The ACP has published guidelines on the appropriate use of EGD, which is indicated for patients with heartburn with “alarm symptoms”, to assess healing of esophagitis or Barretts, for recurrent dysphagia/stricture, to assess GERD that has failed PPI therapy, and for men>50 with long term symptoms (>5 years) to assess for adenocarcinoma (abstract).
This large systematic review found rectal NSAIDs significantly reduced the risk of post-ERCP pancreatitis compared to pancreatic duct stents (abstract).
This large population-based cohort found the most common causes of drug induced liver injury to be augmentin and diclofenac, followed by herbal and nutritional supplements (abstract).
This large trial of patients with a relative contraindication for enteral feeds were randomized to early TPN or usual care. There were no differences in the groups in 60 day mortality or LOS, but those on TPN did have a shorter time ventilated and less muscle/fat loss. It is unclear based on this trial if […]