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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 […]

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Introduction The topic of unconscious bias has risen to the forefront of conversations in academic medicine. At Digestive Disease Week® (DDW) 2019, the AGA Diversity Committee sponsored a symposium for our members to join the discussion. With a focus on patient care, we pose the question: Does race impact the health of the communities we […]

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As in many other fields of medicine, valiant efforts are being directed towards personalizing medical therapy for individual patients with inflammatory bowel disease (IBD). The holy grail of personalized medicine in IBD would be to have a test that could identify the predominant pathways contributing to disease activity for an individual patient. That test would […]

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Endoscopic eradication therapy (EET) with a combined approach of resection and ablation is safe and effective. The evolution of endoscopic mucosal resection (EMR) for visible lesions followed by radiofrequency ablation (RFA) has become the gold standard for Barrett’s associated neoplasia. Despite the effectiveness of EET, recurrence of intestinal metaplasia (IM) after achieving complete eradication (CE-IM) […]