Recent Articles
Dispatches from the GUILD Conference, Series #63
Functional Medicine and Inflammatory Bowel Disease: An Evolving New Approach to IBD Care
Inflammatory bowel disease is a global disease with incidence and severity rising in Western and industrialized cultures. This increase in autoimmune diseases such as IBD can be influenced by many […]
Nutrition Reviews in Gastroenterology, SERIES #18
Management of CRBSI: How to Extend the Lifeline for Home PN Patients
Catheter-related bloodstream infections (CRBSI) are a dreaded complication for patients who require home parenteral nutrition (HPN) for survival. Patients with CRBSI usually present with fever, chills, and malaise. Clinicians should […]
Fundamentals of ERCP, Series #14
Chronic Pancreatitis
Introduction Chronic pancreatitis (CP) is a chronic progressive fibroinflammatory condition of the pancreas characterized by progressive scarring resulting in permanent loss of both exocrine (acinar) and endocrine (islet cells) tissue […]
Dispatches from the GUILD Conference, Series #62
Updates in Eosinophilic Esophagitis
Eosinophilic esophagitis (EoE) is a chronic, immune mediated (T helper 2), inflammatory condition of the esophagus characterized by loss of barrier function, eosinophilic infiltration and subsequent remodeling of the esophagus. […]
Nutrition Reviews in Gastroenterology, SERIES #17
Diet-Based Treatments of Gastroparesis with a Special Focus on Small Particle Size
Gastroparesis presents a significant clinical challenge due to delayed gastric emptying, often without mechanical obstruction, causing symptoms impacting patients’ quality of life. Current therapies for gastroparesis include smaller, low-fat, and […]
From the Pediatric Literature
The Pediatric Microbiome in Patients with Ulcerative Colitis and Primary Sclerosing Cholangitis
Adult and pediatric patients with primary sclerosing cholangitis (PSC) often have associated ulcerative colitis (UC), and it has been hypothesized that gut microbiome changes may be the cause of this […]
FUNDAMENTALS OF ERCP, SERIES #13
Biliary Strictures
Introduction Biliary strictures are one of the most common pathologic processes encountered by therapeutic endoscopists. Understanding the etiology and endoscopic management of biliary strictures is critical. Biliary strictures vary widely […]
Nutrition Reviews in Gastroenterology, SERIES #16
Nutritional Considerations for Patients Undergoing Esophagectomy for Esophageal Cancer
In esophageal cancer, an esophagectomy may be used as curative treatment in early stages or in conjunction with chemotherapy and radiation in more advanced stages of disease. Malnutrition is prevalent […]
Dispatches from the GUILD Conference, Series #61
Current and Emerging Non-invasive Screening Tests for Colorectal Cancer
Colorectal cancer (CRC) is the second leading cause of cancer-related death in the United States (US). Screening can help reduce CRC incidence and mortality but only 59% of adults are […]
Fundamentals of ERCP, Series #12
Bile Leaks
Introduction Bile duct leaks (BDL) are characterized by a mural defect in the intrahepatic and or extrahepatic biliary tree leading to leakage of bilious fluid into the abdominal cavity.1 Post-surgical […]
Best Practices for Dysplasia Detection, Surveillance and Management in IBD
Introduction The epidemiology of inflammatory bowel disease (IBD) related colorectal cancer (CRC) has changed significantly since publication of the first case report nearly a century ago. These changes have only […]
Nutrition Reviews in Gastroenterology, SERIES #15
Recognizing Thiamine Deficiency: Keeping Patients Safe and Clinicians Out of Court
Considerable effort has gone into identifying and diagnosing malnutrition in recent years, and along with that, recognizing those at risk for refeeding syndrome (RS). Less attention has been given to […]
Gut Inflammation in the Pediatric Patient with Cystic Fibrosis
Patients with cystic fibrosis (CF) have associated gastrointestinal (GI) inflammation, and such inflammation is associated with worsening pulmonary outcomes. The authors of this study evaluated clinical markers of GI inflammation […]
Impact of Bariatric Surgery on Perianal Fistulas: A Case Report and Review of the Literature
Complex perianal fistulas can be a challenging manifestation of inflammatory bowel disease (IBD) for both gastroenterologists and surgeons. We present a patient with Crohn’s disease in endoscopic remission on monoclonal […]
Dispatches from the GUILD Conference, Series #58
Tailoring Therapy Toward the Management of Extraintestinal Manifestations of IBD: Neurological, Ocular, Cutaneous and Musculoskeletal
Extraintestinal manifestations (EIM) of inflammation are common among patients with inflammatory bowel disease (IBD), many of which have distinct etiologies and treatment approaches. In the past decade, there has been […]
Nutrition Reviews in Gastroenterology, SERIES #14
Nutrition Therapies for Patients with an Ileoanal Pouch: A Moving Target?
An ileal pouch-anal anastomosis (IPAA) is the preferred surgical reconstruction for restoration of intestinal continuity after a total proctocolectomy; it obviates the need for a permanent ileostomy. The pouch, or […]
FRONTIERS IN ENDOSCOPY, SERIES #91
Endoscopic Management of Laparoscopic Gastric Sleeve Leaks
INTRODUCTION Bariatric surgery is a well-established option for patients with obesity, with over 200,000 procedures performed annually in the United States. Sleeve gastrectomy comprises 58% of these surgeries.1 Gastric sleeve […]
Feeding Tube Response in Esophagitis
Eosinophilic esophagitis (EoE) in young children can be associated with poor feeding as well as associated failure to thrive/failure to gain weight. Thus, use of nasogastric (NG) tube feeds as […]
Nutritional Considerations for Hypermobile Ehlers-Danlos Syndrome
While the hallmarks of hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrumdisorders (HSD) are pain, joint instability, and injuries to soft tissues, most patients with hEDS andHSD have a myriad of […]
The Basics of Liver Transplantation for the Primary Care Provider and the General Gastroenterologist
Liver transplant remains a well-established treatment that can drastically improve the survival and quality of life for patients with end-stage liver disease and certain hepatic malignancies. It is crucial for […]
Endoscopic Therapy for Refractory Benign Esophageal Strictures
The management of refractory benign esophageal strictures (RBES) presents a formidable clinical challenge, necessitating frequent interventions to ameliorate symptoms and enhance the quality of life for affected individuals. Among the […]