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Evaluation and Treatment of Hepatitis C in Patients With Coexisting HIV Infection
In the current era of highly effective antiretroviral therapy, many HIV-infected patients are now surviving to an age when coinfection with HCV can progress to advanced liver disease.
Journal Article, September 2006
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IBS -- Review and What's New
Amy Foxx-Orenstein, DO, highlights recent advances in IBS research and discusses how these findings can be applied to daily clinical practice.
Journal Article, July 2006
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Endoscopic Screening and Surveillance for Barrett's Esophagus -- Clinical Implications
Chronic reflux results in Barrett's metaplastic change, and the route to carcinoma is a stepwise progression, through dysplasia to invasive carcinoma.
Journal Article, June 2006
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Autoimmune Hepatitis -- Approach to Diagnosis
Albert J. Czaja, MD, reviews the clinical, laboratory, and histologic features of autoimmune hepatitis and addresses routine application of its codified diagnostic criteria.
Journal Article, May 2006
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Recurrent Primary Biliary Cirrhosis After Liver Transplantation -- The Disease and Its Management
Ten to forty percent of patients develop clinical, biochemical, and histologic changes consistent with recurrent PBC after orthotopic liver transplantation.
Journal Article, May 2006
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The Extrahepatic Consequences of Cirrhosis
Cirrhosis has multisystem effects and complications. Extrahepatic manifestations should be taken into consideration when treating a cirrhotic patient to optimize clinical outcomes.
Journal Article, March 2006
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Irritable Bowel Syndrome and Functional Dyspepsia: Different Diseases or a Single Disorder With Different Manifestations?
The authors review the prevalence, natural history, etiology, pathogenesis, and treatment of these 2 common functional gastrointestinal disorders.
Journal Article, August 2005
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Evaluation of Perianal Fistulas in Patients With Crohn's Disease
The diagnosis of perianal fistulas in patients with Crohn's disease is often challenging and crucial to determining the appropriate therapy.
Journal Article, May 2005
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Applications of EUS for the Molecular Characterization and Treatment of Gastrointestinal Diseases -- A Review of the Recent Medical Literature
There appear to be varied and robust attempts at using interventional endosonography for a variety of therapeutic applications. The author reviews the recent literature and explores the topic.
Journal Article, May 2005
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Partnering With Gastroenterologists to Evaluate Patients With Chronic Constipation
Brian E. Lacy, MD, PhD, and Stephen A. Brunton, MD, discuss strategies and tools that can be used to facilitate effective communication between PCPs and GIs to help optimize patient care.
Journal Article, April 2005
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Hepatitis B Virus Infection in Liver Transplant Candidates and Recipients
Patrick Yachimski, MD, and Raymond T. Chung, MD, discuss the evolution of treatment strategies and current recommendations for management of the HBV-infected LT candidate or recipient.
Journal Article, April 2005
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Acute Dysphagia After Carp Fish Meal: A Case Report
An 80-year-old man was admitted to the emergency department complaining of acute dysphagia, which began after ingesting his last meal.
Journal Article, March 2005
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Expert Commentary -- New Developments in the Treatment of Constipation
Most available treatments for constipation have not been tested. Jack A. Di Palma, MD, reviews the current status of the field, with a view toward new developments.
Journal Article, January 2005
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Expert Commentary -- Bloating, Distension, and the Irritable Bowel Syndrome
Richard Lea, MD, and Peter J. Whorwell, MD, comment on the relationship between bloating and distension and explore potential mechanisms underlying the pathophysiology of bloating in FGIDs.
Journal Article, January 2005
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Renal Dysfunction in Cirrhosis: Diagnosis, Treatment, and Prevention
Alterations in renal physiology in acute liver failure or cirrhosis with ascites can predispose patients to a specific functional form of renal failure known as hepatorenal syndrome.
Journal Article, December 2004
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Idiopathic Recurrent Acute Pancreatitis
Initial evaluation fails to detect the cause of recurrent acute pancreatitis in 10% to 30% of patients, and as a result, the diagnosis of "idiopathic" recurrent acute pancreatitis is given.
Journal Article, November 2004
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Nocturnal Acid Breakthrough -- Approach to Management
Radu Tutuian, MD, and Donald O. Castell, MD, explore the phenomenon of NAB, defined as intragastric pH <4 during the overnight period for at least 60 continuous minutes in patients taking PPIs.
Journal Article, October 2004
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Genetics of Colorectal Cancer
Vincent W. Yang, MD, PhD, and colleague, review the various familial CRC syndromes along with their genetic etiology, as well as discuss the principle of genetic testing for these conditions.
Journal Article, August 2004
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Crohn's Disease and Infections: A Complex Relationship
Karel Geboes, MD, and colleague discuss common enteric pathogens that can mimic CD, and also explore theories regarding the etiology and pathogenesis of idiopathic IBD.
Journal Article, August 2004
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The Medical and Surgical Management of Short Bowel Syndrome
Alan L. Buchman, MD, MSPH, provides an in-depth overview of this clinical syndrome, looking at the roles of fluid and electrolyte management, macronutrients and diet, among other strategies.
Journal Article, May 2004
