Tag Archives: gastroenterology

VA Resident Report: What is the effectiveness of POEM for achalasia?

Available data suggests POEM is very effective in the relief of symptoms in patients with achalasia. However, POEM is associated with a very high incidence of pathologic reflux. The clinical sequalae of the increase in pathologic reflux are currently incompletely … Continue reading

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VA Resident Report: What are the adverse effects of PPI use on B12 levels?

The Bottom Line: Studies of PPI use and vitamin B12 deficiency have yielded mixed results. Absorption decreased from 3.2 to 0.9% (P ¼ 0.031) in patients on omeprazole 20 mg daily, and from 3.4 to 0.4% in patients on higher … Continue reading

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VA Resident Report: What are the gastrointestinal manifestations of cryptosporidium ?

The cardinal symptom is diarrhea, which is typically watery, and accompanied by abdominal cramps, fatigue, nausea, and anorexia. Fever and vomiting may occur. Diarrhea tends to persist longer (median of 5 to 10 days) than that seen with other etiologies … Continue reading

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VA Resident Report: At what value does hypertriglyceridemia cause acute pancreatitis?

Acute pancreatitis is a relatively common medical condition with variable aetiologies and a mortality up-to 20%. Gallstones and excess alcohol consumption are the leading aetiologies in the developed world; whilst metabolic, congenital and iatrogenic causes are responsible for 20–25% of … Continue reading

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