NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES #138Short Bowel Syndrome in Adults – Part 3 Hydrating the Adult Patient with Short Bowel Syndrome
Fluid and electrolyte abnormalities are a major cause of morbidity in short bowel syndrome. Part three of this five-part series on short bowel syndrome is dedicated to the challenges involved in keeping the patient with short bowel syndrome hydrated. Strategies to improve hydration to prevent morbidity and enhance quality of life are presented.
GASTROINTESTINAL MOTILITY AND FUNCTIONAL BOWEL DISORDERS, #6Median Arcuate Ligament Syndrome
In this article, we discuss the pathophysiology, diagnosis and treatment of median arcuate ligament syndrome (MALS), an uncommon disorder characterized by epigastric abdominal pain accentuated by meals and weight loss associated with nausea,vomiting and gastroparesis.
INFLAMMATORY BOWEL DISEASE: A PRACTICAL APPROACH, SERIES #9Infection Risk Among Elderly with Inflammatory Bowel Disease
With an aging population, a growing number of inflammatory bowel disease patients are over the age of 65. One of the important considerations in the treatment of elderly patients is the development of serious infection. Here we discuss the unique challenges and risk factors that exist in the diagnosis and treatment of Crohn’s disease and ulcerative colitis in the elderly.
A CASE REPORTHypertensive Urgency Secondary to Tablet Retention in a Patient with Achalasia
Acid Suppression and Change of Gastric and Lung Microflora in Children
Acid suppression medications, such as H2 receptor antagonists (H2RA) and proton pump inhibitors (PPI), are widely used medications in children. The long- term effect of such medications on microflora in the pediatric patient population is unclear. In this study, children who presented to a tertiary United States children’s hospital with a complaint of chronic cough underwent evaluation of gastric and lung fluid cultures in a prospective manner.
Is There a Biologic Link to Childhood Feeding Problems?
Pediatric gastroenterologists often are involved in the evaluation of children with feeding problems, and commonly, no etiology is found although many children improve clinically over time. The authors of this study looked at a specific set of patients with Smith-Lemli-Opitz Syndrome (SLOS) (OMIM #270400) which is associated with multiple congenital abnormalities (head and neck, cardiovascular, kidney, and orthopedic) as well as severe feeding issues.