May 2004 Vol Issue

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A SPECIAL ARTICLE

Recognition of Movement Disorders: Extrapyramidal Side Effects and Tardive Dyskinesia

Beth Pulsifer Anderson and Edward B. Freeman

Doctors prescribing prokinetics, anti-emetics and anti-spasmodics need to be able to recognize serious side effects which may be caused by these drugs. This article describes the most common movement side effects and gives a list of GI drugs that may cause neuroleptic reactions.



COLORECTAL CANCER, SERIES #2

Quality in Colon Cancer Screening

David Lieberman

Doctor Lieberman writes that the effectiveness of screening for colorectal cancer depends on patient compliance and delivery of a high quality test at appropriate intervals. His paper describes the quality issues associated with colon cancer screening and provides a framework for improving quality.



GERD IN THE 21ST CENTURY, SERIES #5

Pathophysiology of GERD: Lower Esophageal Sphincter Defects

Marcia C. Mitre and David A. Katzka

The main function of the Lower Esophageal Sphincter (LES) is to serve as a barrier to protect the esophageal mucosa and more proximal structures from potentially damaging substances. Incompetence in some form of the LES is the predominant determinant of GERD. This article reviews the three main LES defects that lead to GERD.



NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES # 17

When Chyle Leaks: Nutrition Management Options

Stacey McCray and Carol Reese Parrish

Although they are rare, chyle leaks, when they occur, are often difficult to manage and treat. This article reviews the process of fat digestion and absorption and discusses nutrition options for the treatment and implementation of such treatment.



A CASE REPORT

Relapsing Clostridium Difficile Colitis

Robert J. Bonasera, M.D., Jenifer K. Kramer, M.D. and Sammy Ho, M.D.

The authors present a case of an elderly patient with relapsing Clostridium difficile infection. They give the methods for diagnosis and a treatment regimen.



Department Review