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Gastroenterology

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SUMMARY AND COMMENT

Is Acid-Reduction Therapy Associated with Risk for Hip Fractures?

• July 30, 2010
• David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Another study adds to the confusion about this potential link.

• Reviewing:
• Corley DA et al. Gastroenterology 2010 Jul; 139:93

SUMMARY AND COMMENT

Self-Expanding Stents for Benign Esophageal Perforation

• July 30, 2010
• David A. Johnson, MD

Stents were effective, but which type to use remains unclear.

• Reviewing:
• van Heel NCM et al. Am J Gastroenterol 2010 Jul; 105:1515

SUMMARY AND COMMENT

An Antidepressant for Noncardiac Chest Pain?

• July 30, 2010
• David A. Johnson, MD

Symptoms improved significantly more with venlafaxine than with placebo.

• Reviewing:
• Lee H et al. Am J Gastroenterol 2010 Jul; 105:1504

SUMMARY AND COMMENT

U.S. Colorectal Cancer Screening: An Update

• July 30, 2010
• Douglas K. Rex, MD

CDC data from 2008 reveal a positive trend in the CRC screening rate but also areas in which improvement is warranted.

• Reviewing:
• Centers for Disease Control and Prevention (CDC). MMWR Morb Mortal Wkly Rep 2010 Jul 9; 59:808

SUMMARY AND COMMENT

A Combined Antegrade–Retrograde Approach to Esophageal Dilation

• July 23, 2010
• David A. Johnson, MD

When an otolaryngologist and a gastroenterologist rendezvous, patients with radiation-induced strictures have a strong chance at achieving dilation.

• Reviewing:
• Dellon ES et al. Gastrointest Endosc 2010 Jun; 71:1122

SUMMARY AND COMMENT

Are Alarm Symptoms Predictive of Upper Gastrointestinal Cancer?

• July 23, 2010
• David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

In a population in China with high prevalence of Helicobacter pylori infection, alarm symptoms were poor predictors of malignancy.

• Reviewing:
• Bai Y et al. Gut 2010 Jun; 59:722

SUMMARY AND COMMENT

Probiotics to Reduce Nonsteroidal Anti-Inflammatory Enteropathy?

• July 23, 2010
• David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

In a small crossover trial, a probiotic mixture reduced fecal calprotectin concentrations in healthy volunteers who were receiving indomethacin.

• Reviewing:
• Montalto M et al. Aliment Pharmacol Ther 2010 Jul; 32:209

SUMMARY AND COMMENT

Redefining Pancreatitis After Endoscopic Retrograde Cholangiopancreatography

• July 23, 2010
• Stuart Sherman, MD

The clinical and expert consensus definitions of post-ERCP pancreatitis do not correlate well.

• Reviewing:
• Artifon ELA et al. Pancreas 2010 May; 39:530

SUMMARY AND COMMENT

Endoscopic Ultrasound Diagnosis of Chronic Pancreatitis

• July 23, 2010
• Stuart Sherman, MD

Interobserver agreement with the Rosemont scoring system was modestly better than that with standard scoring but not significantly so.

• Reviewing:
• Stevens T et al. Gastrointest Endosc 2010 Mar; 71:519

SUMMARY AND COMMENT

Capsule Endoscopy for Obscure Gastrointestinal Bleeding?

• July 16, 2010
• David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Capsule endoscopy bested small-bowel radiography in terms of diagnostic yield — but not clinical outcomes — in a randomized trial.

• Reviewing:
• Laine L et al. Gastroenterology 2010 May; 138:1673

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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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July 30, 2010

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