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ACG is committed to keeping members abreast of current clinical
updates on disease treatment. We offer Clinical Updates through
practice guidelines and research published in The American
Journal of Gastroenterology and Nature Reviews
Gastroenterology & Hepatology. The American Journal of
Gastroenterology is available for free to all ACG Members.
ACG Members, Fellows (FACG), Masters, and International Members
qualify for a free subscription to Nature Reviews
Gastroenterology & Hepatology. Members also receive clinical
updates twice-weekly through ACG’s e-newsletter, ACG SmartBrief,
that delivers summaries of the latest news. ACG also publishes
special papers and monographs throughout the year.
To learn more about ACG’s Clinical Updates, see below.
The College publishes guidelines on gastrointestinal diseases
in the American Journal of Gastroenterology that have been developed
and reviewed under the auspices of the ACG Practice Parameters
Committee.
Diagnosis
and Management of Achalasia (December 1999)
Diagnosis, Surveillance and Therapy of Barrett’s
Esophagus (March 2008)
Colorectal Cancer Screening (March 2009)
Diagnosis, Treatment and Surveillance for Patients with Colorectal Polyps (November 2000)
Management of Crohn’s
Disease in Adults (February 2009)
Diagnosis and Management of C. difficile-Associated Diarrhea and Colitis (May 1997)
Acute Infectious Diarrhea in Adults (November 1997)
Diagnosis and Management of Diverticular Disease of the Colon in Adults (November 1999)
Management of Dyspepsia (October 2005)
Esophageal
Cancer (January 1999)
Diagnosis and Treatment of Esophageal Diseases Associated with HIV Infection (November 1996)
Esophageal Reflux Testing (March 2007)
Role of Esophageal Stents in Benign and Malignant Diseases (February 2010)
Diagnosis
and Management of Fecal Incontinence (August 2004)
Diagnosis and Treatment of Gastroesophageal Reflux Disease (January 2005)
Management of the Adult Patient with Acute Lower Gastrointestinal Bleeding (August 1998)
Management of Helicobacter pylori Infection (August 2007)
Hepatic
Encephalopathy (July 2001)
Liver
Disease in the Pregnant Patient (July 1999)
Prevention of NSAID-Related Ulcer Complications (March 2009)
Acute
Pancreatitis (October 2006)
Management of Primary Schlerosing Cholangitis (March 2002)
Ulcerative
Colitis in Adults (March 2010)
Guidelines Produced in Association with other Organizations
Alcoholic
Liver Disease (January 2010)
Prevention and Management of Gastroesophageal Varices and Variceal Hemorrhage in Cirrhosis (September 2007)
Screening and Surveillance of the Early Detection of Colorectal Cancer And Adenomatous Polyps (March 2008)
Diagnosis, Management, and Treatment of Hepatitis C: An Update (April 2009)
Measuring
the Quality of Endoscopy
Quality
Indicators for Gastrointestinal Endoscopic Procedures: An Introduction
Quality
Indicators for Colonoscopy
Quality
Indicators for Esophagogastroduodenoscopy
Quality
Indicators for Endoscopic Retrograde Cholangiopancreatography
Quality
Indicators for Endoscopic Ultrasonography
Are hospitals and health insurance plans exposed to potential
litigation if they don't establish guidelines for determining competency
in providing endoscopic procedures? ACG in cooperation with ASGE,
has published "Ensuring Competence in Endoscopy" which
helps to answer this question. Along with the joint publication,
a legal memorandum from a nationally-renowned litigation law firm,
Williams & Connolly, is included. ACG members will receive
a copy in the mail and ACG is also mailing a copy to all hospitals
and health plans across the country. PDF's of each may also be
found by clicking on one of the links below.
Ensuring
Competence in Endoscopy (for the GI physician)
Ensuring
Competence in Endoscopy Executive Briefing (for the hospital
or health plan administrator)
Highlights from the current issue:
Newly Developed Antibiotic Combination Therapy for Ulcerative Colitis: A Double-Blind Placebo-Controlled Multicenter Trial
Fusobacterium varium may contribute to ulcerative colitis (UC). The authors of this Original Contribution conducted a double-blind placebo-controlled multicenter trial to determine whether antibiotic combination therapy induces and/or maintains remission of active UC. Patients with chronic mild-to-severe relapsing UC were randomly assigned to oral amoxicillin, tetracycline, and metronidazole, vs. placebo. The conclusions of this study are that 2-week triple antibiotic therapy produced improvement, remission, and steroid withdrawal in active UC more effectively than a placebo. (more)
Colonoscopy Withdrawal Time and Risk of Neoplasia at 5 Years: Results From VA Cooperative Studies Program 380
Withdrawal time (WT) has been proposed as a quality indicator for colonoscopy based on evidence that it is directly related to the rate of adenoma detection. The objective of this study was to test the hypothesis that baseline WT is inversely associated with the risk of finding neoplasia at interval colonoscopy. (more)
The Prospective Randomized, Controlled Trial of Endoscopic Ultrasound-Guided Fine-Needle Aspiration Using 22G and 19G Aspiration Needles for Solid Pancreatic or Peripancreatic Masses
A large-caliber needle such as a 19-gauge needle may help overcome the limitations of a 22-gauge needle by acquiring a larger amount of tissue sample. However, there has been no well-designed comparative study for endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with a 19-gauge aspiration needle. In this study, investigators sought to compare the diagnostic accuracy of EUS-FNA using a 19-gauge aspiration needle with that using a 22-gauge aspiration needle in patients with solid pancreatic or peripancreatic masses. (more)
Highlights from the current issue:
Hepatocellular carcinoma: A global view
Hepatocellular carcinoma is a global health problem, although developing countries are disproportionally affected. About three-quarters of hepatocellular carcinomas are attributed to chronic HBV and HCV infections. This Review provides an overview of the global variation in hepatocellular carcinoma incidence and etiology, as well as the prevention, screening, diagnosis and treatment of this cancer. CME is available for this article. (more)
Screening: Endomicroscopy for a reliable diagnosis of colorectal neoplasia
The modern colonoscopist faces two problems: identifying all relevant lesions and then making an appropriate risk assessment of the detected lesions. The latter is crucial for determining patient outcome. A feasibility study suggests that a new endomicroscopy technology could greatly improve the detection and assessment of neoplastic colorectal lesions.
(more)
The role of radiotherapy in locally advanced pancreatic carcinoma
The prognosis for locally advanced pancreatic carcinoma remains dismal despite advances in chemotherapy and radiotherapy over the past few decades. The use of radiotherapy for pancreatic carcinoma is often disputed because of the hypothesis that patients with pancreatic cancer die from distant metastases. This Review discusses the data from prospective and retrospective studies evaluating radiotherapy and other treatment options for locally advanced pancreatic carcinoma. (more)
ACG SmartBrief, emailed twice weekly to ACG members,
provides summaries of the latest news in gastroenterology. You’ll
find news coverage of Clinical Updates, Legal & Regulatory,
Practice News, Business & Market Trends, Patient Perspectives,
and more. If you are an ACG member and are not currently receiving ACG
SmartBrief, update your member record by adding your email
address information.
You may request a free copy on any of the monographs listed below
by visiting the ACG Store. Many of these monographs are for
ACG members only.
IBD & Osteoporosis:
A Guide to Diagnosis and Management (2001)
Managing
Variceal Bleeding in the Cirrhotic (1996)
You may download a copy of the monograph listed below by clicking on the link.
Pregnancy in Gastrointestinal Disorders (Updated 2007)
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