Gut Check on Gastroenterology Archive

March 25th, 2011

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

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 […]

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March 7th, 2011

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

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 […]

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