August 2008 Vol XXXII Issue 8

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Effectively Managing Side Effects of Treatment for Hepatitis C Virus

Elizabeth Goacher

Although side effects with Interferon alpha (IFN) and Peginterferon (PEG INF alfa-2a or alfa-2b) treatments are frequent and can be troublesome, this article shows they can be effectively managed throughout the course of therapy.


Ileal Pouch-Anal Anastomosis (IPPA) for Ulcerative Colitis Management of Complications and Follow-up in Primary Care

Simon D. McLaughlin, Sue K. Clark

The aim of this article is to provide primary care physicians with an e xcellent understanding of ileal pouch-anal anastomosis (IPPA)including the investigation and management of patients with dysfunction in order to improve the long-term functional outcome of these patients.


Opioid Analgesics and the Gastrointestinal Tract

Lingtak-Neander Chan

Opioids have been used for centuries to manage pain and other ailments. The constipating effects of opioid analgesics can be used to manage diarrhea and control high output ostomies. The goal of this article is to guide practitioners to use the lowest effective dose with minimal side effects.


A Patient with Glandular Cell Tumor of the Colon

John E. Poulos, Alexandros G. Georgakilas, Peter T. Kalogerinis, Thomas Diagnaut, Giovanni Lujan

Glandular cell tumors of the colon are of low malignant potential and are being recognized with increasing frequency. Treatment options are similar to those for other benign submucosal lesions of the colon. A review of the literature in relation to this particular case is presented.

Departments Section

From the Literature

Capsule Endoscopy for Screening and Surveillance of Esophageal Varices

A multi-center trial was designed to assess the diagnostic performance of capsule endoscopy (CE) in comparison with EGD.

Colonoscopic Screening at Age 40 to 49

In order to investigate the prevalence of colorectal neoplasia with colonoscopic screening in asymptomatic, average-risk individuals ages 40-to-49 years in the United States, the results of screening colonoscopies offered to patients from a health care provider that offers screening services as part of an employer-provided wellness program were reviewed.

Eosinophilic Esophagitis

This study describes features of Eosinophilic esophagitis (EE) in a broad population, obtaining information from a national pathology database to identify EE cases from a cohort of upper endoscopies.

CT Scanning for Screening for Esophageal Varices

A study was carried out to determine the cost-effectiveness and patient preferences of a strategy employing computerized tomography (CT) scanning as the initial screening test for identifying large esophageal varices.

Analysis of Acid-Suppressed Patients with Persistent Symptoms

To identify symptom types and frequency experienced by patients on PPI therapy and to identify the type of reflux, if any—associated with these symptoms—a retrospective review was performed of 200 patients on PPI with GERD symptoms during ambulatory impedance/ pH testing.

Medical Bulletin Board

New Study Shows Potential of Colon CAD Technology to Effectively Triage Patients and Relieve Burden of Radiologist Shortage

Data presented at the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) showed that the use of Computer-Aided Detection (CAD) helped radiographers to detect 100% of cancers when examining more than 300 patients in routine primary reporting of virtual colonoscopy (VC).

Gastroenterological Societies Launch Endoscopic Sedation Web Site—

Site offers GI professionals online resource with latest information on endoscopic sedation practices and safety

Boehringer Ingelheim, Gilead Agree to AIDS Drug Price Freeze

AIDS Healthcare Foundation Urges Drug Giants Merck, Tibotec, Pfizer and Others to Follow Suit, Suspend Price Increases and Expand Access to Lifesaving Antiretroviral Medications