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Correlation between virological response and portal vein thrombosis in patients with chronic hepatitis B
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One vs Five Days of Octreotide Infusion for Acute Esophageal Variceal Bleeding: A Randomized Controlled Trial
AJG 25 December 2025
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The combination of fever, diabetes, abnormal liver function tests, and a hypoechoic hepatic lesion on ultrasound is consistent with pyogenic liver abscess. Broad-spectrum IV antibiotics should be initiated immediately to provide coverage for anaerobes, gram-negative bacteria, and gram-positive cocci.
For large abscesses, percutaneous drainage is indicated, which requires interventional radiology consult for image-guided catheter placement.
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✳️ The most appropriate management step for a patient who is found to have a gastric residual of 100 mL after starting on enteral feeding through a percutaneous gastrostomy tube is to elevate the head of the bed and continue the tube feeding.
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Pancreas divisum is the most common pancreatic congenital abnormality, seen in approximately 6% of persons. It occurs when the ducts of the dorsal and ventral parts of the pancreas fail to fuse during embryonic development. As a result, the two parts of the pancreas maintain distinct drainage into the duodenum. The majority of secretions enter the duodenum by way of the dorsal duct, which enters the duodenum at the smaller minor papilla; the ventral duct drains a smaller part of the pancreas and enters the duodenum at the major papilla.
Most patients with pancreas divisum are asymptomatic. It seems likely, although unproven, that a small subgroup of patients present with recurrent episodes of pancreatitis, thought to be due to the small caliber of the minor papilla, leading to obstruction and subsequent pancreatitis.
The treatment of incidental pancreas divisum is observation.
