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CME/CE
Selective Digestive, Oropharyngeal Decontamination May Reduce Intensive Care Mortality
In an intensive care unit, mortality rate was reduced by 3.5 percentage points with selective digestive tract decontamination and by 2.9 percentage points with selective oropharyngeal decontamination.
Medscape Medical News, January 2009
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Slower Not Necessarily Better in Colonoscopy Withdrawal
When physicians were encouraged to spend at least 7 minutes examining the colonic mucosa during colonoscopy withdrawal, and they were documented as having done so, the extra time did not increase the rate of colon polyp detection, U.S. investigators report in the December issue of Gastroenterology.
Reuters Health Information, January 2009
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Esophagectomy Underused for Esophageal Cancer
The results of a retrospective study suggest that esophagectomy is not being used as often as it should be for potentially resectable stage I, II, and III esophageal cancers.
Reuters Health Information, January 2009
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Low-Dose PPI as Effective as High-Dose for Peptic Ulcer Bleeding
Low-doses of proton pump inhibitors (PPIs) are as effective as high-dose PPIs for the prevention of recurrent bleeding after endoscopic hemostasis of peptic ulcer bleeding, according to a report in the December American Journal of Gastroenterology.
Reuters Health Information, January 2009
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Selective Digestive, Oropharyngeal Decontamination May Reduce Intensive Care Mortality
In an intensive care unit, mortality rate was reduced by 3.5 percentage points with selective digestive tract decontamination and by 2.9 percentage points with selective oropharyngeal decontamination.
Medscape Medical News, December 2008
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Atopy Not More Likely Among Children With Chronic Constipation
The prevalence of atopy among children with chronic constipation is not significantly different from that of the general population, and allergy to cow's milk does not seem to be involved, researchers report in the December issue of the Archives of Disease in Childhood.
Reuters Health Information, December 2008
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Endemic Hepatitis E Not Confined to Tropics
Hepatitis E virus (HEV) infection is endemic in Germany, where it probably exists as a food-borne zoonosis, according to a report in the December 15th issue of The Journal of Infectious Diseases.
Reuters Health Information, December 2008
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Etanercept Fails to Improve Outcome of Alcoholic Hepatitis
Although tumor necrosis factor (TNF)-alpha is a major player in the pathogenesis of alcoholic hepatitis, treatment with the TNF-alpha inhibitor etanercept does not improve outcome of the disease. In fact, it is associated with increased mortality, researchers report in the December issue of Gastroenterology.
Reuters Health Information, December 2008
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Steroid Trial Helps in Differential Diagnosis of Autoimmune Pancreatitis
A 2-week trial of steroids can be useful in differentiating autoimmune pancreatitis from pancreatic cancer, Korean researchers report in the December issue of Gut.
Reuters Health Information, December 2008
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CME
Prolonged Empiric Antibiotics May Increase Risk for Necrotizing Enterocolitis in Certain Infants
In extremely-low-birth-weight infants, prolonged initial empiric antibiotics should be used with caution because they may be associated with an increased risk for necrotizing enterocolitis or death.
Medscape Medical News, December 2008
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CME
Extremely Obese Diabetic Teens May Benefit From Roux-en-Y Gastric Bypass
A study shows significant weight loss, reduced cardiovascular risk factors, and remission of type 2 diabetes mellitus in extremely obese diabetic adolescents after Roux-en-Y gastric bypass.
Medscape Medical News, December 2008
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Prolonged Empiric Antibiotics May Increase Risk for Necrotizing Enterocolitis in Certain Infants
In extremely-low-birth-weight infants, prolonged initial empiric antibiotics should be used with caution because they may be associated with an increased risk for necrotizing enterocolitis or death.
Medscape Medical News, December 2008
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Extremely Obese Diabetic Teens May Benefit From Roux-en-Y Gastric Bypass
A study shows significant weight loss, reduced cardiovascular risk factors, and remission of type 2 diabetes mellitus in extremely obese diabetic adolescents after Roux-en-Y gastric bypass.
Medscape Medical News, December 2008
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Low CEA After Resection of Colorectal Liver Metastases Predicts Better Survival Odds
Patients with the lowest carcinoembryonic antigen (CEA) levels after liver resection for colorectal metastases have the highest survival rates, according to a report in the December issue of the Archives of Surgery.
Reuters Health Information, December 2008
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CME
Fatty Liver Disease May Resolve With Bariatric Surgery-Induced Weight Loss
In obese individuals, weight loss after bariatric surgery leads to significant improvement or complete resolution of nonalcoholic fatty liver disease in the majority of patients.
Reuters Health Information, December 2008
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Liver Transplants Safe With Elderly Donors
Advanced donor age, per se, does not adversely affect recipient or graft survival after liver transplantation, according to a report in the December Journal of the American College of Surgeons.
Reuters Health Information, December 2008
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Economic Blues Trickle Down to Physicians
Physicians are feeling the pinch of the recession; bolstered Medicaid and Medicare spending and improved marketing may help in 2009.
Medscape Medical News, December 2008
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Fatty Liver Disease May Resolve With Bariatric Surgery-Induced Weight Loss
In obese individuals, weight loss following bariatric surgery leads to significant improvement or complete resolution of non-alcoholic fatty liver disease (NAFLD) in the majority of patients, according to a systematic literature review and meta-analysis.
Reuters Health Information, December 2008
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Low Mortality After Antiobesity Surgery in Sweden
Mortality is low after antiobesity surgery in Sweden, according to a new report. "Most published series are from high-volume expert centers," according to lead investigator Dr. Richard Marsk from Danderyd Hospital, Stockholm. "We have shown that bariatric surgery can be performed with low mortality on a national level."
Reuters Health Information, December 2008
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Silibinin Infusion Has Antiviral Effect Against HCV in Nonresponders
Intravenous silibinin, a flavanone derived from milk thistle, provides a "substantial" antiviral effect in patients with chronic hepatitis C (HCV) who have not responded to standard full-dose pegylated interferon plus ribavirin (PegIFN/RBV), clinicians from Austria report.
Reuters Health Information, December 2008
