FRONTIERS IN ENDOSCOPY SERIES # 14Office Management of Hemorrhoid Disease
Hemorrhoids account for approximately 3.5 million physician visits and 500 million dollars in costs per annum in the US. The gastroenterologist maintains a unique position between the conservative treatment offered by the primary care physician and the more invasive hemorroidectomy offered by the surgeon. Here we discuss the etiology, classification and diagnosis of hemorrhoids and the procedures for treatment.
GASTROINTESTINAL MOTILITY AND FUNCTIONAL BOWEL DISORDERS SERIES #4Cannabis in Gastrointestinal Disorders
For thousands of years, cannabis and its derivatives have been used for the treatment of human diseases including those that present with gastrointestinal (GI) symptoms. Despite the strong evidence supporting the therapeutic role of cannabis in nausea and vomiting related to chemotherapy and cachexia of AIDS, studies on the use of cannabis for other GI disorders are limited and sparse. In this article, we review available clinical evidence in supporting medical cannabis for GI diseases.
DISEASES OF THE PANCREAS, SERIES #9The Physiology of the Pancreas
Here we discuss the pancreas, a complex organ that plays a critical role in the digestion process. Knowledge of normal pancreatic secretory functions can help clinicians order appropriate tests, which eventually assist in diagnosing specific pathologies. New imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) have enhanced the understanding of pancreas anatomy and made possible the surgical, endoscopic and percutaneous manipulation of pancreas.
NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES #136Blenderized Tube Feeding: Suggested Guidelines to Clinicians
Blenderized tube feeding has been gaining momentum among patients despite the availability of commercially prepared and nutritionally complete enteral formulas. This article will review perspectives and provide clinicians with basic guidelines for planning and implementing blenderized enteral feedings when our patients request this feeding option.
NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES #137Clinical Observations Correcting Hypernatremia: Enteral or Intravenous Hydration?
The clinical symptoms associated with hypernatremia are alterations in central nervous system functioning, including a spectrum ranging from mild confusion to stupor and coma. Here we discuss the epidemiology, risks and complications of hypernatremia and present guidelines for the clinicianís approach to correcting it.
A CASE REPORTBezoar in a Periampullary Duodenal Diverticulum Causing Pancreatobiliary Obstruction
Curbsite Consultation in IBD: 49 Clinical Questions, 2nd Edition
Curbside Consultation in IBD: 49 Clinical Questions is a follow-up to the 2009 publication. Contributing authors are international experts, not only in the area of gastroenterology, but also in colorectal surgery, dermatology, rheumatology, oncology, nutrition, and psychology. Organized as clinical questions, chapters are typically 3-4 pages long, and contain brief references. Several contain decision-making algorithms, tables, and photographs. Authors incorporate a blend of evidence-based medicine, expert opinion, and personal practice. This format is perfect for the busy practicing gastroenterologist, but also highlights important evidence-based information for GI trainees.
Challenges in the area of IBD Patients of All Ages
With the advent of novel high throughput sequencing technology, our understanding of inflammatory bowel disease (IBD) has been greatly advanced. This profound knowledge has laid the foundation for novel and often unanticipated therapeutic targets such as autophagy.