SMJ Article | Review Article

The Epidemiology and Clinical Presentation of Pancreatic Divisum: A Case Series of 57 Case Reports

Objectives: Pancreatic divisum (PD) is the second most common congenital abnormality of the pancreatic duct, which affects 2% to 3% of the population. Most of the population remains asymptomatic, but in people who present with symptoms, it can be a cause of anguish and should be recognized. The main goal...

Posted in: Gastroenterology40

SMJ Article | Original Article

Effects of the COVID-19 Pandemic on Colectomy Outcomes for Inflammatory Bowel Disease

Objectives: Inflammatory bowel disease (IBD) encompasses Crohn’s disease (CD) and ulcerative colitis (UC). These two chronic inflammatory conditions can differ in severity, presentation, and anatomical localization, and can greatly affect quality of life if not managed properly. Given the many healthcare challenges during the coronavirus disease 2019 pandemic, we studied...

Posted in: Gastroenterology40

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: Gastroenterology40

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: Gastroenterology40

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: Gastroenterology40 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: Gastroenterology40

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: Gastroenterology40 Rheumatology and Orthopedics18

CME Course | Free | Credits: 1.0

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

Target Audience Southern Medical Journal (SMJ) is an interdisciplinary, multi-specialty Journal, and articles span the spectrum of medical topics, providing timely, up-to-date information for primary care physicians and specialists alike. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.  Therefore, the...

Posted in: Gastroenterology4 Rheumatology and Orthopedics2

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: Gastroenterology40

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

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