Ultra-thin gastroscopy a valid alternative for surveillance of varices

The use of ultra-thin endoscopes in gastroscopy screening and surveillance of oesophageal varices associated with cirrhosis may mitigate the risks from repeated conventional gastroscopy, Queensland gastroenterologists say. Potential risks from conventional gastroscopy include those related to conscious sedation used to make...

The use of ultra-thin endoscopes in gastroscopy screening and surveillance of oesophageal varices associated with cirrhosis may mitigate the risks...

Research

Decision fatigue erodes doctors’ judgement at the end of the day

Doctors’ clinical judgement worsens as the day progresses due to ‘decision fatigue’, a US study has found. To investigate how the time of day influences medical decision making, researchers looked at the rates of ordering of guideline-recommended cancer screening tests...

Doctors’ clinical judgement worsens as the day progresses due to ‘decision fatigue’, a US study has found. To investigate how...

Hepatitis

Long term liver-related benefits become apparent from DAAs

Rates of HCV-related decompensated cirrhosis and liver-related mortality have decreased in New South Wales since direct-acting antiviral (DAA) therapy became available. The evidence for longer-term benefit beyond sustained virological response (SVR) should further encourage efforts to boost uptake of the antivirals,...

Rates of HCV-related decompensated cirrhosis and liver-related mortality have decreased in New South Wales since direct-acting antiviral (DAA) therapy became...

GERD

PPIs don’t disrupt small bowel microbiome

While proton-pump inhibitors have been linked to an increased risk of enteric infections such as C. difficile, a US study has found they do not affect the overall composition of the microbiome. In what is claimed to be the first major study...

While proton-pump inhibitors have been linked to an increased risk of enteric infections such as C. difficile, a US study has...