How to Deal With ‘Difficult’ Patients
Clinicians can manage their emotions and behaviors to meet the challenges of working productively with sometimes abrasive and argumentative patients.
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New Perspectives in the Management of Superficial Esophageal Cancer
For large, protruding or poorly lifting lesions, researchers indicate endoscopic submucosal dissection may prove to be more efficacious.
Examining Post-Intensive Care Syndrome
As mortality rates associated with admission to the intensive care unit have decreased in recent decades, there has been increasing interest in the long-term negative consequences of critical care.
Low FODMAP Diet in Irritable Bowel Syndrome: Controversies and Practicality
Further studies will need to look at different subtypes of IBS (IBS-diarrhea, IBS-constipation, IBS-mixed) and improved breath testing, as well as evaluating underlying gut microbiome profiles and how they may affect a response to a low FODMAP diet.
Guidelines When Performing HLA Testing for Celiac Disease
Clinicians are encouraged to gain an understanding about when HLA genetic testing should be ordered, the type of test that should be ordered, and how to interpret results.
Diabetes, Ramadan, and Driving: Ensuring Patient Safety While Respecting Religious Autonomy
For many Muslims, fasting is an important part of individual and community life. Healthcare professionals should adopt a patient-centered approach to diabetes care during Ramadan.
Irritable Bowel Syndrome and Vitamin D: Is There a Connection?
Low vitamin D levels have been linked to multiple diseases including some cancers, neurologic disorders, decrease in bone density, and cognitive decline in the elderly, and research suggests that a possible inflammatory response in the gut when vitamin D levels are low may cause irritable bowel syndrome.
Diabetes and Hepatitis C: A Need for Integrated Pharmacologic Management
Researchers found data that showed hepatitis C virus infection is linked to an increased risk for diabetes mellitus in both chronic hepatitis patients and patients with cirrhosis from hepatitis C.
Metabolic Syndrome and Cardiovascular Risk Management After Liver Transplantation
Cardiovascular (CV) events are the second most common cause of nonhepatic death after liver transplantation, with an estimated prevalence of 11% of liver transplant recipients. Additionally, recipients with metabolic syndrome are up to 4 times more likely to suffer a CV event than recipients without metabolic syndrome. Furthermore, the rate of CV events after liver…
ACP Policy Statement on Disclosures, Conflicts for Clinical Guideline Development
The American College of Physicians endorses the necessity of a comprehensive process for disclosure of potential conflicts of interest to ensure the integrity of clinical guidelines and guidance statements.
ICARUS Recommendations for the Selection of Antireflux Surgery Candidates
A working group of 35 international experts released the ICARUS guidelines on the selection of patients with gastroesophageal reflux disease for antireflux surgery.
Chronic Pancreatitis: Challenging to Diagnose, Difficult to Treat
Chronic pancreatitis stems from a variety of pathogenic entities that result in chronic inflammation, fibrosis, and irreversible damage to the pancreas.
Updated Recommendations for Pediatric Immunization Schedules in the United States
In conjunction with its release of the adult guidelines earlier this year, the ACIP earlier this year has issued an annual update on pediatric immunization schedules.
Metabolic Impact of Bariatric Surgery on Rheumatic Diseases
Bariatric surgery can impact rheumatic diseases, apart from it being an effective weight loss option for people with obesity and severe associated comorbidities.
Exclusive Enteral Nutrition Significantly Alters Gut Microbiota in IBD
Crohn disease and ulcerative colitis comprise the 2 primary subtypes of inflammatory bowel diseases (IBD). IBD currently has no known cure and whose pathogenesis is not well understood. However, an increasing amount of research points to genetic risk factors combined with antibiotic use and changes in intestinal microbiota as triggers for the onset of IBD.1,2…
AGA Recommendations for Evaluation of Functional Diarrhea and Diarrhea-Predominant IBS in Adults
Based on technical review and expert consensus, a guideline committee put together by the American Gastroenterological Association (AGA) released official recommendations on the laboratory evaluation of functional diarrhea and diarrhea-predominant irritable bowel syndrome (IBS-D) in immunocompetent adults. This report was published in Gastroenterology. Members of the AGA guideline committee and authors of the technical review…
2019 Update to ESGE Guideline for Colonoscopy Bowel Preparation
ESGE 2019 update on bowel preparation for colonoscopy incorporates new evidence into the clinical recommendations to be adopted in routine and specific scenarios.
Comparing Chemoradiation With Radiation Therapy in Rectal Cancer
Early results from the Polish II study showed a significant improvement in OS for preoperative short-course RT/chemotherapy compared with long-term chemo-RT.
Can Vitamin D Supplementation Improve Progression-Free Survival in GI Cancers?
In 2 randomized clinical trials, investigators sought to determine if use of vitamin D supplements improved PFS and RFS for patients with digestive tract cancers.
Colon Cancer Vaccine: Promising Results
In this study, preexisting immunity to the viral vector used for the vaccine led to poor responses, as the product was neutralized.
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