009 Dec; 41:1026
SUMMARY AND COMMENT
Surveillance Colonoscopy After Polypectomy: Too Little, Too Much
- February 5, 2010
- Douglas K. Rex, MD
Underuse is common in high-risk patients; overuse is common in low-risk patients.
- Reviewing:
- Schoen RE et al. Gastroenterology 2010 Jan; 138:73
SUMMARY AND COMMENT
Bleeding Peptic Ulcers and End-Stage Renal Disease
- February 5, 2010
- David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
Among patients with bleeding ulcers, those with ESRD had higher risk for rebleeding than did those with chronic kidney disease or normal renal function.
- Reviewing:
- Cheung J et al. Gastrointest Endosc 2010 Jan; 71:44
SUMMARY AND COMMENT
Which Treatment Is Better for GERD?Free
- January 29, 2010
- David A. Johnson, MD
Compared with medical therapy, surgery was associated with higher rates of continuous remission, but the results are questionable.
- Reviewing:
- Lundell L et al. Clin Gastroenterol Hepatol 2009 Dec; 7:1292
SUMMARY AND COMMENT
Barrett Esophagus and Neoplasia
- January 29, 2010
- David A. Johnson, MD
Use of proton-pump inhibitors was associated with diminished risk for high-grade dysplasia or esophageal adenocarcinoma.
- Reviewing:
- Nguyen DM et al. Clin Gastroenterol Hepatol 2009 Dec; 7:1299
SUMMARY AND COMMENT
Low-Dose Aspirin Therapy After Peptic Ulcer Bleeding
- January 29, 2010
- David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
Mortality risk was diminished in patients receiving low-dose aspirin for vascular disease.
- Reviewing:
- Sung JJY et al. Ann Intern Med 2010 Jan 5; 152:1
SUMMARY AND COMMENT
A New Rapid Urease Test for H. pylori
- January 29, 2010
- David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
Test sensitivity at 5 minutes was 94.5%.
- Reviewing:
- Vaira D et al. Aliment Pharmacol Ther 2010 Jan 15; 31:331
SUMMARY AND COMMENT
Alternate Pathways for Interval Colon Cancers?
- January 29, 2010
- Douglas K. Rex, MD
CpG island methylator phenotype and microsatellite instability were independently associated with interval cancers.
- Reviewing:
- Arain MA et al. Am J Gastroenterol 2009 Dec 15
SUMMARY AND COMMENT
Proton-Pump Inhibitors and Fundic Gland Polyps
- January 22, 2010
- David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
Use of PPIs for >48 months was an independent predictor of FGPs.
- Reviewing:
- Ally MR et al. Dig Dis Sci 2009 Dec; 54:2617
SUMMARY AND COMMENT
Pyloric Injection of Botulinum Toxin for Gastroparesis
- January 22, 2010
- David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
Response was associated with higher dose and specific subgroups of patients.
- Reviewing:
- Coleski R et al. Dig Dis Sci 2009 Dec; 54:2634
Editor's Picks from across Journal Watch
SUMMARY AND COMMENT
HPV Vaccine Remains Highly Protective for as Long as 6.4 Years
- January 5, 2010
- By Bruce Soloway, MD
- General Medicine
Growing confidence in the vaccine should lead to worldwide immunization programs.
- Reviewing:
- Lancet 2009 Dec 12; 374:1975
SUMMARY AND COMMENT
Reducing Amyloid Load to Improve Alzheimer Disease?Free
- January 7, 2010
- By Thomas L. Schwenk, MD
- General Medicine
A promising approach showed no benefit.
- Reviewing:
- JAMA 2009 Dec 16; 302:2557
SUMMARY AND COMMENT
Antiflu Arsenal Might Be Weaker Than You Think
- January 5, 2010
- By Abigail Zuger, MD
- General Medicine
A Cochrane Collaborative analysis found little evidence to support routine neuraminidase use in healthy adults.
- Reviewing:
- BMJ 2009 Dec 8; 339:b5106
CLINICAL PRACTICE GUIDELINE WATCH
Major Changes in ACOG Cervical Cytology Screening RecommendationsFree
- November 23, 2009
- By Ann J. Davis, MD
- Women's Health
New guidelines recommend less-frequent screening that begins at age 21 regardless of age at onset of sexual activity.
- Reviewing:
- 2009 Dec; 114:1409
Journal Watch Gastroenterology summarizes important medical journal articles about a wide variety of GI subjects including cirrhosis, dyspepsia, gastric cancer, GERD, H. pylori, and hepatitis.
