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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 Clinical Practice
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 Clinical Practice
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. New in 2006,
Quality Indicators for Endoscopy, a series of five papers written
jointly with ASGE.
To learn more about ACG’s Clinical Updates, see below.
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)
Diagnosis, Treatment and Surveillance for Patients with Colorectal Polyps (November 2000)
Management of Crohn’s
Disease in Adults (March 2001)
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)
Treatment
and Prevention NSAID-Induced Ulcers (November 1998)
Diagnosis and Management of Neoplastic Pancreatic Cysts (October 2007)
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)
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
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:
Age-Related Clinical, Serological, and Histopathological Features of Celiac Disease
Celiac disease (CD) is a common disorder in children and adults. However, limited data are available when comparing differences between both populations. The aim of this study was to prospectively evaluate and compare the clinical and histological features present at diagnosis in a cohort of celiac children and adults. Click here to read about the authors’ conclusions.
Preoperative Steroid Use and Risk of Postoperative Complications in Patients with Inflammatory Bowel Disease Undergoing Abdominal Surgery
Corticosteroids are the mainstay of medical therapies to induce remission in acute episodes of inflammatory bowel disease (IBD). However, evidence suggests that this may increase the risk of postoperative complications among patients with IBD who go on to have abdominal surgery. The aim of this meta-analysis of observational studies was to estimate the risk of postoperative complications following abdominal surgery in patients with IBD on steroids at the time of abdominal surgery. Click here to read more.
Gastric Acid Suppression by Proton Pump Inhibitors as a Risk Factor for Clostridium Difficile-Associated Diarrhea in Hospitalized Patients
Evidence for the association between Clostridium difficile (C. difficile) and the use of proton pump inhibitor (PPI) is unclear. This study investigated the relationship between Clostridium difficile-associated diarrhea (CDAD) and exposure to acid suppressive therapy in hospitalized adult patients while controlling for the most common predisposing risk factors. Click here for more.
Highlights from the current issue
How Safe is Bowel Preparation with Oral Sodium Phosphate Solution?
Bowel preparation with oral NaP in patients without comorbidities who have normal renal function seems safe and effective; however, adequate hydration must be maintained before and after the colonoscopy. To optimize safety, other agents should be considered in patients with increased serum creatinine at baseline and in those predisposed to nephropathy. In this Practice Point commentary, the authors discuss the findings and limitations of a retrospective study conducted by Singal et al. that investigated the renal safety of bowel preparation with oral NaP or polyethylene glycol (PEG) solution in patients undergoing colonoscopy. Click here to read the full text.
Efficient Diagnosis of Suspected Functional Bowel Disorders
Functional bowel disorders (FBDs) are common disorders that are characterized by various combinations of abdominal pain and/or discomfort, bloating and changes in bowel habits. At present, diagnosing FBDs often incurs considerable health-care costs, partly because unnecessary investigations are performed. In this Review, the authors consider the existing literature concerning appropriate diagnostic evaluation of patients with a suspected FBD. The main focus of the Review is on IBS, as this syndrome is the FBD for which most information is available. Click here to read the full text. CME is available for this article.
Esophageal Cancer: Epidemiology, Pathogenesis and Prevention
Esophageal cancer is the sixth leading cause of cancer death worldwide, and although the overall incidence and mortality of cancer in general in the US have decreased over the past two decades, both the incidence and mortality of esophageal cancer have increased.1 Squamous cell carcinoma (SCC) accounts for most of cases of esophageal cancer worldwide; however, trends now indicate that there has been a dramatic increase in the incidence of esophageal adenocarcinoma in the US.2 Despite there being a myriad of improvements in both diagnostic and therapeutic techniques over the past three decades, esophageal cancer continues to have a poor prognosis, with 5-year survival rates between 10–13%. This Review focuses on the epidemiology, risk factors, pathogenesis, and prevention of both esophageal SCC and esophageal adenocarcinoma. To access this article, login to your ACG account, click Nature Clinical Practice Gastroenterology & Hepatology, and follow the instructions to access the September issue.
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.
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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