May 2019 Vol XLIII Issue 5

Previous Month


NUTRITION ISSUES IN GASTROENTEROLOGY, SERIS #186

Part IV Enteral Feeding: Hydrating the Enterally-Fed Patient - It isn't Rocket Science

Carol Rees Parrish, Stacey McCray, Andrew P. Copland

Enteral nutrition (EN) provides primary sustenance to thousands of individuals each day in the hospital, long term care, and home settings. In addition to determining appropriate nutrient requirements, assessing hydration needs is every bit as important. Unfortunately, specific guidelines for clinicians to determine fluid needs do not exist and the equations routinely used are without evidence. The purpose of this article is to approach hydration in the stable EN-fed patient from a practical approach, as well as to review the body’s physiologic need for water.



FRONTIERS IN ENDOSCOPY, SERIES #52

Hemobilia: Evaluation and Management

Taylor Frost, Douglas G. Adler

Hemobilia should be suspected in patients with evidence of upper GI bleeding in the setting of a history of prior hepatobiliary intervention or malignancy. Here we discuss the management of hemobilia which can often be managed conservatively with transfusions and the correction of any underlying coagulopathy. However, in patients with persistent bleeding, angiography with selective embolization is the first line therapy to achieve hemostasis but endoscopic biliary stenting and surgical interventions may be warranted.



GASTROINTESTINAL MOTILITY AND FUNCTIONAL BOWEL DISORDERS, SERIES #26

Rumination Syndrome in the Setting of a Nissen Fundoplication: Its Atypical Clinical and Diagnostic Features

Zorisadday Gonzalez, Richard W. McCallum

Rumination syndrome is a behavioral disorder characterized by the subconscious regurgitation of recently ingested food into the mouth.Although a widely unrecognized disorder, rumination syndrome should be an important consideration in the differential diagnosis of postprandial regurgitation and vomiting resistant to treatment.



Departments Section


Medical Bulletin Board

EARLY DETECTION OF BARRETT'S ESOPHAGUS AND DYSPLASIA WITH WATS3D OFFERS NEW SOLUTION TO ONE OF THE MOST RAPIDLY GROWING AND FATAL CANCERS IN THE UNITED STATES

SUFFERN, NY - CDx Diagnostics, innovator of the WATS3D diagnostic tissue test for the detection and surveillance of Barrett's esophagus (BE), a known precursor to esophageal adenocarcinoma (EA), recognizes and supports the goals of Esophageal Cancer Awareness Month in helping to educate patients and physicians about the role of screening and surveillance in enabling early detection of this highly lethal cancer.



Meetings Calendar

June 3, 2019 - June 6, 2019 The Comprehensive 2019 Gastroenterology Update
July 15-19, 2019 41st Annual Aspen Conference on Pediatric Gastrointestinal Disease: Pediatric Gastrointestinal Disease and Small Bowel Transplantation
October 25-30, 2019 American College of Gastroenterology (ACG) 2019 Annual Scientific Meeting and Postgraduate Course