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Gastroenterology

  • 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...

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