Rischio di rebleeding e di tromboembolismo dopo emorragia digestiva in pz che assumono anticoagulanti

Rebleeding vs Thromboembolism After Hospitalization for Gastrointestinal Bleeding in Patients on Direct Oral Anticoagulants. Sengupta N, Marshall AL, Jones BA, Ham S, Tapper EB. Clin Gastroenterol Hepatol. 2018 May 15. BACKGROUND AND AIMS:  Little is known about outcomes of patients hospitalized for gastrointestinal bleeding (GIB) while they are taking direct oral anticoagulants (DOAC). We aimed…

Recupero parziale della peristalsi esofagea dopo miotomia ne condiziona l’efficacia

Partial recovery of peristalsis after myotomy for achalasia: more the rule than the exception.Roman S, Kahrilas PJ, Mion F, Nealis TB, Soper NJ, Poncet G, Nicodème F, Hungness E, Pandolfino JE. JAMA Surg. 2013 Feb;148(2):157-64. IMPORTANCE: Although successful treatment of achalasia depends on alleviating the obstruction at the esophagogastric junction, the postintervention contractile and pressurization…

RIFAXIMINA PREVIENE ANCHE LA ENCEFALOPATIA POST-TIPS ?

The Use of Rifaximin in the Prevention of Overt Hepatic Encephalopathy After Transjugular Intrahepatic Portosystemic Shunt. A Randomized Controlled Trial Christophe Bureau, MD, PhD et al Background: The efficacy of rifaximin in the secondary prevention of overt hepatic encephalopathy (HE) is well documented, but its effectiveness in preventing a first episode in patients after transjugular…

ENCEFALOPATIA POST-TIPS: UNA REVIEW

Shunt-Induced Hepatic Encephalopathy in TIPS: Current Approaches and Clinical Challenges by Philipp Schindler  et al.   Transjugular intrahepatic portosystemic shunt (TIPS) is an established treatment tool in decompensated liver cirrhosis that has been shown to prolong transplant-free survival. Hepatic encephalopathy (HE) is a frequent complication of decompensated cirrhosis, eventually induced and/or aggravated by TIPS, that remains…

IBD E CLOSTRIDUM DIFFICILE

Infezione da Clostridium difficile e malattie infiammatorie croniche intestinali LUCIO CAPURSO1, MAURIZIO KOCH2 1Primario Emerito Gastroenterologia, Ospedale San Filippo Neri, Roma; 2Senior Director, Unità Complessa di Gastroenterologia ed Epatologia, Ospedale San Filippo Neri, Roma. Pervenuto su invito il 19 ottobre 2020. Riassunto. Pazienti affetti da malattie infiammatorie croniche intestinali (MICI) hanno un rischio aumentato di sviluppare un’infezione da Clostridium difficile (CD)…