Modern treatment of patients with chronic pancreatitis.

abstract：:Ischemic injury to the gastrointestinal tract can threaten bowel viability with potential catastrophic consequences, including intestinal necrosis and gangrene. The presenting symptoms and signs are relatively nonspecific and diagnosis requires a high index of clinical suspicion. AMI often results from an embolus or t...

journal_title：Gastroenterology clinics of North America

authors： Burns BJ,Brandt LJ

更新日期：2003-12-01 00:00:00

abstract：:In the treatment of arthritis, NSAIDs are some of the most commonly used drugs, although the prescription of such drugs has been questioned due to their inherent risks for gastrointestinal compromise, platelet effects, and the potential for renal toxicity with long-term use. With the availability of celecoxib and rofe...

journal_title：Gastroenterology clinics of North America

authors： Simon LS

更新日期：2001-12-01 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：: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：: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：:Radiation therapy is a rapidly evolving field, and recent technical advances have spurred an increasing number of new treatments as well as marked improvements in previously existing treatments. Despite a growing body of published evidence demonstrating that radiotherapy for the treatment of pancreatic cancer is impro...

journal_title：Gastroenterology clinics of North America

authors： Trakul N,Koong AC,Maxim PG,Chang DT

更新日期：2012-03-01 00:00:00

abstract：:Arguments proposed in this article may explain why a subgroup of patients, having so-called "functional heartburn," does not respond to acid inhibition therapy [19,20]. It is highly likely that acid is not the cause of heartburn in this group of subjects. These conclusions are supported further by observations of Wien...

journal_title：Gastroenterology clinics of North America

authors： Steinbach J,Fass R,Mittal RK

更新日期：2002-12-01 00:00:00

abstract：:Acute acalculous cholecystitis (ACC) can develop with or without gallstones after surgery and in critically ill or injured patients. Diabetes mellitus, malignant disease, abdominal vasculitis, congestive heart failure, cholesterol embolization, shock, and cardiac arrest also have been associated with AAC. The pathogen...

journal_title：Gastroenterology clinics of North America

authors： Barie PS,Eachempati SR

更新日期：2010-06-01 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：: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：:Radionuclide studies of the upper gastrointestinal tract have been useful in many gastrointestinal disorders. However, the literature relating to radionuclide techniques in morbid obesity is limited and, at times, controversial. It is hoped that this brief review will stimulate interest in the use of tracer techniques...

journal_title：Gastroenterology clinics of North America

authors： DeRogatis AJ

更新日期：1987-06-01 00:00:00

abstract：:Because there are no reliable biological or laboratory markers associated with the condition, the diagnosis of irritable bowel syndrome(IBS) is based on patient descriptions of common symptoms such as abdominal pain accompanied by changes in stool form or frequency and associated symptoms such as bloating and distensi...

journal_title：Gastroenterology clinics of North America

authors： Cash BD,Chey WD

更新日期：2005-06-01 00:00:00

abstract：:The explanation as to why gastroesophageal reflux disease develops remains unanswered. We have learned much about the regulation of LES pressure, the single most important factor in the development of reflux disease. Our understanding of factors involved in the clearance of refluxed contents has also increased. The pr...

journal_title：Gastroenterology clinics of North America

authors： Ogorek CP,Cohen S

更新日期：1989-06-01 00:00:00

abstract：:Common disease states in gastroenterology are more effectively treated in an obese patient when weight loss is incorporated into the treatment plan. Strategies that seek to achieve weight loss improve outcomes in the treatment of hepatitis C, non-alcoholic fatty liver disease, and colorectal cancer, as examples. Pharm...

journal_title：Gastroenterology clinics of North America

authors： Keith JN

更新日期：2016-12-01 00:00:00

abstract：:This article focuses on the most recent therapies for patients with hepatitis C virus (HCV) who are naïve to therapy. The primary end point for the treatment of naïve HCV patients is viral eradication or a sustained virological response, which is defined as the absence of HCV in the serum, as detected by a sensitive p...

journal_title：Gastroenterology clinics of North America

authors： Oh S,Afdhal NH

更新日期：2004-09-01 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：:BA is a rare disease of unclear etiology; nevertheless, its impact in the field of pediatric hepatology is significant. It is the most common surgically correctable cause of neonatal cholestasis and is the most common pediatric disease referred for liver transplantation. Little progress has been made with regard to im...

journal_title：Gastroenterology clinics of North America

authors： Haber BA,Russo P

更新日期：2003-09-01 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：:Women have started to enter gastroenterology (GI) in significant numbers over the past 5 years, although they are still underrepresented compared with the proportion of female graduating medical students. This underrepresentation is most likely caused by the culture of GI where female students and residents have felt ...

journal_title：Gastroenterology clinics of North America

authors： Elta GH

更新日期：2011-06-01 00:00:00

abstract：:Constipation, diarrhea, and symptomatic hemorrhoids are disorders common in the general population, particularly in women. These conditions, if mild, often are self-treated with various home remedies or nonprescription preparations. Few of these patients, moreover, are referred to gastroenterologists, as primary care ...

journal_title：Gastroenterology clinics of North America

authors： Wald A

更新日期：2003-03-01 00:00:00

abstract：:Corticosteroids are of proven value for the treatment of active ulcerative colitis and Crohn's disease, but are of little value for the maintenance of remission. The development of new steroid compounds with low systemic bioavailability should allow higher doses to be given for longer periods without risking serious a...

journal_title：Gastroenterology clinics of North America

authors： Jewell DP

更新日期：1989-03-01 00:00:00

abstract：:Focal liver lesions occur commonly and with varying histology, each requiring radically different management. There are a multitude of imaging modalities currently being used for detecting and characterizing focal liver neoplasms. The primary modalities include ultrasonography, computed tomography (CT), magnetic reson...

journal_title：Gastroenterology clinics of North America

authors： Harisinghani MG,Hahn PF

更新日期：2002-09-01 00:00:00

abstract：:The presence of stigmata of hemorrhage in a peptic ulcer indicate an increased risk of rebleeding and the need for endoscopic intervention. Clinical trials indicate that laser photocoagulation, multipolar and heater probe coagulation, and injection therapy are all effective in decreasing bleeding from peptic ulcer dis...

journal_title：Gastroenterology clinics of North America

authors： Zuccaro G Jr

更新日期：1993-12-01 00:00:00

abstract：:In conclusion, H. pylori infection can be detected by a variety of methods. The simplest, least expensive noninvasive method is serologic testing. Unfortunately, positive serology can only presume current infection. Urea breath testing is also noninvasive and is positive only in the setting of current infection; it is...

journal_title：Gastroenterology clinics of North America

authors： Brown KE,Peura DA

更新日期：1993-03-01 00:00:00

abstract：:Overall, fecal markers have been found to be more accurate than serum markers. However, fecal markers are not specific for IBD and may be elevated in a range of organic conditions. Fecal calprotectin and lactoferrin can still differentiate inflammatory disease from functional bowel disorders. Comparison studies have f...

journal_title：Gastroenterology clinics of North America

authors： Abraham BP,Kane S

更新日期：2012-06-01 00:00:00

abstract：:Rarely do otherwise safe drugs administered at recommended doses produce liver damage that may progress to liver failure and death. Because we are generally unable to identify the patients most susceptible to this "idiosyncratic" form of toxicity, many potentially useful medications are not made available to patients....

journal_title：Gastroenterology clinics of North America

authors： Fontana RJ,Watkins PB

更新日期：1995-12-01 00:00:00

abstract：:Obesity-related disorders derive from a combination of genetic susceptibility and environmental factors. Recent evidence supports the role of gut microbiota in the pathogenesis of obesity, type 2 diabetes mellitus, and insulin resistance by increasing energy harvest from diet and by inducing chronic, low-grade inflamm...

journal_title：Gastroenterology clinics of North America

authors： Molinaro F,Paschetta E,Cassader M,Gambino R,Musso G

更新日期：2012-12-01 00:00:00

abstract：:Gastric cancer (GC) is third leading cause of cancer-related death. Only 28.3% of new GC cases survive more than 5 years. Although incidence has declined in the United States, an increase is estimated for 2016. Risk factors include sex (risk is higher in men), Helicobacter pylori infection, heredity, and lifestyle. GC...

journal_title：Gastroenterology clinics of North America

authors： Marqués-Lespier JM,González-Pons M,Cruz-Correa M

更新日期：2016-09-01 00:00:00

abstract：:The evaluation and treatment of patients after operations on the foregut is a challenge for physicians and surgeons. The early postoperative period is an especially important interval because the very survival of the patient as well as the success of the surgical intervention depends on the correct interpretation of t...

journal_title：Gastroenterology clinics of North America

authors： Donahue PE

更新日期：1994-06-01 00:00:00

abstract：:Tobacco and alcohol use are strong risk factors for cancer of the upper gastrointestinal tract. Saturated fat and red meat intake also appear to increase the risk of colorectal cancer. The strongest and most consistent dietary protective factors for gastrointestinal cancer are vegetables and fruits. Some micronutrient...

journal_title：Gastroenterology clinics of North America

authors： Hensrud DD,Heimburger DC

更新日期：1998-06-01 00:00:00