Gastroenterology

Endoscopy's role in primary sclerosing cholangitis: a clinical guideline

Endoscopy's role in primary sclerosing cholangitis: a clinical guideline

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The guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients.

Breast milk bacteria seed development of infant gut microbiome

Breast milk bacteria seed development of infant gut microbiome

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Findings show that bacteria from mothers' breast milk and areolar skin are transferred to their infants' guts.

FDA approves medical device to treat esophageal atresia

FDA approves medical device to treat esophageal atresia

The new device uses magnetic catheters to draw the upper and lower esophagus together.

Elemental diet restores esophageal mucosal integrity in eosinophilic esophagitis

Elemental diet restores esophageal mucosal integrity in eosinophilic esophagitis

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However, duodenal integrity appears to not be affected in eosinophilic esophagitis.

Gluten consumption affects symptom onset in functional dyspepsia

Gluten consumption affects symptom onset in functional dyspepsia

Gluten-rich food may lead to symptom onset, specifically early satiety, in patients with functional dyspepsia.

Zinc effective in children with presymptomatic Wilson disease

Zinc effective in children with presymptomatic Wilson disease

Treatment was effective in patients under 6 years who received 50 mg/day of zinc as an initial dose.

Side effects may affect medication nonadherence in patients with chronic disease

Side effects may affect medication nonadherence in patients with chronic disease

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Almost half of participants reported that they never received information regarding the side effects of their medication from their prescriber.

Long-term gluten consumption not linked to coronary heart disease

Long-term gluten consumption not linked to coronary heart disease

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Avoiding gluten may result in reduced consumption of beneficial whole grains that could affect cardiovascular risk.

Colonoscopy timing after positive fecal test linked to colorectal cancer risk

Colonoscopy timing after positive fecal test linked to colorectal cancer risk

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A follow-up colonoscopy more than 10 months after a positive FIT result is associated with a higher risk of colorectal cancer and more advanced disease at the time of diagnosis.

Long-term antibiotic use associated with an increased risk of colorectal adenoma

Long-term antibiotic use associated with an increased risk of colorectal adenoma

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Increasing duration of antibiotic use at ages 20 to 39 and 40 to 59 is significantly associated with an increased risk of colorectal adenoma.

Apixaban linked to lower risk of gastrointestinal bleeding

Apixaban linked to lower risk of gastrointestinal bleeding

Apixaban is associated with a lower risk of gastrointestinal bleeding than rivaroxaban or dabigatran.

An unusual pelvic mass in a 43-year-old woman

An unusual pelvic mass in a 43-year-old woman

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A woman who is in generally good health presents with a visibly enlarged abdomen with left-sided dominance and increased pelvic pressure that had worsened.

Celiac disease linked to diagnosis of anorexia nervosa

Celiac disease linked to diagnosis of anorexia nervosa

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Celiac disease is associated with anorexia nervosa before and after a diagnosis of celiac disease.

FDA approves first direct-to-consumer genetic health risk test

FDA approves first direct-to-consumer genetic health risk test

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The test will provide information on an individual's genetic predisposition to 10 diseases or conditions.

Screening for celiac disease: A USPSTF recommendation statement

Screening for celiac disease: A USPSTF recommendation statement

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The USPSTF evaluated the benefits and harms of screening vs not screening, targeted vs universal screening, and treatment for celiac disease.

Gastric acid suppressants may increase risk of recurrent <i>Clostridium difficile</i> infection

Gastric acid suppressants may increase risk of recurrent Clostridium difficile infection

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A meta-analysis suggests that patients who take gastric acid suppressants may have a higher risk for recurrent CDI.

Predicting high healthcare costs in patients with inflammatory bowel disease

Predicting high healthcare costs in patients with inflammatory bowel disease

Researchers identified 5 factors that identify patients with IBD at high risk for hospitalization, emergency department visits, and high treatment charges in the next year.

Colorectal cancer characteristics different, outcomes worse among octogenarians

Colorectal cancer characteristics different, outcomes worse among octogenarians

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Octogenarians with colorectal cancer have several differences in clinical and tumor characteristics, compared with younger patients with the disease.

Budesonide oral suspension may be effective for eosinophilic esophagitis

Budesonide oral suspension may be effective for eosinophilic esophagitis

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Budesonide oral suspension treatment improved symptomatic, endoscopic, and histologic parameters in eosinophilic esophagitis.

Irritable bowel syndrome medication linked to pancreatitis in certain patients

Irritable bowel syndrome medication linked to pancreatitis in certain patients

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The FDA has received 120 reports of serious cases of pancreatitis or death after the approval of Viberzi in May 2015.

Additional weight may affect risk of gastrointestinal cancers

Additional weight may affect risk of gastrointestinal cancers

Excess weight could influence the risk of of gastrointestinal cancers by altering insulin levels and promoting inflammation.

FODMAP diet effective for irritable bowel syndrome

FODMAP diet effective for irritable bowel syndrome

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Implementation of the FODMAP diet is an effective strategy to manage symptoms of IBS, including bloating and abdominal pain.

Gluten challenge not effective for confirming non-celiac gluten sensitivity

Gluten challenge not effective for confirming non-celiac gluten sensitivity

Thirty-eight of 231 NCGS patients showed gluten-specific symptoms when completing the placebo-controlled gluten challenge.

Gluten-free diet may increase risk of type 2 diabetes

Gluten-free diet may increase risk of type 2 diabetes

Individuals who consume the least amount of gluten are more likely to develop type 2 diabetes.

Evaluating abnormal liver chemistries: a clinical guideline

Evaluating abnormal liver chemistries: a clinical guideline

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The American College of Gastroenterology has released recommendations of preferred approaches for diagnosing and evaluating patients with abnormal liver test results.

Proton pump inhibitor use may decrease healthcare visits in GERD patients

Proton pump inhibitor use may decrease healthcare visits in GERD patients

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Among GERD patients, the mean annual ARI episode dropped from 4.39 during the year before PPI treatment to 3.89 after treatment with a PPI.

FDA approves Trulance for chronic idiopathic constipation treatment

FDA approves Trulance for chronic idiopathic constipation treatment

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Trulance has been approved for the treatment of chronic idiopathic constipation in adults.

Endoscopic sleeve gastroplasty results in successful weight loss

Endoscopic sleeve gastroplasty results in successful weight loss

The procedure could be used as alternative to bariatric surgery for selected patients with obesity.

HCV patients with diabetes may have increased risk of hepatocellular carcinoma

HCV patients with diabetes may have increased risk of hepatocellular carcinoma

Diabetes could increase the risk of developing hepatocellular carcinoma in patients with hepatitis C.

Gastrointestinal adverse events increase with GLP-1 receptor agonists

Gastrointestinal adverse events increase with GLP-1 receptor agonists

Risk was dependent on dose, background medications, and type of GLP-1 receptor agonist.

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