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...
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...
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...
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...
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...
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...
Aggressive IV Fluids Plus Rectal NSAIDs Don’t Prevent Post-ERCP Pancreatitis
January 3, 2023
Dr. Moulder Clinical question: Does the addition of aggressive intravenous hydration to rectal nonsteroidal anti-inflammatory drugs (NSAIDs) help prevent post-endoscopic retrograde...
Non-gastrointestinal complications, including ischemic stroke, are more common than bleeding or perforation following screening colonoscopy in older adults
May 2, 2022
Clinical question: What serious non-gastrointestinal adverse events are due to screening colonoscopy? Dr. Gordon Background: Although the gastrointestinal (GI) risks of colonoscopy have been...
Safe to treat mild acute diverticulitis without antibiotics outside the hospital?
April 1, 2022
Dr. Scaletta Clinical question: Can clinicians successfully manage mild acute diverticulitis on an outpatient basis without antibiotics? Background: Incidence of diverticular disease is...
No benefit for immediate intervention for infected necrotizing pancreatitis
January 7, 2022
Dr. Berry Clinical question: Is drainage within 24 hours of diagnosis of infected necrotizing pancreatitis superior at preventing complications? Background: Diagnosis of infected necrotizing...