Specialties - Southern Medical Association

SMJ Article | Original Article

Association of Referral Source and Substance Use with Hepatitis C Virus Outcomes at a Southern Academic Medical Center

Objectives: Therapeutic advances make the cure of chronic hepatitis C virus (HCV) infection achievable for individuals aware of their diagnosis who can access care. Identifying barriers to accessing care is critical to achieve population-level HCV elimination and improve the cascade of care from diagnosis to cure. Methods: To identify barriers...

Posted in: Liver Disease4

SMJ Article | Perspectives

Know Your Guidelines Series: The ACG Clinical Practice Guideline on Upper Gastrointestinal and Ulcer Bleeding Review

Gastrointestinal bleeding (GIB) is a common cause of hospitalization. Upper gastrointestinal bleeding (UGIB) is a serious condition defined as bleeding that originates in the esophagus, stomach, or duodenum. Eighty percent of patients with UGIB seen in the emergency department (ED) require admission to the hospital. The 2021 American College of...

Posted in: Gastroenterology26

SMJ Article | Special Section

The 2021 Dr. Robert D. and Alma W. Moreton Research Award and Commemorative Lectureship: Paradoxical Role of Intestinal Stromal Cells in Healing and Disease

Dr. Don W. Powell is the 2021 recipient of the Dr. Robert D. and Alma W. Moreton Research Award and Commemorative Lectureship, which was presented at the Southern Medical Association’s 112th Annual Scientific Assembly in Lake Buena Vista, Florida. This commentary serves as a synopsis of this presentation, the video...

Posted in: Gastroenterology26

SMJ Article | Original Article

Assessing Colorectal Cancer Screening Barriers in Rural Appalachia

Objectives: The age-appropriate colorectal cancer (CRC) screening rate in the rural Appalachian area is low compared with the national rate, which may account for the overall higher incidence of CRC in this area. The purpose of this study was to explore potential barriers to CRC screening in the West Virginia...

Posted in: Colonic And Anorectal Disease5

SMJ Article | Original Article

Endoscopic Mucosal Resection for Colonic Mucosal Neoplasia and Evaluation of Long-Term Recurrence: A Single-Center Experience of 500 Cases

Objectives: Endoscopic mucosal resection (EMR) is an alternative to surgery for the treatment of large laterally spreading lesions. Residual or recurrent adenoma is a major limitation. This study aimed to quantify early and late recurrences and to assess its associated risk factors. Methods: The study was a single-center, multiendoscopist, longitudinal...

Posted in: Colonic And Anorectal Disease5

SMJ Article | Review Article

Tale of the Frail: Understanding Frailty in Cirrhosis

Abstract: Frailty is a dynamic condition that results in increased vulnerability to health stressors. Often associated with older adults, frailty is not limited to the geriatric population, although aging and disease burden often go hand in hand. This syndrome is recognized increasingly as an important factor in healthcare costs, rate...

Posted in: Liver Disease4

SMJ Article | Original Article

CME Article: Alpha-Gal Allergy as a Cause of Intestinal Symptoms in a Gastroenterology Community Practice

Objectives: Immunoglobulin E (IgE) to galactose-α-1,3-galactose (alpha-gal) is a recently appreciated cause of allergic reactions to mammalian meat and dairy. In eastern North America Lone Star tick bites are the dominant mode of sensitization. Classically the alpha-gal syndrome manifests with urticaria, gastrointestinal symptoms, and/or anaphylaxis, but increasingly there are reports...

Posted in: Gastroenterology26

SMJ Article | Review Article

Esophageal Cancer: An Updated Review

Abstract: The incidence of esophageal cancer (EC) is on the rise. With the distinct subtypes of adenocarcinoma and squamous cell carcinoma comes specific risk factors, and as a result, people of certain regions of the world can be more prone to a subtype. For example, squamous cell carcinoma of the...

Posted in: Esophageal Disease2

SMJ Article | Original Article

Cognitive Tests and Stool Frequency at Hospital Discharge Do Not Predict Outcomes in Hepatic Encephalopathy

Objectives: Hepatic encephalopathy (HE) is associated with hospital readmissions and mortality. We sought to determine whether cognitive testing and stool frequency at discharge predicted 30-day readmission or death in cirrhotic patients admitted with overt HE. Methods: We approached consecutive inpatients with cirrhosis and overt HE when they were within 48...

Posted in: Gastroenterology26 Liver Disease4

SMJ Article | Original Article

Segmental Withdrawal During Screening Colonoscopy Does Not Increase Adenoma Detection Rate

Objectives: The aim of this study was to compare a standard versus segmental withdrawal during screening colonoscopy and its effect on the adenoma detection rate (ADR). Methods: We performed a single-center clinical trial of average-risk patients 50 years of age and older undergoing screening colonoscopy. Patients were randomized into four...

Posted in: Gastroenterology26

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