Gastroenterology
- Bleeding esophageal varices: Who should receive a shunt?
A transjugular intrahepatic portosystemic shunt can prevent repeated variceal bleeding and control refractory ascites.
- Treating Helicobacter pylori effectively while minimizing misuse of antibiotics
H pylori infection is an infectious disease and should be treated like one, with due consideration of resistance.
- Which bowel preparation should be used for colonoscopy in patients who have had bariatric surgery?
The authors routinely use low-volume (2-L) polyethylene glycol preparations in split-dose regimens.
- Chronic constipation: Update on management
If conservative treatments fail, clinicians can choose from a growing list of new ones.
- Fighting the reflux reflex
We should think twice when making a clinical diagnosis of gastroesophageal reflux disease.
A man with progressive dysphagiaDifficulty swallowing can be caused by problems in the oropharynx or in the esophagus.
- Necrotizing pancreatitis: Diagnose, treat, consult
Patients may need intensive care, nutritional support, antibiotics, and radiologic, endoscopic, or surgical interventions.
- Heartburn or heart attack? A mimic of MI
The diagnosis: milk-alkali syndrome, complicated by thiazide use.
- Measuring both serum amylase and lipase for acute pancreatitis lowers quality and raises cost
Measuring lipase alone is sufficient.
- Another complication of cirrhosis
A patient with cirrhosis presents with acute abdominal pain and shock.
