February 2011 Vol XXXV Issue 2

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Conscious Sedation: Is It Always Needed for Endoscopy?

Ovais Khalid, Rajeev Srivastava, Aaron Mulhall, Anubha Paladugu, Gerald Dryden, Steven Lippmann

In the United States conscious sedation is almost universally utilized during endoscopy. After understanding the advantages and disadvantages of conscious sedation during uncomplicated endoscopies, physicians and patients who are educated about the procedure may beneficially elect to omit this anesthesia.


Nutritional Assessment and Intervention in Cerebral Palsy

Wendy Wittenbrook

Advances in medical care have resulted in a longer lifespan of individuals with cerebral palsy, with many surviving and thriving through adulthood. Individuals with cerebral palsy can have nutritional issues that may significantly impact their health, growth, and development. Nutritional assessment, intervention, and monitoring of such individuals are discussed in this article, along with special considerations.


Ileal Pouch-Anal Anastomosis Patients Over 50 Years of Age Require Screening for Osteoporosis: Evidence From Clinical Practice

S.D. McLaughlin, R.J. Nicholls

This study aimed to establish the prevalence of osteoporosis and osteopenia in IPAA patients over 50 years of age, to assess whether DXA scanning should be routinely performed in this group.


Eiad Nasser, Sam J. Samuel

A case for you to solve

Departments Section

Book Reviews

Capsule Endoscopy Simplified

Capsule Endoscopy Simplified is an excellent beginner's guide on capsule endoscopy technology that has been rapidly gaining popularity and clinical application within adult andpediatric gastroenterology.

Fibrocystic Diseases of the Liver

Fibrocystic liver disease is a descriptive term that is commonly used to highlight those genetic epithelial disorders involving the biliary ductule and, in some cases, the renal tubule. Any discussion of these disorders evokes diagnoses such as Congenital Hepatic Fibrosis, Polycystic Liver Disease, Caroli's Disease, and several other less common disorders including Meckel and Joubert syndrome.

From the Literature

Acid Suppression and Hip Fractures

A case-controlled study using data from an integrated health services organization was carried out, evaluating 33,752 patients with incident diagnoses of hip/femur fractures (case), and 130,471 matched members without fractures (controls). Prescription data for use of proton pump inhibitors (PPIs) or H2RAs up to 10 years cumulative in duration and confounders.

H. Pylori and Protection From Esophageal Cancer

To measure the association between H. pylori infection and esophageal cancer and identified potential modifiers in Australia with a population-based, case-controlled study, the prevalence of H. pylori seropositivity and single nucleotide polymorphisms in IL-1B and TNF-a among 260 esophageal adenocarcinoma (EAC), 298 esophagogastric junction (EGJAC) and 208 squamous cell carcinoma (ESCC patients, and 1346 controls to estimate relative risks, odds ratio (OR) and competence intervals (CI) using multivariable logistic regression, in the entire sample, and within the strata of phenotypic and genotypic risk factors.

Medical Bulletin Board

SEDASYS®c; System APPEAL Has Been Granted by the FDA

Ethicon Endo-Surgery Awaits a New Independent Advisory Panel Review of Clinical Data

Three Suppliers Selected to Participate in Premier Healthcare Alliance Comparative Effectiveness Research Program

Effort will analyze solutions in care settings, aims to inform providers and patients about safe, cost-effective treatments for certain clinical conditions.

Apollo Endosurgery Demonstrates Clinical Functionality of the Newly Launched OverStitch™ Endoscopic Suturing System in BariatricRepairs and GI Therapy

Apollo Endosurgery, Inc. announced preliminary results from their GEMINI suturing registry. These results confirm the procedure enabling capability of their newly-launched OverStitch™ Endoscopic Suturing System in a variety of clinical cases in the esophagus, stomach and colon.

ASGE and the Colorectal Cancer Coalition Praise Affordable Care Act Provision for Coverage of Colorectal Cancer Screening

Organizations call upon health plans and insurers to support all eligible people having the option of colorectal cancer screening without cost.