July 2013 Vol XXXVII Issue 7

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Frontiers in Endoscopy, Series #4

Efficacy of Endoscopic Clips in the Treatment of Gastrocutaneous Fistulas Following Gastrostomy Tube Removal

Kimberly Kolkhorst, Eric Hill, Patrick Brady

The growing use of endoscopic clips to close fistulas has become an effective and less invasive treatment modality. Here we report successful closure of four out of five persistent gastrocutaneous fistulas following gastrostomy tube removal using endoscopic clips.



Nutrition Issues in Gastroenterology, Series #119

Chronic Constipation in Children: An Overview

Ritu Walia, Nicholas Mulhearn, Raheel Khan, Carmen Cuffari

Chronic constipation remains a cause of great morbidity and emotional distress. In this review we discuss the importance of a combined approach including education of the patient and family, pharmacological management and behavioral training for effectively treating and preventing complications.



Nutrition Issues in Gastroenterology

Adult Enteral Product Guide For Selected Allergies

Kendra Glassman



A Case Report

Dual Challenge: Diagnosis and Treatment of Colorectal Cancer in Pregnancy

Siming Shen, Debra Goldstein



A Case Report

Eosinophilic Gastroenteritis Misdiagnosed as Common Variable Immunodeficiency

Beverton Moxey, Alison Schneider, Daniela Allende, Fernando Castro



Letters to the Editor - Correction

Author Addendum/correction

We regret the following oversight in our article,“Prognosis in Acute Pancreatitis”, by Dr. Alexander Brun, Dr. Neelam Gidwaney and Dr. C.S. Pitchumoni that appeared in our March 2012 issue (Volume XXXVI, No. 3, pp. 16-41). Specifically, in Figure 1 on page 18, “pulse > 60 beats per minute” was listed as one of the SIRS criteria. This should have read, “pulse > 90 beats per minute.” The Editors



Departments Section


From the Literature

GGT Application in Chronic HCV

To examine GGT as a predictor of both virologic response to treatment and long-term clinical outcomes in the hepatitis C anti-viral treatment against cirrhosis trial (HALT-C), patients were enrolled with advanced liver disease (Ishak Fibrosis Score equal to or greater than 3), in two phases: A lead-in to establish lack of SVR with full dose pegylated Interferon IFN and ribavirin, followed by a 3.5-year randomized trial with low-dose IFN. IFN did not prevent liver disease progression and patients were then followed up to an additional five years off therapy.



Steatohepatitis or Steatosis and Morbidity After Liver Resection

o determine whether underlying steatohepatitis (SH) or simple hepatic steatosis increases morbidity after liver resection, patients were compared undergoing liver resection with either SH or greater than 33% simple hepatic steatosis to control selected for similar demographics, diagnoses, comorbidities, preoperative chemotherapy treatments, and extent of partial hepatectomy. Primary endpoints included postoperative overall and hepatic-related morbidity.



HCC in PBC in Japan

PBC primarily affects females and it is rarely complicated by HCC. National data from Japan are reviewed, concerning the current status of carcinogenesis in PBC patients. Using data from two national questionnaire surveys, the clinical pathologic findings associated with HCC and PBC patients was reviewed.



Elemental Diet and Eosinophilic Esophagitis

A trial was carried out with 18 adults to assess the efficacy of an elemental diet in adults with eosinophilic esophagitis (EoE). The diet was utilized for four weeks, or just two weeks if the response was complete.



omparison of Fecal Occult Blood Tests for Colorectal Screening

Quantitative fecal immunochemical tests (FITs) identify individuals with colorectal cancer with greater levels of accuracy than guaiac tests. The performance of two FITs in a preparation undergoing screening for colorectal cancer was carried out.



Gluten-Free Diet in IBS-Diarrhea

In order to evaluate the effects of a gluten-free diet (GFD) in diarrhea-predominant IBS, a randomized, controlled four-week trial of a gluten-contained diet (GCD) or gluten-free diet (GFD), in 45 patients with IBS-D, genotype analysis was performed for HLA- DQ2 and HLA-DQ8.



Medical Bulletin Board

U.S. FOOD AND DRUG ADMINISTRATION APPROVES UPDATED LABEL FOR OTSUKA’S BREATHTEK® UBT FOR H. PYLORI KIT (BREATHTEK UBT KIT) TO DETECT PRESENCE OF HELICOBACTER PYLORI (H. PYLORI) INFECTION

Patients who took proton pump inhibitors (PPIs) within the last 2 weeks may be tested with BreathTek UBT Kit



RESEARCHERS FIND ACS NSQIP® DATA IS MORE ACCURATE THAN ADMINISTRATIVE DATA FOR TRACKING 30-DAY HOSPITAL READMISSIONS AMONG COLORECTAL SURGICAL PATIENTS

NSQIP database analysis shows that 30 percent of hospital readmissions could be prevented, according to new Journal of the American College of Surgeons study