News from the AGA

Top AGA Community patient cases


 

Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org/discussions) to seek advice from colleagues about therapy and disease management options, best practices and diagnoses.

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

1. Addressing early-onset CRC
With the recommendation by the American Cancer Society to start colorectal cancer screening at 45, Dr. Samir Gupta and Dr. Peter Liang led a hearty discussion on the intended and unintended consequences of widespread implementation of these recommendations.

2. Surveillance colonoscopies in IBD patients
The question “are GIs doing too many surveillance colonoscopies in IBD patients” evolved into a call for more clinical guidance on the topic. IBD experts, AGA President Dr. David Lieberman, and the AGA Guidelines and Clinical Practice Update Committees tackle next steps and recommendations.

3. Patient case: severe colitis in asymptomatic patient
When a 51-year-old patient was seen for a colonoscopy screening, subsequent biopsies revealed severe active chronic colitis with lymphoplasmacytic infiltrate, crypts, and crypt abscesses and no granulomas. Would you treat as ulcerative colitis or wait?

4. Patient case: IBD patient with steroid dependency
A 35-year-old female who was seen for refractory diarrhea and cramps tested positive for perinuclear antineutrophil antibodies cytoplasmic (pANCA). Her symptoms resolved after she received prednisone for an unrelated issue. The physician asks: is a low dose of prednisone “safer” than Remicade?

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

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