March 10, 2020   Gastric Distress: 3 GI Case Challenges H. pylori, penicillin allergy, gastrin 1000 pg/mL, recurrent duodenal ulcer, and more. Meet 3 new patients and decide the next steps. (©Sebastian Kaulitzki/Shutterstock.com) See more   New Guidelines on Management of Achalasia Released by ASGE Medical therapies for achalasia are limited but new procedures are improving management. A gastroenterologist highlights new guidelines. Read more   Plus: More GI Case Challenges from Patient Care® Online   Is it Celiac Disease, or Something Else? Puzzles in Pancreatitis: 3 Case Challenges for Primary Care Gastric Bypass Successful but Sequelae Seem Strange