Linee guida

Management del morbo di Crohn nell’adulto

 ACG Clinical Guideline: Management of Crohn's Disease in Adults.Lichtenstein GR, Loftus EV, Isaacs KL, Regueiro MD, Gerson LB, Sands BE. Am J Gastroenterol. 2018 Apr;113(4):481-517.

Crohn's disease is an idiopathic inflammatory disorder of unknown etiology with genetic, immunologic, and environmental influences. The incidence of Crohn's disease has steadily increased over the past several decades. The diagnosis and treatment of patients with Crohn's disease has evolved since the last practice guideline was published.

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Management endoscopico della pancreatite acuta

Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines.Arvanitakis M, Dumonceau JM, Albert J, Badaoui A, Bali MA, Barthet M, Besselink M, Deviere J, Oliveira Ferreira A, Gyökeres T, Hritz I, Hucl T, Milashka M, Papanikolaou IS, Poley JW, Seewald S, Vanbiervliet G, van Lienden K, van Santvoort H, Voermans R, Delhaye M, van Hooft J. Endoscopy. 2018 Apr 9. [Epub ahead of print]

1: ESGE suggests using contrast-enhanced computed tomography (CT) as the first-line imaging modality on admission when indicated and up to the 4th week from onset in the absence of contraindications. Magnetic resonance imaging (MRI) may be used instead of CT in patients with contraindications to contrast-enhanced CT, and after the 4th week from onset when invasive intervention is considered because the contents (liquid vs. solid) of pancreatic collections are better characterized by MRI and evaluation of pancreatic duct integrity is possible.

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Management dell’epatite alcolica

ACG Clinical Guideline: Alcoholic Liver Disease.Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH. Am J Gastroenterol. 2018 Jan 16. [Epub ahead of print]

Alcoholic liver disease (ALD) comprises a clinical-histologic spectrum including fatty liver, alcoholic hepatitis (AH), and cirrhosis with its complications. Most patients are diagnosed at advanced stages and data on the prevalence and profile of patients with early disease are limited. Diagnosis of ALD requires documentation of chronic heavy alcohol use and exclusion of other causes of liver disease. Prolonged abstinence is the most effective strategy to prevent disease progression.

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Management del C.difficile : linee guida di ISDA e SHEA

Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA).

McDonald LC, Gerding DN, Johnson S, Bakken JS, Carroll KC, Coffin SE, Dubberke ER, Garey KW, Gould CV, Kelly C, Loo V, Shaklee Sammons J, Sandora TJ, Wilcox MH.Clin Infect Dis. 2018 Mar 19;66(7):987-994.

A panel of experts was convened by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA) to update the 2010 clinical practice guideline on Clostridium difficile infection (CDI) in adults.

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Management della pancreatite acuta in fase iniziale

Initial Medical Treatment of Acute Pancreatitis: American Gastroenterological Association Institute Technical Review.Vege SS, DiMagno MJ, Forsmark CE, Martel M, Barkun AN. Gastroenterology. 2018 Feb 5. [Epub ahead of print]

Acute pancreatitis (AP) was the third most common gastrointestinal diagnosis in 2012, resulting in approximately 275,000 admissions and costing about $2.6 billion.1,2 It is also the most common pancreatic disease worldwide.3 The incidence is increasing, but death rates have actually decreased in recent years to <2%.1 However, ≥50% of the deaths occur within the first 2 weeks of diagnosis.4,5 The recent revised Atlanta classification6 described mild (usually interstitial), moderately severe (local complications without persistent organ failure), and severe (persistent organ failure) AP subtypes.

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Informazioni aggiuntive