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American Gastroenterological Association Institute Guideline on the Medical Management of Opioid-Induced Constipation.Crockett SD, Greer KB, Heidelbaugh JJ, Falck-Ytter Y, Hanson BJ, Sultan S; American Gastroenterological Association Institute Clinical Guidelines Committee. Gastroenterology. 2018 [Epub ahead of print]


This document presents the official recommendations of the American Gastroenterological Association (AGA) on the medical management of opioid-induced constipation.

Nuove line guida fanno iniziare screening  a 45 anni

American Cancer Society updates its colorectal cancer screening guideline: New recommendation is to start screening at age 45 years. Cancer. 2018 Sep 15;124(18):3631-3632.

The American Cancer Society (ACS) issued a new colorectal cancer screening guideline in May, advising that screening begin at age 45 years for individuals at average risk of the disease. The change from its previous guideline, which recommended that screening start at age 50 years, was prompted mainly by an increasing incidence of the disease among young and middle‐aged populations.

Review article: Asia‐Pacific consensus recommendations on endoscopic tissue acquisition for biliary strictures.B. Sun,J. H. Moon,Q. Cai,R. Rerknimitr,S. Ma,S. Lakhtakia,S. Ryozawa,H. Kutsumi,I. Yasuda,H. Shiomi,X. Li,W. Li,X. Zhang,T. Itoi,H.‐P. Wang,D. Qian,J. Y. Wong Lau. APT First published: 07 June 2018

Background.Pre‐operative tissue diagnosis for suspected malignant biliary strictures remains challenging.Aim.To develop evidence‐based consensus statements on endoscopic tissue acquisition for biliary strictures.

Primary Biliary Cholangitis: 2018 Practice Guidance from the American Association for the Study of Liver Diseases.Lindor KD, Bowlus CL, Boyer J, Levy C, Mayo M. Hepatology. 2018 Aug 2.

This American Association for the Study of Liver Diseases (AASLD) 2018 Practice Guidance on Primary Biliary Cholangitis (PBC) is an update of the PBC guidelines published in 2009. The 2018 updated guidance on PBC includes updates on etiology and diagnosis, role of imaging, clinical manifestations, and treatment of PBC since 2009.

Management delle stenosi da Morbo di Crohn

An expert consensus to standardise definitions, diagnosis and treatment targets for anti‐fibrotic stricture therapies in Crohn's disease.F. Rieder,D. Bettenworth,C. Ma,C. E. Parker, L. A. Williamson,S. A. Nelson,G. van Assche,A. Di Sabatino,Y. Bouhnik, R. W. Stidham,A. Dignass,G. Rogler,S. A. Taylor. APT First published: 19 June 2018

Fibrotic stricture is a common complication of Crohn's disease (CD) affecting approximately half of all patients. No specific anti‐fibrotic therapies are available; however, several therapies are currently under evaluation.

Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017.Dumonceau JM, Tringali A, Papanikolaou IS, Blero D, Mangiavillano B, Schmidt A, Vanbiervliet G, Costamagna G, Devière J, García-Cano J, Gyökeres T, Hassan C, Prat F, Siersema PD, van Hooft JE. Endoscopy. 2018 Aug 7. [Epub ahead of print]

ESGE recommends against routine preoperative biliary drainage in patients with malignant extrahepatic biliary obstruction; preoperative biliary drainage should be reserved for patients with cholangitis, severe symptomatic jaundice (e. g., intense pruritus), or delayed surgery, or for before neoadjuvant chemotherapy in jaundiced patients. Strong recommendation, moderate quality evidence.


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