Browse by Major Topic
Browse by Book Title
Returning visitor or Healio User?
Returning visitor or Healio User?
Browse by Major Topic
Browse by Book Title
Clinical Nutrition in Gastrointestinal Disease
1 related chapter
Chapter 23: Nutrition And Gastrointestinal Motility In Health And Disease
Complicated Cases in GI
10 related chapters
Chapter 2: A 63-Year-Old Manwith Intractable Hiccups
Chapter 3: “When I Eat, Food Gets Stuck”
Chapter 4: A Benign Form Of Progressive Dysphagia
Chapter 11: Twisted Turn Of Events
Chapter 12: A Rare Cause Of Steatorrhea,Weight Loss, And Failure To Thrive
Chapter 18: Not Your Average Case Of Diverticulitis
Chapter 28: Colonic Obstruction In A Patient With Multiple Medical Problems
Chapter 30: Abdominal Distention Within The Intensive Care Unit
Chapter 31: Rectal Bleeding Following Craniotomy
Chapter 52: New-Onset Dysphagia and Electrolyte Disturbance
Core Concepts in Colonoscopy
1 related chapter
Chapter 9: Colon Decompression
Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition
3 related chapters
Question 8: What Do People Do For The Treatment Of Achalasia These Days? Does It Matter If The Symptoms Are Severe Or If The Patient Is Elderly?
Question 9: A 65-Year-Old Male With Long-Standing Gerd Complained Of Recent Onset Of Progressive Difficulty Swallowing (Especially Solids) And Subjective Weight Loss. How Should I Evaluate The Patient?
Question 11: A 59-Year-Old Professor Had Dyspepsia And Subjective Weight Loss. He Was Treated Previously For H Pylori Infection. Egd And Biopsies Showed Chronic Inflammation With Intestinal Metaplasia And One Focal Area Of Low-Grade Dysplasia. What Do I Do?
Curbside Consultation in GERD: 49 Clinical Questions
48 related chapters
Question 1: Mr. Smith Is A 52-Year-Old Man Who Has Never Been On Ppi Therapy. After An Ed Visit For Chest Pain, He Is Found To Have Grade D Erosive Esophagitis. I Have Started Omeprazole 40 Mg Daily, And His Symptoms Have Resolved. Does He Need A Follow-Up Endoscopy?
Question 2: What Are The Indications For Endoscopy In Patients With Classic Gastroesophageal Reflux Disease?
Question 3: Ms. Jones Is A 45-Year-Old School Teacher Who Has Reflux Controlled On Bid Omeprazole. She Does Not Like To Take Medications And Would Like To Consider Fundoplication. Is This Reasonable Given Her Good Response To Ppi Therapy?
Question 4: How Important Is Surgeon Selection In Antireflux Surgery? Is The Laparoscopic Approach Now Standard Of Care For A Nissen Fundoplication?
Question 5: A 55-Year-Old Man Is Referred For Evaluation For Antireflux Surgery. What Is The Appropriate Preoperative Evaluation Of This Patient? Is Esophageal Function Testing (Manometry) Needed?
Question 6: What Are The Indications For 24-Hour Ambulatory Ph Monitoring? Which Of My Patients Should Have This Study “On Medications” Versus “Off Medications”?
Question 7: My Patient Has Dysphonia That I Believe Is Due To Reflux, But Her 24-Hour Ph Probe On Bid Pantoprazole Was Negative. Are There Other Reflux Tests That I Should Consider?
Question 8: Mr. Jones Has Classic Reflux Symptoms Even While Taking Bid Esomeprazole. I Have Considered A Ph Probe With Impedance To Document Non-Acid Reflux, But I Am Wondering What Therapy I Can Provide Even If This Test Is Conclusive?
Question 9: What Is The Role Of Dietary Modification In The Management Of Patients With Reflux?
Question 10: Are Any Specific Lifestyle Changes Better Than Others?
Question 11: What Is The Optimal Use Of Over-The-Counter Antacids And H
Receptor Antagonists In The Management Of Reflux Patients?
Question 12: Dr. Smith Suggested That I Add Ranitidine 150 Mg At Bedtime To A Regimen Of Bid Esomeprazole. Is There Any Evidence That This Helps Patients With Symptoms Of Gerd?
Question 13: Is An Empiric Trial Of Ppi Therapy Efficacious In Patients With Suspected Gerd? In What Circumstances?
Question 14: What Are The Choices For Therapeutic Trials (Doses And Length Of Trial) In Patients With Reflux Symptoms? Does This Mean That You Stop Ppis If They Are Not Effective?
Question 15: What Is The Mechanism Of Action Of Antisecretory Therapy For Gerd?
Question 16: A Pharmaceutical Rep Tells Me That Ppis Often Fail Because Patients Do Not Take Them As Directed. Is It True That Some Ppis Need To Be Given Before Meals, But Others Do Not?
Question 17: What Are The So-Called Extraesophageal Manifestations Of Gerd?
Question 18: Is The Diagnostic Approach To Gerd Patients Different Than Patients With Typical Symptoms Of Heartburn And Regurgitation?
Question 19: Are The Therapeutic Choices Different For These Patients And, If So, How?
Question 20: A Patient With Long-Standing Gerd Is Asymptomatic On A Once-Daily Ppi. He Wants To Know If He Needs To Take His Medication “For The Rest Of His Life.” Address The Long-Term Maintenance Therapy For Gerd.
Question 21: What Is The Role Of An On-Demand Treatment In Maintenance? Who Is The Best Candidate?
Question 22: What Is The Role Of Prokinetic Agents In The Treatment Of Gerd, And How Do I Know Which One To Use?
Question 23: A Patient With Classic Gerd Symptoms Is Unhappy With His Current Treatment. What Is The Approach To A Patient With Continued Symptoms On Once-Daily Ppi? On Twice-Daily Ppi?
Question 24: What Are The Short- And Long-Term Risks Of Proton Pump Inhibitor Therapy? Are Any Risks Of Clinical Importance?
Question 25: A 42-Year-Old Man Who Does Not Use Tobacco Or Alcohol But Has Chronic Reflux Presents For Evaluation And Wants To Know If He Is At Risk For Esophageal Cancer. What Do I Tell Him? Does His Risk Change If His Symptoms Are Effectively Relieved With Ppi Therapy?
Question 26: Who Is At Risk For Barrett’S Esophagus? Do African Americans Need To Worry About Barrett’S Esophagus?
Question 27: Should Patients Be Screened For Barrett’S? Are There Patients Who Need Not Be Screened?
Question 28: Are The Pharmacologic Options For Barrett’S Different From Gerd? Have Ppis Been Shown To Have Any Effect On Barrett’S (Either Prevention Or Therapy)?
Question 29: Mr. Smith Has No Reflux Symptoms But Underwent Upper Endoscopy As Part Of A Celiac Sprue Evaluation. He Was Found To Have A 5-Mm Segment Of Columnar-Lined Esophagus Without Nodularity. Biopsies Showed Intestinal Metaplasia But No Dysplasia. What Is The Appropriate Follow-Up?
Question 30: Should Endoscopic Surveillance Be Performed In A Patient With Barrett’S? If So, How?
Question 31: What Are The Management Options For Dysplasia In Patients With Barrett’S Esophagus, Specifically High-Grade Dysplasia?
Question 32: A Patient With Long-Standing Gerd Does Not Wish To Take Long-Term Medical Therapy And Inquires About The Options For Treatment. He Wonders If There Is Something He Can Do Other Than Antireflux Surgery? Is There A Role For Endoscopic Therapy For Gerd?
Question 33: Are There Differences Among Ppis In Clinical Practice? Should I Ever Consider Switching Among Different Ppis For Patients Who Fail To Respond?
Question 35: What Is Nocturnal Acid Breakthrough, And What Is Its Clinical Importance? Is Zegerid Really Any More Effective In This Group?
Question 36: What Is The Role Of Helicobacter Pylori In Gerd? Do All Patients With Gerd Need To Be Tested For Helicobacter Pylori?
Question 37: Ms. Smith Went To The Er With Chest Pain That Was Determined To Be Noncardiac. Serologies For H. Pylori Were Found To Be Positive In The Ed. I Have Considered Treating Her But Have Heard That This May Worsen Her Reflux. What Should I Do?
Question 38: Can Medical Therapy Alter The Natural History Of Barrett’S Esophagus?
Question 39: Can Antireflux Surgery Alter The Natural History Of Barrett’S Esophagus?
Question 40: Do Either Medical Therapy Or Antireflux Surgery Reduce The Risk Of Or Prevent The Development Of Esophageal Cancer?
Question 41: How Does Pregnancy Affect Gerd? Is Gerd In Pregnancy A Risk For Long-Term Reflux?
Question 42: What Are The Treatment Options For Gerd In Pregnancy?
Question 43: A 45-Year-Old Gentleman Comes To You Following A Laparoscopic Nissen Fundoplication 5 Years Ago. He Now Has Recurrent Gerd Symptoms. How Common Is This?
Question 44: What Is The Association Of Obesity And Gerd?
Question 45: Is Bariatric Surgery Good For Reflux?
Question 46: Is There A Gender Difference In Reflux Disease? Does This Affect Treatment?
Question 47: What Are The Ethnic Differences In Gerd Presentations?
Question 48: Which Patients With Barrett’S Should Be Referred For Photodynamic Therapy?
Question 49: I Know That Reflux And Eosinophilic Esophagitis Can Lead To Dysphagia And Eosinophils On Esophageal Biopsy. How Do I Differentiate These Two Diseases?
Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions
3 related chapters
Question 3: What Options Exist For Enteral Feeding In Preoperative Patients With Esophageal Cancer Who Have Dysphagia?
Question 4: An 81-Year-Old Man Is Found To Have Unresectable Esophageal Cancer And Malignant Dysphagia. Should He Have A Stent? A Nasogastric Feeding Tube? A Percutaneous Endoscopic Gastrostomy Tube?
Question 6: A 55-Year-Old Man Undergoes An Esophagectomy For Esophageal Cancer. Two Years Later, He Develops Dysphagia And A Contrast Study Discloses A Narrowing At His Anastomosis. How Should This Be Investigated And Treated?
Curbside Consultation in IBS: 49 Clinical Questions
49 related chapters
Question 1: How Common is IBS?
Question 2: What Factors are Associated with IBS and Functional Abdominal Pain in Children?
Question 3: What is the Natural History of IBS?
Question 4: How Can I Diagnose IBS?
Question 5: How Do I Distinguish IBS Constipation From Other Types of Constipation?
Question 6: What Tests are Required to Make the Diagnosis of IBS?
Question 7: What is the Value of Performing a Colonoscopy in Patients with IBS?
Question 8: Can a Blood Test Diagnose IBS?
Question 9: What Prompts Patients with IBS to Seek Out Medical Care?
Question 10: What Distinguishes a Patient with Mild IBS from a Patient with Severe IBS?
Question 11: Why is IBS Important to Treat?
Question 12: What is the Pathophysiology of IBS?
Question 13: Are there Risk Factors for Developing IBS?
Question 14: Why is Bloating Such a Problem in Patients With IBS?
Question 15: What is the Role of Stress in IBS?
Question 16: Does Anxiety or Depression Cause IBS?
Question 17: IBS and the Menstrual Cycle: What is the Relationship?
Question 18: How Does an Infection Cause IBS?
Question 19: Is There a Relationship between Surgery and IBS?
Question 20: Is There an Association between IBS and IBS?
Question 21: What is the Role of Bacterial Overgrowth in IBS Patients?
Question 22: How Common is Celiac Disease in Patients With IBS?
Question 23: Functional Dyspepsia and IBS: One Disease or Two?
Question 24: What is the Relationship between GERD and IBS?
Question 25: What Other Common GI Disorders Occur in Patients with IBS?
Question 26: From which Nongastrointestinal Disorders are Patients with IBS Most Likely to Suffer?
Question 27: Is Fecal Incontinence more Common in Patients With IBS?
Question 28: How do I Evaluate and Treat Pelvic Floor Dysfunction in my Patients with IBS?
Question 29: What Key Educational Points Do I Need to Convey to my Patients with IBS?
Question 30: What Dietary Recommendations Should I Make to my Patients with IBS?
Question 31: What is the Relationship between Fructose Intolerance and IBS?
Question 32: What is the Role of Fiber in Patients with IBS?
Question 33: What is the Placebo Response and why is it so High in Patients with IBS?
Question 34: Which Patient with IBS is Likely to Benefit from Smooth Muscle Antispasmodics?
Question 35: What is the Role of Tricyclic Antidepressants in the Treatment of IBS?
Question 36: What is the Role of Ssris in the Treatment of IBS?
Question 37: What is the Role of Rifaximin in the Treatment of IBS?
Question 38: What is Lubiprostone and When Should I Use it in my Patients with IBS?
Question 39: What is the Role of Antidiarrheal Agents in Patients with IBS?
Question 40: What is Alosetron and How Can I Use It?
Question 41: What are Probiotics and Do They Work in IBS?
Question 42: Which Probiotics are Best for Patients with IBS?
Question 43: Linaclotide—What is it and Why Might it Help my Patients with IBS?
Question 44: Will Acupuncture Help my Patients with IBS?
Question 45: Will Hypnotherapy Help my Patients with IBS?
Question 46: What is Behavioral Therapy and Will it Help my Patients with IBS?
Question 47: IBS And Cam: What Options are Available?
Question 48: What is the Best Approach for Treating Abdominal Pain in Patients with IBS?
Question 49: What Medications are on the Horizon for the Treatment of IBS?
Curbside Consultation of the Colon: 49 Clinical Questions
17 related chapters
Question 13: What Should Be The Sequence Of Investigations For A Patient Who Is Being Considered For Colectomy Due To Chronic Constipation?
Question 14: What Do I Tell My Primary Care Colleagues About Chronic Constipation And The Risk Of Colorectal Cancer?
Question 15: What Diagnostic Tests Are Recommended For The Evaluation Of Chronic Constipation And What Is Their Yield?
Question 16: How Efficacious Are The Therapies For Chronic Constipation? I Have Heard About Several New Drugs For Constipation—Have They Been Shown To Be Cost Effective?
Question 17: When Should A Patient Complaining Of Chronic Constipation Be Sent For Anorectal Manometry?
Question 18: A Patient Asks About Biofeedback Therapy For Her Constipation Symptoms And Wants To Know What Is Involved. What Do I Tell Her?
Question 19: What Are The Emerging Therapeutic Agents For Constipation And How Do They Modulate Colonic Motility?
Question 20: What Do I Tell My Colleagues Who Are Concerned About Neuropathic Changes From Laxative Use?
Question 21: What Colonic Infections Are Associated With Aids?
Question 22: We See Many Patients With Bone Marrow Transplants. How Do We Recognize And Treat Graft- Versus- Host Disease In The Colon? How Do We Make Sure We Are Not Missing Cmv Colitis?
Question 26: The Nursing Staff Doesn’T Know What To Do For A 72-Hour Stool Collection As Part Of A Diarrhea Workup. What Do I Need To Tell Them To Get The Answers I Need?
Question 28: For Patients Who Report Persistent Diarrhea, What Is Considered Chronic, When Do I Need To Begin A Workup, And What Does That Workup Involve?
Question 29: My Patient With Collagenous Colitis Developed A Black Tongue With Bismuth. What Other Therapeutic Options Do I Have?
Question 33: What Is Proctalgia Fugax And How Is It Managed?
Question 40: The Emergency Room Is Calling About A Patient With Pneumatosis Coli. What Do I Need To Do?
Question 41: What Is The Appropriate Evaluation For Fecal Incontinence?
Question 44: The Diabetes Clinic Wants A Lecture On The Effects Of Diabetes On Colonic Motility. What Can I Tell Them In 5 Minutes Or Less?