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Clinical Updates

ACG is committed to keeping members abreast of current clinical updates on disease treatment. We offer Clinical Updates through practice guidelines and research published in The American Journal of Gastroenterology and Nature Reviews Gastroenterology & Hepatology. The American Journal of Gastroenterology is available for free to all ACG Members. ACG Members, Fellows (FACG), Masters, and International Members qualify for a free subscription to Nature Reviews Gastroenterology & Hepatology. Members also receive clinical updates twice-weekly through ACG’s e-newsletter, ACG SmartBrief, that delivers summaries of the latest news. ACG also publishes special papers and monographs throughout the year.

To learn more about ACG’s Clinical Updates, see below.

Guidelines

The College publishes guidelines on gastrointestinal diseases in the American Journal of Gastroenterology that have been developed and reviewed under the auspices of the ACG Practice Parameters Committee.

Diagnosis and Management of Achalasia (December 1999)
Diagnosis, Surveillance and Therapy of Barrett’s Esophagus (March 2008)
Colorectal Cancer Screening (March 2009)
Diagnosis, Treatment and Surveillance for Patients with Colorectal Polyps (November 2000)
Management of Crohn’s Disease in Adults (February 2009)
Diagnosis and Management of C. difficile-Associated Diarrhea and Colitis (May 1997)
Acute Infectious Diarrhea in Adults (November 1997)
Diagnosis and Management of Diverticular Disease of the Colon in Adults (November 1999)
Management of Dyspepsia (October 2005)
Esophageal Cancer (December 1999)
Diagnosis and Treatment of Esophageal Diseases Associated with HIV Infection (November 1996)
Esophageal Reflux Testing (March 2007)
Diagnosis and Management of Fecal Incontinence (2004)
Diagnosis and Treatment of Gastroesophageal Reflux Disease (January 2005)
Management of the Adult Patient with Acute Lower Gastrointestinal Bleeding (August 1998)
Management of Helicobacter pylori Infection(August 2007)
Hepatic Encephalopathy (July 2001)
Liver Disease in the Pregnant Patient (July 1999)
Alcoholic Liver Disease (November 1998)
Prevention of NSAID-Related Ulcer Complications (March 2009)
Acute Pancreatitis (October 2006)
Ulcerative Colitis in Adults (July 2004)

Guidelines Produced in Association with other Organizations

Prevention and Management of Gastroesophageal Varices and Variceal Hemorrhage in Cirrhosis (September 2007)
Screening and Surveillance of the Early Detection of Colorectal Cancer And Adenomatous Polyps (March 2008)
Diagnosis, Management, and Treatment of Hepatitis C: An Update (April 2009)

ACG/ASGE Quality Indicators for Endoscopy

Measuring the Quality of Endoscopy
Quality Indicators for Gastrointestinal Endoscopic Procedures: An Introduction
Quality Indicators for Colonoscopy
Quality Indicators for Esophagogastroduodenoscopy
Quality Indicators for Endoscopic Retrograde Cholangiopancreatography
Quality Indicators for Endoscopic Ultrasonography

Additional ACG/ASGE papers on Endoscopy

Are hospitals and health insurance plans exposed to potential litigation if they don't establish guidelines for determining competency in providing endoscopic procedures? ACG in cooperation with ASGE, has published "Ensuring Competence in Endoscopy" which helps to answer this question. Along with the joint publication, a legal memorandum from a nationally-renowned litigation law firm, Williams & Connolly, is included. ACG members will receive a copy in the mail and ACG is also mailing a copy to all hospitals and health plans across the country. PDF's of each may also be found by clicking on one of the links below.

Ensuring Competence in Endoscopy (for the GI physician)
Ensuring Competence in Endoscopy Executive Briefing (for the hospital or health plan administrator)

Highlights from the current issue:

Editorial: Resecting or Burning: What Should We Do With the Remaining Barrett's Epithelium After Successful ER of Neoplasia?
Endoscopic treatment of early Barrett's neoplasia can now be regarded as the treatment of choice in high-grade dysplasia (HGD) and mucosal adenocarcinoma occurring in Barrett's esophagus. Endoscopic resection (ER) is one of the best-validated treatment methods and has the major advantage of serving as a diagnostic and therapeutic treatment toward thermal ablative methods. Complete resection of the whole Barrett's segment is one method for treatment of the neoplastic lesion and the remaining Barrett's mucosa at risk. This article discusses both the advantages and disadvantages of this method and its alternatives. (more)

The Utility of Capsule Endoscopy in Patients With Suspected Crohn's Disease
In patients with suspected Crohn's disease (CD), little is known about the test characteristics of capsule endoscopy (CE) in the diagnosis of this condition. In this study, researchers sought to determine the utility of CE for the subsequent diagnosis of CD in patients suspected to have this condition. (more)

Natural History of Acute Pancreatitis: A Long-Term Population-Based Study
It is unknown whether after an initial attack of acute pancreatitis, the inflamed gland heals completely, or whether and under what circumstances the disease progresses to chronic pancreatitis. Therefore, the aim of this study was to investigate the progression of disease from acute to chronic pancreatitis. CME is available for this article. (more)

Nature Clinical Practice Gastroenterology & Hepatology

Highlights from the current issue

Diagnosis and management of lower gastrointestinal bleeding
The etiologies of lower gastrointestinal bleeding (LGIB), defined as bleeding from a colonic or anorectal source, are numerous and varied. LGIB can be acute or chronic; for both types, colonoscopy is the diagnostic and therapeutic procedure of choice. Hemostasis, if not occurring spontaneously, can usually be promoted by embolization or modern endoscopy techniques, and surgery is only undertaken as a last resort. In this Review, researchers aimed to provide a critical overview of the existing published data concerning the evaluation and management of LGIB. CME is available for this article. (more)

Current understanding of osteoporosis associated with liver disease
Osteoporosis is a common complication of chronic liver disease. This Review describes the prevalence and risk factors associated with bone loss in patients with chronic liver disease. New insights into the role of mediators that are involved in orchestrating bone loss in these patients are also discussed. (more)

The management of patients awaiting liver transplantation
Patients with end-stage liver disease often experience disease progression and develop complications while waiting for a liver transplant. Prevention and management of these complications is, therefore, paramount to ensure that the patients can remain on the waiting list and have the greatest chance of a successful outcome following transplantation. In this Review, authors discuss these complications as they directly relate to pretransplant patients. Less well-covered aspects of the management of patients in the pretransplant setting—hepatocellular carcinoma (HCC), chronic viral hepatitis, malnutrition, and immunizations given pretransplant to reduce the risk of infection during immunosuppressive treatment post-transplant—are also discussed. (more)

ACG SmartBrief

ACG SmartBrief, emailed twice weekly to ACG members, provides summaries of the latest news in gastroenterology. You’ll find news coverage of Clinical Updates, Legal & Regulatory, Practice News, Business & Market Trends, Patient Perspectives, and more. If you are an ACG member and are not currently receiving ACG SmartBrief, update your member record by adding your email address information.

Coming soon, search past issues of ACG SmartBrief to find articles of interest.

ACG Monographs

You may request a free copy on any of the monographs listed below by visiting the ACG Store.  Many of these monographs are for ACG members only. 

IBD & Osteoporosis: A Guide to Diagnosis and Management (2001)
Managing Variceal Bleeding in the Cirrhotic (1996)

You may download a copy of the monograph listed below by clicking on the link.

Pregnancy in Gastrointestinal Disorders (Updated 2007)

 
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