From the publishers of The New England Journal of Medicine

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  4. Top Stories of 2009: Editors' Choice

Gastroenterology Top Stories of 2009: Editors' Choice

SUMMARY AND COMMENT

CT Colonography for Colorectal Cancer Screening

Concerns remain about the procedure replacing colonoscopy as a colorectal cancer screening tool.

SUMMARY AND COMMENT

Thiopurines and Risk for Lymphoproliferative Disorders

Patients with inflammatory bowel disease who received thiopurines had excess risk for LPDs.

SUMMARY AND COMMENT

Genetic Variation and Treatment Response in Hepatitis C Patients

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

SUMMARY AND COMMENT

PPIs and Clopidogrel: Data Trumps Fear

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

SUMMARY AND COMMENT

Water Infusion vs. Air Insufflation During Colonoscopy

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

SUMMARY AND COMMENT

Acid Symptoms After Proton-Pump–Inhibitor Discontinuation

Healthy volunteers developed acid-related symptoms after discontinuing a PPI that they had taken for 8 weeks.

SUMMARY AND COMMENT

Are Proton-Pump Inhibitors Beneficial for Patients with Poorly Controlled Asthma?

For patients with minimal heartburn, probably not

SUMMARY AND COMMENT

Wire-Guided vs. Conventional Cannulation of the Bile Duct

Wire-guided cannulation was associated with lower rates of post–endoscopic retrograde cholangiopancreatography pancreatitis.

SUMMARY AND COMMENT

Should We Ablate Nondysplastic Barrett Esophagus?

In an opinion paper, experts disputed the reasons for using endoscopic ablation to reduce risk for cancer.

SUMMARY AND COMMENT

Radiofrequency Ablation Therapy for BE with Dysplasia

Radiofrequency ablation completely eradicated dysplasia and intestinal metaplasia in most patients and lowered risk for disease progression

SUMMARY AND COMMENT

Split Dosing of Bowel Preparations

Shorter intervals between administration of cleansing agents and colonoscopies result in better-quality bowel preparations.

SUMMARY AND COMMENT

More Data on Colonoscopy Withdrawal Time and Polyp Detection

Do longer withdrawal times actually improve detection rates, or are they simply markers for more-thorough mucosal examination?

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