In patients with ascites, a low SAAG (serum-ascites albumin gradient) <1.1 g/dl is usually thought to be caused by non-portal hypertensive etiologies. However, in this cohort of 76 cirrhotic patients withlow SAAG, the etiology could be identified in only 38% (bacterial peritonitis, malignancy, nephrotic syndrome). In non-cirrhotics, the etiology could be identified in 75% of cases. In those cirrhotics who had a repeat paracentesis to determine etiology, 73% had a high SAAG on repeat paracentesis. In patients with cirrhosis, the predictive value of SAAG in determining etiology of ascites is low (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 […]