Newswise — The October issue of The American Journal of Gastroenterology is a special edition highlighting The Changing GI Landscape. This issue focuses on emerging concepts in gastroenterology and hepatology and includes updated ACG Clinical Guidelines on the Management of Benign Anorectal Disorders. Key topics from the issue include pancreatitis, cirrhosis, inflammatory bowel disease, pediatrics, quality improvement in colonoscopy, liver transplantation, and more. “The advent of new techniques, new therapies, and even new disorders (e.g., COVID-19-associated gastrointestinal and liver pathology) that are changing the everyday landscape of daily practice warrant dissemination to the scientific community,” note Co-Editors-in-Chief Brian E. Lacy, MD, PhD, FACG, and Brennan M.R. Spiegel, MD, MSHS, FACG.

Several articles are highlighted below and access to any articles from this issue, or past issues, is available upon request. The College is also able to connect members of the press with study authors or outside experts who can comment on the articles.

ACG Clinical Guidelines: Management of Benign Anorectal Disorders
Wald, et al.

These newly updated guidelines summarize the preferred approach to the evaluation and management of defecation disorders, proctalgia syndromes, hemorrhoids, anal fissures, and fecal incontinence in adults, using GRADE methodology. Up-to-date recommendations in definitions, diagnostic criteria, evaluation, and management are provided for this group of benign disorders of anorectal function and/or structure.

Pain Experience in Pancreatitis: Strong Association of Genetic Risk Loci for Anxiety and PTSD in Patients With Severe, Constant, and Constant-Severe Pain
Dunbar, et al.

In this study, the authors found that a component of constant and severe pain in patients with recurrent acute pancreatitis and chronic pancreatitis is associated with genetic predisposition to anxiety and PTSD, suggesting that patients who experience constant and severe pancreatic pain may have several overlapping conditions that should be addressed individually as part of a complex disorder. An editorial, Psychiatric Disease Susceptibility and Pain in Chronic Pancreatitis: Association or Causation? by Faghih, et al., discussing this article is also included in the issue.

“Sickeningly Sweet”…. High Fructose Corn Syrup-Caveat Emptor!
David A. Johnson, MD, MACG


About the American College of Gastroenterology
Founded in 1932, the American College of Gastroenterology (ACG) is an organization with an international membership of over 16,000 individuals from 86 countries. The College’s vision is to be the preeminent professional organization that champions the prevention, diagnosis, and treatment of digestive disorders, serving as a beacon to guide the delivery of the highest quality, compassionate, and evidence-based patient care. The mission of the College is to enhance the ability of our members to provide world class care to patients with digestive disorders and advance the profession through excellence and innovation based upon the pillars of Patient Care, Education, Scientific Investigation, Advocacy and Practice Management.

Journal Link: The American Journal of Gastroenterology