Quick Hits

The Rome Foundation Working Team Report1 brings together a wealth of data and reminds us just how productive this area of research has been for the understanding of the mechanisms underlying functional bowel disorders. Clinicians are presented daily with patients meeting the Rome criteria for irritable bowel and will be well aware of how heterogeneous […]

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In November of 2002, 11 esophageal physiologists gathered in Porto to consolidate knowledge surrounding a new technology: intraluminal impedance monitoring. After decades of dependence on pH testing to define reflux, experts were wrestling with a growing body of evidence showing that not all reflux episodes, or symptoms, were associated with low pH.1,2 The resulting consensus […]

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In recent years there have been exciting advances in gastroenterology due to the novel application of artificial intelligence (AI) and other machine learning (ML) based technologies towards solving certain problems that were herein considered to be under exclusive domains of physicians. The various applications of AI and ML in GI are towards detection, diagnosis and […]

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Over the past five years, practicing endoscopists have become acutely aware of the risk to patients from duodenoscope contamination related to the fact that these instruments can continue to harbor bacteria despite adherence to reprocessing protocols recommended by endoscope manufacturers. This conundrum is ultimately distilled for patients as an unquantifiable risk of intestinal colonization and/or […]

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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 […]

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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 […]

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“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 […]

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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 […]