Clinical Gastroenterology and Hepatology

 
 

  • Houston Consensus Conference on H. pylori Infection Testing This paper presents guidelines for implementing testing for H. pylori infection in U.S. health care systems, with a focus on identifying target populations for diagnosis and therapy.
  • Advances in Management of Esophageal Motility Disorders High-resolution manometry has advanced our understanding of esophageal motility disorders and their classification, shifting management strategy to one based on phenotype-directed therapy.
  • Hospitalization Costs for High-Need Patients With GI Diseases This study analyzed the annual burden and costs of hospitalization in patients with chronic GI and liver disease. Which patients are at high risk for frequent hospitalizations and long hospital stays?
  • Lowering the Starting Age for CRC Screening to 45 Years Should colorectal cancer screening begin at age 45, as recently recommended by the American Cancer Society? This commentary explores the potential long-term benefits, burdens, and risks.
  • Comprehensive Evaluation of the Learning Curve for POEM How difficult is it to train endoscopists in the challenging procedure of peroral endoscopic myotomy, and how many cases are required to achieve technical proficiency?
  • Diverticula Not Associated With Inflammation or GI Symptoms Is there evidence for the common assumption that colonic diverticulosis is associated with low-grade mucosal inflammation and chronic gastrointestinal symptoms?
  • Definitions of Endpoints for RCTs of Ulcerative Colitis The authors propose the collaborative development of a core outcome set to standardize efficacy and safety reporting in ulcerative colitis RCTs, providing a conceptual framework for such development.
  • HRQoL and Costs Associated With Eosinophilic Esophagitis This study evaluated the disease burden and the economic impact of eosinophilic esophagitis, a chronic, immune-mediated disorder, for patients, their caregivers, and the healthcare system.
  • Telemedicine for Delivery of Care in Chronic Liver Disease Telemedicine may be useful for treatment of chronic hepatitis C and periprocedural management of liver disease.
  • Physician Burnout: The Hidden Health Care Crisis With at least one third of gastroenterologists experiencing burnout, who is at greatest risk and how can it be prevented?
  • New Models of Gastroenterology Practice What types of employment are available to the gastroenterologist? This article details five new models of practice that have emerged in the past decade as viable options.
  • Treatment of Fecal Incontinence and Defecatory Disorders This clinical practice expert review offers best practice recommendations for managing fecal incontinence and defecatory disorders. When should surgical options be considered?
  • GI Bleeding With Non-Vitamin K Antagonist Oral Anticoagulants This meta-analysis assessed the risk of GI bleeding associated with non-vitamin K antagonist oral anticoagulants as compared with conventional anticoagulation therapy.
  • How to Be an Advocate for Your Profession and Your Practice How will ongoing federal legislation and issues in the current session of Congress impact gastroenterology? The author suggests ways you can make your voice heard regarding these important issues.
  • Continuous Clinical Response in Ulcerative Colitis Continuous clinical response has emerged as a useful target in the management of ulcerative colitis. Can it be feasibly integrated into clinical practice as a patient-reported outcome?
  • Mental and Psychosocial Factors and Care of Patients With IBD This AGA white paper outlines strategies for providing effective management of psychiatric and psychosocial factors in the treatment of patients with inflammatory bowel diseases.
  • Screening and Colorectal Cancer Among Individuals 50 or Older Can the decrease in colorectal cancer incidence among adults age 50 or older be attributed to increased screening?
  • An Episode-of-Care Framework for the Management of Obesity This paper sets forth an episode-of-care framework for obesity management which aims to provide gastroenterologists with strategies to obtain compensation for high value care while improving outcomes.
  • Nonobese Fatty Liver Disease What is the clinical significance of nonobese NAFLD as a liver disease, and how can we identify at-risk patients?
  • Suspected NCGS Confirmed in Few After Gluten Challenge This article discusses the potential flaws of currently recommended gluten challenge studies for suspected nonceliac gluten sensitivity.