Article
Risk of Major GI Adverse Events with Use of Potassium Binders in the Hospital
April 1, 2025
Clinical question: Are the new potassium binders, patiromer, and sodium zirconium cyclosilicate (SZC) safer than sodium polystyrene sulfonate (SPS)? Background: Potassium binders were created to...
Gastrointestinal Risks Associated with GLP-1 Receptor Agonists in Patients with Obesity
December 2, 2024
Clinical question: What is the risk of gastrointestinal adverse events associated with glucagon-like peptide-1 (GLP-1) receptor agonists used for weight loss compared to...
Article
Lactated Ringers in the First 24 Hours of Hospitalization May Improve Acute Pancreatitis Severity
October 1, 2024
Ms. Thuy Dam Clinical question: Does the administration of lactated ringers (LR) in the first 24 hours of admission reduce the risk of more severe forms of acute pancreatitis compared to normal...
Article
Periprocedural Management of Patients with AF Receiving a DOAC Undergoing a Digestive Endoscopy
March 1, 2024
Clinical question: How long should patients with atrial fibrillation (AF) on a direct oral anticoagulant (DOAC) hold anticoagulation when undergoing endoscopy? Background: Given limited direct...
Article
CT for Evaluation of Acute Abdominal Pain is Less Accurate Without Contrast
September 1, 2023
Dr. Gordon Clinical question: How does the addition of contrast to a CT abdomen and pelvis ordered to evaluate abdominal pain in an emergency department (ED) setting impact diagnostic...
Article
Updates on Gastroenterology and Hepatology
July 5, 2023
Dr. Sears’s fun, fast-paced speaking style peppered with her wellness moments (and El Arroyo quotes) always make for an excellent learning experience. Her quick recap on acute pancreatitis...
Article
Moderate Fluid Resuscitation Preferred Over Aggressive Resuscitation in Acute Pancreatitis
June 1, 2023
Dr. Houston Clinical question: Does early, aggressive, fluid resuscitation improve clinical outcomes in acute pancreatitis when compared to moderate fluid resuscitation? Background: Studies...
Article
Procalcitonin to Predict Severity of Acute Cholangitis and Need for Urgent Biliary Decompression
May 1, 2023
Dr. Ally Clinical question: What impact does procalcitonin have on the management of acute cholangitis? Background: Procalcitonin has been used to predict disease severity that may lead...
Article
Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis
May 1, 2023
Dr. Hammond Clinical question: Is early, aggressive, fluid resuscitation in acute pancreatitis or moderate fluid resuscitation the best and safest way to prevent progression to moderately severe...
Article
Endoscopic Intervention Within 6-24 Hours for Non-variceal Upper GI Bleeding Leads to More Favorable Outcomes Compared to Early and Late Intervention
March 1, 2023
Clinical question: How does the timing of endoscopic intervention affect clinical outcomes in patients with acute non-variceal upper gastrointestinal (GI) bleeding? Background: Previous studies have...