September 2002 Vol Issue
GUEST EDITORIALHepatitis C: Who Should Be Treated?
Ms. Smith and Dr. Herrera write that the decision to treat Hepatitis C should be a team effort consisting of the doctor, the patient and the patient's family. Patients are more likely to tolerate and complete the therapy if they have participated in the decision to begin treatment.
GERIATRIC GASTROENTEROLOGY, SERIES #8Anemia of Gastrointestinal Origin in the Elderly
Anemia is common in the elderly, signifies an underlying pathology and is more common in men than in women. Physioloigcal changes in the gastrointestinal system of older individuals may predispose them to development of anemia. Gastrointestinal blood loss is the most common cause of iron deficient anemia.
A SPECIAL ARTICLEMicroscopic Colitis: Collagenous and Lymphocytic Colitis
Doctors Scott and Prindiville write that collagenous colitis and lymphocytic colitis are uncommon chronic relapsing diarrheal illnesses. Most patients are women in their fifties and sixties. Their paper gives the epidemiology, other conditions associated with these illnesses, the diagnosis, pathogenesis and treatment.
GASTROINTESTINAL AND HEPATOBILIARY DISEASES IN THE U.S., SERIES #9The Epidemiology of Esophageal Cancer in Minority Populations in the United States
Esophageal cancer is a lethal disease world-wide and its incidence varies by region, gender and ethnicity. By race and gender, African Americans have the highest incidence rate, followed by whites and other minority groups. This paper by doctors Vega, Sievert and Trotman deals with the two histological types of esophgeal cancer, adenocarcinoma and squamous carcinoma. They cover the epidemiology and risk factors.
A SPECIAL ARTICLEOffice-Based Physician Visits: A Comparison of Irritable Bowel Syndrome with Other Gastrointestinal Disorders Using National Ambulatory Medical Care Survey Data
Irritable bowel syndrome (IBS) is one of the most common gastrointestinal disorders seen in clinical practice. The authors of this article use data from the National Medical Care Survey to compare resource utilization and frequency of physician visits for IBS with other functional and organic gastrointestinal disorders.
PEARLS OF GASTROENTEROLOGYEmphysematous Cholecystitis
PEARLS OF GASTROENTEROLOGYRecognition of Liver Abscess in Chest Pain
Two special "pearls," by Dr. Fred with the assistance of Dr. Mehta in one of them. Both showing that diagnosis can be made with careful viewing of plain x-ray films.
PEARLS OF GASTROENTEROLOGYHematuria From an Ileal Conduit in a Cirrhotic Patient Treated with a Transjugular Intrehepatic Portosystemic SHUNT (TIPS)
Doctor Rodriguez and McGuire present a case in which TIPS has controlled bleeding for more than three years.
PEARLS OF GASTROENTEROLOGYBiliary Enteric Fistula
In his "pearls" Doctor Ahmed presents a case of biliary enteric fistula in a 93-year-old patient.