April 2004 Vol Issue

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A SPECIAL ARTICLE

Acute Liver Failure: Early Referral is the Key

Lorenzo Rossaro and William Lee

"Bridging techniques with liver support devices are still experimental and none have proven benefit to date," write Doctors Rossaro and Lee. They recommend early referral to experienced centers where liver transplant is available as the key to improved outcome.



COLORECTAL CANCER: CHALLENGING QUESTIONS AND CURRENT ANSWERS

Introduction to a New Series

Melvin Schapiro, Series Editor



COLORECTAL CANCER: CHALLENGING QUESTIONS AND CURRENT ANSWERS

Screening for Colorectal Cancer: Is There Progress for Early Detection?

John H. Bond

"Screening for colorectal cancer clearly saves lives and is cost-effective," writes Dr. Bond. At the present time two options that appear most effective or promising are screening with the combination of annual FOBT and flexible sigmoidoscopy every five years or direct colonoscopy screening every ten years. "The only unacceptable option" says Dr. Bond, "is to do nothing."



GERD IN THE 21ST CENTURY, SERIES #4

Epidemiology and Quality of Life Concerns in Gastroesophageal Reflux Disease

Heather Ferguson and Brian T. Johnston

The authors write that the epidemiology and natural history of GERD has been poorly understood and that it is now being understood as a spectrum of diseases rather than a single entity. Their article reviews three types of GERD patients and covers the impact of PPIs on GERD.



GERIATRIC GASTROENTEROLOGY, SERIES #11

Fecal Incontinence: A Common But Under Recognized Problem in the Elderly

Jesse P. Houghton and Sanjiv K. Patankar

Fecal Incontinence (FI) is both a medical and social problem, particularly for the elderly. The authors define FI, give the anatomy and physiology and offer suggestions as to treatment and control.



NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES # 16

Going Gluten-Free: A Primer for Clinicians

Melinda Dennis and Shelley Case

This article by Melinda Dennis and Shelley Case covers the complexities of the gluten-free diet and the specific nutritional considerations that may affect people with celiac disease. Also given, a wide range of resources.



Medical Bulletin Board

News items of interest to the nation's gastroenterologists.