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Stomach and Small Bowel

Stomach and Small Bowel

ASGE Journal Scan | Stomach and Small Bowel

Are Proton Pump Inhibitors Associated With Increased Mortality?

There has been significant media attention on the risks of proton pump inhibitors (PPIs) noted in observational studies, including associated risks of pneumonia, Clostridium difficile,

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ASGE Journal Scan | Stomach and Small Bowel

Does Ranitidine Use Increase Cancer Risk?

Ranitidine is a widely used H2-receptor antagonist used to treat reflux and peptic ulcer disease. Recently, the U.S. Food and Drug Association (FDA) discontinued sales

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ASGE Journal Scan | Stomach and Small Bowel

Can We Decrease Lesion Recurrence After Duodenal Endoscopic Mucosal Resection?

Laterally spreading lesions (LSLs) of the duodenum are increasingly being diagnosed and treated endoscopically. Although endoscopic resection of the thin and vascular duodenal wall is

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ASGE Journal Scan | Stomach and Small Bowel

Endoscopic Management of Gastroduodenal Obstruction

Gastric outlet obstruction (GOO) can result in significant morbidity. Symptoms include early satiety, nausea, vomiting, and abdominal pain, which are frequently associated with weight loss.

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ASGE Journal Scan | Stomach and Small Bowel

Is Gastric Electric Stimulation Cost-Effective in Patients With Refractory Vomiting?

Medication-refractory nausea and vomiting, which is often due to gastric dysmotility, is a challenging problem. High-frequency gastric electrical stimulation (GES), which was approved by the

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ASGE Journal Scan | Stomach and Small Bowel

Should We Be Treating Postsurgical Leaks Endoscopically?

Postoperative leaks are difficult to treat; however, the evolution of therapeutic endoscopy has allowed less-invasive repair techniques in an attempt to avoid repeat surgery. This

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ASGE Journal Scan | Stomach and Small Bowel

How Safe Is Endoscopic Gastrostomy Tube Placement?

The invasive nature of the endoscopic placement of a gastrostomy tube is associated with higher morbidity and mortality compared to other routine endoscopic procedures. Alternative

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ASGE Journal Scan | Stomach and Small Bowel

Is Endoscopic Sleeve Gastroplasty the Solution?

The prevalence of obesity in the United States has reached an epidemic level and is associated with conditions such as insulin resistance (IR) and nonalcoholic

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ASGE Journal Scan | Stomach and Small Bowel

Should Asian Americans Be Routinely Screened for Gastric Cancer With Endoscopy?

There are no current guidelines in the United States for gastric cancer screening, even with a high population of immigrants from Asian-Pacific countries. Studies have

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ASGE Journal Scan | Stomach and Small Bowel

Hope for Those Suffering From Gastroparesis?

Gastroparesis is a chronic medical condition that can cause unpleasant and refractory symptoms that adversely affect quality of life. Unfortunately, metoclopramide, which can cause serious

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ASGE Journal Scan | Stomach and Small Bowel

Endoscopic Submucosal Dissection Outcomes for Early Gastric Lesions in North America

There are sufficient data in Asia to demonstrate that endoscopic submucosal dissection (ESD) has equivalent outcomes to surgical intervention for early gastric cancer (EGC). Moreover,

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ASGE Journal Scan | Stomach and Small Bowel

Familial Adenomatous Polyposis: Should Routine Ampulla Biopsies Be Performed?

Duodenal and ampullary cancers are the most common causes of death in patients with familial adenomatous polyposis (FAP) who have undergone colectomy. Current guidelines recommend

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ASGE Journal Scan | Stomach and Small Bowel

EUS-Guided Biliary Drainage: Should Antiplatelet Agents and Anticoagulants Be Stopped?

Gastroenterologists are seeing an increasing number of patients taking antiplatelet agents and/or anticoagulants (APs/ACs). Discontinuation of these agents prior to therapeutic procedures is common practice;

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ASGE Journal Scan | Stomach and Small Bowel

Antibiotics Are Not Necessary to Prevent Pancreatic Cyst Infection After Endoscopic Ultrasound-Guided Fine-Needle Aspiration

Vanessa M. Shami, MD, FASGE, reviewing Hernández JC, et al. Gastroenterology 2020 Jan 20. The European Society of Gastrointestinal Endoscopy recommends routine antibiotic prophylaxis for

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ASGE Journal Scan | Stomach and Small Bowel

Reduction in IBS Rates Using Rome IV Criteria

Vanessa M. Shami, MD, FASGE, reviewing Olafur S, et al. Gastroenterology 2020 Jan 6.  Functional bowel disorders (FBDs) are common, and the diagnosis is clinical.

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ASGE Journal Scan | Stomach and Small Bowel

Gastrostomy Site Metastasis: How Common Is It?

Vanessa M. Shami, MD, FASGE, reviewing Siu J, et al. Gastrointest Endosc 2020 Jan 8. More than half of individuals with upper aerodigestive tract (UADT)

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ASGE Journal Scan | Stomach and Small Bowel

Incorporate Histologic Subtyping of Gastric Intestinal Metaplasia Into Routine Practice

Vanessa M. Shami, MD, FASGE reviewing Shah SC, et al. Gastroenterology 2019 Dec 6. Gastric cancer is the third leading cause of cancer-related mortality worldwide,

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ASGE Journal Scan | Stomach and Small Bowel

Selective Research Summary From the World Summit on Gut Microbiota for Health

Vanessa M. Shami, MD, FASGE reviewing Fuhler GM, et al. Gastroenterology 2019 Sep 6. The 2019 Gut Microbiota for Health World Summit focused on microbiota

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ASGE Journal Scan | Stomach and Small Bowel

Artificial Intelligence Could Help Early Discharge of Patients With UGI Bleeding

Prateek Sharma, MD, FASGE reviewing Shung DL, et al. Gastroenterology 2019 Sep 25. A number of clinical scoring systems (eg, the Glasgow-Blatchford, Rockall, and AIMS65)

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ASGE Journal Scan | Stomach and Small Bowel

Use of Artificial Intelligence for Blind Spots During Sedated Versus Unsedated Upper Endoscopies

Vanessa M. Shami, MD, FASGE reviewing Chen D, et al. Gastrointest Endosc 2019 Sep 18.  High-resolution esophagogastroduodenoscopy (EGD) is commonly used in diagnosis and treatment

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ASGE Journal Scan | Stomach and Small Bowel

Safety and Efficacy of Peppermint Oil Treatment for IBS Tested

Peppermint oil is commonly prescribed to treat irritable bowel syndrome (IBS) without any evidence from high-quality controlled trials. This double-blind study (NCT02716285) evaluated the safety

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