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Gastroenterology

Your concise source for authoritative clinical insight into the best and latest GI research.

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Immunoglobulin G4–Associated Cholangitis

  • Summary and Comment
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New data suggest that IAC should be considered in the differential diagnosis for patients who have unexplained biliary strictures, unexplained pancreatic disease, and high levels of serum IgG4.

Gastroprotection in NSAID Users

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Which is best for reducing the risk of upper GI complications in NSAID users — misoprostol, PPIs, or COX-2–selective NSAIDs?

Treatment of Disconnected Pancreatic Tail Syndrome

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Complete drainage was achieved with surgery or endoscopy in most study cases, but half suffered recurrence.

Errors in Size Measurement on CT Colonography

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Polyp size determined by CT colonography might not be sufficiently reliable to guide clinical management.

Early Immunosuppression vs. Steroids for Crohn Disease

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Are biological agents best used as first-line therapy to induce clinical remission or as second-line treatment for patients who fail to respond to corticosteroids or immunomodulators?

Enhancing Screening Colonoscopy Rates in Disadvantaged Populations

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Patient navigation could help to improve the low rates of colonoscopy and adequate bowel preparation seen in such patients.

Serum Pepsinogens and Gastrin 17 in Gastric Cancer

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Researchers studied the usefulness of serum levels of pepsinogen I, pepsinogen II, and gastrin 17 as noninvasive markers for gastric cancer.

Settings for Bipolar Electrocoagulation

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Optimal clinical technique involves lower watt settings of moderately long duration, and application force is needed to coagulate vessels.

Stress and GERD

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In patients with GERD, auditory stress increased perceptual response to intraesophageal acid exposure.

Real-Time Histology with Narrow-Band Imaging

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The value of real-time histology of colorectal polyps using narrow-band imaging is potentially enormous.

Effect of Obesity on Percutaneous Endoscopic Jejunostomy

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Success with this procedure is less likely in patients with higher BMIs.

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Editor's Picks from across Journal Watch

Does Bisphosphonate Use Cause Aseptic Osteonecrosis?

  • Women's Health
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Although BP use seemed to be associated with aseptic osteonecrosis, cause and effect were not demonstrated.

What Is the Upper Limit of Normal for TSH?

  • General Medicine
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These investigators propose an upper limit of around 4.0 µIU/mL for normal serum TSH levels.

AHA Call to Action: Compression-Only CPR

  • Emergency Medicine
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For adults with witnessed cardiac arrest, compression-only bystander CPR might improve survival.

How Common Is Incidental Prostate Cancer?

  • General Medicine
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In an autopsy study of organ donors, asymptomatic prostate cancer was very common among men older than 50.

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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.

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