Outpatient Colonoscopy in Older Patients
SUMMARY AND COMMENT
Risk for gastrointestinal complications rose with age and history of certain comorbidities.
Reviewing:
Warren JL et al., Ann Intern Med 2009 Jun 16; 150:849
Chronic Laryngeal Symptoms in Patients with GERD
SUMMARY AND COMMENT
Acid exposure to the larynx does not appear to be an important cause.
Reviewing:
Jaspersen D et al., Aliment Pharmacol Ther 2009 Jun 1; 29:1172
Consensus Interferon After Nonresponse to Standard HCV Therapy
SUMMARY AND COMMENT
Patients without cirrhosis who demonstrated some sensitivity to pegylated interferon achieved the best response to interferon alfacon-1 plus ribavirin.
Reviewing:
Bacon BR et al., Hepatology 2009 Jun; 49:1838
Do Heavy Drinking and Smoking Increase Risk for Chronic Pancreatitis?
SUMMARY AND COMMENT
Yes, but only smoking was a risk factor for recurrent acute pancreatitis.
CME
Reviewing:
Yadav D et al., Arch Intern Med 2009 Jun 8; 169:1035
More Evidence Supports Flexible Sigmoidoscopy Screening
SUMMARY AND COMMENT
Reductions in cancer mortality rates were associated with screening versus no screening.
Reviewing:
Hoff G et al., BMJ 2009 May 31; 338:b1846
Imperiale TF., BMJ 2009 May 31; 338:b2084
Differences in Adenoma Detection Rates Among Endoscopists
SUMMARY AND COMMENT
Procedure time explained much of the variation.
Reviewing:
Imperiale TF et al., Gastrointest Endosc 2009 Jun; 69:1288
A Predictor of Poor Bowel Preparation for Colonoscopy
SUMMARY AND COMMENT
Almost half of obese patients had inadequate preparation.
Reviewing:
Borg BB et al., Clin Gastroenterol Hepatol 2009 Jun; 7:670
Proton-Pump Inhibitor Therapy After Endoscopic Submucosal Dissection
SUMMARY AND COMMENT
Degree of healing of endoscopic submucosal dissection–induced ulcers was dependent on initial ulcer size.
Reviewing:
Oh T-H et al., Dig Dis Sci 2009 Jul; 54:1494
Gastrointestinal Symptoms in the Morbidly Obese
SUMMARY AND COMMENT
Morbidly obese patients experienced more-frequent heartburn, hiatal hernia, and gastritis than nonobese patients.
Reviewing:
Dutta SK et al., Dig Dis Sci 2009 Jun; 54:1243
Prostaglandin for NSAID-Induced Small-Bowel Injury
SUMMARY AND COMMENT
Misoprostol reduced incidence of small-intestine lesions caused by nonsteroidal anti-inflammatory drug therapy.
CME
Reviewing:
Fujimori S et al., Gastrointest Endosc 2009 Jun; 69:1339