Debates

As a card-carrying gastroenterologist, I enjoy performing screening colonoscopy just like most of my society brethren. However, I feel strongly that the fecal immunochemical test (FIT) is a fully acceptable alternative for colorectal cancer (CRC) screening. Perhaps the easiest defense for those of us who are enthusiastic about stool-based screening is the quality of evidence supporting it. […]

Debates

In Australia and some European countries, colorectal cancer (CRC) screening occurs in an organized or programmatic setting, usually funded by the national government. Organized screening commonly relies on fecal occult blood testing (FOBT) as the primary means of screening, and usually the fecal immunochemical test (FIT). FIT is a good option for these programs as […]

Pediatric to adult
Quick Hits

As the underlying pathologies of common GI diseases are elucidated, it has become increasingly clear that many prevalent GI conditions first diagnosed in adult practice find their roots during development — from the prenatal period through childhood. Genetic variants or the presence of stressors during these key developmental stages play important roles in negative GI-health […]

Liver Bingo Card
Quick Hits

The supply of deceased-donor organs in the U.S. is dwarfed by the demand for lifesaving transplants. Thus, transplant physicians are charged with the responsibility of efficiently allocating these scarce resources. However, when a deceased donor becomes available, not all organs are allocated in the same manner. The Lung Allocation Score prioritizes waitlisted candidates according to […]

Plan B
Quick Hits

 Medical treatment options for patients with inflammatory bowel diseases (IBD) — Crohn’s disease and ulcerative colitis (UC) — have rapidly expanded with several different classes of medications now available. Traditionally, conventional therapy has consisted of mesalamine, steroids and immunomodulators, but in the era of biologic therapy, new options are available. However, variability remains in approaches […]

Quick Hits

Clinicians may have noticed that pouchitis is no longer a simple, antibioticresponsive disease. Over the years, we have seen a growing number of patients with chronic antibiotic-refractory pouchitis (CARP). While the Asian “carp” fish has invaded our rivers and lakes, the CARP disease has become a threat to the wellness and even survival of the […]