Fecal Microbiota Transplant for Patients With Primary Sclerosing Cholangitis

July 2019

Dr. Jessica Allegretti

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)

Cannabinoid Use in Patients With Gastroparesis and Related Disorders

June 2019

Dr. Henry Parkman

Henry Parkman, MD, FACG, discusses current treatment options for gastroparesis, reasons why those treatments may fall short, and how cannabis may improve symptoms for these patients. (18:49)

Detection of Gluten in Gluten-Free Labeled Restaurant Food: Analysis of Crowd-Sourced Data

May 2019

Dr. Benjamin Lebwohl

Benjamin Lebwohl, MD, MS, discusses results from a study analyzing presence of gluten in "gluten-free" restaurant food, based on data from users of the Nima gluten detection device. (19:30)

Using Ergonomics to Prevent Injuries for the Endoscopist

April 2019

Dr. Patrick Young

Patrick Young, MD, FACG, discusses the types of injuries common to endoscopists and suggests strategies to minimize these overuse injuries. (10:09)

ACG Clinical Guideline: Ulcerative Colitis in Adults

March 2019

Dr. Millie Long

Millie Long, MD, MPH, FACG, summarizes highlights from the new ACG Clinical Guidelines on ulcerative colitis in adult patients. (21:11)

A Randomized Controlled Trial of TELEmedicine for Patients with IBD (TELE-IBD)

March 2019

Dr. Raymond Cross

Raymond Cross, MD, MS, explains what TELEmedicine is, how it can be useful for gastroenterologists, and how this study found improved quality of life for IBD patients using this service. (15:07)

Influence of Dietary Restriction on Irritable Bowel Syndrome

February 2019

Dr. Mark Pimentel

Mark Pimentel, MD, FACG, discusses non-pharmaceutical management approaches for IBS, including gluten-free diet, dairy-free diet, low FODMAP diet, and fiber. (21:55)

Diagnosis and Management of Primary Biliary Cholangitis

January 2019

Dr. Zobair Younossi

Zobair Younossi, MD, MPH, FACG, explains the definition, pathophysiology, diagnosis, and treatment of primary biliary cholangitis. (18:26)

Pros and Cons of CRC Screening for Adults Aged 45-49 Years

December 2018

Dr. Jewel Samadder

Jewel Samadder, MD, debates the pros and cons of changing the screening age for colorectal cancer to 45 years. (32:23)

Vedolizumab for Ulcerative Colitis: Treatment Outcomes from the VICTORY Consortium

September 2018

Dr. Parambir Dulai

Parambir Dulai, MD, describes how vedoluzimab works, the design of the VICTORY study, and provides tips for using this agent for ulcerative colitis patients. (11:24)

Complications of Antireflux Surgery

August 2018

Dr. Rena Yadlapati

Rena Yadlapati, MD, discusses which patients are candidates for antireflux surgery, as well as the preparation, technique, and potential complications of this procedure. (13:09)

ACG Monograph on Management of Irritable Bowel Syndrome

July 2018

Dr. Eamonn Quigley

Eamonn Quigley, MD, MACG, reviews the new ACG Monograph on the management of IBS, including recent data on probiotics, fiber, antibiotics, antispasmodics, psychological therapies, and prosecretory agents. (29:00)

ACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts

April 2018

Dr. Grace Elta

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)

ACG Clinical Guideline: Management of Crohn’s Disease in Adults

April 2018

Dr. Gary Lichtenstein

Gary Lichtenstein, MD, FACG, discusses highlights from the comprehensive new guideline about the diagnosis, treatment, and management of Crohn’s disease. (32:15)

ACG Clinical Guideline: Alcoholic Liver Disease

February 2018

Dr. Vijay Shah

Vijay Shah, MD, FACG, discusses definition of alcohol use disorder, diagnostic tests for suspected cirrhosis and alcoholic hepatitis, and current treatment modalities, including when to refer for transplant. (16:45)

Bezafibrate Plus Ursodeoxycholic Acid for Treatment of Pruritus in Primary Biliary Cholangitis

January 2018

Dr. Albert Pares

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)

Low-Dose Linaclotide (72 μg) for Chronic Idiopathic Constipation

January 2018

Dr. Philip Schoenfeld

Philip Schoenfeld, MD, discusses results from a double-blind, randomized controlled trial of low-dose linaclotide for patients with chronic idiopathic constipation. (28:21)

When and How to Stop Surveillance Colonoscopy in Older Adults

January 2018

Dr. Sameer Saini

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)

Bariatric Surgery Complications: What to Expect in Your GI Practice

November 2017

Dr. Allison Schulman

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 gastrectomy, and intragastric balloons. (20:00)

Living on Liquids: A GI Dietitian’s Experience on EEN

October 2017

Kelly Issokson, MS, RD, CNSC

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 patients. (18:38)

ACG and the 80% by 2018 Colorectal Cancer Initiative

September 2017

Dr. Jordan Karlitz

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)

Bloating and Abdominal Distension: Old Misconceptions and Current Knowledge

August 2017

Dr. Juan Malagelada

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)

ACG and CAG Clinical Guideline: Management of Dyspepsia

July 2017

Dr. Paul Moayyedi

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)

Early Aggressive Hydration Hastens Clinical Improvement in Mild Acute Pancreatitis

May 2017

Dr. James Buxbaum

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)

Do Primary Care Provider Strategies Improve Patient Participation in CRC Screening?

April 2017

Dr. Nancy Baxter

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)

Aspiration Therapy for Weight Loss: Is the Squeeze Worth the Juice?

March 2017

Dr. Patrick Okolo

Patrick Okolo, MD, author of an editorial commenting on recently published research into the AspireAssist device, discusses 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 of the AspireAssist device studied in the original article by Thompson, et al. (24:05)

ACG Clinical Guideline: Preventive Care in IBD

February 2017

Dr. Francis Farraye

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)

ACG Clinical Guideline: Treatment of Helicobacter pylori Infection

February 2017

Dr. Bill Chey

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)

ACG Clinical Guideline: Evaluation of Abnormal Liver Chemistries

January 2017

Dr. Paul Kwo

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)

ACG Clinical Guideline: Clostridium difficile Infections

April 2013

Dr. Christina Surawicz

Christina M. Surawicz, MD, MACG, talks about the key components of the guideline, including the epidemiology of the disease, the criteria for diagnosis of severe C. difficile infection, and appropriate treatment regimens for both mild-to-moderate and severe disease, including fecal transplantation. (14:10)