Technology
  • A Point of Care Test to Identify Patients With Celiac Disease Before Endoscopy

A Point of Care Test to Identify Patients With Celiac Disease Before Endoscopy

A rapid, point-of-care test for deamidated gliadin peptide antibody (DGP) identifies patients with celiac disease with similar levels of sensitivity and specificity as standard serologic analysis of antibodies to tissue transglutaminase (anti-tTG). Use of this test before endoscopy could identify the best candidates for duodenal biopsy analysis, leading to cost

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VIDEO: Endoscopic Suturing for Ulcer Exclusion

Researchers report the use of endoscopic surgical suturing for ulcer exclusion in the July issue of Gastroenterology, and provide a video of their procedure. It is important to prevent rebleeding of peptic ulcers. A prototype endoscopic suturing device has been developed to provide hemostasis in patients with massively bleeding gastric ulcers. Philip Wai Yan Chiu et

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  • What is the Best Way to Remove a Bag of Methamphetamine From the Esophagus?

What is the Best Way to Remove a Bag of Methamphetamine From the Esophagus?

Researchers describe using endoscopy to remove an upper gastrointestinal obstruction caused by deliberate ingestion of illicit drug packets in the July issue of Clinical Gastroenterology and Hepatology. Timothy Cowan et al report the case of a 30 year old man in police custody after ingesting a plastic bag containing methamphetamine. The patient

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Is Stretta an Effective Treatment for GERD?

An expensive radiofrequency ablation technique known as Stretta does not benefit patients with gastroesophageal reflux disease (GERD), researchers report in the June issue of Clinical Gastroenterology and Hepatology. In a meta-analysis of randomized controlled studies, Seth Lipka et al found no evidence that Stretta normalized esophageal pH values, augmented lower esophageal

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  • Can Capsule Colonoscopy Accurately Detect Polyps and Adenomas?

Can Capsule Colonoscopy Accurately Detect Polyps and Adenomas?

In an average-risk screening population, capsule colonoscopy identified individuals with polyps and adenomas with high levels of specificity, researchers report in the May issue of Gastroenterology. This procedure might be useful for patients who cannot undergo colonoscopy or who had incomplete colonoscopies. Capsule endoscopy, which involves an ingestible pill-sized endoscope that

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  • Is Fecal Calprotectin a Good Marker of Crohn’s Disease Recurrence?

Is Fecal Calprotectin a Good Marker of Crohn’s Disease Recurrence?

The fecal concentration of calprotectin can be used to monitor for recurrence of Crohn’s disease, with a high enough negative predictive value that physicians can be confident they won’t miss patients with recurrent disease, researchers report in the May issue of Gastroenterology. Approximately 80% of patients with Crohn’s disease require surgery

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  • Special Issue: Food, the Immune System, and the GI Tract

Special Issue: Food, the Immune System, and the GI Tract

The digestion of food and absorption of nutrients is the principal role of the gastrointestinal (GI) tract—everyone wants to know what we should eat and how it affects our body. Interactions between food and the immune system affect our microbiome, development of food allergies, nutrition, risk for inflammatory disorders or cancer, and even

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  • Which Patients with Early-stage Ulcerative Colitis Have the Worst Prognoses?

Which Patients with Early-stage Ulcerative Colitis Have the Worst Prognoses?

It is a challenge to accurately identify patients with early-stage ulcerative colitis (UC) who are at highest risk for a poor outcome and therefore might require salvage therapy. In a Perspective article in the April issue of Clinical Gastroenterology and Hepatology, Walter Reinisch et al present prognostic factors for adults with newly

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  • What is the Best way to Monitor and Manage Dysplasia in Patients with IBD?

What is the Best way to Monitor and Manage Dysplasia in Patients with IBD?

The American Gastroenterological Association, along with the American Society for Gastrointestinal Endoscopy, have issued updated recommendations for the surveillance and management of dysplasia in patients with inflammatory bowel disease (IBD).  In a commentary in the March issue of Gastroenterology, James F. Marion and Bruce E. Sands discuss the recommendations, and how gastroenterologists should best monitor and manage dysplasia

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  • Are CMS Payments Associated with Numbers of Medicare Beneficiaries in Each State?

Are CMS Payments Associated with Numbers of Medicare Beneficiaries in Each State?

Medicare and Medicaid Service payments vary greatly across the US, but are not associated with the volume of Medicare beneficiaries or overall per-capita health care costs for each state, researchers report in the March issue of Clinical Gastroenterology and Hepatology. There are large geographic disparities in costs of health care, including costs of

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