News from the AGA

Top AGA Community patient cases


Physicians with difficult patient scenarios regularly bring their questions to the AGA Community ( 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. Severe lower GI bleed ( – A 15-year-old male patient was sent to the ER with severe lower GI bleed after a general physical exam revealed he was experiencing hypotension and tachycardia. The GI community discusses diagnostic possibilities for severe lower GI bleed at such young age and management options.

2. Refractory nausea and vomiting in a transgender patient ( – In this case of a 45-year-old transgender male-to-female patient, the community deliberates on several clinical issues, including a non-binary gender option on patient identification forms, treatment options for the patient and if hormonal therapy is contributing to GI symptoms.

3. Multidisciplinary guidelines ( – Are multidisciplinary guidelines with related specialty societies “the need of the hour” or too rare and short-lived for the effort?

Also in the forum: The AGA Clinical Practice Updates Committee is soliciting topics for future clinical expert review and commentaries commissioned by AGA. Share your ideas with the GI community (

Access these clinical cases and more discussions at

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