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Protective Role of Antithrombotics in Acute Upper Gastrointestinal Bleeding: Horizon Is Still Far
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Letters to the Editor Source Type: research

Predictors of Post-EVL Ulcer Bleeding: More Questions That Need Answering
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Letters to the Editor Source Type: research

Bleeding From Band Ligation–induced Ulcers Following the Treatment of Esophageal Varices: A Retrospective Case-control Study
Conclusions: The overall incidence of post-BL ulcer bleeding was 8.5%. The presence of high-risk stigmata, higher number of varices, and bands per variceal site were associated with an increased risk of post-BL bleeding. The effect of adjuvant proton pump inhibitors was not statistically significant. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Liver, Pancreas & Biliary Tract: Original Articles Source Type: research

Antiplatelet Medications Are Associated With Bleeding and Decompensation Events Among Patients With Cirrhosis
Conclusions: AP use was associated with increased bleeding and decompensation events among privately insured patients with cirrhosis. NSAID use was associated with significant early bleeding, but not decompensations. Lastly ACs were not associated with bleeding or decompensation outcomes. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Liver, Pancreas & Biliary Tract: Original Articles Source Type: research

Endoscopic Retrograde Cholangiopancreatography (ERCP) in Patients With Liver Cirrhosis: Analysis of Trends and Outcomes From the National Inpatient Sample Database
Goals: We aimed to assess outcomes of patients with liver cirrhosis who underwent therapeutic or diagnostic endoscopic retrograde cholangiopancreatography (ERCP) to determine whether these patients had different outcomes relative to patients without cirrhosis. Background: ERCP is an important procedure for treatment of biliary and pancreatic disease. However, ERCP is relatively technically difficult to perform when compared with procedures such as esophagogastroduodenoscopy or colonoscopy. Little is known about how ERCP use affects patients with liver cirrhosis. Study: Using patient records from the Natio...
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Liver, Pancreas & Biliary Tract: Original Articles Source Type: research

Estimating Prevalence of Hepatitis B Virus Coinfection Among Adults With Tuberculosis: A Systematic Review With Meta-analysis
Conclusions: In this meta-analysis, we observed HBV coinfection prevalence among TB patients to be 38% to 450% higher than published estimates from the Polaris group of region-specific overall HBV prevalence. Timely identification of HBV infection among TB patients will improve patient outcomes by allowing for closer clinical monitoring and management, which may reduce the risk of liver dysfunction and liver failure related to TB treatment. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Liver, Pancreas & Biliary Tract: Original Articles Source Type: research

The Cost of Guideline Adherence: A Multicenter Analysis of the Financial Implications of Adopting the US Multi-Society Task Force Polypectomy Guidelines
Goal: The goal of this study was to determine the financial impact of adopting the US Multi-Society Task Force (USMSTF) polypectomy guidelines on physician reimbursement and disposable equipment costs for gastroenterologists in the academic medical center and community practice settings. Background: In 2020, USMSTF guidelines on polypectomy were introduced with a strong recommendation for cold snare rather than cold forceps technique for removing diminutive and small polyps. Polypectomy with snare technique reimburses physicians at a higher rate compared with cold forceps and also requires different disposable e...
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Alimentary Tract: Original Articles Source Type: research

Prevalence of Gastrointestinal Symptoms and Irritable Bowel Syndrome Among Individuals With Symptomatic Posttraumatic Stress Disorder
Conclusions: Among a sample of veterans with PTSD, rates of IBS and abdominal/belly pain are greater than general US population reference values. Although levels of constipation and bloating/gas are lower than general US population reference values, increased severity of PTSD was associated with increased gastrointestinal symptoms. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Alimentary Tract: Original Articles Source Type: research

Gluten-induced Neurocognitive Impairment: Results of a Nationwide Study
Conclusions: This survey suggests that GINI is common and may be severe in both individuals with CD and NCGS. Cognitive impairment and decline in physical functioning may be similar to that occurring in other illnesses, such as lupus. Clinical follow-up with both individuals with CD and NCGS should include assessment of GINI symptoms. Further research is warranted, including the development of a patient-reported outcome measure including neurocognitive effects of gluten exposure. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Alimentary Tract: Original Articles Source Type: research

The Impact of Night-time Emergency Department Presentation on Upper Gastrointestinal Hemorrhage Outcomes
Goals: The aim was to investigate the impact of night-time emergency department (ED) presentation on outcomes of patients admitted for acute upper gastrointestinal hemorrhage (UGIH). Background: The relationship between time of ED presentation and outcomes of gastrointestinal hemorrhage is unclear. Study: Using the 2016 and 2017 Florida State Inpatient Databases which provide times of ED arrival, we identified and categorized adults hospitalized for UGIH to daytime (07:00 to 18:59 h) and night-time (19:00 to 06:59 h) based on the time of ED presentation. We matched both groups with propensity scores, ...
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Alimentary Tract: Original Articles Source Type: research

Proton Pump Inhibitor Prescribing and Monitoring Patterns Among Gastroenterology Practitioners
Conclusions: Despite best available evidence suggesting safety of long-term PPI use without routine monitoring, stopping PPIs and monitoring for potential side effects occurs frequently, even within a cohort of mostly academic GI practitioners. Alternative strategies are needed to improve adherence to best practices, especially since gastroenterologists often serve as PPI experts. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Alimentary Tract: Original Articles Source Type: research

Question Prompt List as a Communication Tool for Adults With Gastroesophageal Reflux Disease: Incorporation of Patients’ Perspectives
Conclusion: Esophageal experts and GERD patients have a high level of agreement on important questions, though there is some variation in perspective. Future studies can simplify this list and measure the impact of a shared GERD QPL on patients’ decisional conflict and perceived involvement in care. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Alimentary Tract: Original Articles Source Type: research

Immunotherapy-induced Colitis: A Comprehensive Review of Epidemiology, Clinical Presentation, Diagnostic Workup, and Management Plan
Immune checkpoint inhibitors (ICIs) have revolutionized the treatment of a variety of malignancies including advanced melanoma, non–small cell lung cancer, renal cell carcinoma, head and neck cancers among others. Since their introduction, there has been significant improvement in survival and prognosis in patients with advanced malignancies. Unfortunately, improved outcomes have come at a price of significant immune-related adverse events, with those of the gastrointestinal tract being the most common. Gastrointestinal immune-related adverse events frequently present as diarrhea and colitis, the severity of which can ra...
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Clinical Review Source Type: research

Aspirin Use and the Risk of Hepatocellular Carcinoma: A Meta-analysis
Conclusion: Our meta-analysis shows that the use of aspirin is associated with a lower risk of liver cancer. (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: Online Article: Original Article Source Type: research

World Gastroenterology Organisation (WGO) News and Events
No abstract available (Source: Journal of Clinical Gastroenterology)
Source: Journal of Clinical Gastroenterology - July 13, 2022 Category: Gastroenterology Tags: WGO News Source Type: research