e-book Clinical Economics in Gastroenterology

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Robert F. Yacavone, MD | Tufts Medical Center

Epidemiology, statistics, national health policy and healthcare delivery. So many symptoms that are staples of gastroenterology—chest pain, nausea, diarrhea—are mainstay causes for hospitalization that it might be worth fine-tuning how well you handle patients with gastroenterology disorders. The Hospitalist asked several gastroenterologists for their guidance on better care and their suggestions for correcting some common mistakes that they encounter.

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Here are their tips:. On occasion, physicians are reluctant to give extra fluids to these patients, he says, particularly if they have heart failure or suffer kidney problems. A kg patient should be receiving about cc per hour, he notes. Vela says. When inpatients have gastrointestinal bleeding, the hospitalist often has to assess its severity and make the call on whether a patient needs the ICU. He added that those with an ulcer, with a visible vessel, are at a high-risk of a rebleed and should spend some time in the ICU. Louis, Mo. Sometimes a pH study is needed, but that has to be planned, because patients may have to be taken off of a PPI in advance.

That means those studies are not easy to set up in the hospital and might best be arranged by the gastroenterologist, Dr.

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Gyawali says. That will help guide care from the gastroenterologist, if and when the gastroenterologist is called in, Dr. Pandolfino says.