Gastroenterology
- Which patients with presumed acute infectious diarrhea in an outpatient setting should undergo gastrointestinal pathogen panel testing?
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.
- Abdominal pain in a patient with epistaxis, telangiectasias, and arteriovenous malformations
The pain was radiating to the back, exacerbated by eating, and accompanied by intermittent nausea and fatigue.
- Treatment of H pylori infection
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).
- Mesenteric ischemia: Recognizing an uncommon disorder and distinguishing among its causes
Mesenteric ischemia is associated with high mortality and often poses a diagnostic challenge. Early recognition and diagnosis are imperative to improve outcomes.
- Abdominal pain without physical findings is not always without physical cause
Mesenteric ischemia is a serious clinical entity characterized by a disconnect between the patient’s symptoms and the physical examination.
- What fluids should I order for my patient with acute pancreatitis?
Recent data show that moderate fluid resuscitation is associated with fewer adverse events and that lactated Ringer’s may be superior to normal saline.
- Helicobacter pylori: A concise review of the latest treatments against an old foe
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.
- Does my patient with acute variceal hemorrhage need a transjugular intrahepatic portosystemic shunt?
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.
- Should an NPO order be placed for my patient with acute pancreatitis?
Resting the pancreas with extended periods of nothing by mouth status or total parenteral nutrition is no longer considered the standard of care.
- Gastroparesis for the nongastroenterologist
The authors explore how primary care clinicians can use current recommendations to manage patients with mild to moderate gastroparesis.