• 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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Deadly Bacteria Transmitted by Duodenoscopes

Duodenoscopes and endoscopes used in retrograde cholangiopancreatography are causing infections with carbapenem-resistant enterobacteriaceae (CRE) and possibly other bacteria throughout the US. While medical societies and journals scramble to increase awareness of infection risks, medical centers are already taking precautions to avoid further infections. The US Food and Drug Administration (FDA),

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Video: Use of Full Thickness Resection Device to Remove a Diverticular Polyp

Researchers present a video demonstrating how a full-thickness resection device allows for safe, single-step endoscopic removal and closure of a diverticular adenoma, without leakage of bowel content into the peritoneal cavity. This system, described in the November issue of Gastroenterology, allows for secure resection of high-risk lesions and might even be performed in an outpatient setting.

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Does EGD Identify Causes of Abdominal Pain in Children?

Esophagogastroduodenoscopy (EGD) is a useful tool for the diagnosis of children with abdominal pain, researchers report in the June issue of Clinical Gastroenterology and Hepatology. The procedure identified disorders for which medical therapy was effective in 67% of children. Chronic abdominal pain is the most common indication for EGD in children.

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  • Does Getting Rid of H pylori Stop Gastric Cancer’s Return?

Does Getting Rid of H pylori Stop Gastric Cancer’s Return?

Eradication of Helicobacter pylori after endoscopic resection of gastric lesions doesn’t prevent later development of new stomach tumors, researchers report in the May issue of Clinical Gastroenterology and Hepatology. H pylori infection can lead to gastric atrophy, intestinal metaplasia, and dysplasia or cancer—specifically non-cardia gastric cancer. It does so by inducing inflammation

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What to do About Gastric Polyps

When clinicians detect a gastric polyp during endoscopy, they are faced with many questions: does the polyp need to be excised, or can a biopsy sample be collected and analyzed? Which polyps should be biopsied? Should patients then be followed, and how? In the November issue of Clinical Gastroenterology and

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What is the Best Way to Remove Nails from a Stomach?

The common refrigerator magnet can aide in endoscopic retrieval of ingested metal objects, researchers show in the September issue of Clinical Gastroenterology and Hepatology. Wilson T. Kwong and John T. Chang describe the case of a 41-year-old woman with a history of depression who arrived at the emergency department after

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A More Effective Treatment for Achalasia

A specialized endoscopic procedure called peroral endoscopic myotomy (POEM) is a safe and effective treatment for esophageal achalasia, according to the August issue of Gastroenterology. Achalasia is an esophageal motility disorder characterized by incomplete relaxation of the lower esophageal sphincter, increased sphincter tone, and disrupted peristalsis. It causes dysphagia, regurgitation,

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Does a Response to Proton Pump Inhibitor Therapy Indicate GERD?

Just because a patient’s upper gastrointestinal symptoms are alleviated by proton pump inhibitors (PPIs) doesn’t necessarily mean that they have gastroesophageal reflux disease (GERD), according to the December issue of Clinical Gastroenterology and Hepatology. The efficacy of PPI therapy often is tested to determine whether patients’ symptoms are acid-related and

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A Robot to Remove Gastric Neoplasias

Researchers describe a robotic, flexible endoscopy system that can be safely used to remove early-stage stomach tumors in the October issue of Clinical Gastroenterology and Hepatology. Endoscopic submucosal dissection (ESD) is an effective technique to remove early-stage gastrointestinal tumors. However, it is difficult to master because it requires submucosal dissection

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