The Medscape Journal of Medicine Gastroenterology Index

Clinical Cases

Complications of and Controversies Associated With Percutaneous Endoscopic Gastrostomy: Report of a Case and Literature Review Pecutaneous endoscopic gastrostomy is one of the most commonly performed gastrointestinal procedures, despite absence of benefit in many patients and risks associated with the procedure.
June 2008
Traumatic Biliary Stricture A 48-year-old man with a history of short-gut syndrome presented with painless jaundice. Approximately 1 year earlier he was involved in a motor vehicle accident.
May 2008
Natural History of Chronic Hepatitis B -- Clinical Implications Brian J. McMahon, MD, MACP, explores the natural history of HBV infection, with a focus on how to best select those individuals who might be candidates for treatment.
April 2008
A Man With New Onset of Ascites and Edema A 42-year-old man complaining of abdominal and lower extremity swelling presented for evaluation.
April 2008
Laparoscopic Liver Resection Skilled surgical teams, with experience in hepatic and laparoscopic surgery, have demonstrated that the laparoscopic approach for liver resection is safe and feasible for a selected group of patients.
March 2008

Functional Dyspepsia and Nonerosive Reflux Disease: Clinical Interactions and Their Implications Although there is some confusion with regard to definition, recent data suggest that functional dyspepsia and NERD are linked and may represent components in the spectrum of the same disease entity.
August 2007
Review of the Treatment Options for Chronic Constipation John F. Johanson, MD, MSc, examines the clinical evidence supporting the efficacy and safety of traditional and novel therapies for the treatment of patients with chronic constipation.
May 2007
Primary Sclerosing Cholangitis -- Approach to Diagnosis This article reviews our current understanding of how clinical presentation, laboratory tests, endoscopy, radiology, and histology assist in facilitating the diagnosis of PSC.
April 2007
Extraintestinal Manifestations of Inflammatory Bowel Disease: Focus on the Musculoskeletal, Dermatologic, and Ocular Manifestations This article focuses on the clinical implications of extraintestinal manifestations involving the musculoskeletal system, eyes, and skin, including issues in diagnosis and treatment.
March 2007
Small Bowel Bezoar in a Patient With Noonan Syndrome: Report of a Case To the authors' knowledge, this is the first case of a bezoar in a patient with Noonan syndrome reported in the English literature.
February 2007

Obscure Gastrointestinal Bleeding -- The Role of Endoscopy Obscure gastrointestinal bleeding is defined as bleeding of unknown origin that persists or recurs after an initial negative endoscopic evaluation including colonoscopy and/or upper endoscopy.
May 2006
Epidemiology of Hepatitis B -- Clinical Implications Jacob Alexander, MD, and Kris V. Kowdley, MD, FACP, explore the latest information regarding HBV, ranging from geographic distribution to issues in transmission and genotyping.
April 2006
Chronic Hepatitis B -- Who Should Be Treated? The authors discuss criteria for determining when and how to most effectively intervene with antiviral therapy for chronically infected patients.
March 2006
Noninvasive Diagnosis of Liver Fibrosis in Patients With Chronic Hepatitis C The prognosis and management of chronic liver diseases greatly depends on the degree and progression of liver fibrosis. Until recently, liver biopsy was the only way to evaluate fibrosis in the liver.
November 2005
Atypical Manifestations of Gastroesophageal Reflux Disease GERD may manifest typically with heartburn and regurgitation or atypically as laryngitis, asthma, cough, or noncardiac chest pain. Diagnosis of these atypical manifestations may be difficult.
October 2005

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