June 2006 Vol Issue

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Gastric Adenocarcinoma: Part I

by Neil P. Phelan, John M. Levey and JeanMarie Houghton
Although the rate of gastric cancer has decreased, an estimated 11,550 people in the United States alone, will have died of the disease in 2005. This paper, Part I, will include the epidemiology and etiology of gastric cancer with the focus on Helicobacter pylori. Part II will be published in the July issue of Practical Gastroenterology.

The Ketogenic and Atkins Diets: Recipes for Seizure Control

by Zahava Turner and Eric H. Kossoff
After decades of relative disuse, the ketogenic diet for seizure control has re-emerged in the last decade both clinically and in research studies. The diet is high-fat, moderate protein and very low carbohydrates that induces a ketotic state, that theoretically leads to seizure reduction. A modification in the Atkins diet seems to give the same benefits. This article provides the history of the ketogenic diet, and its modifications, maintenance and side effects.

Sarcoidosis Masquerading as Pancreatic Cancer

by Ngozi Okoro, Christina Moldovanyi, Mohammed Wehbi and Kimil Obideen
The authors present a case of pancreatic sarcoidosis feared to be pancreatic cancer.

by Phillip Goldstein and Nyree Throne and assisted by Kavita Kongara and Douglas Katz

A case for you to solve.

GERD and Pregnancy

by Ryan A. Madanick and Philip O. Katz
The authors write that the presentation of GERD during pregnancy does not differ from that of the general population and the diagnosis is made in much the same fashion. They provide management guidelines and medical therapies, in particular, the use of antacids, H2-RAs and proton pump inhibitors.

The Emerging Role of Mesenteric Fat and Its Association with Crohnís Disease

by Razvon Arsenescu, Willen J.S. de Villiers and Trevor A. Winter
The authors write that mesenteric fat hypertrophy may be considered as both a consequence as well as a cause of inflammation in Crohnís disease.

Guidelines for Prevention, Surveillance, Diagnosis and Treatment in the New Era of More Virulent Strains of Antibiotic-Associated Diarrhea, Clostridium Difficile-Associated Disease/Diarrhea and Clostridium Difficile Colitis

by Perry Hookman and Jamie S. Barkin
"A very important method of controlling outbreaks of C. Difficile disease must be intervention on the prevention and use of antimicrobial agents implicated as factors for the disease." Guidelines to prevent antibiotic associated diseases are presented in this article.