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    • Prophylactic hemoclipping of polypectomy sites does not result in significant reduction of delayed post-polypectomy bleeding.
    • Iron treatment is effective and essential for treating anemia after nonvariceal acute upper gastrointestinal bleeding.
    • Advances in endoscopic technique and pharmacotherapy have reduced mortality of peptic ulcer bleeding.
    • PPIs result in more GI bleeding than H2 antagonists in stress ulcer prophylaxis.


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Upcoming Key Medical Conferences: We've Got You Covered


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Upcoming Conferences (September 2013) 

Infectious Disease 

IDWeek: Joint Meeting of IDSA, SHEA, HIVMA, PIDS


Physical Medicine & Rehab

2013 American Academy of Physical Medicine & Rehabilitation Annual Meeting 



American Society for Bone and Mineral Research 2013 Annual Meeting


Practice Management

Medical Group Management Association 2013 Annual Conference 


Professional Association of Health Care Office Management 25th Annual Conference



2013 American Society of Anesthesiologists Annual Meeting 



American College of Surgeons 99th Annual Clinical Congress 


Emergency Medicine 

American College of Emergency Physicians Scientific Assembly 2013 



The American Academy of Facial Plastic and Reconstructive Surgery Fall Meeting 2013 



2013 American Academy of Pediatrics Experience National Conference & Exhibition



2013 American Dental Association Annual Session




PCPA detects early-stage pancreatic cancer

Pro-carboxypeptidase A (PCPA) levels were determined in 10 and 16 patients with early and late adenocarcinoma of the head of the pancreas, respectively. The upper limit of normal of 2.35 u/L for PCPA was exceeded in 90% and 56% of patients with early- and late-stage pancreatic cancer, respectively.  PCPA was shown to have a sensitivity of 94% in the detection of early-stage pancreatic cancer. 

APRI of limited value in detecting hepatic fibrosis and cirrhosis

A meta-analysis of 9 studies (n=1,798 patients) was performed to determine the value of the aminotransferase-to-platelet ratio index (APRI) as a non-invasive means to detect hepatic fibrosis and cirrhosis.  Of the 1,798 patients, 53.1% and 13.5% had biopsy-proven fibrosis and cirrhosis, respectively.  At APRI cut-off values of 0.5 and 1.5, the sensitivity and specificity for fibrosis were 84% and 41%, and 49% and 84%, respectively.  At APRI cut-off values of 1.0-1.5 and 2.0, the sensitivity and specificity for cirrhosis were 54% and 78%, and 28% and 87%, respectively.  Thus, the APRI has limited value in detecting hepatic fibrosis and cirrhosis. 
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