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 of clips for post-polypectomy bleeding.
Other important topics are also explored. Drs. Benjamin Click and Miguel Regueiro discuss the emerging concept of the inflammatory bowel disease (IBD) specialty medical home, a novel patient-centered medical home approach to IBD patients centered on multidisciplinary care, care coordination, outcome measures, health care technology and increased access. Dr. Brian Lacey provides a concise and authoritative clinical review outlining key differences between food allergies and food intolerances, and approach to testing and management of patients with these commonly reported conditions. Finally, Dr. Patrick Yachimski discusses the evolving understanding of Sphincter of Oddi Dysfunction (SOD) in light of recent studies, updated Rome classification and the associated uncertainties in the management of patients with pain due to suspected SOD.
I hope you find the information in this issue of AGA Perspectives useful to your practices! Best wishes to everyone.