Quick Hits

Acute pancreatitis (AP) is one of the most common causes of hospitalization for a gastrointestinal condition, and its incidence continues to increase in the U.S. and across the world.1 With improvements in general clinical care, the overall mortality of AP in the U.S. is now less than 2 percent. Despite this seemingly low mortality, all clinicians […]

Quick Hits

1. Why do I need to know about defecatory disorders?  Defecation requires increased rectal pressure coordinated with relaxation of the anal sphincter and pelvic floor. Some patients with chronic constipation have defecatory disorders (DDs). In contrast to normal or isolated slow transit constipation, these should be treated with pelvic floor biofeedback therapy rather than laxatives.1,2 […]

Quick Hits

The link between chronic inflammatory bowel disease (IBD) and colon cancer is well established. Colorectal cancer (CRC) is increased in patients with IBD involving at least one-third of the colon, and it is important to remember that it is the same for Crohn’s disease and ulcerative colitis. Classically, the risk of CRC was estimated to […]

Quick Hits

Evidence from a few randomized trials and multiple observational studies supports performing a liver ultrasound every six months as part of hepatocellular carcinoma (HCC) surveillance in patients with hepatitis C virus-related cirrhosis (HCVc). Although the possibility of using other technical modalities is tempting, there are concerns regarding radiation exposure and cost. Use of multiphase computed […]

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 […]