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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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    Which patients with presumed acute infectious diarrhea in an outpatient setting should undergo gastrointestinal pathogen panel testing?
    Brittany Jackson, MD, Sabrina Billings, MD, Dana M. Harris, MD, Jane Hata, PhD and Mary S. Hedges, MD
    Cleveland Clinic Journal of Medicine February 2025, 92 (2) 83-86; DOI: https://doi.org/10.3949/ccjm.92a.24084

    Use of a gastrointestinal pathogen panel is warranted in certain individuals, such as those with fever, visible blood in the stool, sepsis, or a compromised immune system.

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    Abdominal pain in a patient with epistaxis, telangiectasias, and arteriovenous malformations
    Akash Mathavan, MD, Akshay Mathavan, MD, Andreas Giovanni Zori, MD, Marc Stuart Zumberg, MD, Jeb M. Justice, MD and Ali Ataya, MD
    Cleveland Clinic Journal of Medicine October 2024, 91 (10) 601-608; DOI: https://doi.org/10.3949/ccjm.91a.24042

    The pain was radiating to the back, exacerbated by eating, and accompanied by intermittent nausea and fatigue.

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    Treatment of H pylori infection
    Cleveland Clinic Journal of Medicine October 2024, 91 (10) 638;

    In the August 2024 issue, the article “Helicobacter pylori: A concise review of the latest treatments against an old foe” by Aldhaleei WA, Wallace MB, Harris DM, Bi Y [Cleve Clin J Med 2024; 91(8):481–487; doi:10.3949/ccjm.91a.24031] contained an error in the first paragraph of the section titled “Proton pump inhibitor or potassium-competitive acid blockers” (pages 484–485).

  • You have access
    Mesenteric ischemia: Recognizing an uncommon disorder and distinguishing among its causes
    Teresa Wu, MD and Aravinda Nanjundappa, MBBS, MD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 545-550; DOI: https://doi.org/10.3949/ccjm.91a.23094

    Mesenteric ischemia is associated with high mortality and often poses a diagnostic challenge. Early recognition and diagnosis are imperative to improve outcomes.

  • You have access
    Abdominal pain without physical findings is not always without physical cause
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 527-528; DOI: https://doi.org/10.3949/ccjm.91b.09024

    Mesenteric ischemia is a serious clinical entity characterized by a disconnect between the patient’s symptoms and the physical examination.

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    What fluids should I order for my patient with acute pancreatitis?
    Anusha Agarwal, MD, Arjun Chatterjee, MD and Prabhleen Chahal, MD
    Cleveland Clinic Journal of Medicine August 2024, 91 (8) 466-468; DOI: https://doi.org/10.3949/ccjm.91a.24027

    Recent data show that moderate fluid resuscitation is associated with fewer adverse events and that lactated Ringer’s may be superior to normal saline.

  • You have access
    Helicobacter pylori: A concise review of the latest treatments against an old foe
    Wafa A. Aldhaleei, MBBCh, MSc, MPH, Michael B. Wallace, MD, MPH, Dana M. Harris, MD and Yan Bi, MD, PhD
    Cleveland Clinic Journal of Medicine August 2024, 91 (8) 481-487; DOI: https://doi.org/10.3949/ccjm.91a.24031

    H pylori eradication regimens are tailored based on the presence of effective empiric therapy (local cure rates ≥ 90% for a given regimen) or antimicrobial susceptibility testing.

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    Does my patient with acute variceal hemorrhage need a transjugular intrahepatic portosystemic shunt?
    Mahnur Haider, MD, Indira Bhavsar-Burke, MD, Robert S. O’Shea, MD, MSCE and Christina C. Lindenmeyer, MD
    Cleveland Clinic Journal of Medicine July 2024, 91 (7) 409-413; DOI: https://doi.org/10.3949/ccjm.91a.24014

    Placement of a transjugular intrahepatic portosystemic shunt can be used as salvage therapy to control bleeding when endoscopic management fails and as a means of secondary prophylaxis in select patients.

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    Should an NPO order be placed for my patient with acute pancreatitis?
    Aaron Pathak, BA, Siena Blackwell, BSN and Robert Jay Sealock, MD
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 341-343; DOI: https://doi.org/10.3949/ccjm.91a.24009

    Resting the pancreas with extended periods of nothing by mouth status or total parenteral nutrition is no longer considered the standard of care.

  • You have access
    Gastroparesis for the nongastroenterologist
    Jorge Araujo-Duran, MD, Arjun Chatterjee, MD and Samita Garg, MD
    Cleveland Clinic Journal of Medicine June 2024, 91 (6) 373-383; DOI: https://doi.org/10.3949/ccjm.91a.23078

    The authors explore how primary care clinicians can use current recommendations to manage patients with mild to moderate gastroparesis.

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