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Intestine inflammation, disease, problem. Guts, bowel, medical c

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 […]

Thiamine Deficiency

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

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 […]

Perianal Fistulas

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

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 […]

CONSITPATION

Kiwifruit in the Clinic: Nutritional Insights and Evidence-based Applications for Constipation

Chronic constipation is a common presenting concern in primary care and gastroenterology clinics. Multiple factors can contribute to constipation, including dietary habits, physical activity, dehydration, medication side effects, systemic diseases, […]

Pancreatic Duct Leaks

Pancreatic Duct Leaks

INTRODUCTION Pancreatic duct (PD) leaks can occur in the setting of acute or chronic pancreatitis, trauma, or pancreatic resection. Their clinical manifestations vary widely depending on the underlying etiology and […]

Nutrition Reviews in Gastroenterology, SERIES #11

The Use of Curcumin in Ulcerative Colitis: Current Evidence and Practical Applications

Although pharmacologic agents (mesalamine, immunomodulators, biologics, and small molecule inhibitors) have been established as safe and effective treatments for inflammatory bowel disease (IBD), patients with IBD report using nutraceutical supplements […]

Dispatches from the GUILD Conference, Series #57

Cardiovascular Risk in Inflammatory Bowel Disease: Another Reason to Control Disease Activity

“Major adverse cardiovascular events” (MACE) are an important endpoint for clinical trials of agents used in chronic inflammatory conditions. The risk of MACE and venous thromboembolism are elevated among patients […]

From the Pediatric Literature

Zonulin and Pediatric Celiac Disease

Permeability of the intestinal tract is thought to play a role in the development of celiac disease (CD), and markers for intestinal permeability would be helpful in discovering the pathogenesis […]

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