Gastroenterology

  • Colorectal cancer screening: Choosing the right test
    Gautam Mankaney, MD, Richard Andrew Sutton, DO and Carol A. Burke, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 385-392; DOI: https://doi.org/10.3949/ccjm.86a.17125

    The choice depends on patient preference, family history, and the likelihood of compliance.

  • Dabigatran-induced esophagitis
    Yusaku Kajihara, MD, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 303; DOI: https://doi.org/10.3949/ccjm.86a.18117

    The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.

  • Gastric outlet obstruction: A red flag, potentially manageable
    Andree H. Koop, MD, William C. Palmer, MD and Fernando F. Stancampiano, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 345-353; DOI: https://doi.org/10.3949/ccjm.86a.18035

    Presume the cause to be a malignant tumor untill proven otherwise.

  • Personalizing guideline-driven cancer screening
    Gautam Mankaney, MD and Carol A. Burke, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 228-230; DOI: https://doi.org/10.3949/ccjm.86a.19037

    Screening can lead to early diagnosis and prevent death from cancer, but the topic provokes controversy.

  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

  • Assessing liver fibrosis without biopsy in patients with HCV or NAFLD
    Tavankit Singh, MD, Daniela S. Allende, MD and Arthur J. McCullough, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 179-186; DOI: https://doi.org/10.3949/ccjm.86a.17118

    Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.

  • A new reason to reconsider that antibiotic prescription: The microbiome
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 906-907; DOI: https://doi.org/10.3949/ccjm.85b.12018

    Prescribing an antibiotic is a far more complicated and long-lasting affair than most of us thought.

  • Acute necrotizing esophagitis
    Takeshi Kondo, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.85a.18054

    Poorly controlled diabetes, confusion, coffee-ground emesis.

  • Are anti-TNF drugs safe for pregnant women with inflammatory bowel disease?
    Gregory T. Brennan, MD, Alex Duong, Emily T. Nguyen, PharmD and Douglas L. Nguyen, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 923-924; DOI: https://doi.org/10.3949/ccjm.85a.18037

    Active IBD poses a greater risk than continuing drug therapy.

  • Our missing microbes: Short-term antibiotic courses have long-term consequences
    Martin J. Blaser, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 928-930; DOI: https://doi.org/10.3949/ccjm.85gr.18005

    Is the rise in chronic diseases due to loss of microbial diversity?

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