DISPATCHES FROM THE GUILD CONFERENCE, SERIES #2Pregnancy and Inflammatory Bowel Disease
While IBD increases the risk of certain pregnancy complications and adverse pregnancy outcomes, active disease further increases these risks while sustained remission maximizes maternal and fetal health. A multidisciplinary team emphasizing the importance of medication adherence to achieve preconception disease control and maintain remission throughout pregnancy is recommended. Medication adjustments to reduce fetal exposure may be considered on an individualized basis in quiescent disease. The mode of delivery is determined by obstetrical indications, except for women with active perianal disease who should consider cesarean delivery.
NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES #161Lactic Acidosis: A Lesser Known Side Effect of Thiamine Deficiency
A lesser known cause of elevated lactate levels in the critically ill patient is thiamine deficiency. Thiamine is a water soluble vitamin essential for carbohydrate metabolism. Given limited stores along with daily requirements, thiamine deficiency may occur quickly in patients presenting with persistent vomiting, malnutrition and alcoholism. The purpose of this paper is to help identify those patients at risk for thiamine deficiency and recognize signs and symptoms of deficiency including, but not limited to, elevated lactate levels.
GASTROINTESTINAL MOTILITY AND FUNCTIONAL BOWEL DISORDERS, SERIES #21Belching, Aerophagia and Rumination: Not Just Refractory Gastroesophageal Reflux Disease
High-resolution manometry and impedance studies have allowed physicians to now more confidently identify subtle differences between belching, aerophagia and rumination. Here, we discuss our increased ability to diagnose and differentiate patients with these and other related conditions and to treat often closely related entities.
A CASE REPORTDysphagia Aortica, an Extrinsic Cause of Dysphagia
Does Sleeve Gastrectomy Improve NASH in Adolescents?
The complications associated with morbid obesity, including nonalcoholic steatohepatitis (NASH), have caused clinicians to consider bariatric surgery options. Only limited research on the effect of bariatric surgery in pediatric patients is available, and the authors of this study evaluated laparoscopic sleeve gastrectomy on the progression of NASH in adolescent patients with obesity.
Gastroesophageal reflux (GER) is common in infants, including premature infants cared for in the newborn intensive care unit (NICU). There has been concern that reflux medication use has increased significantly in the pediatric population with many of these patients not necessarily requiring such medications. The authors of this study evaluated reflux medication use in premature infants during the first year of life.
Use of Reflux Medication in Premature Infants