Search results for "Gastroenterology"
Surgery for malignant small bowel obstruction did not reduce 90-day mortality
A comparison in which some patients with malignant small bowel obstruction were randomized and some chose between surgery and nonsurgical management found no difference in mortality between treatments, but surgery was associated with more symptom improvement.
https://acphospitalist.acponline.org/archives/2023/08/09/surgery-for-malignant-small-bowel-obstruction-did-not-reduce-90-day-mortality.htm
9 Aug 2023
Prophylactic antibiotics did not improve survival in severe alcohol-related hepatitis
A double-blind randomized trial found no significant differences in all-cause mortality between hospitalized participants who received amoxicillin-clavulanate in addition to prednisolone versus prednisolone alone.
https://acphospitalist.acponline.org/archives/2023/05/17/prophylactic-antibiotics-did-not-improve-survival-in-severe-alcohol-related-hepatitis.htm
17 May 2023
CDC outlines treatment considerations for severe manifestations of mpox
A new report reviewed medical countermeasures and other treatment considerations for clinicians managing ocular infections, neurologic complications, myopericarditis, mucosal lesion complications, and uncontrolled viral spread in patients with mpox.
https://acphospitalist.acponline.org/archives/2023/03/15/free/cdc-outlines-treatment-considerations-for-severe-manifestations-of-mpox.htm
15 Mar 2023
Hospitalists can help eliminate HCV
Hospitals are the latest frontier in global efforts to diagnose and treat hepatitis C virus (HCV).
https://acphospitalist.acponline.org/archives/2023/01/11/free/hospitalists-can-help-eliminate-hcv.htm
11 Jan 2023
Thoracic Park
Get ready for the medical remakes of your favorite blockbuster movies.
https://acphospitalist.acponline.org/archives/2022/08/03/free/thoracic-park.htm
3 Aug 2022
Procalcitonin algorithm reduced antibiotic use in patients with acute pancreatitis
A randomized trial assigned some patients to a treatment strategy of starting, stopping, or continuing antibiotics based on whether their procalcitonin test value was more or less than 1.0 ng/mL.
https://acphospitalist.acponline.org/archives/2022/07/27/procalcitonin-algorithm-reduced-antibiotic-use-in-patients-with-acute-pancreatitis.htm
27 Jul 2022
Two risk scores most accurately predict outcomes after lower GI bleeding
The Oakland score performed best for predicting safe discharge, major bleeding, and transfusion, while the Strate score performed best for hemostasis, according to a recent review and meta-analysis that assessed four scores.
https://acphospitalist.acponline.org/archives/2022/06/08/two-risk-scores-most-accurately-predict-outcomes-after-lower-gi-bleeding.htm
8 Jun 2022
A click to improve cirrhosis care
An electronic alert increased use of rifaximin in patients with cirrhosis who were taking lactulose and were admitted with hepatic encephalopathy.
https://acphospitalist.acponline.org/archives/2022/06/01/free/a-click-to-improve-cirrhosis-care.htm
1 Jun 2022
Manage meds to treat GI bleeding before, after endoscopy
Care of inpatients with GI bleeding is complicated and multidisciplinary, but hospitalists can contribute by starting and stopping the right drugs, according to a speaker at Internal Medicine Meeting 2022.
https://acphospitalist.acponline.org/archives/2022/05/18/free/manage-meds-to-treat-gi-bleeding-before-after-endoscopy.htm
18 May 2022
Fecal microbiota transplant appears cost-effective for first recurrent C. diff infection
A modeling study found the greatest cost-effectiveness with fidaxomicin for initial nonsevere Clostridioides difficile infection, with vancomycin for initial severe infection, and with fecal microbiota transplant for first and subsequent recurrent infection.
https://acphospitalist.acponline.org/archives/2022/03/23/fecal-microbiota-transplant-appears-cost-effective-for-first-recurrent-c-diff-infection.htm
23 Mar 2022