News from the AGA

Top patient cases


 

Physicians with difficult patient scenarios regularly bring their questions to the AGA Community forum to seek advice from fellow GIs on therapy and disease management options, best practices and diagnoses.

In case you missed it, here are the most popular clinical cases shared in the forum recently:

1. Ulcerative colitis
A 24-year-old male with severe pancolitis is in remission and currently functioning well, but the attending GI is fearful that a relapse is impending based on a fecal calprotectin of 1258 in a “clinically stable patient on long term maximal therapy.”

2. Esophageal varices on Warfarin
A 64-year-old patient with Child-Turcotte-Pugh (CTP) class A cirrhosis had an upper endoscopy that showed large esophageal varices with no prior history of bleeding. View Dr. Miguel Malespin’s take on this popular case in the August issue of AGA Perspectives.

3. Does he have IBS or what?
A 37-year-old male with psoriatic arthritis and abdominal pain experiences rectal bleeding and abnormal findings during colonoscopy.

4. Chronic pancolitis
Quite a few GI experts commented on next steps for this 77-year-old pancolitis patient who has refused biologics based on cost.

5. Pouchitis
This 40-year-old patient developed diarrhea, fever, abdominal pain and other symptoms, with observed ulceration and inflammation in the pouch and proximally.

More clinical cases and discussions are at https://community.gastro.org/discussions.

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