Updated Crohn’s fistula guidance broadens options, physicians retain ‘ultimate judgement’

The American Society of Colon and Rectal Surgeons has published clinical practice guidelines for the management of patients with cryptoglandular fistulas, rectovaginal fistulas and anorectal fistulas in the presence of Crohn’s disease.“A generally accepted explanation for the cause of anorectal abscess and fistula-in-ano is that an abscess results from obstruction of an anal gland and…

Patients with eosinophilic esophagitis symptoms may benefit from gastric emptying studies

Gastric emptying studies may benefit patients with persistent symptoms of eosinophilic esophagitis who do not respond to treatment, according to a study published in The Journal of Allergy and Clinical Immunology: In Practice.These studies may enable clinicians to consider delayed gastric emptying and other concomitant diagnoses, Emad Khosh-Hemmat, BS, a clinical research coordinator at the…

Procalcitonin testing may reduce antibiotic use in acute pancreatitis

Procalcitonin-guided care reduced antibiotic use without increasing the risk for infection among patients with acute pancreatitis compared with standard care, according to research published in The Lancet Gastroenterology and Hepatology.“None of these features [of acute pancreatitis] discriminate between inflammation and infection, resulting globally in overuse of antibiotics across the spectrum of disease severity, with up…