• 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

Read more

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

Read more

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

Read more

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,

Read more

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

Read more

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

Read more

What is the Best Way to Assess Bile Duct Strictures?

Researchers describe new methods to collect and process bile duct biopsies for evaluation of strictures, in the September issue of Clinical Gastroenterology and Hepatology. These approaches should provide a greater quantity of material for analysis and increase the accuracy of diagnosis. A biliary stricture is an abnormal narrowing of the

Read more

Do Stents Prevent Pancreatitis After ERCP?

Pancreatic duct stents reduce the incidence of pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP), according to a study published in the October issue of Clinical Gastroenterology and Hepatology. Pancreatitis is the most common and potentially serious complication following ERCP, occurring in up to 9% of patients that receive this procedure and

Read more