Complementary and alternative medicine for the irritable bowel syndrome.

abstract：:The past decade has seen the introduction of a number of new potent antimicrobial agents, including broad-spectrum beta-lactam compounds such as the ureidopenicillins, third-generation cephalosporins, carbapenems, and monobactams; combinations of penicillins with inhibitors of beta-lactamase; and the quinolones. Most ...

journal_title：Gastroenterology clinics of North America

authors： Li E,Stanley SL Jr

更新日期：1992-09-01 00:00:00

abstract：:Autoimmune pancreatitis (AIP) is steroid-responsive fibroinflammatory disorder of the pancreas. There are 2 distinct subtypes of AIP, types 1 and 2. Type 1 is associated with systemic immunoglobulin (Ig)G4 disease and may affect multiple organs in the body. Type 2 is confined to the pancreas and shows an association w...

journal_title：Gastroenterology clinics of North America

authors： Sandrasegaran K,Menias CO

更新日期：2018-09-01 00:00:00

abstract：:This article highlights the different dietary approaches that have evolved and become popular over the past few years. Whether these are fads or truly represent important changes in the way peo-ple eat and that ultimately will lead to a lower rate of obesity and improved health is impossible to know. ...

journal_title：Gastroenterology clinics of North America

authors： Balart LA

更新日期：2005-03-01 00:00:00

abstract：:Swallowed fluticasone and oral viscous budesonide are effective first-line therapies for eosinophilic esophagitis in children. Side effects are minimal without evidence of Cushing syndrome, as seen in treatment with systemic corticosteroids. New studies on alternative delivery systems and different corticosteroids (eg...

journal_title：Gastroenterology clinics of North America

authors： Contreras EM,Gupta SK

更新日期：2014-06-01 00:00:00

abstract：:Capsule endoscopy is a relatively new technology available in the investigation of IBD. Its place in the algorithm of evaluating IBD is being refined. Capsule endoscopy has the ability to visualize the entire SB with very few complications. It is a sensitive test for the diagnosis of mucosal changes, but should be vie...

journal_title：Gastroenterology clinics of North America

authors： de Melo SW Jr,Di Palma JA

更新日期：2012-06-01 00:00:00

abstract：:A better definition of a pseudocyst that clearly separates it from acute fluid collection, improvements in imaging studies, and a better understanding of the natural history of pseudocysts have changed the concepts regarding their management. The old teaching that cysts of more than 6 cm in diameter that have been pre...

journal_title：Gastroenterology clinics of North America

authors： Pitchumoni CS,Agarwal N

更新日期：1999-09-01 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：:Autoimmune pancreatitis is the pancreatic manifestation of a systemic disorder that affects various organs, including the bile duct, retroperitoneum, kidney, and parotid and lacrimal glands. It represents a recently described subset of chronic pancreatitis that is immune mediated and has unique histologic, morphologic...

journal_title：Gastroenterology clinics of North America

authors： Gardner TB,Chari ST

更新日期：2008-06-01 00:00:00

abstract：:The ischemic bowel diseases are a heterogeneous group of disorders usually seen in elderly individuals. They represent ischemic damage to different portions [figure: see text] of the bowel and produce a variety of clinical syndromes and outcomes. Colonic ischemia is the commonest of these disorders and has a favorable...

journal_title：Gastroenterology clinics of North America

authors： Greenwald DA,Brandt LJ,Reinus JF

更新日期：2001-06-01 00:00:00

abstract：:Being the final pathway for chyme and digestive residues, the colorectum influences bowel function critically. The most important and relevant symptoms of colonic dysfunction are diarrhea, constipation, urgency, and pain. Despite the effects of many investigators, over several decades, the motor physiology of the huma...

journal_title：Gastroenterology clinics of North America

authors： O'Brien MD,Phillips SF

更新日期：1996-03-01 00:00:00

abstract：:This brief review summarizes the physiology and pharmacology of eicosanoids and describes how they have been tested for possible application in liver disease and transplantation. The objective is to trace the stepwise application from the laboratory to the bedside. Although many questions remain to be answered, the ob...

journal_title：Gastroenterology clinics of North America

authors： Ruwart MJ,Henley KS

更新日期：1996-06-01 00:00:00

abstract：:It is shortsighted to consider only the esophageal manifestations and complications of esophageal reflux. That such reflux can directly affect not only the lung but also the oropharynx and larynx, both by direct acid contact and reflex neurologic mechanisms, has been demonstrated repeatedly. The task of the future wil...

journal_title：Gastroenterology clinics of North America

authors： Kozarek RA

更新日期：1990-09-01 00:00:00

abstract：:Successful treatment of unresectable and metastatic gastroenteropancreatic neuroendocrine tumors (GEP-NETs) requires the thoughtful choice of systemic therapy as a component of a multidisciplinary therapeutic approach. The role of somatostatin analogues is established in symptom relief, but the efficacy of interferon ...

journal_title：Gastroenterology clinics of North America

authors： Lawrence B,Gustafsson BI,Kidd M,Modlin I

更新日期：2010-09-01 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：:Chronic intestinal pseudo-obstruction (CIPO) is a severe form of intestinal dysmotility disorder, characterized by the impairment of gastrointestinal propulsion of the gut content in the absence of fixed occluding lesions. CIPO is a rare disease that can develop in both children and adults. CIPO is classified as prima...

journal_title：Gastroenterology clinics of North America

authors： Pironi L,Sasdelli AS

更新日期：2019-12-01 00:00:00

abstract：:CP remains a challenging disease. Endoscopic and surgical management, along with antioxidants, have helped in reducing chronic pain. Management of exocrine and endocrine insufficiency forms the cornerstone for improving nutrition in these patients. Newer therapeutic targets that will transcend the management of CP bey...

journal_title：Gastroenterology clinics of North America

authors： Trikudanathan G,Navaneethan U,Vege SS

更新日期：2012-03-01 00:00:00

abstract：:Constipation is a common clinical problem that comprises a constellation of symptoms that include excessive straining, hard stools, feeling of incomplete evacuation, use of digital maneuvers, or infrequent defecation. Although many conditions, such as metabolic problems, fiber deficiency, anorectal problems, and drugs...

journal_title：Gastroenterology clinics of North America

authors： Rao SS

更新日期：2003-06-01 00:00:00

abstract：:Living donor intestinal transplantation (LDIT) has been improved leading to results comparable to those obtained with deceased donors. LDIT should be limited to specific indications and patient selection. The best indication is combined living donor intestinal/liver transplantation in pediatric recipients with intesti...

journal_title：Gastroenterology clinics of North America

authors： Tzvetanov IG,Tulla KA,D'Amico G,Benedetti E

更新日期：2018-06-01 00:00:00

abstract：:This article has reviewed the morphologic features of BE and its complications of dysplasia and adenocarcinoma in routinely processed endoscopic biopsy and resection specimens. In addition, the problems related to the diagnosis of dysplasia in tissue samples have been analyzed, and the role of esophageal brush cytolog...

journal_title：Gastroenterology clinics of North America

authors： Antonioli DA,Wang HH

更新日期：1997-09-01 00:00:00

abstract：:This article defines obesity, ideal body weight, morbid obesity, and indexes of overweight, pointing out some of the difficulties in studies of the epidemiology of morbid obesity. ...

journal_title：Gastroenterology clinics of North America

authors： Kral JG,Heymsfield S

更新日期：1987-06-01 00:00:00

abstract：:Barrett's metaplasia develops in 6% to 14% of individuals with gastroesophageal reflux. Barrett's adenocarcinomas are increasing in epidemic proportions for, as yet unknown, reasons; approximately 0.5% to 1% of patients with Barrett's metaplasia develop adenocarcinoma. Heartburn duration and frequency (but not severit...

journal_title：Gastroenterology clinics of North America

authors： Reynolds JC,Waronker M,Pacquing MS,Yassin RR

更新日期：1999-12-01 00:00:00

abstract：:Patients with chest pain of presumed esophageal origin should be reassured and should undergo an esophageal manometry study. In patients with spastic esophageal disorders, a trial with calcium channel blockers or low-dose antidepressants used as visceral analgesics is the best approach. Inpatients with non GERD-relate...

journal_title：Gastroenterology clinics of North America

authors： Schmulson MJ,Valdovinos MA

更新日期：2004-03-01 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：: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：:Colorectal cancer is a major illness in the Western world. International and migrant studies suggest that environmental causes, notably a fat- and calorie-dense diet (even if adopted in adulthood), are associated with the disease. Case-control studies have not conclusively identified specific etiologic dietary factors...

journal_title：Gastroenterology clinics of North America

authors： Neil GA,Bruce WR

更新日期：1988-12-01 00:00:00

abstract：:Chronic pelvic pain is pain lasting longer than 6 months and is estimated to occur in 15% of women. Causes of pelvic pain include disorders of gynecologic, urologic, gastroenterologic, and musculoskeletal systems. The multidisciplinary nature of chronic pelvic pain may complicate diagnosis and treatment. Treatments va...

journal_title：Gastroenterology clinics of North America

authors： Stein SL

更新日期：2013-12-01 00:00:00

abstract：:Preeclampsia has traditionally been viewed as one of several forms of hypertension complicating pregnancy. More recently, the multisystem nature of this unique gestational disorder has been emphasized. Pathophysiologic events, including abnormal placentation and heightened vascular reactivity, may occur weeks or month...

journal_title：Gastroenterology clinics of North America

authors： Barron WM

更新日期：1992-12-01 00:00:00

abstract：:The intestine contains major subdivisions of the nervous and immune systems. The lymphoid compartments of the intestine contain functionally distinguishable populations of immunologic cells and are innervated differently. The lamina propria has an extensive network of nerves using the neuropeptides SOM, SP, and VIP. S...

journal_title：Gastroenterology clinics of North America

authors： Ottaway CA

更新日期：1991-09-01 00:00:00

abstract：:The effort to improve outcomes in esophageal cancer has included attempts at improving staging and patient selection. 2-Deoxy-2-[(18)F]fluoro-Dglucose positron emission tomography (FDG-PET) has been extensively studied in this context and has been widely accepted as a staging tool. Its role in restaging or assessing t...

journal_title：Gastroenterology clinics of North America

authors： Yoon HH,Lowe VJ,Cassivi SD,Romero Y

更新日期：2009-03-01 00:00:00

abstract：:HCV in the East is a complex scenario with prevalence rates of 0.5% to as high as 4.7%, and variable distributions of genotypes, with a dominance of genotype 1b in East Asia, genotype 3 in South Asia and South East Asia, and genotype 6 in Indochina. Approvals for the new oral directing antiviral agents (DAAs), in the ...

journal_title：Gastroenterology clinics of North America

authors： Dan YY,Lim SG

更新日期：2015-12-01 00:00:00