SMJ Article | Original Article

Biennial Endoscopic Surveillance of Gastrointestinal Metaplasia and Its Subtypes Reduces Gastric Cancer Mortality and Is Cost-Effective in a Markov State Transition Model

Objectives: Gastric cancer in the United States has a low survival rate mainly because of the late stage of diagnosis. Furthermore, there are no well-established guidelines concerning screening and surveillance even for higher risk patients such as those with nondysplastic noncardia gastrointestinal metaplasia (GIM), and thus they are not routinely...

Posted in: Gastroenterology38

SMJ Article | Original Article

Racial Disparities in Clinical Outcomes of Emergency Colectomies for Diverticulitis

Objectives: The literature suggests that there are ongoing racial disparities in healthcare outcomes between patients in White and non-White populations. As such, we examined the outcomes of patients who underwent an emergency colectomy for diverticulitis. Methods: We identified 4841 White and 590 non-White patients, which include Black/African American and Asian...

Posted in: Gastroenterology38

SMJ Article | Original Article

Comparisons between White and Black Patients Hospitalized with Postliver Transplant Complications/Failure

Objectives: The impact of race on patients presenting to North American hospitals with postliver transplant complications/failure (PLTCF) has not been studied fully. We compared in-hospital mortality and resource utilization outcomes between White and Black patients hospitalized with PLTCF. Methods: This was a retrospective cohort study that evaluated the years 2016...

Posted in: Gastroenterology38 Liver Disease6

SMJ Article | Perspectives

Know Your Guidelines Series: The ACG Practice Guideline on Gastroparesis

Gastroparesis (GP) is a disorder of gastric motility characterized by subjective and objective findings of delayed gastric emptying without evidence of gastric outlet obstruction. Symptoms of GP can include nausea, vomiting, early satiety, and abdominal pain, all of which can significantly influence the quality of life of a patient. The...

Posted in: Gastroenterology38

SMJ Article | Original Article

CME Article: Association between Gastroparesis and Rheumatoid Arthritis: A US Population–Based Study

Objectives: Patients with rheumatoid arthritis (RA) have a high prevalence of nausea, vomiting, postprandial fullness, and abdominal pain; these are symptoms that are similar to those in gastroparesis (GP). The aim of this study was to assess the association between GP and RA and the determinants of GP. Methods: We...

Posted in: Gastroenterology38 Rheumatology and Orthopedics15

SMJ Article | Perspectives

Know Your Guidelines Series: The ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease Review

Gastroesophageal reflux disease (GERD) is the reflux of gastric contents into the esophagus. It accounts for 17.5% of all digestive diseases in the ambulatory setting,1 with prevalence in North America of 8.8% to 25.9%.2 The direct and indirect healthcare costs of GERD total $9.3 billion annually in the United States.3...

Posted in: Gastroenterology38

SMJ Article | Original Article

CME Article: Comparison of Robotic and Laparoscopic Colectomies Using the 2019 ACS NSQIP Database

Objectives: Robot-assisted laparoscopic surgeries (RLSs) have become increasingly common in the past decade alongside conventional laparoscopic surgeries (CLSs). In general, RLSs have been reported to be superior to CLSs; therefore, we compared both methods among patients undergoing an elective colectomy for differences in perioperative factors and postoperative complications. Methods: A...

Posted in: Colonic And Anorectal Disease8

SMJ Article | Original Article

CME Article: A Glasgow-Blatchford Bleeding Score of >2 Is a Poor Predictor of Endoscopic Intervention in Nonvariceal Upper GI Bleeding

Key Points The Glasgow-Blatchford Bleeding Score is recommended by many society guidelines to identify patients with upper gastrointestinal bleeding in need of emergent upper endoscopy. A Glasgow-Blatchford Bleeding Score cutoff of >2 was not an accurate criterion to triage patients with nonvariceal acute gastrointestinal bleeding for inpatient emergent esophagogastroduodenoscopy in...

Posted in: Gastroenterology38

SMJ Article | Review Article

Gallbladder Dyskinesia

Gallbladder dyskinesia is a functional disorder of the gastrointestinal tract, which can result in debilitating episodes of abdominal pain and associated symptoms. Key diagnostic criteria include a diminished gallbladder ejection fraction on scintigraphy and absence of other causes for the symptoms. Pathologic findings and follow-up suggest a distinct mechanistic basis...

Posted in: Gastroenterology38

SMJ Article | Original Article

Does Finding Cecal Adenoma Increase the Risk of Discovering More and Advanced Adenomas in the Remainder of the Colon?

Objectives: Adenomatous polyps are common, occurring in up to 25% of the population older than 50 years of age in the United States. Conflicting data are present in the literature about the impact of specific adenoma locations and the prediction on the number and advanced histology of adenomas elsewhere. With...

Posted in: Colonic And Anorectal Disease8

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