2017 · Article · CGH · Podcast · Study

GI Pearls Episode 7 – First two weeks of August 2017 Gastroenterology Literature Review

Show Notes for 2017 First two weeks of August 007

  1. The colonoscopist’s guide to the vocabulary of colorectal neoplasia: histology, morphology, and management – GIE
  2. Use of enteroscopy for the detection of malignant and premalignant lesions of the small bowel in complicated celiac disease: a meta-analysis – GIE
  3. Impact of cap-assisted colonoscopy on detection of proximal colon adenomas: systematic review and meta-analysis – GIE
  4. Outcomes and quality-of-life assessment after gastric per-oral endoscopic pyloromyotomy – GIE
  5. Randomized controlled trial of scleroligation versus band ligation alone for eradication of gastroesophageal varices – GIE
  6. Endoscopic multiple biopsy and rapid diagnosis by in situ fixation and histopathologic processing – GIE
  7. Diagnostic Accuracy of Fecal Immunochemical Test in Patients at Increased Risk of Colorectal Cancer: A Meta-analysis – Jama:Int Med
  8. Older Adults’ Views and Communication Preferences About Cancer Screening Cessation – Jama Int Med
  9. Celiac Disese and Nonceliac Gluten Sensitivity – A Review – JAMA
  10. Board Review Vignette: PPP Syndrome: Pancreatitis, Panniculitis, Polyarthritis – Am J Gastro
  11. EASL 2017 Clinical Practice Guidelines on the management of hepatitis B virus infection – Journal of Hepatology
  12. The impact of a Prior Diagnosis of Barrett’s Esophagus on Esophageal Adenocarcinoma Survival – Am J Gastro
  13. Old Farts – Fact or Fiction? Results From a Population-Based Survey of 16,000 Americans Examining the Association Between Age and Flatus – CGH
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2015 · Article · Study · Uncategorized

Gastroparesis patient outcomes after 48 weeks

This Article in December issue of Gastroenterology summarizes the findings from the Gastroparesis Clinical Research Consortium (7 tertiary care centers). Out of 262 patients- only 28% had a reduction in symptoms that was significant.

They also tabulated factors that are associated with reduction in symptoms – male sex, older age, infect196681.jpgious prodrome, antidepressant use, and 4-hr retention greater than 20%.

This is bad news for those with gastroparesis. Most importantly there was no difference in those with and without diabetes.

Most notably there is no post-treatment gastric emptying, which would be interesting to see who actually improved, and who just “felt” better, and whether there is a correlation between these.

 

 

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