1. Oral budesonide suspension 2 mg for 12 weeks shows striking efficacy for eosinophilic esophagitis.

2. Avoidant/restrictive food intake disorder (ARFID) is increasingly being emphasized in adult gastroenterology. This is a diagnosis thats established by restriction or avoidance of food intake that is associated with weight loss, nutritional deficiencies, dependence on tube feedings or oral supplements, or significant psychosocial impairment. 

3. Vedolizumab for ulcerative colitis: Shift from IV to SC now. It is a monoclonal antibody targeting the alpha-4 beta-7 integrin.

4. Obeticholic acid, a selective farnesoid X receptor agonist, which regulates bile acid homeostasis, is effective in nonalcoholic steatohepatitis(NASH).

5. There is no apparent increased risk for metachronous lesions in young adults with adenomas.

6. Hyperbaric oxygen is a new intervention for refractory pouchitis.

Dr KK Aggarwal

President CMAAO, HCFI and Past National President IMA