Specialties - Southern Medical Association

SMJ Article | Original Article

Pretreatment Assessment of Psychosocial Readiness Is Not Associated with Improved Treatment Outcomes in a Safety-Net HCV Treatment Clinic

Objectives: Hepatitis C virus (HCV) is highly curable with antiviral therapy, and traditionally, treatment adherence has been critical for treatment success. We sought to determine whether assessing HCV treatment readiness with a structured treatment readiness tool was associated with increased rates of adherence and cure among patients at a safety-net...

Posted in: Gastroenterology14 Infectious Disease15

SMJ Article | Original Article

CME Article: Frequency of Care Fragmentation and Its Impact on Outcomes in Acute and Chronic Pancreatitis in a Nationally Representative Sample

Objectives: Hospitalized patients with acute and chronic pancreatitis (AP and CP) are prone to frequent readmissions to different hospitals. The rate of care fragmentation and its impact on important outcomes are unknown. The aims of this study were to evaluate the rate and predictors of care fragmentation in patients hospitalized...

Posted in: Gastroenterology14

SMJ Article | Original Article

Utilization of Acid Suppression Medication in an Underserved Population

Objectives: Acid suppression therapy (AST), composed of proton pump inhibitors (PPIs), histamine-2 receptor blockers, and antacids, is one of the most common medication groups used in the United States. Long-term AST is concerning, however, because it is linked with an increased risk of community-acquired pneumonia, Clostridium difficile infections, bone fractures,...

Posted in: Gastroenterology14

SMJ Article | Original Article

Same-Admission Cholecystectomy Compared with Delayed Cholecystectomy in Acute Gallstone Pancreatitis: Outcomes and Predictors in a Safety Net Hospital Cohort

Objectives: Recent studies have shown a decrease in gallstone-related complications if same-admission cholecystectomy (SAC) is performed in mild gallstone pancreatitis (GSP); however, SAC often is not performed in resource-limited settings such as safety net hospitals. The aims of this study were to evaluate the rate of SAC and compare a...

Posted in: Pancreatic Disease1

SMJ Article | Original Article

CME Article: Epidemiology, Clinical Presentation, and Seasonal Variation in the Diagnosis of Children with Eosinophilic Esophagitis in Oklahoma

Objectives: Eosinophilic esophagitis (EoE) is characterized by upper gastrointestinal tract symptoms in association with esophageal mucosal biopsy specimens containing ≥15 intraepithelial eosinophils per high-power field. The etiology of EoE remains unclear, but an immunologic response to various foods and aeroallergens has been implicated. Seasonal variation has been reported in the...

Posted in: Gastroenterology14 Esophageal Disease1

SMJ Article | Original Article

Procedural Anxiety, Pain Catastrophizing, and Procedure-Related Pain during EGD and Colonoscopy

Objectives: Although sedatives and analgesic drugs defuse anxiety and relieve pain, digestive endoscopy still is uncomfortable and painful for some patients. Identifying patients who tolerate digestive endoscopy less well remains difficult. The present study evaluated the relations between procedural anxiety, catastrophizing thoughts, and pain, using a prospective design and multimodal...

Posted in: Gastroenterology14 Psychiatry1

SMJ Article | Invited Commentary

Commentary on “A Dose-Response Analysis of Crystalloid Administration during Esophageal Resection”

In this issue of the Southern Medical Journal, Smith and Nossaman retrospectively examined patient records for 100 consecutive esophageal surgeries to assess intraoperative intravenous fluid with outcomes.1 They found a dose-response relation associating intraoperative crystalloid administration with decreased length of stay and adverse events.

Posted in: Gastroenterology14

SMJ Article | Original Article

A Dose-Response Analysis of Crystalloid Administration during Esophageal Resection

Objectives: The purpose of this retrospective study was to investigate the role of intraoperative crystalloid administration on postoperative hospital length of stay (phLOS) and on the incidence of previously reported adverse events in 100 consecutive patients who underwent esophageal resection.Methods: The role of previously reported patient demographics, clinical characteristics, and...

Posted in: Gastroenterology14

SMJ Article | Original Article

Outcomes of Patients Hospitalized for Severe Acute Alcoholic Hepatitis

Objectives: Severe acute alcoholic hepatitis is a serious condition in individuals who consume significant quantities of alcohol. We aimed to identify risk factors for short-term mortality with this illness.Methods: Patients with severe acute alcoholic hepatitis admitted to our academic medical center from 2010 to 2012 were identified. Demographic features, laboratory...

Posted in: Gastroenterology14 Liver Disease1

SMJ Article | Original Article

Increasing Prevalence of Chronic Hepatitis C Virus Infection in a Southern Academic Obstetrical Clinic

Objectives: The opioid epidemic has resulted in rising rates of hepatitis C virus (HCV) infection in women of childbearing age. With this changing epidemiology in mind, the Infectious Diseases Society of America/American Association for the Study of Liver Diseases guidelines were updated in 2018 to recommend screening all pregnant women...

Posted in: Gastroenterology14

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