Journal of Clinical Gastroenterology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Current Trends and Predictors of Case Outcomes for Malpractice in Colonoscopy in the United States
Conclusions: Malpractice related to colonoscopy remains a significant and has geographic variability. Errors related to sedation predicted plaintiff verdict and may represent a target to reduce litigation. Primary care physicians and surgeons were frequently cited codefendants, underscoring the significance of interdisciplinary care for colonoscopy. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Alimentary Tract: Original Article Source Type: research

Comparative Effectiveness and Safety of Polyethylene Glycol Electrolyte Solution Versus Lactulose for Treatment of Hepatic Encephalopathy: A Systematic Review and Meta-analysis
Conclusions: The results prove that PEG has a beneficial effect on the treatment of HE. Compared with lactulose, PEG can lead to more rapid HE resolution during the first 24 hours and shorten the length of stay without increasing the rate of adverse effects. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Clinical Reviews Source Type: research

Belching: Pathogenesis, Clinical Characteristics, and Treatment Strategies
Purpose: Belching is a common condition that frequently overlaps with other functional gastrointestinal disorders. While not associated with any increase in mortality, it is associated with impaired health-related quality of life. Management is challenging, as there are no pharmacologic therapies specifically targeted towards this disorder. This review covers pathogenesis, prevalence, and treatments for this condition, with specific emphasis on the evolving role of behavioral treatments in management. Key Findings: The diagnosis of gastric and supragastric belching can usually be made clinically, without the nee...
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Clinical Reviews Source Type: research

Artificial Intelligence in the Diagnosis of Upper Gastrointestinal Diseases
Artificial intelligence (AI) has enormous potential to support clinical routine workflows and therefore is gaining increasing popularity among medical professionals. In the field of gastroenterology, investigations on AI and computer-aided diagnosis (CAD) systems have mainly focused on the lower gastrointestinal (GI) tract. However, numerous CAD tools have been tested also in upper GI disorders showing encouraging results. The main application of AI in the upper GI tract is endoscopy; however, the need to analyze increasing loads of numerical and categorical data in short times has pushed researchers to investigate applica...
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Clinical Reviews Source Type: research

Per-oral Endoscopic Myotomy: State of the Art
For more than a decade, per-oral endoscopic myotomy (POEM) has been performed for the treatment of achalasia and other dysmotilities of the esophagus. POEM has become an accepted alternative to Heller myotomy, a salvation technique for patients not responding to Heller myotomy and the favorite intervention for diffuse esophageal spasm and jackhammer esophagus. POEM paved the way for endoscopic pyloromyotomy, Zenker’s diverticulum myotomy, and submucosal tunneling with endoscopic resection. This review will cover the technique and the most current literature of this revolutionary third space technique. (Source: Journal of...
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Clinical Reviews Source Type: research

World Gastroenterology Organisation Global Guidelines: Diet and the Gut
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: WGO Guideline Source Type: research

Acupoint Catgut Embedding as Adjunctive Therapy for Patients With Gallstones
Aims of This Study: A randomized clinical trial was undertaken to investigate the efficacy of acupoint catgut embedding (ACE) as adjunctive therapy to tauroursodeoxycholic acid (TUDCA) therapy on gallbladder emptying and clinical symptoms in patients with gallstone disease. Materials and Methods: Between August 2018 and January 2019, 70 patients with gallstones in our hospital were enrolled in this prospective clinical trial. All the patients were randomly divided into the ACE group (ACE+TUDCA treatment for 8 wk) and the Sham group (Sham ACE+TUDCA treatment for 8 wk). In the ACE group, all the patients were ...
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research

Associations of Duration, Intensity, and Quantity of Smoking With Risk of Gastric Intestinal Metaplasia
Conclusions: Cigarette smoking is a risk factor for gastric intestinal metaplasia. Risk of gastric intestinal metaplasia among former smokers remained significantly elevated until 15 years postcessation. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research

Treatment Satisfaction With Current Medications for Chronic Constipation: An Internet Survey of Japanese Patients
Conclusions: The survey results suggest that conventional treatment options were not effective enough to improve bothersome symptoms or treatment satisfaction. Treatment selection that is tailored to individual symptoms and takes patient characteristics into consideration may be key to improving patients’ treatment satisfaction. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research

Risk Factors for Bacteremia After Endoscopic Procedures in Hospitalized Patients With a Focus on Neutropenia
Conclusions: Postendoscopic bacteremia is a rare event among inpatients. Although neutropenia was found to be a risk factor for bacteremia, it was not higher than the background risk in these patients. Models highly predictive of bacteremia were developed and should be validated. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research

The Distribution of Gastrointestinal Pathogens on Stool PCR Prior to the Development of IBD
Conclusions: The E. coli species, specifically enteropathogenic E. coli, may be implicated in the development of IBD. This is one of the first studies to evaluate the results of stool GIPCR in the link between the microbiome and IBD pathogenesis. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research

Intermittent Appearance of Antibodies to Infliximab Is Not Associated With Reduced Efficacy in Patients With Inflammatory Bowel Diseases
Goals: To assess the clinical significance of antibodies to infliximab (ATI) formation in patients with inflammatory bowel disease (IBD). Background: Infliximab therapy in patients with IBD is highly effective though up to 50% of patients lose response to infliximab. ATI formation occurs in 6% to 60% of patients on scheduled infliximab maintenance therapy. Methods: Infliximab trough levels and ATI at trough were prospectively determined in patients with IBD on maintenance infliximab therapy. Patients on infliximab maintenance therapy with at least 3 ATI measurements were included. Patients were divided in...
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research

Incidence, Clinical Characteristics, Risk Factors, and Outcomes of Upper Gastrointestinal Bleeding in Patients With COVID-19: Results of the UMC-19-S: 12
Conclusions: The incidence of UGB in COVID-19 patients attending EDs was lower compared with non-COVID-19 patients. Digestive symptoms predominated over respiratory symptoms, and COVID-19 patients with UGB underwent fewer gastroscopies and endoscopic treatments than the general population with UGB. In-hospital mortality in COVID-19 patients with UGB was increased compared with non-COVID patients with UGB, but not compared with the remaining COVID-19 patients. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research

Phenotypic Changes of PD-1 and GITR in T Cells Are Associated With Hepatitis B Surface Antigen Seroclearance
Conclusions: The reduced expression of PD-1 and GITR might attenuate the immunosuppressive capability of Tregs. Decreased expression on CD4+ T cells might represent an enhanced antiviral function, playing a role in initiating the “functional cure” of chronic HBV infection. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research

Can 2 Different Fecal Calprotectin Assays be Used Interchangeably in IBD Treatment?
Conclusions: The agreement between the EliA 2 and EK-Cal assay in this cohort of IBD patients is substantial to almost perfect. Interassay variability is higher in the highest FC category. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - December 11, 2021 Category: Gastroenterology Tags: Online Articles: Original Articles Source Type: research