Quick Hits

Why inflammatory bowel disease? Inflammatory bowel disease (IBD) is a costly and chronic medical condition that disproportionately affects a young population demographic. IBD patients have unique behavioral, preventative and therapeutic health care needs.1 Due to care complexity, management is often fragmented amongst multiple providers, frequently across health care systems with the burden of coordination, communication […]

Quick Hits

My clinical practice focuses on patients with gastrointestinal motility disorders and functional gastrointestinal disorders (FGID). I am frequently asked to see patients who report gastrointestinal (GI) symptoms after eating. These symptoms are non-specific and run the gamut from abdominal pain or discomfort, to epigastric fullness, postprandial nausea, bloating and diarrhea. Although quite common in the […]

Quick Hits

“The greatest trick the Devil ever pulled was convincing the world he didn’t exist.” —Roger “Verbal” Kint, The Usual Suspects (1995  film) My fourth-year interventional endoscopy fellowship consisted of three-month rotations alternating between two different academic referral institutions. The endoscopic retrograde cholangiopancreatography (ERCP) practice at one institution utilized sphincter manometry to triage the need for […]

Debates

Prevention of colorectal cancer through the endoscopic resection of pre-cancerous polyps is an important benefit of colonoscopy but is associated with a risk of serious adverse events, including bleeding. While immediate bleeding is usually managed at the time of the procedure, delayed post-polypectomy bleeding (after discharge from endoscopy unit, up to four weeks later) is […]

Quick Hits

The application of clips during colonoscopy to prevent post-polypectomy bleeding is commonly performed, yet until recently not supported by high-quality evidence. New studies have shed some light, but controversies and areas of uncertainty remain. In this issue of AGA Perspectives, Dr. Fadi Antaki and Dr. Rajesh Keswani debate the benefits, limitations and appropriate clinical use […]