Sections Extras Watch Now The annual assembly of the American School of Gastroenterology was held from Oct. 21 to 26 in Charlotte, North Carolina, and attracted roughly 5,000 contributors from all over the world, 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 most recent advances in digestive well being and gastrointestinal problems.
In a single examine, Robert Postlethwaite, M.D., of the College of Texas Southwestern Medical Middle in Dallas, and colleagues discovered {that a} historical past of kind 2 diabetes mellitus, tobacco use, and superior persistent kidney illness (CKD stage ≥3) is related to a larger danger for growing 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 had 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 growing 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 growing 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 mentioned. “Subsequently, suppliers could not must withhold GLP-1RA therapies in these teams as sufferers will possible profit from weight problems therapy and fewer than 2 % of eligible individuals obtain antiobesity medicines in the US.” 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 through mail or in individual to 1,100 randomly chosen sufferers in a community-based follow.
Sufferers had a telemedicine go to between April 2020 and October 2021.
A complete of 320 surveys had been accomplished.
The researchers discovered that sufferers who got here in for brand spanking new complaints or critical issues most well-liked to see their doctor in individual.
Sufferers who had routine follow-up, had steady medical issues, or wanted a procedure-related go to most well-liked telemedicine.
Moreover, sufferers felt that physicians demonstrated compassion extra successfully in individual. “This can be as a consequence of the truth that physique language, tone, and facial expressions are extra successfully delivered in individual than over telemedicine.
Usually, sufferers felt that telemedicine was extra handy and due to this fact most well-liked for follow-up visits,” Chang mentioned. “In-person visits must be provided to all sufferers who've new complaints or critical medical points.
Telemedicine could also be provided 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 ladies with historical past of bariatric surgical procedure have an elevated danger for being pregnant and labor and supply issues and must be thought of high-risk pregnancies, as the speed of potential issues is greater in contrast with these with out prior bariatric surgical procedure, together with compared with pregnant ladies 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 ladies 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 ladies with prior bariatric surgical procedure had a decrease incidence of hypertension, diabetes (together with gestational), and preeclampsia in contrast with overweight pregnant ladies.
Pregnant ladies with prior bariatric surgical procedure had the next incidence of hyperemesis, dietary deficiencies, spontaneous abortion, thromboembolism, alcohol use, and psychological well being problems in contrast with each overweight and nonobese pregnant ladies 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 endorsed concerning the elevated being pregnant and labor and supply dangers.
This will must be mentioned with ladies considering being pregnant previous to bariatric surgical procedure as now we now have different efficient weight reduction modalities,” Fatima mentioned. “This cohort additionally could 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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