New Stent for Gastric Outlet Obstruction
SUMMARY AND COMMENT
A nickel titanium stent achieved a high rate of clinical success with little migration.
Reviewing:
van Hooft JE et al., Gastrointest Endosc 2009 May; 69:1059
Cancer Risk in Untreated Celiac Disease
SUMMARY AND COMMENT
Overall rates of malignancy were not elevated, but patients who were positive for endomysial antibodies were at elevated risk for non-Hodgkin lymphoma.
CME
Reviewing:
Lohi S et al., Gut 2009 May; 58:643
Hyperglycemia Can Increase Risk for Gastric Cancer
SUMMARY AND COMMENT
Patients with both high HbA1c levels and Helicobacter pylori infection are at dramatically elevated risk.
Reviewing:
Ikeda F et al., Gastroenterology 2009 Apr; 136:1234
U.S. Colorectal Cancer Incidence: 1999–2004
SUMMARY AND COMMENT
Incidence was higher in men than women, in blacks than other races, and in non-Hispanics than Hispanics.
Reviewing:
Rim SH et al., Cancer 2009 May 1; 115:1967
Natural History of Small Gallbladder Polyps
SUMMARY AND COMMENT
A 5-year observation revealed little change in the clinical manifestations of small gallbladder polyps and no need for active treatment.
Reviewing:
Colecchia A et al., Am J Gastroenterol 2009 Mar; 104:624
Free Perforation from Diverticulitis Increasing in the U.K.
SUMMARY AND COMMENT
Incidence increased more than twofold from 1990 to 2005.
Reviewing:
Humes DJ et al., Gastroenterology 2009 Apr; 136:1198
Submucosal Invasive Carcinoma in Barrett Esophagus
SUMMARY AND COMMENT
A previously reported rate of 40% might have been overestimated.
Reviewing:
Wang VS et al., Gastrointest Endosc 2009 Apr; 69:777
Higher Mortality for Weekend AUGIB Admissions
SUMMARY AND COMMENT
Patients admitted on weekends with peptic ulcer–related and nonvariceal acute upper gastrointestinal bleeding also had longer hospital stays and higher medical costs.
Reviewing:
Shaheen AAM et al., Clin Gastroenterol Hepatol 2009 Mar; 7:303
Ananthakrishnan AN et al., Clin Gastroenterol Hepatol 2009 Mar; 7:296
Radiofrequency Ablation Therapy for BE with Dysplasia
SUMMARY AND COMMENT
Radiofrequency ablation completely eradicated dysplasia and intestinal metaplasia in most patients and lowered risk for disease progression.
CME
Reviewing:
Shaheen NJ et al., N Engl J Med 2009 May 28; 360:2277
Are FIT Results Affected by NSAIDs or Anticoagulants?
SUMMARY AND COMMENT
Use of anticoagulants or antithrombotics significantly increased test sensitivity; aspirin or NSAIDs did not.
CME
Reviewing:
Levi Z et al., Am J Gastroenterol 2009 Apr; 104:933
