Topic:Chronic pancreatitis
Expert evidence-based guideline on management of exocrine pancreatic insufficiency after pancreatic surgery (Ann Surg 2016 Dec)
Topic:Colonoscopy
Endocuff colonoscopy may not increase adenoma detection or reduce patient discomfort compared to conventional colonoscopy in adults (Gut 2015 Dec 16 early online)
Topic:Flexible sigmoidoscopy for colorectal cancer screening
Benefit of flexible sigmoidoscopy screening for reducing colorectal cancer incidence and mortality may vary by age, sex, and colon region (BMJ 2017 Jan 13)
Topic:Clostridium difficile infection
American Gastroenterologic Association (AGA) Institute expert review of management of C. difficile infection in patients with inflammatory bowel disease (Clin Gastroenterol Hepatol 2017 Feb)
Topic:Constipation in adults
Plecanatide (Trulance) FDA approved for use in adult patients with chronic idiopathic constipation (FDA Press Release 2017 Jan 19 )
Topic:Acute upper nonvariceal gastrointestinal bleeding
Glasgow Blatchford score with cutoff ≤ 1 may have best predictive performance compared to 4 other clinical risk scores for identifying patients presenting with evidence of upper gastrointestinal bleeding who can be safely managed as outpatients (BMJ 2017 Jan 4)
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CCG Where to Look packs
NHS RightCare has updated CCG Commissioning for Value Where to Look packs. The updates include expenditure data from 2015/16, an additional three pathways on a page for gastro-intestinal and an update of the complex patients analysis using 2015/6 data. The updated packs also contain a new slide highlighting the potential overuse in bed days.
