Sections Extras Watch Now The annual assembly of the American Faculty of Gastroenterology was held from Oct. 21 to 26 in Charlotte, North Carolina, and attracted roughly 5,000 individuals from around the globe, together with gastroenterology and digestive specialists and different well being care professionals.
The convention featured displays specializing in scientific updates in gastroenterology and hepatology in addition to the newest advances in digestive well being and gastrointestinal issues.
In a single examine, Robert Postlethwaite, M.D., of the College of Texas Southwestern Medical Heart in Dallas, and colleagues discovered {that a} historical past of kind 2 diabetes mellitus, tobacco use, and superior continual kidney illness (CKD stage ≥3) is related to a larger danger for creating acute pancreatitis in sufferers taking glucagon-like peptide 1 (GLP-1) receptor agonists (GLP-1RAs) for weight problems.
The authors carried out a retrospective single-center examine amongst sufferers seen in a weight-wellness program between Jan. 1, 2015, and Dec. 31, 2021, and recognized sufferers initiating GLP-1RAs.
Sufferers have been stratified based mostly on the event of acute pancreatitis.
The researchers discovered that 2.2 % of sufferers (49 out of two,245) developed acute pancreatitis after being began on a GLP-1RA for weight problems.
The investigators additionally discovered {that a} historical past of kind 2 diabetes mellitus, tobacco use, and superior CKD (stage ≥3) was related to the next danger for creating acute pancreatitis.
Sufferers with a physique mass index (BMI) >36 kg/m² versus these with a BMI ≤30 kg/m² had a decrease danger for creating acute pancreatitis after GLP-1RA use. “A notable discovering from our examine was that identified scientific danger elements for acute pancreatitis, together with alcohol use, prior historical past of acute pancreatitis, and gallstone illness, weren't related to an elevated danger of acute pancreatitis with GLP-1RA remedy,” Postlethwaite stated. “Subsequently, suppliers might not have to withhold GLP-1RA therapies in these teams as sufferers will doubtless profit from weight problems therapy and fewer than 2 % of eligible folks obtain antiobesity drugs in america.” Abstract No.
Oral 18 In one other examine, Andrew Chang, M.D., of Sierra Nevada Gastroenterology Medical Associates in Grass Valley, California, and colleagues discovered that by understanding affected person preferences for telemedicine versus in-person visits, scientific practitioners can schedule sufferers in a means that maximizes their satisfaction and improves workplace effectivity.
The authors evaluated methods to make the most of telemedicine that can improve affected person expertise utilizing surveys delivered by way of mail or in individual to 1,100 randomly chosen sufferers in a community-based observe.
Sufferers had a telemedicine go to between April 2020 and October 2021.
A complete of 320 surveys have been accomplished.
The researchers discovered that sufferers who got here in for brand spanking new complaints or critical issues most popular to see their doctor in individual.
Sufferers who had routine follow-up, had steady medical issues, or wanted a procedure-related go to most popular telemedicine.
Moreover, sufferers felt that physicians demonstrated compassion extra successfully in individual. “This can be because of the truth that physique language, tone, and facial expressions are extra successfully delivered in individual than over telemedicine.
Normally, sufferers felt that telemedicine was extra handy and due to this fact most popular for follow-up visits,” Chang stated. “In-person visits ought to be supplied to all sufferers who've new complaints or critical medical points.
Telemedicine could also be supplied to sufferers with steady medical issues who simply want routine follow-up.” Abstract No.
D0624 Shahroz Fatima, M.D., of New York College Langone Well being in New York Metropolis, and colleagues discovered that pregnant girls with historical past of bariatric surgical procedure have an elevated danger for being pregnant and labor and supply issues and ought to be thought-about high-risk pregnancies, as the speed of potential issues is larger in contrast with these with out prior bariatric surgical procedure, together with compared with pregnant girls with weight problems.
The authors carried out a retrospective cohort evaluation of the 2012 Nationwide Inpatient Pattern database to realize perception into being pregnant and labor and supply issues in girls who had undergone bariatric surgical procedure versus those that had not undergone the surgical procedure, with and with out weight problems.
The researchers discovered that pregnant girls with prior bariatric surgical procedure had a decrease incidence of hypertension, diabetes (together with gestational), and preeclampsia in contrast with overweight pregnant girls.
Pregnant girls with prior bariatric surgical procedure had the next incidence of hyperemesis, dietary deficiencies, spontaneous abortion, thromboembolism, alcohol use, and psychological well being issues in contrast with each overweight and nonobese pregnant girls with out bariatric surgical procedure.
Moreover, bariatric surgical procedure elevated the incidence of labor and supply issues, together with cesarean part and breech supply, fetal misery, anesthesia issues, infections in puerperium ectopic being pregnant, spontaneous abortion, and thromboembolic issues. “Sufferers with prior bariatric surgical procedure must be recommended in regards to the elevated being pregnant and labor and supply dangers.
This will likely must be mentioned with girls considering being pregnant previous to bariatric surgical procedure as now we've different efficient weight reduction modalities,” Fatima stated. “This cohort additionally might profit from shut follow-up as a high-risk being pregnant, if being pregnant happens after surgical procedure, given the dangers that we had described in our examine.” Abstract No.
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