Each month the Co-Editors-in-Chief Dr. Jasmohan Bajaj and Dr. Millie Long interview authors of clinically relevant articles published in the American Journal of Gastroenterology (AJG). A must-listen for any practicing gastroenterologist.
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ACG Clinical Guideline for the Diagnosis and Management of GERD
16:43
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Co-Editor-in-Chief Jasmohan Bajaj and Dr Philip Katz of Weill Cornell Medicine discuss the recently published ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease. First author Dr. Katz discusses how PPIs remain the medical treatment of choice for GERD even though multiple publications question potential advers…
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Comparative Safety of Endoscopic vs Radiological Gastrostomy Tube Placement
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Divyanshoo R. Kohli, MD of the Kansas City VA Medical Center in Missouri, discusses his publication of a retrospective analysis and comparison of outcomes of PEG and IRG using an integrated nationwide database. (19:29)Door Dr. Divyanshoo Kohli
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Controversies in Gastroparesis: Discussing the Sticky Points
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Co-Editor-in-Chief Brennan Spiegel, MD, MSHS, FACG interviews his Co-Editor-in-Chief Brian Lacy, MD, PhD, FACG on the recent Red Section article "Controversies in Gastroparesis: Discussing the Sticky Points." Listen for a discussion on the 10 controversies in gastroparesis, including the uncommonness of abdominal pain in patients with gastroparesis…
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ACG Clinical Guidelines: Prevention, Diagnosis, and Treatment of Clostridioides difficile
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Colleen Kelly, MD, FACG joins Co-Editor-in-Chief Brian Lacy, MD, PhD, FACG to discuss the preferred approach to the management of adults with C. difficile infection taken from the ACG Clinical Guideline. (21:48)Door Dr Colleen Kelly
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ACG Clinical Guidelines: Management of Benign Anorectal Disorders
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Co-Editor-in-Chief Brennan Spiegel, MD, MSHS, FACG interviews Arnold Wald, MD, MACG to discuss highlights from the ACG Clinical Guideline Management of Benign Anorectal Disorders, published in the October 2021 issue of the American Journal of Gastroenterology. Download slides summarizing key concepts and treatment recommendations for proctalgia syn…
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Ursodeoxycholic Acid Response Is Associated With Reduced Mortality in Primary Biliary Cholangitis With Compensated Cirrhosi
23:28
23:28
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23:28
Binu V. John, MD, MPH joins Co-Editor-in-Chief Brian Lacy, MD, PhD, FACG to discuss the retrospective study conducted through the US Veterans Administration which examined the association of ursodeoxycholic acid liver-related death, hepatic decompensation, and hepatocellular carcinoma in patients with primary biliary cirrhosis. (23:28)…
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Cholangiopathy After Severe COVID-19
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Ira Jacobson, MD, FACG joins Co-Editor-in-Chief Brian Lacy to discuss the recently published article on the clinical features and prognostic implication of cholangiopathy after severe COVID-19. (29:49)Door Dr Ira Jacobson
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Exploratory Comparative Effectiveness Trial of Green Kiwifruit, Psyllium, or Prunes in US Patients With Chronic Constipation
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Shanti Eswaran, MD and Co-Editor-in-Chief Brennan Spiegel, MD discuss the new study on how kiwifruit can improve symptoms in patients with chronic constipation. (15:58)Door Dr Shanti Eswaran
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ACG Clinical Guideline: ACG Clinical Guideline: Upper Gastrointestinal and Ulcer Bleeding
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Loren Laine MD, FACG joins Co-Editor-in-Chief Brennan Spiegel, MD, MSHS, FACG to discuss the ACG Clinical Guideline "Upper Gastrointestinal and Ulcer Bleeding." Dr. Laine discusses risk assessment in the emergency department in order to identify very-low-risk patients who may be discharged, as well as the recommendation for high-dose PPI therapy af…
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ACG Clinical Guideline: ACG Clinical Guideline: Diagnosis and Management of Idiosyncratic Drug-Induced Liver Injury
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K. Rajender Reddy MD, FACG speaks with Co-Editor-in-Chief Brian Lacy, MD on the new ACG Guideline Diagnosis and Management of Idiosyncratic Drug-Induced Liver Injury. Dr. Reddy offers clinical pearls of wisdom for diagnosing drug-induced liver injury in patients and reviews the new recommendations. (24:17)…
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Off-Label Use of Multitarget Stool DNA Testing in Primary Care
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Amol Agarwal, MD talks with Co-Editor-in-Chief Brennan Speigel, MD on whether or not the use of mt-sDNA testing in the primary care setting is an appropriate diagnostic tool for colorectal cancer screening.(16:40)Door Dr. Amol Agarwal
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Gender Disparities in Food Security, Dietary Intake, and Nutritional Health in the United States
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Join author Christopher Ma, MD, MPH and Co-Editor-in-Chief Dr. Brennan Spiegel as they discuss the newly published article on gender and food insecurities. Food insecurity represents a substantial public health challenge in the United States that differentially affects women compared with men. Alternative strategies may be required to meet the nutr…
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ACG Clinical Guidelines: Colorectal Cancer Screening 2021
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Aasma Shaukat, MD, MPH, FACG talks with Co-Editor in Chief Dr. Brian Lacy about the new ACG Guideline Colorectal Cancer Screening 2021. She discusses the new screening recommendations for average-risk individuals as young as 45 to reduce indicdence of advanced adenoma, CRC, and mortality from CRC. (22:22)…
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Evidence of Duodenal Epithelial Barrier Impairment and Increased Pyroptosis in Patients With Functional Dyspepsia
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William D. Chey, MD, discusses the first report of duodenal confocal laser endomicroscopy abnormalities in patients with functional dyspepsia.Door Dr. William D. Chey
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ACG Clinical Guideline: Management of Irritable Bowel Syndrome
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Mark Pimentel, MD, FACG, discusses the newly published ACG Guideline for Management of Irritable Bowel Syndrome.Door Dr. Mark Pimentel
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Assessing for Eating Disorders: A Primer for Gastroenterologists
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Monia E. Werlang MD of the University of South Carolina School of Medicine Greenville discusses how unidentified eating disorders can interfere with effective management of GI disease and its symptoms.Door Dr. Monia E. Werlang
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Environmental Impact of Endoscopy: “Scope” of the Problem
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Swapna Gayam, MD discusses her Red Section article on the carbon footprint of endoscopy procedures and methods that can help reduce this environmental impact, including reducing plastic wastage and energy consumption.Door Dr. Swapna Gayam
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An Analysis of the GIquIC Nationwide Quality Registry Reveals Unnecessary Surveillance Endoscopies in Patients with Normal and Irregular Z-Lines
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Sachin Wani, MD discusses the recent study published in AJG that examines endoscopic surveillance practices using data from the GI Quality Improvement Consortium Registry.Door Dr. Sachin Wani
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Impact of Famotidine Use on Clinical Outcomes of Hospitalized Patients with COVID-19
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Jeff Mather, MS, and Raymond McKay, MD discuss their study examining outcomes of famotidine treatment for patients hospitalized with COVID-19.Door Dr. Jeffrey Mather and Dr. Raymond McKay
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ACG Clinical Guideline: Clinical Use of Esophageal Physiologic Testing
21:13
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C. Prakash Gyawali, MD, MRCP, FACG discussed the new ACG Clinical Guidelines on Esophageal TestingDoor AJG Co-Editor Dr. Brian E. Lacy and Dr. C. Prakash Gyawali
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ACG Clinical Guideline: Achalasia
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Rena Yadlapati, MD, MHS summarizes the new ACG Clinical Guideline on Achalasia.Door AJG Co-Editors Dr. Brian E. Lacy and Dr. Rena Yadlapati
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COVID-19 and the Digestive System
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Dr. Brian Lacy interviews Dr. Brennan Spiegel about a recent review article published in AJG: COVID-19 and the Digestive System by Ma; Cong; and Zhang.Door AJG Co-Editors Dr. Brennan Spiegel and Dr. Brian E. Lacy
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ACG Clinical Guideline: Chronic Pancreatitis
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Timothy B. Gardner, MD, FACG, summarizes the new clinical guideline on diagnosis, etiology, and treatment of chronic pancreatitis.Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Timothy B. Gardner
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ACG Clinical Guideline: Small Intestinal Bacterial Overgrowth
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Mark Pimentel, MD, FACG, summarizes the new clinical guideline on small intestinal bacterial overgrowth.Door AJG Co-Editor Dr. Brian Lacy and Dr. Mark Pimentel
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ACG Clinical Guideline: Disorders of the Hepatic and Mesenteric Circulation
25:43
25:43
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25:43
Patrick Kamath, MD, summarizes the new clinical guideline on vascular liver disorders.Door AJG Co-Editor Dr. Brian Lacy and Dr. Patrick Kamath
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Lactulose Breath Testing as a Predictor of Response to Rifaximin in Patients With IBS-D
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Ali Rezaie, MD, advises how to assess IBS-D patients for possible response to rifaximin using lactulose breath tests.Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Ali Rezaie
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Women With NAFLD Lose Protection Against Cardiovascular Disease
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Alina Allen, MD, discusses the negative impact of NAFLD on cardiovascular disease risk in women.Door AJG Co-Editor Dr. Brian Lacy and Dr. Alina Allen
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A Clinician's Guide to Celiac Disease HLA Genetics
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Sonia Kupfer, MD, discusses the use and best practices of HLA genetic testing for celiac patients. (21:32)Door AJG Co-Editor Dr. Brian Lacy and Dr. Sonia Kupfer
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A Practical Path to Transitioning From Pediatric to Adult IBD Care
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Anita Afzali, MD, MPH, FACG, discusses how to successfully transition a patient from pediatric to adult IBD care. (22:25)Door AJG Co-Editor Dr. Brian Lacy and Dr. Anita Afzali
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Endoscopic Bariatric Therapy: A Guide to the Intragastric Balloon
25:02
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Barham K. Abu Dayyeh, MD, MPH, FASGE, summarizes the current state of intragastric balloons for treatment of class I and II obesity. (25:02)Door AJG Co-Editor Dr. Brian Lacy and Dr. Barham Abu Dayyeh
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ACG Clinical Guideline: Hereditary Hemochromatosis
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Kris Kowdley, MD, FACG, summarizes highlights from the new ACG Clinical Guidelines on hereditary hemochromatosis. (20:09)Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Kris Kowdley
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Fecal Microbiota Transplant for Patients With Primary Sclerosing Cholangitis
18:57
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Jessica Allegretti, MD, MPH, discusses the relationship between primary sclerosing cholangitis and inflammatory bowel disease, the biologic plausibility of fecal microbiota transplant for this condition, and the design of this pilot clinical trial. (18:57)Door AJG Co-Editor Dr. Brian Lacy and Dr. Jessica Allegretti
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Cannabinoid Use in Patients With Gastroparesis and Related Disorders
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Henry Parkman, MD, FACG, discusses current treatment options for gastroparesis, reasons why those treatments may fall short, and how cannabis may improve symptoms for these patients. (18:49)Door AJG Co-Editor Dr. Brian Lacy and Dr. Henry Parkman
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Detection of Gluten in Gluten-Free Labeled Restaurant Food Using Crowd-Sourced Data
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Benjamin Lebwohl, MD, MS, discusses results from a study analyzing presence of gluten in “gluten-free” restaurant food, based on data from users of the Nima gluten detection device. (19:30)Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Benjamin Lebwohl
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Using Ergonomics to Prevent Injuries for the Endoscopist
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Patrick Young, MD, FACG, discusses the types of injuries common to endoscopists and suggests strategies to minimize these overuse injuries. (10:09)Door AJG Co-Editor Dr. Brian Lacy and Dr. Patrick Young
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Pros and Cons of CRC Screening for Adults Aged 45-49 Years
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Jewel Samadder, MD, debates the pros and cons of changing the screening age for colorectal cancer to 45 years. (32:23)Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Jewel Samadder
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ACG Clinical Guideline: Ulcerative Colitis in Adults
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Millie Long, MD, MPH, FACG, summarizes highlights from the new ACG Clinical Guidelines on ulcerative colitis in adult patients. (21:11)Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Millie Long
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A Randomized Controlled Trial of TELEmedicine for Patients with IBD (TELE-IBD)
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Raymond Cross, MD, MS, explains what TELEmedicine is, how it can be useful for gastroenterologists, and how this study found improved quality of life for IBD patients using this service. (15:07)Door AJG Co-Editor Dr. Brian Lacy and Dr. Raymond Cross
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Influence of Dietary Restriction on Irritable Bowel Syndrome
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Mark Pimentel, MD, FACG, discusses non-pharmaceutical management approaches for IBS, including gluten-free diet, dairy-free diet, low FODMAP diet, and fiber. (21:55)Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Mark Pimentel
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Diagnosis and Management of Primary Biliary Cholangitis
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Zobair Younossi, MD, MPH, FACG, explains the definition, pathophysiology, diagnosis, and treatment of primary biliary cholangitis. (18:26)Door AJG Co-Editor Dr. Brian Lacy and Dr. Zobair Younossi
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Vedolizumab for Ulcerative Colitis: Treatment Outcomes from the VICTORY Consortium
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Parambir Dulai, MD, describes how vedoluzimab works, the design of the VICTORY study, and provides tips for using this agent for ulcerative colitis patients. (11:24)Door AJG Co-Editor Dr. Brian Lacy and Dr. Parambir Dulai
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Complications of Antireflux Surgery
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Rena Yadlapati, MD, discusses which patients are candidates for antireflux surgery, as well as the preparation, technique, and potential complications of this procedure. (13:09)Door AJG Co-Editor Dr. Brian Lacy and Dr. Rena Yadlapati
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ACG Monograph on Management of Irritable Bowel Syndrome
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Eamonn Quigley, MD, reviews the new ACG Monograph on the management of IBS, including recent data on probiotics, fiber, antibiotics, antispasmodics, psychological therapies, and prosecretory agents. (29:00)Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Eamonn Quigley
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ACG Clinical Guideline: Management of Crohn’s Disease in Adults
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Gary Lichtenstein, MD, FACG, discusses highlights from the comprehensive new guideline about the diagnosis, treatment, and management of Crohn’s disease. (32:15)Door AJG Co-Editor Dr. Brennan Spiegel and Dr. Gary Lichtenstein
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ACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts
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Grace Elta, MD, FACG, discusses why pancreatic cysts are identified more and more frequently, the best imaging modalities for diagnosis and following pancreatic cysts, and common biomarkers used to diagnose malignancy. Dr. Elta also walks through her algorithm for cyst classification. (17:00)Door AJG Co-Editor Dr. Brian Lacy and Dr. Grace Elta
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ACG Clinical Guideline: Alcoholic Liver Disease
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Vijay Shah, MD, FACG, discusses definition of alcohol use disorder, diagnostic tests for suspected cirrhosis and alcoholic hepatitis, and current treatment modalities, including when to refer for transplant. (16:45)Door AJG Co-Editor Dr. Brian Lacy and Dr. Vijay Shah
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When and How to Stop Surveillance Colonoscopy in Older Adults
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Sameer Saini, MD, MS, discusses the five rules of thumb for stopping screening colonoscopy in older adults: know the data, get a full history, individualize benefits and harms, engage the patient, and work with primary care colleagues. (21:42)Door AJG Co-Editor Dr. Brian Lacy and Dr. Sameer Saini
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Bezafibrate Plus Ursodeoxycholic Acid for Treatment of Pruritus in Primary Biliary Cholangitis
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Albert Pares, MD, PhD, discusses the symptoms, causes, and diagnostic approaches to primary biliary cholangitis. Dr. Pares also describes the results of his study, which combines bezafibrate with ursodeoxycholic acid (UDCA) to treat severe pruritus, the cardinal symptom of primary biliary cholangitis. (17:33)…
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Low-Dose Linaclotide (72 μg) for Chronic Idiopathic Constipation
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Philip Schoenfeld, MD, discusses results from a double-blind, randomized controlled trial of low-dose linaclotide for patients with chronic idiopathic constipation. (28:21)Door AJG Co-Editor in Chief Dr. Brennan Spiegel and Dr. Philip Schoenfeld
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Bariatric Surgery Complications: What to Expect in Your GI Practice
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Allison Schulman, MD, MPH, discusses the growing popularity and evolution of bariatric surgery as a weight-loss solution for morbidly obese patients and describes the most commonly performed bariatric procedures. She provides a thorough review of the most frequent complications for each procedure, including Roux-en-Y gastric bypass, sleeve gastrect…
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