
Evidence-Based GI: An ACG Publication and Podcast
A new monthly publication from the American College of Gastroenterology, Evidence-Based GI (EBGI) uses evidence-based methods to create abstracts and explain study results of new and important articles in the field of gastroenterology and hepatology. Listen as editors of EBGI discuss the articles they review and how the recommendations can be applied to your practice.
Episodes

Acute Myeloid Leukemia and Myelodysplastic Syndrome with IBD and Thiopurines Impact on Risk

Screening Colonoscopy Decreases Colorectal Cancer Incidence and Related Mortality in Healthy Patients Over 75

Once-Weekly Semaglutide in Adults with Overweight or Obesity

Piecemeal Cold Snare Polypectomy of Large SSP: Cold Is the New Hot

Computer-aided Detection Systems increase detection of non-advanced adenomas, but is it ready for prime-time?

Inching Closer to a NASH Cure: Daily Semaglutide Achieves Resolution of NASH but Not Fibrosis after 72 Weeks

A New “Pill Prep” for Colonoscopy: An Effective Alternative for Individuals Who Won’t Drink GoLytely®

Treating All the Symptoms of IBS-C: Linaclotide Significantly Decreases Abdominal Pain, Bloating, and Discomfort

Hereditary Syndrome Risk Assessment in all Colorectal Cancer Patients: Keep it Simple!

Drainage for Infected Pancreatic Necrosis – Earlier Is Not Better

Slow Down to Speed Up Quality: Longer Withdrawal Time of 9 Versus 6 Minutes Increases Adenoma Detection Rate

Family Matters: Increased Risk of Colorectal Cancer among Individuals with Family History of Polyps

Effectiveness of Intermittent Fasting for Weight Loss: It’s Not Just When You Eat, but What You Eat, Too!

It’s a Bad “Prep” Even Though the Patient Took It Correctly: Consider 15 mg Bisacodyl plus 4-Liter PEG Split Prep Before Next Colonoscopy

Increased Risk of Metachronous Neoplasia After Incomplete Polyp Resection – Time to CARE About Polypectomy Technique!

Endoscopic Eradication Therapy for Neoplastic Barrett’s Esophagus Demonstrates 94% Treatment Success and Long-term Durability

Therapeutic Drug Monitoring of Maintenance Infliximab Is Beneficial for Patients with Immunemediated Inflammatory Diseases

Low Grade Dysplasia in Barrett’s Esophagus – Get Two Expert GI Pathologist Reviews and Repeat EGD After PPI Treatment

Tenapanor (IBSRELA) for Treatment of IBS-C: Effective over 26 Weeks

When Is Routine Prophylactic Clipping Indicated Post-Polypectomy?

SER-109, an Oral Microbiome Therapy, Decreases Recurrent Clostridiodes difficile Infection

ADR Isn’t the Only Game in Town: Proximal Serrated Lesion Detection Rates Predicts Interval Cancer Risk

Tiny Polyps-It’s OK to Remove Polyps equal or less than 3mm with Large Biopsy Forceps

Prophylactic Rifaximin Decreases Post-TIPS Hepatic Encephalopathy

ICYMI-Pantoprazole Prophylaxis Does Not Reduce 90-day Mortality and Clinically Significant Adverse Events in ICU Patients

Achieve IBD Remission Before Pregnancy: PIANO Registry Data Shows Adverse Perinatal Outcomes For Infants Associated with IBD Flares and Steroid Use; and Continue Thiopurines and Anti-TNF Agents If Your IBD Patient Becomes Pregnant

Time to Increase Adenoma Detection Rate Benchmarks for Screening Colonoscopies

Upadacitinib, a Selective JAK1 Inhibitor, for Moderate-Severe Ulcerative Colitis: Adjusting the Top-Down Treatment Algorithm for UC

Colonoscopy Reduces CRC Incidence and CRC-Related Mortality…. If You Get It!

High Adenoma Detection Rate Decreases Post-Colonoscopy CRC in FIT-Based Screening Program: Quality Matters!

Acute pancreatitis: Need IV fluid resuscitation but avoid a WATERFALL!

ICYMI: Surgery is Superior to Medical Therapy for PPI-Refractory Heartburn in the “Right” Patients

Vonoprazan, a Potassium-Channel Acid Blocker, is Superior to Lansoprazole for Managing Erosive Esophagitis

Reinvestigating the Lack of Association Between Proton Pump Inhibitor Use and Mortality by Accounting for Reverse Causation

RBX2660, a Donor Stool Product for Fecal Microbiota Transplant, Decreases Recurrent Clostridioides difficile Infection: The First FDA-Approved Live Biotherapeutic Product

NSAID Use and the Risk of IBD Exacerbations: Fact or Fiction

Continuing Anti-TNF Agents past 24 Weeks of Pregnancy Associated with Fewer IBD Relapses with No Increase in Adverse Fetal Outcomes

Ozanimod, a Selective Selective Sphingosine-1-Phosphatase Receptor Modulator, for Moderate-Severe Ulcerative Colitis: Re-Thinking the Top-Down Treatment Algorithm for UC

Risankizumab, an Interleukin-23 Inhibitor, for Moderate-Severe Crohn’s Disease: Advancing Care Beyond Anti-TNF Therapy

Risankizumab, an Interleukin-23 Inhibitor, for Moderate-Severe Crohn’s Disease: Advancing Care Beyond Anti-TNF Therapy

When It’s Not Acid Reflux: Managing PPI-Resistant GERD Patients Based on Bravo Results

ICYMI: Is Terlipressin for the Treatment of Hepato-Renal Syndrome Ready for Primetime: Results of the CONFIRM Trial

Dupilumab, an IgG4 Monoclonal Antibody, for Eosinophilic Esophagitis: Revising the Treatment Paradigm

Endoscopic Sleeve Gastroplasty Is Effective for Patients with Obesity Who MERIT Intervention

Early Colonoscopy for Acute Lower GI Bleeding Usually Is Not the Answer

Direct-Acting Antiviral Therapy for Hepatitis C Virus Decreases All-Cause Mortality and Decompensated Cirrhosis: Treat (Virtually) Everyone

Tumor-based screening for Lynch Syndrome: Check Every Colorectal Cancer

What are the Causes of Post-colonoscopy Colorectal Cancer?

10-Year Intervals After Normal Screening Colonoscopy: It’s Not Too Long with High-Quality Colonoscopy

Cold Snare Decreases Post-Polypectomy Bleeding vs Hot Snare for Small Polyps

SEAVUE: a Sea of Change in Biologic Positioning for Crohn’s Disease

ICYMI: Vedolizumab Is Superior to Adalimumab for Clinical Remission and Endoscopic Improvement of Ulcerative Colitis-The VARSITY RCT

Vibrating Capsules for Chronic Constipation: The New Non-Pharmacologic Approach

ICYMI: Can we prevent hepatic decompensation? Most likely, with nonselective beta blockers.

Disposable Elevator Caps for Duodenoscopes Decrease Persistent Bacterial Contamination Without Hindering Technical ERCP Performance: The ICECAP Trial

Over-the-Scope Clips Decrease Non-Variceal Upper GI Bleeding vs Standard Endoscopic Treatment… In the Right Patient

Prophylactic Antibiotics Do Not Improve Mortality in Severe Alcoholic Hepatitis Treated with Corticosteroids

Free Online Program Improves Adenoma Detection Rate and Decreases Post-Colonoscopy Colorectal Cancer

Screening Colonoscopy in the Elderly Population-Is Less Better?

Cephalosporins and Ciprofloxacin Still Appropriate First-Line Treatment for Spontaneous Bacterial Peritonitis

AGA-ACG Clinical Practice Guideline on Chronic Idiopathic Constipation Treatments: Parsing Benefits and Risks

Upadacitinib Is Effective for the Induction and Maintenance of Moderate-to-Severe Crohn’s Disease

Vedolizumab: An EARNEST Option for the Management of Chronic Pouchitis

Bariatric Surgery Is Superior to Lifestyle Changes + Best Medical Care for Metabolic Dysfunction-Associated Steatohepatitis: The BRAVES Study

Colonoscopy for Colon Polyp Surveillance: Avoid Recommending Early Surveillance

“Cooking Up Something New” with a One-Food Elimination Diet: A Simpler Approach to Dietary Therapy for Eosinophilic Esophagitis

Kiwifruit-A Specific Food To Improve Stool Frequency in Patients with Mild Constipation

ICYMI: Albumin Infusions Do Not Improve Outcomes in Hospitalized Patients with Decompensated Cirrhosis-The ATTIRE Trial

Surveillance Colonoscopy Recommendations in Older Adults With Limited Life Expectancy– More Work to be Done!

Time To Simplify ADR Calculation for Colonoscopy Quality Reporting

Cannabidiol: A Potential Therapeutic Option for Idiopathic and Diabetic Gastroparesis

American College of Physicians Guidance Statement on Colorectal Cancer Screening: Pitfalls of Second-Guessing Guidelines

Long Road to Achieving Competence in Cold Snare Polypectomy: Video-Based Feedback Can Help!

The New Frontier of Combination Therapy for IBD: The VEGA RCT

ICYMI: Biosimilar BI 695501 Has Similar Safety and Efficacy to Adalimumab for the Treatment of Crohn’s Disease: VOLTAIRE-CD Study

Hepatitis C Virus Testing and Treatment - A Call To Action

PPIs are NOT Associated with Dementia: Refuting Sensational Claims in a Post-Modern Epidemiologic Era

Etrasimod, a Sphingosine 1-Phosphate Receptor Modulator, for Moderate-Severe Ulcerative Colitis: New Options for Oral Therapy

Post-Endoscopy Esophageal Adenocarcinoma: Take a PEEC at Endoscopy Quality in Barrett's Esophagus

Surveillance of Branch Duct IPMN – Enough is Enough, At Least in Older Adults and Small, Stable Lesions
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