Search results for "Gastroenterology"
Be on alert for CRC in younger patients
Medical groups are coming to consensus about expanded screening guidelines for colorectal cancer that lower the age to begin screening.
https://immattersacp.org/archives/2021/09/be-on-alert-for-crc-in-younger-patients.htm
1 Sep 2021
Guideline suggests prescription medications when lifestyle change ineffective for weight loss
For adults with obesity or overweight with weight-related complications, the American Gastroenterological Association found moderate certainty of benefit for four medications: semaglutide, liraglutide, phentermine-topiramate ER, or naltrexone-bupropion.
https://immattersacp.org/weekly/archives/2022/10/25/1.htm
25 Oct 2022
Regular use of PPIs linked to increased risk of type 2 diabetes
In an analysis of the Nurses' Health and Health Professionals studies, regular users of proton-pump inhibitors (PPIs) had a 24% higher risk of diabetes than nonusers, with longer duration of use associated with greater risk.
https://immattersacp.org/weekly/archives/2020/10/06/6.htm
6 Oct 2020
MKSAP Quiz: Episodic nausea, bloating, epigastric pain
A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
https://immattersacp.org/weekly/archives/2021/01/12/4.htm
12 Jan 2021
MKSAP Quiz: Incidental gallbladder findings
A 65-year-old man is evaluated after a screening ultrasound for abdominal aortic aneurysm showed incidental gallbladder findings. He reports no symptoms. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/07/14/3.htm
14 Jul 2020
Obituary
Joel S. Levine, MD, MACP, died on Oct. 2 at the age of 73.
https://immattersacp.org/archives/2020/11/obituary.htm
1 Nov 2020
MKSAP Quiz: Follow-up for Barrett esophagus
A 65-year-old man is evaluated with upper endoscopy in follow-up for Barrett esophagus. He has had heartburn for more than 15 years, but his symptoms have been well controlled with daily omeprazole. Biopsies confirm evidence of Barrett esophagus with low-grade dysplasia. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/10/06/3.htm
6 Oct 2020
Debates tackle clinical relevance of GI disorders
The conditions of ineffective esophageal motility and eosinophilic esophagitis underwent debate between experts about their clinical significance and best management practices.
https://immattersacp.org/archives/2021/07/debates-tackle-clinical-relevance-of-gi-disorders.htm
1 Jul 2021
MKSAP Quiz: 2-month history of a burning sensation
A 45-year-old man is evaluated for a 2-month history of a burning sensation starting in his stomach and radiating into his chest, usually occurring 4 to 5 times weekly. He says that he usually eats dinner late and then goes to sleep. He often wakes up with a sour taste in his mouth. Following a physical exam, which is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/04/21/3.htm
21 Apr 2020
MKSAP Quiz: 6-month history of loose stools, bloating, weight loss
A 32-year-old woman is evaluated for a 6-month history of loose stools, bloating, and weight loss. Her brother has type 1 diabetes mellitus, and her mother has autoimmune thyroid disease. After physical examination and laboratory studies, what test should be performed next?
https://immattersacp.org/weekly/archives/2020/01/28/3.htm
28 Jan 2020