Gastroenterology

  • Functional dyspepsia: How to manage the burn and the bloat
    Functional dyspepsia: How to manage the burn and the bloat
    Scott Gabbard, MD and Nina Vijayvargiya, BS
    Cleveland Clinic Journal of Medicine May 2024, 91 (5) 301-307; DOI: https://doi.org/10.3949/ccjm.91a.23062

    The authors discuss how to diagnose and treat the 2 subtypes of functional dyspepsia: epigastric pain syndrome (burning and pain) and postprandial distress syndrome (bloating and satiety).

  • Microscopic colitis: What is it, and what are the treatment options?
    Katherine E. Westbrook, DO and Ari Garber, MD, EdD, MS, EdM
    Cleveland Clinic Journal of Medicine April 2024, 91 (4) 215-216; DOI: https://doi.org/10.3949/ccjm.91a.23057

    Budesonide, first-line therapy for this inflammatory disorder characterized by chronic diarrhea, improves symptoms and quality of life.

  • What are the management considerations for venous thromboembolic events in patients with cirrhosis?
    Marie M. Plante, MD, BSN, RN, Emily B. Wolf, MD and Razvan M. Chirila, MD
    Cleveland Clinic Journal of Medicine February 2024, 91 (2) 86-88; DOI: https://doi.org/10.3949/ccjm.91a.23045

    The authors review the current evidence on venous thromboembolic event (VTE) risk prediction in patients with cirrhosis, as well as VTE prophylaxis and anticoagulant therapy.

  • Diagnosis and management of pancreatic cystic lesions for the non-gastroenterologist
    Diagnosis and management of pancreatic cystic lesions for the non-gastroenterologist
    Arjun Chatterjee, MD, Tyler Stevens, MD, FACG, FASGE and Prabhleen Chahal, MD, FACG, FASGE
    Cleveland Clinic Journal of Medicine February 2024, 91 (2) 96-102; DOI: https://doi.org/10.3949/ccjm.91a.23019

    A summary of current guidelines from several organizations on the diagnosis and surveillance of pancreatic cystic lesions.

  • Gastric intestinal metaplasia and gastric cancer prevention: Watchful waiting
    Shrouq Khazaaleh, MD, Mohammad Alomari, MD, Mamoon Ur Rashid, MD, Daniel Castaneda, MD and Fernando J. Castro, MD
    Cleveland Clinic Journal of Medicine January 2024, 91 (1) 33-39; DOI: https://doi.org/10.3949/ccjm.91a.23015

    Malignancy develops in only a small minority of patients with gastric intestinal metaplasia. Recognition of clinical, endoscopic, and histologic features linked with cancer development is critical to identifying patients who require endoscopic surveillance.

  • The drop of a pin: Accidental ingestion of a sharp foreign body
    Mina Rismani, MD, Adrian Pona, MD and Monia E. Werlang, MD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 737-742; DOI: https://doi.org/10.3949/ccjm.90a.23029

    If endoscopic retrieval fails, conservative management may be appropriate with daily abdominal radiography.

  • Anchors away
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 652-653; DOI: https://doi.org/10.3949/ccjm.90b.11023

    Before you read this, I recommend that you read the interesting article in this issue by Prakash et al, part of our Symptoms to Diagnosis series.

  • Elevated aminotransferases in a 62-year-old woman
    Shahana Prakash, MD, Steven Moore, MD, PhD, Anthony Snow, MD and Kyle E. Brown, MD, FAASLD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 669-674; DOI: https://doi.org/10.3949/ccjm.90a.23011

    Her medical history included gastroesophageal reflux disease and Sjögren syndrome. She had recently returned from travel to Malaysia.

  • Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
    Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications
    Asim Kichloo, MD, Michael Aljadah, MD, Michael Albosta, MD, Zain El-Amir, MD, Ghazaleh Goldar, MD, Muhammed Zatmar Khan, MD, Dushyant Singh Dahiya, MD and Farah Wani, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 693-701; DOI: https://doi.org/10.3949/ccjm.90a.21043

    The authors review management of cirrhosis and complications such as esophageal varices and hepatocellular carcinoma, as well as chemical and medication exposures.

  • Portopulmonary hypertension: A focused review for the internist
    Portopulmonary hypertension: A focused review for the internist
    Mamta S. Chhabria, MD, Leela Krishna Teja Boppana, MD, Gaurav Manek, MD and Adriano R. Tonelli, MD, MSc
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 632-639; DOI: https://doi.org/10.3949/ccjm.90a.23023

    Key aspects of screening, diagnosis, and treatment, and a review of the various pulmonary hemodynamic patterns encountered in patients with liver disease.

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