On Oncologic Margins of Tailgut Excision
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Delivery of Psychological Interventions in the Gastroenterology Practice: Is It Time For New Paradigms to Define the Figure of the Psychogastroenterologist?
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

The Influence of Statins on Risk and Patient Survival in Colorectal Cancer
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Factors Associated With Potential Progressive Course of Primary Biliary Cholangitis: Data From Real-world US Database
Background and Aims: Although relatively, primary biliary cholangitis (PBC) is an important cause of nonalcoholic chronic liver disease which may lead to liver transplantation. PBC patients with alkaline phosphatase (ALP) ≥1.5× the upper limit of normal (ULN) tend to have a more aggressive course. The study was designed to identify factors associated with ALP≥1.5×ULN or cirrhosis in PBC and to evaluate concomitant health care resource utilization. Methods: We used a large real-world database that contained comprehensive and continuous electronic medical recored/claims data from over 500 health care p...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: LIVER, PANCREAS & BILIARY TRACT: Original Articles Source Type: research

The Diagnostic Yield of Malignancy Comparing Cytology, FISH, and Molecular Analysis of Cell Free Cytology Brush Supernatant in Patients With Biliary Strictures Undergoing Endoscopic Retrograde Cholangiography (ERC): A Prospective Study
Conclusions: Both MP and FISH are complimentary molecular tests that can significantly increase detection of biliary malignancies when used in combination with routine cytology of standard biliary brush specimens. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: LIVER, PANCREAS & BILIARY TRACT: Original Articles Source Type: research

Pretransplant Sarcopenia in Patients With NASH Cirrhosis Does Not Impact Rehospitalization or Mortality
Conclusions: Sarcopenia in patients with NASH cirrhosis and high Model for End-Stage Liver Disease scores is not associated with an increase in mortality or rehospitalization following liver transplantation; however, the study findings were limited by a small sample size. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: LIVER, PANCREAS & BILIARY TRACT: Original Articles Source Type: research

Further Defining the 2012 Multi-Society Task Force Guidelines for Surveillance of High-risk Adenomas: Is a 3-Year Interval Needed for All Patients?
Conclusions: The 2012 Multi-Society Task Force recommendation of 3-year follow-up after removal of HRAs may not apply to all patients. We showed that a combination of patient demographics, procedural factors, and pathology best determines the surveillance colonoscopy interval. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Distinct Microbial Populations Exist in the Mucosa-associated Microbiota of Diarrhea Predominant Irritable Bowel Syndrome and Ulcerative Colitis
Goals: The goal of this study was to observe the bacterial colonization in the intestinal mucosa in the patients with diarrhea predominant irritable bowel syndrome (IBS-D) and ulcerative colitis (UC), and compare the mucosa-associated microbiota among the IBS-D patients, UC patients and the healthy control, and explore the correlation of the mucosa-associated microbiota with clinical manifestations. Study: A total of 20 IBS-D patients, 28 patients with UC (16 active, 12 inactive) and 16 healthy subjects were enrolled in the study. They all underwent colonoscopies in the Gastrointestinal Endoscopy Center in the Second ...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Prevalence of Functional GI Diseases and Pelvic Floor Symptoms in Marfan Syndrome and Ehlers-Danlos Syndrome: A National Cohort Study
This study evaluates the prevalence of and compares FGIDs and pelvic floor symptoms in a national cohort of EDS and MFS patients. Methods: A questionnaire was sent to members of local and national MFS and EDS societies. The questionnaire evaluated the presence of GI and pelvic floor symptoms and diagnoses. The presence of FGIDs was confirmed using Rome III criteria. Quality of life was evaluated and scored with the CDC quality of life. Key Results: Overall, 3934 patients completed the questionnaire, from which 1804 reported that they had some form of EDS and 600 had MFS. In total, 93% of patients with EDS complained ...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Effect of Chronic Domperidone Use on QT Interval: A Large Single Center Study
This study analyzed patients prescribed domperidone for treatment of gastroparesis between January 2012 and September 2017 at a single center. This study reviewed EKGs, primarily the QTc interval, taken at baseline, 2 to 6 months after initiation of domperidone, 6 to 12 months after initiation, and ≥12 months after initiation. Concurrent QTc prolonging medications were recorded for each patient. The primary endpoint was QTc prolongation>500 ms. Secondary endpoints were QTc>450 ms for males, a QTc>470 ms for females, QTc prolongation ≥20 ms above baseline, and QTc prolongation>6...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Ilaprazole Compared With Rabeprazole in the Treatment of Duodenal Ulcer: A Randomized, Double-blind, Active-controlled, Multicenter Study
Conclusions: Ilaprazole 5 mg is not inferior to rabeprazole 10 mg in treating DU, and a dose-effect relationship have been revealed between 5 mg and 10 mg of ilaprazole. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Inhibitors of the Janus Kinases: A New Oral Treatment Option for Ulcerative Colitis
Conclusions: The JAK inhibitors, in particular tofacitinib, are a new class of orally administered drugs effective for the treatment of UC. However, more studies are needed to ascertain the safety of tofacitinib in the long term and whether other compounds of this class may be equally effective. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: CLINICAL REVIEWS Source Type: research

Evaluation and Management of Premalignant Conditions of the Esophagus: A Systematic Survey of International Guidelines
Esophageal cancer represents one of the most lethal forms of malignancy. The growing incidence of esophageal adenocarcinoma represents an emerging public health concern. This review article summarizes current diagnostic, management, and therapeutic practices of premalignant conditions of the esophagus including Barrett’s esophagus, tylosis, granular cell tumors, achalasia, and the ingestion of caustic substances. Our report provides clinicians and academics with a global clinical perspective regarding presentation, surveillance guidelines, and therapeutic management of these esophageal conditions. (Source: Journal of...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: CLINICAL REVIEWS Source Type: research

Risk Factors for Gastrointestinal Symptoms Following Successful Eradication of Clostridium difficile by Fecal Microbiota Transplantation (FMT)
Conclusions: Altered bowel habits are a consequence of CDI and are common after FMT. This study suggests that donor type and FMT delivery modality are not related to the presence of irregular gastrointestinal symptoms after FMT. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

The Significance of a Pale Area Via Flexible Spectral Imaging Color Enhancement in the Diagnosis of Esophageal Precancerous Lesions and Early-stage Squamous Cancer
Conclusions: Iodine staining should be performed in patients with esophageal leukoplakia or pale areas. Esophageal dysplasia and early-stage cancer were more easily detected in those with esophageal leukoplakia or pale areas. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

More Severe Deficits in Performance Status at Time of Liver Transplant is Associated With Significantly Higher Risk of Death Following Liver Transplantation
Goal: To evaluate the impact of Karnofsky Performance Status score (KPSS) at the time of liver transplantation (LT) on post-LT survival. Background: While the Model for End-Stage Liver Disease (MELD) score is used to prioritize individuals for LT, it does not specifically incorporate functional status into patient assessment for LT. Methods: Using 2005 to 2016 United Network for Organ Sharing data, all adults (age 18 y and above) undergoing LT were identified. The association of KPSS at the time of LT (KPSS 1: functional status 80% to 100%, KPSS 2: 60% to 70%, KPSS 3: 40% to 50%, KPSS 4: 10% to 30%) with pos...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Noninvasive Assessment of Portal Hypertension Using Spectral Computed Tomography
Background: Early diagnosis of portal hypertension is imperative for timely treatment to reduce the mortality rate. However, there is still no adequate method to noninvasively and accurately assess the portal hypertension in routine clinical practice. Purpose: We aimed to evaluate the accuracy of parameters measured using dual energy spectral computed tomography (LightSpeed CT750 HD) in assessing portal venous pressure in patients with liver cirrhosis. Study: Forty-five patients with liver cirrhosis who underwent percutaneous transhepatic portal vein puncture as part of their treatment for liver disease were enroll...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Poor Health Literacy and Medication Burden Are Significant Predictors for Inadequate Bowel Preparation in an Urban Tertiary Care Setting
Goals: The goal of this study was to identify factors impacting the quality of bowel preparation in an urban tertiary care setting. Background: Inadequate bowel preparation is encountered in 17% to 32% of colonoscopies performed in the United States. Suboptimal colonic visualization reduces the yield of screening colonoscopies and increases healthcare costs because of longer procedure times and aborted procedures. Study: We performed a cross-sectional survey in patients undergoing outpatient colonoscopy within the Johns Hopkins Health System. A Boston Bowel Preparation Score (BBPS) score of (Source: Journal of Clin...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Trends in Incidence and Outcomes of Clostridium difficile Colitis in Hospitalized Patients of Febrile Neutropenia: A Nationwide Analysis
Discussion: Despite the significant decrease in mortality, the incidence of CDI is rising in hospitalized FN patients with underlying hematological malignancies. Risk factor modification, with the best possible empiric antibiotic regimen is imperative for reducing mortality and health care costs in this cohort. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Chronic Liver Disease Patients have Worse Outcomes and Increased Postoperative Complications After Orthopedic Fractures
Introduction: Cirrhotic patients are at a higher risk for sustaining orthopedic fractures with a reported prevalence of 5% to 20%. Cirrhosis also affects wound healing and bleeding risk, and hence, impacts the postoperative outcomes after fracture repair. However, there is limited data available on the postoperative risk factors and clinical outcomes of fractures in patients with chronic liver disease (CLD). Methods: Data from the National Inpatient Sample for the years 2012 to 2015 were analyzed. Patients were identified using ICD-9 codes for any fracture. ICD-9 codes for CLD were used to categorize patients into CLD...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Effect of Acid Suppression on Peripheral T-Lymphocyte Subsets and Immunohistochemical Esophageal Mucosal Changes in Patients With Gastroesophageal Reflux Disease
Background and Aims: Gastroesophageal reflux disease (GERD) is a common prevalent disease. We aimed to assess the dynamic changes in the peripheral T lymphocytes and lymphocytes infiltrating the esophageal mucosa after treatment with proton-pump inhibitor (PPI) in patients with GERD. Patients and Methods: A total of 200 patients who presented with upper GIT symptoms were included in this prospective study. All patients were subjected to full history taking, clinical examination, and complete blood count. Upper endoscopy was performed to detect the grade of GERD, followed by 4 quadrant biopsies before and 1 month after...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Outcomes of Patients With Cirrhosis Undergoing Orthopedic Procedures: An Analysis of the Nationwide Inpatient Sample
Introduction: The population of patients with cirrhosis is growing and shifting toward a more elderly demographic and thus are at risk of developing orthopedic complications. There is lack of data on safety of orthopedic procedures in this population. Methods: We performed an analysis of the Nationwide Inpatient Sample from 2005 to 2011 for patients undergoing hip arthroplasty, knee arthroplasty, and spinal laminectomy/fusion, stratified by presence of cirrhosis. The primary endpoint was in-hospital mortality and secondary endpoints included length of stay (LOS) and costs. Results: There were 693,610 inpatient stay...
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

World Gastroenterology Organisation (WGO) News and Events
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - September 5, 2019 Category: Gastroenterology Tags: WGO NEWS Source Type: research

Helicobacter pylori Infection: One More Contributor to Nonalcoholic Fatty Liver Disease Pathophysiology
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Is Transcutaneous Endoscopic Necrosectomy Appropriate Method In Managing All Patients With Walled-off Pancreatic Necrosis That Extend Into the Paracolic Gutter
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Role of Circulating and Supplemental Calcium and Vitamin D in the Occurrence and Development of Colorectal Adenoma or Colorectal Cancer
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Sustained Improvement in Type 2 Diabetes Mellitus is Common After Treatment of Hepatitis C Virus With Direct-acting Antiviral Therapy
Goals: To determine whether diabetic patients with hepatitis C virus (HCV) treated with direct-acting antiviral agents have improved diabetes, accounting for change in both hemoglobin A1c (HbA1c) and diabetes medications, and whether any improvement was sustained. Background: HCV infection is associated with an increased risk of diabetes, with improvement in glycemic control after eradication. There remains uncertainty about the durability and magnitude of this effect. Study: HbA1c and diabetes medications were recorded at 6-month intervals for 1.5 years pretreatment and posttreatment for 122 patients. Subjects wer...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: LIVER, PANCREAS & BILIARY TRACT: Original Article Source Type: research

Narrow Band Imaging for Surveillance in Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis
Conclusions: Although a shorter procedural time is needed, the clinical application of NBI for both dysplasia detection and neoplasia differentiation in IBD is not superior to other endoscopic techniques. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Comparative Effectiveness and Safety of Radiofrequency Ablation Versus Argon Plasma Coagulation for Treatment of Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis
Background and Aims: Although argon plasma coagulation (APC) is the current standard endoscopic treatment for gastric antral vascular ectasia (GAVE), radiofrequency ablation (RFA) has emerged as an attractive alternative. The aim of this study was to perform a systematic review and meta-analysis to evaluate the comparative effectiveness and safety of RFA and APC in the treatment of GAVE. Materials and Methods: Searches of PubMed, EMBASE, Web of Science, and Cochrane Library databases along with major gastroenterology annual meetings were performed through March 2017. Measured outcomes for comparative effectiveness and...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Early Versus Standard Colonoscopy: A Randomized Controlled Trial in Patients With Acute Lower Gastrointestinal Bleeding: Results of the BLEED Study
Goals: The aim of our study was to examine differences in length of hospital stay (LOHS) between patients with lower gastrointestinal bleeding who received either an early colonoscopy (within 24 h of presentation) or a standard colonoscopy (within 1 to 3 d). Background: Diagnostic management of lower gastrointestinal bleeding has been extensively debated in recent literature, especially whether colonoscopy within 24 hours of presentation is feasible and safe. Study: In this single center, nonblinded, randomized controlled trial, patients presenting at the emergency department with acute hematochezia w...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Thirty-Day Readmissions After Upper and Lower Gastrointestinal Hemorrhage: A National Perspective in the United States
Background: Upper gastrointestinal hemorrhage (UGIH) and lower gastrointestinal hemorrhage (LGIH) are 2 of the most common reasons for hospital admissions across the United States. The 30-day readmission after index admission poses a major burden on the health care infrastructure, and thus, it is important to assess the causes of 30-day readmission for patients with UGIH and LGIH. Methods: The study cohort was derived from the 2013 National Readmission Database. International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Volume 3 diagnosis codes were utilized to identify UGIH and LGIH pa...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

Noninvasive Methods For Assessing Inflammatory Bowel Disease Activity in Pregnancy: A Systematic Review
Active inflammatory bowel disease (IBD) may increase the risk of adverse outcomes during pregnancy. Our aim was to systematically review the role of noninvasive fecal tests, such as fecal calprotectin (FCP) and lactoferrin (FL), and laboratory tests including C-reactive protein (CRP), hemoglobin, and albumin in the assessment of IBD during pregnancy. A systematic search of electronic databases was performed through October 2018 for studies assessing the utility of fecal and laboratory tests in predicting IBD activity in pregnant patients. Active disease was defined based on routinely used clinical criteria such as the Harv...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: CLINICAL REVIEWS Source Type: research

Lumen-apposing Metal Stents, Fully Covered Self-expanding Metal Stents, and Biodegradable Stents in the Management of Benign of GI Strictures: A Systematic Review and Meta-Analysis
Conclusion: Our study demonstrates that LAMS gives better clinical outcomes in the treatment of refractory benign GI strictures when compared with FCSEMS and BDS. Variability in the site, as well as the length of stricture, indirect comparison, and heterogeneity, were the limitations of our study. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: CLINICAL REVIEWS Source Type: research

The Clinician’s Guide to Proton-Pump Inhibitor Discontinuation
There is increasing concern among patients and health care providers about the associations between PPI use and a multitude of potential adverse outcomes. Therefore, clinicians need to have a rational approach both to identifying PPI users who may not have an ongoing indication for their use and on how to encourage discontinuation of unnecessary PPI use. In this paper, we will provide a detailed review of the specific indications where the benefits of ongoing PPI use is of questionable value and will review the evidence on how to maximize the likelihood of being able to successfully discontinue PPI use while minimizing sym...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: CLINICAL REVIEWS Source Type: research

POEM in Latin America: The Rise of a New Standard
Background: Per-oral endoscopic myotomy (POEM) has become the preferred alternative treatment to standard Heller myotomy for patients with esophageal achalasia, in Latin American countries. The aim of our study was to evaluate the efficacy and safety of a POEM in the management of achalasia with and without Chagas disease in patients receiving POEM. Methods: Patients who underwent POEM from tertiary centers in Latin America were included in a dedicated registry. Countries included Brazil, Colombia, Ecuador, Mexico, Nicaragua, and Venezuela. Patients enrolled needed to have a preoperative manometry and swallow contrast...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Has Rotavirus Vaccination Decreased the Prevalence of Biliary Atresia?
Conclusions: The recent implementation of rotavirus vaccination has not had any substantial influence on the prevalence of BA in the United States. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Resource Utilization and Outcomes of Medicare Recipients With Chronic Hepatitis B in the United States
Goals: To assess the outcomes and resource utilization of chronic hepatitis B (CH-B) among Medicare beneficiaries. Background: CH-B is highly prevalent among immigrants from endemic areas. Although incidence of CH-B is stable in the United States, CH-B patients have become Medicare eligible. Study: We used the inpatient and outpatient Medicare database (2005 to 2014). Adult patients with CH-B diagnosis were included. One-year mortality and resource utilization were assessed. Independent associations with resource utilization and mortality were determined using multivariate analysis. Results: Study cohort include...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Temporal Trends and Risk Factors for Postcolonoscopy Colorectal Cancer
Conclusions: PCCRC rates are rising in recent years, likely reflecting the widespread adoption of colonoscopy as a primary screening tool, and are more common in older patients and those with proximal, early-stage tumors. The finding that a large proportion of PCCRCs are diagnosed by a different physician raises the concern that physicians are unaware of their own patients’ PCCRCs. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Incidence, Admission Rates, and Economic Burden of Adult Emergency Visits for Chronic Pancreatitis: Data From the National Emergency Department Sample, 2006 to 2012
Introduction: Chronic pancreatitis (CP) is a common reason for emergency department (ED) visits, but little research has examined ED use by patients with CP. Materials and Methods: The Nationwide Emergency Department Sample (2006 to 2012) was interrogated to evaluate trends in adult ED visits for a primary diagnosis of CP (International Classification of Disease, 9th revision, Clinical Modification code: 577.1), the rates of subsequent hospital admission, and total charges. A survey logistic regression model was used to determine factors associated with hospitalization from the ED. Results: We identified 253,753 ED...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Early Readmission Predicts Increased Mortality in Cirrhosis Patients After Clostridium difficile Infection
Conclusions: One-third of CDI patients with cirrhosis were readmitted within 30-days, most commonly because of rCDI. The mortality associated with CDI in patients with cirrhosis is high, with decompensation and 30-day readmission heralding a poor prognosis. Reducing rCDI-related readmissions may potentially improve these outcomes. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

Effect of Consent and Educational Adjuncts to Consent on Patient Perceptions About Colonoscopy
Conclusions: The consent process appears to decrease patient anxiety about colonoscopy. When used in conjunction with a high-quality verbal consent, written or video educational adjuncts provided on the day of colonoscopy likely have no effect on patient perceptions. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

A Randomized Controlled Trial Comparing Colonoscopic Enema With Additional Oral Preparation as a Salvage for Inadequate Bowel Cleansing Before Colonoscopy
Goals: The goal of this study was to evaluate the noninferiority of colonoscopic enema to additional oral preparation in salvage bowel cleansing for inadequate preparation for a morning colonoscopy. Background: Colonoscopic enema, administering additional cathartics into the right colon through the colonoscope accessory channel, is suggested to rescue poor bowel preparation for a colonoscopy but lacking comparative study. Study: In this prospective, randomized, actively-controlled, parallel group, noninferiority trial, consecutive outpatients and health checkup recipients aged from 19 to 70 years with inappropriate...
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research

World Gastroenterology Organisation (WGO) News and Events
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - August 8, 2019 Category: Gastroenterology Tags: WGO NEWS Source Type: research

Selenium and Zinc Internalized by Lactobacillus buchneri Lb26 (DSM 16341) and Bifidobacterium lactis Bb1 (DSM 17850): Improved Bioavailability Using a New Biological Approach
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 10, 2019 Category: Gastroenterology Tags: ERRATUM Source Type: research

Value-based Medicine for Patients With Chronic Hepatitis C Infection: Missing the Wood for the Trees
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 10, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Letters to the Editor Concerning “Lumen Apposing Metal Stents (LAMSs) for Drainage of Pancreatic and Gallbladder Collections: A Meta-analysis”
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 10, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Duodenal Biopsy Rate Differences Among Endoscopists and its Impact on Celiac Disease Diagnosis and Management
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 10, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Risk Stratification in Acute Variceal Bleeding: Child-Pugh Versus Model for End-stage Liver Disease
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 10, 2019 Category: Gastroenterology Tags: LETTERS TO THE EDITOR Source Type: research

Osteoporotic Fracture Risk and Health Care Burden in Patients With Cirrhosis
Conclusions: Hospitalizations for osteoporotic fractures in patients with cirrhosis are a significant source of health care burden and mortality. More attention should be paid to screening patients with cirrhosis for low bone mass. Malnutrition is associated with increased fracture risk and fracture-related mortality, representing a modifiable risk factor worthy of addressing in patients with cirrhosis. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 10, 2019 Category: Gastroenterology Tags: LIVER, PANCREAS & BILIARY TRACT: Original Articles Source Type: research

Diagnostic Accuracy of Point of Care Tests for Diagnosing Celiac Disease: A Systematic Review and Meta-Analysis
Conclusions: The pooled sensitivity and specificity of POCTs in diagnosing CD are high. POCTs may be used to screen for CD, especially in areas with limited access to laboratory-based testing. Further research assessing the diagnostic accuracy of individual POCTs and comparing it with other available POCTs is needed. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 10, 2019 Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research