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Jessica Allegretti, MD, MPH, discusses the relationship between primary sclerosing cholangitis and inflammatory bowel disease, the biologic plausibility of fecal microbiota transplant for this condition, and the design of this pilot clinical trial. (18:57)By AJG Co-Editor Dr. Brian Lacy and Dr. Jessica Allegretti
 
Grace Elta, MD, FACG, discusses why pancreatic cysts are identified more and more frequently, the best imaging modalities for diagnosis and following pancreatic cysts, and common biomarkers used to diagnose malignancy. Dr. Elta also walks through her algorithm for cyst classification. (17:00)By AJG Co-Editor Dr. Brian Lacy and Dr. Grace Elta
 
Sameer Saini, MD, MS, discusses the five rules of thumb for stopping screening colonoscopy in older adults: know the data, get a full history, individualize benefits and harms, engage the patient, and work with primary care colleagues. (21:42)By AJG Co-Editor Dr. Brian Lacy and Dr. Sameer Saini
 
Albert Pares, MD, PhD, discusses the symptoms, causes, and diagnostic approaches to primary biliary cholangitis. Dr. Pares also describes the results of his study, which combines bezafibrate with ursodeoxycholic acid (UDCA) to treat severe pruritus, the cardinal symptom of primary biliary cholangitis. (17:33)…
 
Allison Schulman, MD, MPH, discusses the growing popularity and evolution of bariatric surgery as a weight-loss solution for morbidly obese patients and describes the most commonly performed bariatric procedures. She provides a thorough review of the most frequent complications for each procedure, including Roux-en-Y gastric bypass, sleeve gastrect…
 
Kelly Issokson, a GI dietitian, discusses how she underwent an exclusive enteral nutrition (EEN) trial for 30 days in order to better understand her patients’ experience. She describes the physical and psychological effects of living exclusively on liquid formula for an extended period of time, and provides tips for physicians prescribing EEN for p…
 
Jordan Karlitz, MD, reviews the dedicated contributions of the National Colorectal Cancer Roundtable and various ACG committees to the 80% by 2018 initiative, which aims to screen 80% of eligible U.S. adults for colorectal cancer by 2018. (17:59)By AJG Co-Editor in Chief Dr. Brennan Spiegel and Dr. Jordan Karlitz
 
Juan R. Malagelada, MD, explains the definitions and mechanisms of bloating and distension, how visceral hypersensitivity heightens patient sensation of bloating, and what treatments work best for persistent gas and bloating. (17:58)By AJG Co-Editor Dr. Brian Lacy and Dr. Juan R. Malagelada
 
Paul Moayyedi, MB, ChB, PhD, MPH, FACG, co-author of new guidelines on management of dyspepsia, discusses the evolving definition and diagnosis of dyspepsia, when and when not to use endoscopy, and how H. pylori factors into dyspepsia treatment. (30:14)By AJG Co-Editor in Chief Dr. Brennan Spiegel and Dr. Paul Moayyedi
 
James L. Buxbaum, MD, discusses the controversies surrounding aggressive fluid hydration in acute pancreatitis, why lactated ringer’s solution may be superior to normal saline, and how a weight-based fluid infusion approach can help prevent fluid overload during hydration. (14:08)By AJG Co-Editor Dr. Brian Lacy and Dr. James Buxbaum
 
Nancy N. Baxter MD, PhD, author of research on primary care provider (PCP) strategies to increase colorectal cancer screening participation, discusses the various strategies reported by PCPs in this study, and why combining multiple strategies led to highest participation. (19:34)By AJG Co-Editor Dr. Brian Lacy and Dr. Nancy Baxter
 
Patrick Okolo, MD, author of an editorial commenting on recently published research into the AspireAssist device, speaks with AJG co-Editor in Chief Dr. Brian Lacy about the difficulty faced by some obese patients losing weight through diet and exercise, the rise in bariatric surgery as a promising treatment for these patients, and the mechanisms o…
 
Francis Farraye, MD, MSc, FACG, co-author of a recent ACG Clinical Guideline on preventive care in IBD, discusses the importance of collaboration between the gastroenterologist and the primary care team for IBD patients, the safety and timing of vaccinations, and recommendations for preventive screening for patients on immunosuppresants. (18:27)…
 
Bill Chey, MD, FACG, co-author of a recent ACG Clinical Guideline on H. pylori infection, discusses the changing prevalence of H. pylori infection and its relationship to disorders beyond peptic ulcer disease. The complicated landscape of diagnosis and treatment are also discussed. (29:39)By AJG Co-Editor Dr. Brian Lacy and Dr. Bill Chey
 
Paul Kwo, MD, FACG, FAASLD, co-author of a recent ACG Clinical Guideline on abnormal liver chemistries, discusses the change in terminology from “liver function tests,” the lowered upper limit of normal for ALT levels, and the importance of screening patients born between 1945 and 1965 for HCV. (20:13)…
 
John Pandolfino, MD, MS, co-author of a recent study examining the effect of PPIs on laryngeal reflux symptoms, talks with AJG co-editor Dr. Brian Lacy about why laryngopharyngeal reflux symptoms are so difficult to diagnose and treat, whether PPIs are the correct approach, and how acid exposure and laryngeal pH factor into the equation. (18:16)…
 
Gwo-tzer Ho, PhD, co-author of a recent review of recent developments for precision medicine in IBD talks with AJG co-editor Dr. Brian Lacy about the definition and scope of precision medicine, newly discovered IBD biomarkers that could be used to guide precision therapies, and the practical and ethical implications of these new developments. (21:3…
 
Dr. Chey, co-author of new research comparing the effectiveness of the low FODMAP diet versus a modified NICE diet for IBS-D, speaks with AJG co-Editor in Chief Dr. Brennan Spiegel about improvements in bloating and abdominal pain found with the low FODMAP diet, the value of individual symptom response compared to an overall “adequate relief” end p…
 
Dr. Gupta, co-author of recent study examining the impact of small financial incentives for completion of FIT testing, speaks with AJG co-Editor in Chief Dr. Brennan Spiegel about why use of financial incentives to encourage health behavior is not always effective, and the behavioral economics underlying this research. This article was published in…
 
C. Mel Wilcox, MD, MSPH, co-author of new research on the causes, response to therapy, and long-term outcome of idiopathic pancreatitis, speaks with AJG co-Editor in Chief Dr. Brian Lacy about the evolving definition of idiopathic pancreatitis, the role of EUS vs MRCP in its diagnosis, and when you should consider pancreas divisum or autoimmune dis…
 
Austin Chiang, MD, co-author of a recent Red Section article on GI ontology in social media, speaks with AJG co-Editor in Chief Dr. Brian Lacy about the benefits and logistics of using social media, specifically Twitter, in a GI practice, how new users can best take the first steps. (11:22)By AJG Co-Editor in Chief Dr. Brian Lacy and Austin Chiang, MD
 
William Lee, MD, co-author of an new article comparing complementary and alternative medicine (CAM)-induced liver injury to that caused by prescription medications, speaks with AJG co-Editor in Chief Dr. Brian Lacy about the definition of CAM, the regulatory approval process (or lack thereof) for CAM compared to prescription medication, and the mos…
 
Mark S. Riddle, MD, DrPH, co-author of the new ACG Clinical Guideline, speaks with AJG co-Editor in Chief Dr. Brian Lacy about the public health threat of acute diarrheal infections, the most effective diagnostic tests, and the appropriateness of antibiotics. The role of oral rehydration, probiotics, and anti-diarrheal medication is also discussed.…
 
Lisa Strate, MD, MPH, FACG, co-author of the new ACG Clinical Guideline, speaks with AJG co-Editor in Chief Dr. Brennan Spiegel about the timing of endoscopy for management of lower GI bleeding, how to assess high-risk patients for whom colonoscopy should not be performed, and the important questions surrounding the topic that remain unanswered in …
 
Steve McClave, MD, co-author of the new ACG Clinical Guideline, speaks with AJG co-Editor in Chief Dr. Brian Lacy about how to recognize nutritionally deficient patients, the most common deficiencies by condition, how to determine if a patient will tolerate enteral feeds, and the pros and cons of orgastric, nasogastric, and jejunal feeding. Dr. McC…
 
William D. Chey, MD, FACG, presenter of the 2015 David Sun Lecture and author of a recently published review of the same topic, speaks with AJG co-Editor-in-Chief Dr. Brennan Spiegel about the evolution of food from sustenance and medicine to entertainment and enjoyment and the gradual shift back toward food as medicine and therapy for disease. Lea…
 
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