October 2009 Vol XXXIII Issue 10

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Celiac Disease and Reproductive Health

Alice Bast, Tom O'Bryan, Elizabeth Bast

Celiac disease's potentially negative effect on reproductive health is among the most pressing matters associated with advancing awareness. Men and women with unexplained infertility, women with recurrent abortions, intrauterine growth retardation, low birth weight babies and menstrual disorders are rarely screened for celiac disease despite scientific studies that indicate a correlation.


Enteral Feedings in Hospitalized Patients: Early versus Delayed Enteral Nutrition

Caitlin S. Curtis, Kenneth A. Kudsk

Nutrition support is a cornerstone in the treatment of malnourished and critically ill hospitalized patients where the clinician expects significant delays in the patient's ability to resume adequate oral intake of protein and calories. The existing literature supports the concept that enteral nutrition is preferred over parenteral, when possible, for its beneficial effects on intestinal and immunologic function.

Departments Section

From the Pediatric Gastroenterology Literature

Apheresis and Pediatric IBD

Apheresis of granulocyte and monocyte cell lines is a new therapeutic option for inflammatory bowel disease (IBD), and pediatric data is almost exclusively limited to case reports. The authors of this European study evaluated 37 children who underwent granulocyte-monocyte adsorptive apheresis (GMA) using a retrospective review. Pooled data from three countries (Denmark, Finland, and Sweden) found 37 children who had undergone GMA.

Is Impedance Monitoring Feasible in Infants?

Multiple intraluminal impedance (MII) monitoring for gastroesophageal reflux (GER) is becoming a common diagnostic modality in adults. Minimal studies are available in children, and MII may be more difficult to perform in infants as GER and prolonged esophageal bolus formation is a normal, physiologic process in this age group. The authors of this study attempted to describe GER associated with changes in esophageal pH and impedance in infants.

Book Reviews

Curbside Consultation in Endoscopy: 49 Clinical Questions

Curbside Consultation in Endoscopy offers quick answers to a variety of questions that arise not only in basic endoscopy but also in the expanding fields of endoscopic ultrasound (EUS) and capsule enteroscopy. The book is comprised of six sections: upper endoscopy, lower endoscopy, ERCP, EUS, capsule enteroscopy, and a final section that deals with miscellaneous topics such as evaluation of abdominal pain after bariatric surgery.

Medical Bulletin Board

ASGE Recognizes 10 Endoscopy Units for Quality and Safety as Part of Its Endoscopy Unit Recognition Program

The American Society for Gastrointestinal Endoscopy (ASGE) has recognized 10 endoscopy units as part of its program specifically dedicated to promoting quality in endoscopy, in all settings where it is practiced in the United States.

Salix Receives FDA Marketing Approval for METOZOLVTM ODT (Orally Disintegrating Tablets) for Relief of Diabetic Gastroparesis and Symptomatic Documented GERD

The First Available Orally Disintegrating Metoclopramide Tablet Designed to Offer Improved Convenience