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Specialty: Gastroenterology

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Total 421 results found since Jan 2013.

Mo1074 Outcomes of Gastrointestinal Hemorrhage in the Setting of Novel Versus Traditional Antithrombotic Agents
The objective of our study was to compare outcomes among patients presenting with GI bleed that were prescribed novel versus traditional antithrombotic agents.
Source: Gastrointestinal Endoscopy - April 28, 2017 Category: Gastroenterology Authors: Jonathan I. Chang, Elizabeth Dong, Karl Kwok, Bechien U. Wu Tags: Monday – ASGE poster Source Type: research

Safety and feasibility of liver resection with continued antiplatelet therapy using aspirin
ConclusionsLiver resection can be safely performed while continuing aspirin therapy without increasing hemorrhagic morbidity. Our results suggest that interruption of aspirin therapy is unnecessary for patients undergoing liver resection.This article is protected by copyright. All rights reserved.
Source: Journal of Hepato-Biliary-Pancreatic Sciences - April 1, 2017 Category: Gastroenterology Authors: Kazuteru Monden, Hiroshi Sadamori, Masayoshi Hioki, Satoshi Ohno, Hiromi Saneto, Toru Ueki, Kazuhisa Yabushita, Kazumi Ono, Kousaku Sakaguchi, Norihisa Takakura Tags: Original Article Source Type: research

Endoscopy in Patients on Antiplatelet Agents and Anticoagulants
Opinion statementManagement of patients on anticoagulant or antiplatelet therapy undergoing endoscopy presents a balance of risks between haemorrhage due to the procedure, and thrombosis due to discontinuation of antithrombotic therapy. Haemorrhage is usually controllable endoscopically, but thrombosis could, on occasion, result in myocardial infarction or stroke, with permanent disability or death. For elective procedures, there is adequate time to plan best management of antithrombotic therapy. International guidelines have been published, but recommendations are based on limited evidence and consultation with appropriat...
Source: Current Treatment Options in Gastroenterology - May 25, 2017 Category: Gastroenterology Source Type: research

Cirrhosis Tied to Increased Stroke Risk (CME/CE)
(MedPage Today) -- Strongest association seen with subarachnoid and intracerebral hemorrhage
Source: MedPage Today Gastroenterology - June 6, 2017 Category: Gastroenterology Source Type: news

Risk of Gastrointestinal Bleeding in Patients Taking Non –Vitamin K Antagonist Oral Anticoagulants: A Systematic Review and Meta-Analysis
Non –vitamin K antagonist oral anticoagulants (novel oral anticoagulants [NOACs]) are convenient and effective in the prevention and treatment of venous thromboembolism and the prevention of stroke in patients with atrial fibrillation. However, these drugs have been associated with an increased risk o f gastrointestinal (GI) bleeding. We conducted a systematic review and meta-analysis to determine the risk of GI bleeding in patients receiving these drugs.
Source: Clinical Gastroenterology and Hepatology - April 27, 2017 Category: Gastroenterology Authors: Corey S. Miller, Alastair Dorreen, Myriam Martel, Thao Huynh, Alan N. Barkun Source Type: research

Migrated Replacement Percutaneous Endoscopic Gastrostomy Tube Leading To Jejunoduodenal Intussusception
A 73-year-old woman with a medical history of severe cognitive impairment, stroke, and progressive dysphagia requiring a percutaneous endoscopic gastrostomy (PEG) tube placement 3 years earlier presented with sepsis and acute colonic pseudo-obstruction. By hospital day 10 after making significant clinical improvement in the days prior, she began to have repeated episodes of non-bloody, bilious emesis. Her tube feedings were discontinued. Serial plain films of the abdomen showed improving colonic distention.
Source: Clinical Gastroenterology and Hepatology - August 2, 2017 Category: Gastroenterology Authors: Brian McAllister, Jayakrishna Chintanaboina, John Levenick Tags: Image of the month Source Type: research

Doppler guided goal ‐directed fluid therapy does not affect intestinal cell damage but increases global gastrointestinal perfusion in colorectal surgery, a randomized controlled trial
ConclusionsDoppler guided GDFT during and in the first hours after elective colorectal surgery for malignancy increases global gastrointestinal perfusion as measured by Pr‐aCO2‐gap.This article is protected by copyright. All rights reserved.
Source: Colorectal Disease - October 13, 2017 Category: Gastroenterology Authors: Kostan W. Reisinger, Henriette M. Willigers, Jochen Jansen, Wim A. Buurman, Maarten F. Von Meyenfeldt, Geerard L. Beets, Martijn Poeze Tags: Original Article Source Type: research

Doppler ‐guided goal‐directed fluid therapy does not affect intestinal cell damage but increases global gastrointestinal perfusion in colorectal surgery: a randomized controlled trial
ConclusionDoppler‐guided GDFT during and in the first hours after elective colorectal surgery for malignancy increases global gastrointestinal perfusion, as measured by Pr‐aCO2‐gap.
Source: Colorectal Disease - December 1, 2017 Category: Gastroenterology Authors: K. W. Reisinger, H. M. Willigers, J. Jansen, W. A. Buurman, M. F. Von Meyenfeldt, G. L. Beets, M. Poeze Tags: Original Article Source Type: research

Non ‐obese fatty liver disease is associated with lacunar infarct
ConclusionsFLD is significantly associated with lacunar infarct, independent of traditional risk factors. This association was prominent in the non‐obese population.This article is protected by copyright. All rights reserved.
Source: Liver International - December 1, 2017 Category: Gastroenterology Authors: Min ‐Sun Kwak, Kyung Won Kim, Hyobin Seo, Goh‐Eun Chung, Jeong Yoon Yim, Donghee Kim Tags: Original Article Source Type: research

Statin use is not associated with improved 30-day survival in patients undergoing surgery for colorectal cancer
ConclusionThe study did not show an improved 30-day survival after surgery for colorectal cancer in patients treated with statins in the year preceding surgery. No overall association with the risk of postoperative complications was shown.
Source: International Journal of Colorectal Disease - December 21, 2017 Category: Gastroenterology Source Type: research

New predictive model for acute gastrointestinal bleeding in patients taking oral anticoagulants: A cohort study
ConclusionsGastrointestinal bleeding increased the risk of subsequent mortality during follow‐up of anticoagulated patients, highlighting the importance of prevention. The study developed a new scoring model for acute GI bleeding risk based on five factors (no‐proton pump inhibitor use, chronic kidney disease, chronic obstructive pulmonary disease, history of peptic ulcer disease, and liver cirrhosis), which was superior to the HAS‐BLED score.
Source: Journal of Gastroenterology and Hepatology - December 28, 2017 Category: Gastroenterology Authors: Akira Shimomura, Naoyoshi Nagata, Takuro Shimbo, Toshiyuki Sakurai, Shiori Moriyasu, Hidetaka Okubo, Kazuhiro Watanabe, Chizu Yokoi, Junichi Akiyama, Naomi Uemura Tags: Gastroenterology Source Type: research

An Unusual Cause of Abdominal Pain in a Young, Hypertensive Female
Question: A 21-year-old woman of Indian descent presented with subacute left upper quadrant abdominal pain. The pain was sharp, severe, and elicited by food. She denied diarrhea, constipation, and weight loss. Her past medical history was significant for hypertension diagnosed as a teenager and ischemic stroke, attributed to Moya-Moya disease, and treated with stenting and bypass of the left middle cerebral and internal carotid arteries. Her medications included amlodipine, aspirin, and topiramate.
Source: Gastroenterology - January 17, 2018 Category: Gastroenterology Authors: Kevin L. Huang, Yih C. Lin, Kellee L. Oller Tags: Electronic Clinical Challenges and Images in GI Source Type: research

The relation between nonalcoholic fatty liver disease and carotid intima-media thickness in Egyptian patients
This study was designed to assess the correlation between NAFLD as a cardiovascular risk factor and carotid atherosclerosis. Patients and methods A hospital-based case–control analytical study was conducted on 60 participants who were divided into three groups as follows. Group I included 20 diabetic patients with NAFLD. Group II included 20 nondiabetic patients with NAFLD. Group III included 20 healthy participants who served as a control group. The right and left carotid intima-media thickness (CIMTs) and their maximum reading (CIMTmax) was measured by a skilled sonographer blind to the groups. Pelviabdominal ultras...
Source: Egyptian Liver Journal - January 1, 2017 Category: Gastroenterology Tags: Original articles Source Type: research

Dysphagia and laryngeal pathology in post-surgical cardiothoracic patients
Conclusion Early endoscopic assessment for identification of dysphagia and laryngeal injury in patients following cardiothoracic surgery may allow early management and prevention of secondary complications.
Source: Journal of Critical Care - February 27, 2018 Category: Gastroenterology Source Type: research

Exam 3: No Significant Association Between Proton Pump Inhibitor Use and Risk of Stroke After Adjustment for Lifestyle Factors and Indication
Source: Gastroenterology - March 7, 2018 Category: Gastroenterology Tags: Continuing Medical Education (CME)/MOC Activities Source Type: research