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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Gastroenterology

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    Fundic gland polyps: Should my patient stop taking PPIs?
    Jiafei (Carolyn) Niu, DO and Yi Qin, MD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 157-160; DOI: https://doi.org/10.3949/ccjm.90a.22058

    Of the 2 types of these polyps, the sporadic type is linked to proton pump inhibitor use, whereas the syndromic type occurs on a background of familial adenomatous polyposis—a key distinction.

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    Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
    Risheng Xu, DO, Austin Vaughan, DO, Mitchell Fagan, DO, Dylan P. Schumacher, MD, Verra Wekullo, MD and Bruce Gehrke, MD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 165-171; DOI: https://doi.org/10.3949/ccjm.90a.21060

    Most cases are in older men with diverticular disease, Crohn disease, cancer, or iatrogenic injury. Suspect it especially in these patients with UTI symptoms refractory to conventional treatments.

  • You have access
    Evaluation and management of gastroesophageal reflux disease: A brief look at the updated guidelines
    Priya Sasankan, MD and Prashanthi N. Thota, MD, FACG
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 700-703; DOI: https://doi.org/10.3949/ccjm.89a.22059

    Updated guidelines from the American College of Gastroenterology address the evaluation and management of reflux disease, consequences of long-term PPI therapy, and emerging therapies.

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    When should antithrombotic therapy be resumed after gastrointestinal bleeding?
    Dushyant Singh Dahiya, MD, Asim Kichloo, MD, FACP, Rawan Amir, MD and Farah Wani, MD
    Cleveland Clinic Journal of Medicine November 2022, 89 (11) 630-633; DOI: https://doi.org/10.3949/ccjm.89a.20189

    The timing should be individualized after considering factors related to the bleeding event, thromboembolic risk, and patient comorbidities.

  • You have access
    Scaly plaques in a malnourished patient
    Sandra Oska, MD, Harleen Arora, MD and Allison Zarbo, MD
    Cleveland Clinic Journal of Medicine October 2022, 89 (10) 551-552; DOI: https://doi.org/10.3949/ccjm.89a.21112

    A markedly low serum zinc level and the characteristic location of the rash in a patient with long-standing alcohol use disorder and cirrhosis led to the correct diagnosis.

  • You have access
    Mucinous ascites: Pseudomyxoma peritonei
    Sansrita Nepal, MD, Adam Schwertner, MD and John M. Cunningham, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 491-493; DOI: https://doi.org/10.3949/ccjm.89a.21086

    A 59-year-old man presented with progressive abdominal distention that limited daily activities and oral intake. The ascitic fluid was markedly viscous and jelly-like.

  • Cirrhotic coagulopathy: A rebalanced hemostasis
    You have access
    Cirrhotic coagulopathy: A rebalanced hemostasis
    Achintya D. Singh, MD, MBBS, Simon R. Mucha, MD and Christina C. Lindenmeyer, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 523-533; DOI: https://doi.org/10.3949/ccjm.89a.21018

    Cirrhosis affects all 3 phases of coagulation, leading to a delicate new equilibrium, easily disturbed and tipped toward either bleeding or thrombosis by acute events such as infection, renal failure, and invasive procedures.

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    Which ICU patients need stress ulcer prophylaxis?
    CME article
    Mariam Saeed, MD, Stephanie Bass, PharmD and Neal F. Chaisson, MD
    Cleveland Clinic Journal of Medicine July 2022, 89 (7) 363-367; DOI: https://doi.org/10.3949/ccjm.89a.21085

    An examination of the controversy surrounding stress ulcer prophylaxis in critically ill patients, with guidance for its appropriate use in this setting.

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    A clinical trial and another clinical practice bites the dust, or should there not be an appendix?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 288-289; DOI: https://doi.org/10.3949/ccjm.89b.06022

    Studies over the past 2 decades have assessed an alternative approach to acute appendicitis: treatment with systemic antibiotics and observation.

  • You have access
    Appendicitis management: Is it time for a change?
    Anthony DeRoss, MD, FACS, FAAP and Alisan Fathalizadeh, MD
    Cleveland Clinic Journal of Medicine June 2022, 89 (6) 309-313; DOI: https://doi.org/10.3949/ccjm.89a.21012

    Antibiotic therapy has been a successful alternative to surgery for more than 60 years, but surgery is still the primary treatment.

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