DISEASES OF THE BILIARY TRACT, SERIES #4The Gallstone Story: Pathogenesis and Epidemiology
Among biliary tract disease, gallstone disease is the leading cause for inpatient admissions for gastrointestinal problems. This paper will review the pathogenesis and epidemiology of gallstone disease, focusing on both unmodifiable and modifiable risk factors.
DISEASES OF THE BILIARY TRACT, SERIES #5Biliary Diseases in HIV
Manifestations of human immunodeficiency virus infection range from acute primary infections to life threatening symptomatic diseases that result from opportunistic infections. This article concentrates on the etiology, clinical presentations, diagnoses and treatment options of AIDS cholangiopathy and acalculous cholecystitis.
INFLAMMATORY BOWEL DISEASE, SERIES #63The Use of Biologic Therapy in the Pregnant Patient
Inflammatory bowel disease affects women during their childbearing years, with the peak age of onset between 15 to 30 years of age. This article presents the best evidence to date on the use of anti-tumor necrosis factor (TNF) therapy on fertility and pregnancy in women with IBD.
INFLAMMATORY BOWEL DISEASE, SERIES #64Diagnosis and Management of Colorectal Neoplasia in Inflammatory Bowel Disease
Certain patients with inflammatory bowel disease are at increased risk for developing colorectal neoplasia. In this article we will review the epidemiology, risk factors, detection methods, surveillance and management issues of colorectal neoplasia in IBD patients.
NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES #87The Art of Fistuloclysis: Nutritional Management of Enterocutaneous Fistulas
Enterocutaneous (EC) fistulas, though relatively rare, are very challenging to manage. This case study is presented demonstrating the complexity of managing the EC fistula patient focusing on the nutritional management and the importance of a multidisciplinary approach.
A CASE REPORTAdult Onset Nesidioblastosis: A Diagnostic Dilemma
This is the first reported case of nesidioblastosis in a dialysis patient, which makes it unique. Nesidioblastosis can often be unrecognized, and early dentification and prompt treatment plays a critical role in the management of such patients.
Use of Lactobacillus GG for Treatment of Allergic Colitis in Children
Cow's milk protein allergy (CMPA) is a relatively common gastrointestinal disease in infants and is associated with rectal bleeding and diarrhea. CMPA involves intestinal inflammation, and fecal calprotectin, a marker of intestinal inflammation, may be helpful in following the disease course of CMPA.
Association of Bacterial Enteritis and Intussusception in Children
Intussusception is a major case of bowel obstruction in young children, and it is commonly associated with viral gastroenteritis which may cause lymphoid hyperplasia of the Peyer's patches as a lead point. Bacterial enteritis has been described in case reports as a cause of intussusception in children; however, this association has not been studied in any retrospective manner.
Curbside Consultation of the Pancreas: 49 Clinical Questions
Pancreatology is a rapidly expanding field of clinical science. The widespread dissemination of EUS and the emergence of new clinical entities such as autoimmune pancreatitis have changed significantly the evaluation and treatment of many of pancreatic disorders over the past several years.
Famotidine Vs. Pantoprazole in Aspirin-Related Gastropathy
To compare the efficacy/erosions in preventing recurrent symptomatic ulcers/erosions, a randomized, double-blind, control trial of 160 patients with aspirinrelated peptic ulcer/erosions, with or without a history of bleeding was performed.
Clopidogrel and PPIs
To examine the association between concurrent use of PPIs and Clopidogrel, and the risk for hospitalization for gastroduodenal bleeding and serious cardiovascular disease, a retrospective cohort study was carried out, using automated data to identify patients who received Clopidogrel between 1999 to 2005, after hospitalization for coronary heart disease.
Preventing Diverticular Disease
Diverticulosis is an extremely common condition that affects the colon. Yet it is often overlooked because it produces few if any symptoms. When diverticulosis becomes diverticulitis, though, blissful ignorance gives way to pain or bleeding. You can avoid these problems by taking several simple steps, reports the August 2010 issue of Harvard Men's Health Watch.
Study in Health Affairs Confirms Quality, Safety of Nurse Anesthetist Care
There are no differences in patient outcomes when anesthesia services are provided by Certified Registered Nurse Anesthetists (CRNAs), physician anesthesiologists, or CRNAs supervised by physicians, according to the results of a new national study conducted by RTI International.
New Olympus V-System Expands Options for ERCP
Olympus America Inc., a precision technology leader designing and delivering innovative solutions in medical and surgical products among other core business areas, today launched its new V-System. The new VSystem combines Olympus' latest duodenoscope, the TJF-Q180V, with its unique V-System devices for the endoscopic retrograde cholangiopancreatography (ERCP) procedure.