Hemorrhoids.

abstract：:Although significant strides have been made in the surgical technique of orthotopic liver transplantation, numerous problems and nuisances are still encountered. Further surgical refinements will certainly evolve. The development of better preservation techniques, the use of intraoperative flowmeters, and the availabi...

journal_title：Gastroenterology clinics of North America

authors： Makowka L,Stieber AC,Sher L,Kahn D,Mieles L,Bowman J,Marsh JW,Starzl TE

更新日期：1988-03-01 00:00:00

abstract：:Topical therapy with amino salicylate enemas is the treatment of choice for proctitis, proctosigmoiditis, and left-sided ulcerative colitis. Adjunctive sulfasalazine therapy is often required. Relapse rates of 80 per cent can be expected within 3 months of discontinuing therapy. ...

journal_title：Gastroenterology clinics of North America

authors： Ginsberg AL

更新日期：1989-03-01 00:00:00

abstract：:Barrett's esophagus, currently defined as endoscopically apparent columnar metaplasia of the esophagus with histologic documentation of goblet cells, is the precursor to esophageal adenocarcinoma. However, not all patients with this disorder require intensive surveillance. Pathologic diagnosis and grading of dysplasia...

journal_title：Gastroenterology clinics of North America

authors： Hornick JL,Odze RD

更新日期：2007-12-01 00:00:00

abstract：:The use of high-frequency ultrasound transducers combined with manometry in the gastrointestinal (GI) tract has yielded important findings concerning the anatomy, physiology, and pathophysiology of the high-pressure zone of the gastroesophageal junction and the sphincteric muscles within. These transducers have made p...

journal_title：Gastroenterology clinics of North America

authors： Miller L,Vegesna A,Kalra A,Besetty R,Dai Q,Korimilli A,Brasseur JG

更新日期：2007-09-01 00:00:00

abstract：:The view of surgical treatment of esophageal carcinoma is pessimistic. This is so because (1) most patients present late in the disease and are beyond the benefits of surgical therapy for cure, (2) resection is associated with a high operative mortality, and (3) the poor 5-year survival rates for surgical resection ci...

journal_title：Gastroenterology clinics of North America

authors： Bremner RM,DeMeester TR

更新日期：1991-12-01 00:00:00

abstract：:Anal cancer is rare and this helps to explain why anal pre-neoplastic conditions are poorly understood, especially with regard to their natural history and management. Anal intraepithelial neoplasia is closely linked to human papillomavirus infection and is particularly common in homosexuals and in immunosuppressed pa...

journal_title：Gastroenterology clinics of North America

authors： Shepherd NA

更新日期：2007-12-01 00:00:00

abstract：:Hepatic angiosarcoma is the second most common primary malignant neoplasm of the liver. Although comprising only 2 per cent of all hepatic primary tumors, it represents a major clinical problem because of its strong association with industrial vinyl chloride exposure and its incurability. Strict ceilings on the amount...

journal_title：Gastroenterology clinics of North America

authors： Weinman MD,Chopra S

更新日期：1987-12-01 00:00:00

abstract：:Fecal incontinence affects up to 20% of community-dwelling adults and more than 50% of nursing home residents, and is one of the major risk factors for elderly persons in the nursing home. Institutionalization itself is a risk factor (eg, immobility due to physical restraints). Management should focus on identifying a...

journal_title：Gastroenterology clinics of North America

authors： Leung FW,Rao SS

更新日期：2009-09-01 00:00:00

abstract：:Three (author's standard) or five biopsy specimens (two antral, two corpus, one incisura) as suggested by the Sydney system (original and revised version) [figure: see text] correctly separate infected mucosa from uninfected mucosa. No combination identified correctly the presence of intestinal metaplasia to be consid...

journal_title：Gastroenterology clinics of North America

authors： el-Zimaity HM

更新日期：2000-12-01 00:00:00

abstract：:Perinatal mood and anxiety disorders (PMAD) have significant negative impacts on mother and child, yet treatments are limited. Adequate nutrition during the perinatal period is essential to maternal and infant health, including maternal mental health and the child's neurologic and neuropsychiatric development. Nutriti...

journal_title：Gastroenterology clinics of North America

authors： Bernabé BP,Tussing-Humphreys L,Rackers HS,Welke L,Mantha A,Kimmel MC

更新日期：2019-09-01 00:00:00

abstract：:The application of EUS has improved the way we evaluate and manage patients with rectal cancer. EUS has substantially greater sensitivity than CT in detecting advanced T stage tumors. Such improved sensitivity results in changes in preoperative therapy that would not otherwise have occurred without EUS. Although the a...

journal_title：Gastroenterology clinics of North America

authors： Wiersema MJ,Harewood GC

更新日期：2002-12-01 00:00:00

abstract：:New high-resolution colonoscopes and filter technologies are allowing us to visualize more lesions and better characterize lesions within the gastrointestinal tract. In light of recent findings that flat and serrated lesions are more likely to contain invasive cancer and that even small lesions (5-10 mm) may contain a...

journal_title：Gastroenterology clinics of North America

authors： Sauk J,Hoffman A,Anandasabapathy S,Kiesslich R

更新日期：2010-12-01 00:00:00

abstract：:The health care burden of hepatitis C virus (HCV) infection is projected to continue to increase over the next two decades, so improving the efficacy of anti-HCV therapy has the potential to significantly affect health care utilization associated with the disease. Adherence to standard combination therapy and maintain...

journal_title：Gastroenterology clinics of North America

authors： Manns MP

更新日期：2004-03-01 00:00:00

abstract：:Gallstones are common with prevalences as high as 60% to 70% in American Indians and 10% to 15% in white adults of developed countries. Ethnic differences abound with a reduced frequency in black Americans and those from East Asia, while being rare in sub-Saharan Africa. Certain risk factors for gallstones are immutab...

journal_title：Gastroenterology clinics of North America

authors： Stinton LM,Myers RP,Shaffer EA

更新日期：2010-06-01 00:00:00

abstract：:This article focuses on preventing the initiation and promotion of neoplastic growth in colon cancer, particularly with dietary measures. A goal of dietary epidemiology is to identify chemopreventive agents and strategies. The effects of diet are analyzed by observational approaches and experimental dietary, nutrition...

journal_title：Gastroenterology clinics of North America

authors： Marshall JR

更新日期：2008-03-01 00:00:00

abstract：:Adenomatous polyps are the benign precursors of colorectal adenocarcinoma. Colonic adenomas occur commonly in adults in Western countries. There is recent evidence that inheritance may play an important role in the etiology of these adenomatous polyps. Colonic adenomatous polyposis (numerous colonic adenomas) is the c...

journal_title：Gastroenterology clinics of North America

authors： Burt RW,Samowitz WS

更新日期：1988-12-01 00:00:00

abstract：:Although many mechanisms remain unclear, a large body of evidence indicates that several dietary and lifestyle factors are likely to have a major influence on the risk of colon cancer. Physical inactivity, excess body weight, and a central deposition of adiposity are consistent risk factors. Overconsumption of energy ...

journal_title：Gastroenterology clinics of North America

authors： Giovannucci E

更新日期：2002-12-01 00:00:00

abstract：:A variety of infectious enteric pathogens (bacterial, viral, and protozoal) can lead to a systemic diarrheal illness in international travelers traveling from industrialized countries to developing areas of the world. Many of the agents that lead to this syndrome have been identified, and their mode of transmission ha...

journal_title：Gastroenterology clinics of North America

authors： Chak A,Banwell JG

更新日期：1993-09-01 00:00:00

abstract：:The management of recurrent, symptomatic malignant ascites can be problematic for physicians and patients. The most common, low-risk method is large-volume paracentesis. Patient disease progression often leads to rapid reaccumulation of ascites, which requires frequent return visits to the hospital for symptom managem...

journal_title：Gastroenterology clinics of North America

authors： Rosenberg SM

更新日期：2006-03-01 00:00:00

abstract：:Treatment with a combination of radiation therapy and chemotherapy currently allows about 80 per cent of patients with epidermoid carcinomas of the anal canal to retain anorectal function, with about a 70 per cent likelihood of cure at 5 years. In these programs, radical surgery is reserved for the management of resid...

journal_title：Gastroenterology clinics of North America

authors： Cummings BJ

更新日期：1987-03-01 00:00:00

abstract：:Endoscopy plays an important role in the diagnosis and treatment of acute and chronic pancreatitis as well as pancreatic cancer. Sphincterotomy and stone removal in biliary pancreatitis, stone extraction and drainage in chronic pancreatitis, and stent implantation in pancreatic cancer are the predominant procedures. W...

journal_title：Gastroenterology clinics of North America

authors： Jakobs R,Riemann JF

更新日期：1999-09-01 00:00:00

abstract：:The development of colorectal neoplasia originates from normal colonic mucosa, progresses to the adenomatous polyp, and later may evolve into carcinoma. This procession of histologic change can be defined by a series of successive waves of clonal expansion that contain certain genetic alterations. These genetic altera...

journal_title：Gastroenterology clinics of North America

authors： Carethers JM

更新日期：1996-12-01 00:00:00

abstract：:Barium radiography of the gastrointestinal tract in patients with AIDS can assist in the evaluation of numerous problems including dysphagia, odynophagia, diarrhea, abdominal pain, symptoms of intermittent obstruction, and/or gastrointestinal bleeding. It can localize disease, evaluate complications, guide endoscopic ...

journal_title：Gastroenterology clinics of North America

authors： Wall SD

更新日期：1988-09-01 00:00:00

abstract：:Because functional bowel disorders have no reliable markers, they must be defined by their symptoms. The various constellations of symptoms (syndromes) may have different mechanisms, differential diagnoses, and treatments. Therefore, precise classification is important on clinical and scientific grounds. Functional bo...

journal_title：Gastroenterology clinics of North America

authors： Thompson WG

更新日期：1991-06-01 00:00:00

abstract：:Diagnostic angiography still plays an essential role in the diagnosis of patients,particularly those with acute lower GI bleeding. Transcatheter therapy appears to be a viable treatment alternative in selected patients with GI bleeding. Many interventionists today believe embolotherapy to be more effective initially a...

journal_title：Gastroenterology clinics of North America

authors： Miller M Jr,Smith TP

更新日期：2005-12-01 00:00:00

abstract：:Ulcerative colitis and Crohn's disease both may occur in the elderly. In many populations, a second peak in the incidence of inflammatory bowel disease occurs near age 70. Clinical manifestations of inflammatory bowel disease in the elderly are generally similar to those seen in younger patients, although there is a t...

journal_title：Gastroenterology clinics of North America

authors： Grimm IS,Friedman LS

更新日期：1990-06-01 00:00:00

abstract：:Achalasia is a rare motility disorder of the esophagus characterized by the absence of peristalsis and defective relaxation of the lower esophageal sphincter. Patients present at all ages with dysphagia and regurgitation as main symptoms. The diagnosis is suggested by barium swallow and endoscopy and confirmed by mano...

journal_title：Gastroenterology clinics of North America

authors： Moonen AJ,Boeckxstaens GE

更新日期：2013-03-01 00:00:00

abstract：:There is sparse information regarding exercise and inflammatory bowel disease (IBD). Furthermore, the importance of regular exercise in the optimal management of IBD has not received attention in guidelines and is often overlooked by practitioners. This article summarizes evidence regarding health benefits of exercise...

journal_title：Gastroenterology clinics of North America

authors： Hashash JG,Binion DG

更新日期：2017-12-01 00:00:00

abstract：:Biologics are a primary focus for research and development of new treatments for IBD and other immune disorders. CDER, which is a branch of the FDA, oversees most of the biologics that are being used or tested for IBD, and it regulates nonbiologic medications for IBD. The approval process for most biologics for IBD is...

journal_title：Gastroenterology clinics of North America

authors： Tremaine WJ

更新日期：2006-12-01 00:00:00

abstract：:Therapeutic gastrointestinal endoscopy has a much greater risk of inducing gastrointestinal hemorrhage than diagnostic endoscopy. For example, colonoscopic polypectomy has a risk of approximately 1.6% of inducing bleeding, compared with a risk of approximately 0.02% for diagnostic colonoscopy. Higher-risk procedures i...

journal_title：Gastroenterology clinics of North America

authors： Cappell MS,Abdullah M

更新日期：2000-03-01 00:00:00