May 2006 Vol Issue

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Gastrointestinal and Nutrition Issues in Cerebral Palsy

by John F. Pohl and Amy Cantrell
The inherent neuromuscular abnormalities of cerebral palsy make it common for these patients to have gastrointestinal problems such as dysphagia, GERD, altered gastric motility and constipation. This article will address all of these factors.

Immunonutrition - Fact, Fancy or Folly?

by Joe Krenitsky
This article will focus, primarily, on outcome data from prospective, randomized studies in adult patients with commercial immunonutrition formulas. It is intended to cover pertinent studies to assist clinical decision making in an evidenced-based manner.

A Case of Hepatic Hydatids Causing Biliary Obstruction: A Case Report and Review of the Literature

by Aran Laing and Parvez Mantry
Many of the cases of hepatic hydatids are seen in immigrants from highly endemic areas. Significant morbidity and mortality can result from this disease. Presented in this article is a case of a 51-year-old male with hepatic hydatids.

by Ian Wall and Jiangun Li

A case for you to solve.

The Prevalence of Proton Pump Inhibitor Use in Hospitalized Patients

by Alan R. Gingold, Gopal Narasimhan, Sabino Augello and David J. Clain
The purpose of the research for this article was to investigate the indications for and frequency of proton pump inhibitor use for people who were patients in a large teaching hospital. The conclusions may surprise you.

The Role of Endoscopic Ultrasound in the Treatment of Crohnís Perianal Fistulas

by Natalie E. West and David A. Schwartz
The authors write that in patients with Crohnís Disease, "it is imperative to accurately diagnose fistulas and abscesses to ensure successful treatment and prevent further complications ..." They further state that endoscopic ultrasound (EUS) can be helpful in both monitoring fistula healing and guiding treatment in patients with Crohnís perianal fistulas.