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Archive for March, 2011

H. pylori: Is it time to change our first-line treatment?

M. Brian Fennerty • March 25th, 2011

Categories: Patient care

(8 votes, average: 4.75 out of 5)

H. pylori dominated the GI news in the 1990s, and despite it disappearing from the front pages, it remains a common and important clinical problem. The dominant recommended initial treatment strategy has been a clarithromycin-based PPI triple therapy, with either amoxicillin or metronidazole as the third drug. This approach was based on clinical studies, ease [...]

Lower gastrointestinal bleeding: Rush in now to scope or wait till morning?

M. Brian Fennerty • March 7th, 2011

Categories: Endoscopy

(2 votes, average: 4.50 out of 5)

It used to be dogma that the earlier we “scoped” patients with gastrointestinal bleeding the better off they would be in terms of outcomes such as fewer transfusions, less need for surgery, and shorter hospital stays. However, we now have good data that demonstrate for most patients with upper GI bleeding that this is not [...]