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ACG Clinical Guidelines

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https://www.readbyqxmd.com/read/27808138/corrigendum-acg-clinical-guideline-liver-disease-and-pregnancy
#1
Tram T Tran, Joseph Ahn, Nancy S Reau
No abstract text is available yet for this article.
November 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27721739/the-diagnosis-and-manifestations-of-liver-injury-secondary-to-off-label-androgenic-anabolic-steroid-use
#2
Elena Cabb, Shanna Baltar, David Wes Powers, Karthik Mohan, Antonio Martinez, Eric Pitts
Drug-induced liver injury (DILI) presents as a broad spectrum of adverse drug reactions which can range from a mild elevation in liver enzymes to fulminant liver failure. The primary goal is to identify DILI early when the patient's liver enzymes are elevated and to discontinue the offending agent as soon as possible to prevent further injury. Herbal, dietary supplements and anabolic steroids represent a significant component of the drugs thought to cause DILI in the United States. Unlike all other drugs known to cause DILI, these drugs fall into a category of injury that is neither intrinsic nor idiosyncratic due to overlapping characteristics between the two...
May 2016: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/27356842/corrigendum-acg-clinical-guideline-diagnosis-and-management-of-barrett-s-esophagus
#3
Nicholas J Shaheen, Gary W Falk, Prasad G Iyer, Lauren B Gerson
No abstract text is available yet for this article.
July 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27272806/incidentally-detected-focal-liver-lesions-a-common-clinical-management-dilemma-revisited
#4
Alexander Semaan, Vittorio Branchi, Anna-Lena Marowsky, Martin VON Websky, Patrick Kupczyk, Simon Jonas Enkirch, Guido Kukuk, Edwin Bölke, Burkhard Stoffels, Jörg C Kalff, Nico Schäfer, Philipp Lingohr, Hanno Matthaei
BACKGROUND: Detection of asymptomatic focal liver lesions (FLL) is increasing because of a widespread use of modern radiologic imaging. Most of these lesions are benign, though malignancy often has to be ruled out, which is posing a diagnostic challenge. AIM: To critically evaluate our treatment strategy in the context of recently published American College of Gastroenterology (ACG) guidelines. PATIENTS AND METHODS: The medical records of patients who underwent surgery for asymptomatic, incidentally detected FLL from 2005-2012 were reviewed...
June 2016: Anticancer Research
https://www.readbyqxmd.com/read/27151132/acg-clinical-guideline-management-of-patients-with-acute-lower-gastrointestinal-bleeding
#5
Lisa L Strate, Ian M Gralnek
No abstract text is available yet for this article.
May 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27068718/acg-clinical-guideline-diagnosis-treatment-and-prevention-of-acute-diarrheal-infections-in-adults
#6
Mark S Riddle, Herbert L DuPont, Bradley A Connor
Acute diarrheal infections are a common health problem globally and among both individuals in the United States and traveling to developing world countries. Multiple modalities including antibiotic and non-antibiotic therapies have been used to address these common infections. Information on treatment, prevention, diagnostics, and the consequences of acute diarrhea infection has emerged and helps to inform clinical management. In this ACG Clinical Guideline, the authors present an evidence-based approach to diagnosis, prevention, and treatment of acute diarrhea infection in both US-based and travel settings...
May 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/26952578/acg-clinical-guideline-nutrition-therapy-in-the-adult-hospitalized-patient
#7
Stephen A McClave, John K DiBaise, Gerard E Mullin, Robert G Martindale
The value of nutrition therapy for the adult hospitalized patient is derived from the outcome benefits achieved by the delivery of early enteral feeding. Nutritional assessment should identify those patients at high nutritional risk, determined by both disease severity and nutritional status. For such patients if they are unable to maintain volitional intake, enteral access should be attained and enteral nutrition (EN) initiated within 24-48 h of admission. Orogastric or nasogastric feeding is most appropriate when starting EN, switching to post-pyloric or deep jejunal feeding only in those patients who are intolerant of gastric feeds or at high risk for aspiration...
March 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/26925883/acg-clinical-guideline-management-of-patients-with-acute-lower-gastrointestinal-bleeding
#8
Lisa L Strate, Ian M Gralnek
This guideline provides recommendations for the management of patients with acute overt lower gastrointestinal bleeding. Hemodynamic status should be initially assessed with intravascular volume resuscitation started as needed. Risk stratification based on clinical parameters should be performed to help distinguish patients at high- and low-risk of adverse outcomes. Hematochezia associated with hemodynamic instability may be indicative of an upper gastrointestinal (GI) bleeding source and thus warrants an upper endoscopy...
April 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/26832651/acg-clinical-guideline-liver-disease-and-pregnancy
#9
Tram T Tran, Joseph Ahn, Nancy S Reau
Consultation for liver disease in pregnant women is a common and oftentimes vexing clinical consultation for the gastroenterologist. The challenge lies in the need to consider the safety of both the expectant mother and the unborn fetus in the clinical management decisions. This practice guideline provides an evidence-based approach to common diagnostic and treatment challenges of liver disease in pregnant women.
February 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/26526079/acg-clinical-guideline-diagnosis-and-management-of-barrett-s-esophagus
#10
Nicholas J Shaheen, Gary W Falk, Prasad G Iyer, Lauren B Gerson
Barrett's esophagus (BE) is among the most common conditions encountered by the gastroenterologist. In this document, the American College of Gastroenterology updates its guidance for the best practices in caring for these patients. These guidelines continue to endorse screening of high-risk patients for BE; however, routine screening is limited to men with reflux symptoms and multiple other risk factors. Acknowledging recent data on the low risk of malignant progression in patients with nondysplastic BE, endoscopic surveillance intervals are attenuated in this population; patients with nondysplastic BE should undergo endoscopic surveillance no more frequently than every 3-5 years...
January 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/26303132/acg-clinical-guideline-diagnosis-and-management-of-small-bowel-bleeding
#11
Lauren B Gerson, Jeff L Fidler, David R Cave, Jonathan A Leighton
Bleeding from the small intestine remains a relatively uncommon event, accounting for ~5-10% of all patients presenting with gastrointestinal (GI) bleeding. Given advances in small bowel imaging with video capsule endoscopy (VCE), deep enteroscopy, and radiographic imaging, the cause of bleeding in the small bowel can now be identified in most patients. The term small bowel bleeding is therefore proposed as a replacement for the previous classification of obscure GI bleeding (OGIB). We recommend that the term OGIB should be reserved for patients in whom a source of bleeding cannot be identified anywhere in the GI tract...
September 2015: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/25892981/clinical-rationale-for-confirmation-testing-after-treatment-of-helicobacter-pylori-infection-implications-of-rising-antibiotic-resistance
#12
Colin W Howden, William D Chey, Nimish B Vakil
Helicobacter pylori (H pylori) infection is one of the most common chronic bacterial infections worldwide. International guidelines recommend H pylori eradication in several scenarios: patients with peptic ulcer disease, patients who have had endoscopic resection of early gastric cancer, and patients with a gastric mucosa-associated lymphoid tissue lymphoma (MALToma). There is variability among the guidelines for other conditions. Treatment options for H pylori infection include triple, quadruple, and sequential therapy...
July 2014: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/25869391/acg-clinical-guideline-primary-sclerosing-cholangitis
#13
Keith D Lindor, Kris V Kowdley, M Edwyn Harrison
Primary sclerosing cholangitis is a chronic cholestatic liver disease that can shorten life and may require liver transplantation. The cause is unknown, although it is commonly associated with colitis. There is no approved or proven therapy, although ursodeoxycholic acid is used by many on an empiric basis. Complications including portal hypertension, fat-soluble vitamin deficiency, metabolic bone diseases, and development of cancers of the bile duct or colon can occur.
May 2015: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/25735121/factors-precipitating-acute-ulcerative-colitis
#14
REVIEW
A S Puri, C C Chaubal, Vandana Midha
Ulcerative colitis is characterized by mucosal inflammation of a variable length of the colon starting from the rectum. The precise etiopathogenesis is unknown but it occurs in genetically susceptible individuals who manifest an abnormal immunological response against gut commensal bacteria. The disease course is-characterized by multiple spontaneous relapses and remissions. Two pathogens namely CMV and C. difficile have been associated with disease exacerbation in specific clinical situations. Whereas C. difficile may produce worsening of the disease in those exposed to broad spectrum antibiotics, CMV reactivation is seen only in patients with moderate to severe steroid refractory disease...
August 2014: Tropical Gastroenterology: Official Journal of the Digestive Diseases Foundation
https://www.readbyqxmd.com/read/25645574/acg-clinical-guideline-genetic-testing-and-management-of-hereditary-gastrointestinal-cancer-syndromes
#15
REVIEW
Sapna Syngal, Randall E Brand, James M Church, Francis M Giardiello, Heather L Hampel, Randall W Burt
This guideline presents recommendations for the management of patients with hereditary gastrointestinal cancer syndromes. The initial assessment is the collection of a family history of cancers and premalignant gastrointestinal conditions and should provide enough information to develop a preliminary determination of the risk of a familial predisposition to cancer. Age at diagnosis and lineage (maternal and/or paternal) should be documented for all diagnoses, especially in first- and second-degree relatives...
February 2015: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/25559486/acg-clinical-guideline-epidemiology-risk-factors-patterns-of-presentation-diagnosis-and-management-of-colon-ischemia-ci
#16
Lawrence J Brandt, Paul Feuerstadt, George F Longstreth, Scott J Boley
No abstract text is available yet for this article.
January 2015: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/25135008/acg-clinical-guideline-the-diagnosis-and-management-of-focal-liver-lesions
#17
Jorge A Marrero, Joseph Ahn, K Rajender Reddy
Focal liver lesions (FLL) have been a common reason for consultation faced by gastroenterologists and hepatologists. The increasing and widespread use of imaging studies has led to an increase in detection of incidental FLL. It is important to consider not only malignant liver lesions, but also benign solid and cystic liver lesions such as hemangioma, focal nodular hyperplasia, hepatocellular adenoma, and hepatic cysts, in the differential diagnosis. In this ACG practice guideline, the authors provide an evidence-based approach to the diagnosis and management of FLL...
September 2014: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/25053691/national-consensus-on-management-of-non-variceal-upper-gastrointestinal-tract-bleeding-in-indonesia
#18
(no author information available yet)
The Indonesian Society of Gastroenterology has compiled a national consensus guideline for the management of non-variceal upper gastrointestinal bleeding (NVUGIB). It is an endeavor to raise the quality of service for NVUGIB patients associated with peptic ulcer. The references for developing this consensus include three recent consensus guidelilnes on the management of NVUGIB and a modification of Delphi process was done to develop clinical guidelines. The three references are: The International Consensus Recommendations on the Management of Patients with Non-variceal Upper Gastrointestinal Bleeding (ICON-UGIB), 2010; Asia-Pacific Working Group consensus on non-variceal upper gastrointestinal bleeding, 2011; and Management of Patients with Ulcer Bleeding, ACG guidelines, 2012...
April 2014: Acta Medica Indonesiana
https://www.readbyqxmd.com/read/25022811/acg-clinical-guideline-management-of-benign-anorectal-disorders
#19
Arnold Wald, Adil E Bharucha, Bard C Cosman, William E Whitehead
These guidelines summarize the definitions, diagnostic criteria, differential diagnoses, and treatments of a group of benign disorders of anorectal function and/or structure. Disorders of function include defecation disorders, fecal incontinence, and proctalgia syndromes, whereas disorders of structure include anal fissure and hemorrhoids. Each section reviews the definitions, epidemiology and/or pathophysiology, diagnostic assessment, and treatment recommendations of each entity. These recommendations reflect a comprehensive search of all relevant topics of pertinent English language articles in PubMed, Ovid Medline, and the National Library of Medicine from 1966 to 2013 using appropriate terms for each subject...
August 2014: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/24935270/acg-clinical-guideline-the-diagnosis-and-management-of-idiosyncratic-drug-induced-liver-injury
#20
Naga P Chalasani, Paul H Hayashi, Herbert L Bonkovsky, Victor J Navarro, William M Lee, Robert J Fontana
Idiosyncratic drug-induced liver injury (DILI) is a rare adverse drug reaction and it can lead to jaundice, liver failure, or even death. Antimicrobials and herbal and dietary supplements are among the most common therapeutic classes to cause DILI in the Western world. DILI is a diagnosis of exclusion and thus careful history taking and thorough work-up for competing etiologies are essential for its timely diagnosis. In this ACG Clinical Guideline, the authors present an evidence-based approach to diagnosis and management of DILI with special emphasis on DILI due to herbal and dietary supplements and DILI occurring in individuals with underlying liver disease...
July 2014: American Journal of Gastroenterology
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