Gastroenterology
Reviews
Gastric outlet obstruction: A red flag, potentially manageable
Presume the cause to be a malignant tumor until proven otherwise.
The Clinical Picture
Dabigatran-induced esophagitis
The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.
The Clinical Picture
Gastroparesis in a patient with diabetic ketoacidosis
Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.
Commentary
Personalizing guideline-driven cancer screening
Screening can lead to early diagnosis and prevent death from cancer, but the topic provokes controversy.
Reviews
Assessing liver fibrosis without biopsy in patients with HCV or NAFLD
Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.
Medical Grand Rounds
Our missing microbes: Short-term antibiotic courses have long-term consequences
Is the rise in chronic diseases due to loss of microbial diversity?
From the Editor
A new reason to reconsider that antibiotic prescription: The microbiome
The impact of antibiotics on the gut microbiome may be implicated in the rise in obesity and diabetes.
The Clinical Picture
Acute necrotizing esophagitis
Poorly controlled diabetes, confusion, coffee-ground emesis.
1-Minute Consult
Are anti-TNF drugs safe for pregnant women with inflammatory bowel disease?
Active IBD poses a greater risk than continuing drug therapy.
The Clinical Picture
Pancreatitis: The great masquerader?
Pancreatitis, panniculitis, and polyarthritis syndrome mimics rheumatologic disease, often presenting without abdominal pain.