Quick Hits

In 2018, there is substantial evidence that hepatitis C virus (HCV) infection is a systemic disease associated with adverse clinical, economic, and patient-reported outcomes (PROs). Specifically, the clinical consequences of HCV infection can lead to both hepatic and extrahepatic manifestations. In this context, HCV infection increases the risk of liver-related and overall mortality. Additionally, HCV […]

Quick Hits

By now, most of us have learned that human beings have co-existed with bugs since the beginning of time and that we bear trillions of microbes in our body (the “microbiome”) — mostly located in the gut. There, they appear to act as a digestive organ, a training tool for the immune system, and a guardian of dangerous infections — key roles in […]

Quick Hits

Making the diagnosis of eosinophilic esophagitis (EoE), a clinicopathologic disease, requires the integration of patient symptoms, histology and clinical data. As gastroenterologists, we are obliged to do the same when monitoring for a therapeutic response. Although there are several axes on which EoE treatments may be assessed, no single measure has been shown to be sufficient. Therefore, considering the subjective experience together […]

Quick Hits

What’s new in the management of gastroparesis? First, there is increased recognition that the symptoms of gastroparesis may result not only from delayed gastric emptying, but also from several motor or sensory disorders of the upper gut, particularly the stomach. Hence, getting the right diagnosis for the patient’s symptoms is an essential first step. The classical diagnosis of gastroparesis is based on the […]

Debates

This is half of a two-part debate — read the opposing argument. The opinions expressed here are that of the author and do not represent the position of AGA. The best treatments for achalasia disrupt the lower esophageal sphincter (LES) improving symptoms and esophageal emptying while preventing the progression to megaesophagus. The oldest of these treatments is brusque esophageal dilation, first […]

Debates

This is half of a two-part debate — read the opposing argument. The opinions expressed here are that of the author and do not represent the position of AGA. Achalasia is a chronic disorder and hence, treatment should be aimed at the long term. Generally, there are three different treatment options for achalasia that can provide a permanent effect: […]

Quick Hits

I read the debate articles by Dr. Luke John Day and Dr. Louis Korman regarding training of non-physicians to perform endoscopy with great interest. I appreciate that both sides of the argument were presented to balance the debate. Debate is important, but some positions may not deserve equal time. It is unwise and unnecessary as […]