Gastroenterology: Archives

SUMMARY AND COMMENT

Early Endoscopy for Older Patients with Bleeding Peptic Ulcers

• October 16, 2009
• David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Compared with delayed endoscopies, early procedures were associated with shorter hospital stays and lower rates of surgery.

• Reviewing:
• Cooper GS et al., Gastrointest Endosc 2009 Aug; 70:229

SUMMARY AND COMMENT

Does Coagulation Status Predict Band-Ulcer Bleeding After Band Ligation?

• October 16, 2009
• Atif Zaman, MD, MPH

Neither standard nor expanded coagulation indices were predictive.

• Reviewing:
• Vieira da Rocha EC et al., Clin Gastroenterol Hepatol 2009 Sep; 7:988

SUMMARY AND COMMENT

PPIs and Clopidogrel: Data Trumps Fear

• October 16, 2009
• David A. Johnson, MD

Antiplatelet function was diminished in PPI users, but cardiovascular outcomes were similar in PPI users and nonusers. CME

• Reviewing:
• O'Donoghue ML et al., Lancet 2009 Sep 19; 374:989

SUMMARY AND COMMENT

Genetic Variation and Treatment Response in Hepatitis C Patients

• October 16, 2009
• Atif Zaman, MD, MPH

A genetic polymorphism helps explain why whites tend to have higher rates of response to HCV treatment than blacks. CME

• Reviewing:
• Ge D et al., Nature 2009 Sep 17; 461:399

SUMMARY AND COMMENT

Endoscopy for Evaluation of Dyspepsia

• October 9, 2009
• David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Endoscopy detected few malignant lesions but still might merit the cost in patients aged 50 or older.

• Reviewing:
• Vakil N et al., Clin Gastroenterol Hepatol 2009 Jul; 7:756

SUMMARY AND COMMENT

Which Pancreatic Duct Stent Is Best in Patients at Risk for Post-ERCP Pancreatitis?

• October 9, 2009
• Stuart Sherman, MD

A randomized comparison of 5Fr and 3Fr stents is less than conclusive.

• Reviewing:
• Chahal P et al., Clin Gastroenterol Hepatol 2009 Aug; 7:834

SUMMARY AND COMMENT

H. pylori Eradication and Risk for Gastric Cancer

• October 9, 2009
• David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Risk reduction was questionable in a meta-analysis of six studies.

• Reviewing:
• Fuccio L et al., Ann Intern Med 2009 Jul 21; 151:121

SUMMARY AND COMMENT

Are OTC Analgesics Safe for Patients with Cirrhosis?

• October 9, 2009
• Atif Zaman, MD, MPH

Occasional low doses of acetaminophen seemed to be safe; the case for NSAIDs was less clear.

• Reviewing:
• Khalid SK et al., Clin Gastroenterol Hepatol 2009 Sep; 7:994

SUMMARY AND COMMENT

N-Acetylcysteine for Nonacetaminophen Acute Liver Failure?

• October 9, 2009
• Atif Zaman, MD, MPH

NAC improved transplant-free survival in patients at coma grades I–II.

• Reviewing:
• Lee WM et al., Gastroenterology 2009 Sep; 137:856

SUMMARY AND COMMENT

Water Infusion vs. Air Insufflation During Colonoscopy

• October 2, 2009
• Douglas K. Rex, MD

Warm-water infusion was associated with fewer medication doses, better pain scores, and shorter recovery time.

• Reviewing:
• Leung JW et al., Gastrointest Endosc 2009 Sep; 70:505