Monthly Archives: February 2018

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Information for Authors and Readers

Gastroenterology is the premiere journal in the field of gastrointestinal disease and is led by an internationally renowned board of editors. As the official journal of the AGA Institute, Gastroenterology delivers up-to-date and authoritative coverag… Continue reading

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We thank the authors for their comments regarding the American Gastroenterological Association (AGA) guidelines on therapeutic drug monitoring. The AGA’s clinical guideline development follows the Institute of Medicine’s 8 standards for developing … Continue reading

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We thank these readers for their interest in our study, and welcome the opportunity to expound on the points they raise.1 Continue reading

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An Abdominal Mass

Question: A 32-year-old woman presented with a chief complaint of recurrent, nonspecific gastrointestinal symptoms (anorexia, acid reflux, and epigastric pain) for 5 years. Her past history was significant for splenectomy after abdominal trauma 6 years… Continue reading

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An Abdominal Mass

Question: A 32-year-old woman presented with a chief complaint of recurrent, nonspecific gastrointestinal symptoms (anorexia, acid reflux, and epigastric pain) for 5 years. Her past history was significant for splenectomy after abdominal trauma 6 years… Continue reading

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A Rare Cause of Whole Gastrointestinal Duct Edema and Multiple Small Intestinal Polypoid Ulcers

Question: A 60-year-old man complaining of recurrent melena for > 2 months, accompanied by fatigue and anemia, was admitted to our gastroenterology ward. He denied experiencing hematemesis, abdominal pain, fever, osteodynia, or arthralgia. His medical history included a 6-year history of alcoholic hepatocirrhosis and type 2 diabetes mellitus. Colonoscopy found no evidence of hemorrhage. However, gastroduodenoscopy showed multiple polypoid lesions in the duodenum (Figure A, B). An abdominal computed tomography (CT) scan was performed (Figure C). Continue reading

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Using Proactive Therapeutic Drug Monitoring of Anti-Tumor Necrosis Factor Therapy in Inflammatory Bowel Disease: From an Old Concept to a Future Standard of Care?

In the recently published guidelines regarding the role of therapeutic drug monitoring (TDM) in inflammatory bowel disease (IBD), the American Gastroenterological Association (AGA) advocates reactive TDM in adults with active IBD failing response to an… Continue reading

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Using Proactive Therapeutic Drug Monitoring of Anti-Tumor Necrosis Factor Therapy in Inflammatory Bowel Disease: From an Old Concept to a Future Standard of Care?

In the recently published guidelines regarding the role of therapeutic drug monitoring (TDM) in inflammatory bowel disease (IBD), the American Gastroenterological Association (AGA) advocates reactive TDM in adults with active IBD failing response to an… Continue reading

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Multicystic Pancreas on Endoscopic Ultrasound Imaging: Worth Thinking Outside the ‘Box’ (Pancreas)

Question: A 32-year-old Filipino woman was referred for endoscopic ultrasound (EUS) imaging of the pancreas from another hospital where she had presented with a history of intermittent abdominal pain with radiation to the back precipitated by alcohol, … Continue reading

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