August 2011 Vol XXXV Issue 8

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Nourishing Little Hearts: Nutritional Implications for Congenital Heart Defects

Brandis Roman

Patients with congenital heart defects (CHD) present unique nutritional challenges. This review seeks to provide practical suggestions for the management of these infants and children in the pre-operative neonatal, post-operative critical care, acute care/stepdown, and post-discharge settings.


Acute Mesenteric Ischemia: A Diagnostic Challenge in Clinical Practice

Mamata Ravipati, Srikanth Katragadda, Betty Go, Edwin J. Zarling

This article reviews the anatomy, pathophysiology and clinical presentation of acute mesenteric ischemia, with a note on various diagnostic and therapeutic modalities.


Multivisceral Perforation from Inferior Vena Cava (IVC) Filter Migration

Kofi Clarke, Chad Talarek, Leonard Baidoo, Kevin McGrath

Here we describe a case of an unusual complication of inferior vena caval filters (IVC Filters).

Departments Section

From the Literature

H. Pylori Eradication and GERD

A meta-analysis was carried out to investigate the risk of GERD when H. pylori (HP) eradication is carried out.

Fructose and Nonalcoholic Fatty Liver Disease

Fructose consumption is higher in individuals with nonalcoholic fatty liver disease (NAFLD) than in agematched and BMI-matched controls. Since fructose elicits metabolic perturbations that may be hepatotoxic, the relationship between fructose consumption and disease severity was investigated in NAFLD.

SVR in Child-Pugh Class A HCV-Induced Cirrhosis

In order to determine the incidence and risk factors associated with the development of esophageal varices (EV) and to assess whether antiviral treatment and achievement of SVR may prevent de nouveau EV development with patients with HCV-induced cirrhosis, 218 patients with compensated EV-free, HCV induced cirrhosis enrolled between 1989 and 1992 in 3 reference centers in Milan, Italy. Endoscopic surveillance was performed at 3-year intervals, according to international guidelines.

Drug-Induced AIH

In order to compare data of patients with drug-induced autoimmune hepatitis (DIAIH) with other patients with autoimmune hepatitis (AIH), a search was performed using the Mayo Clinic Diagnostic Medical Index for AIH patients and DIAIH patients identified over 10 years, and excluding patients with overlap syndromes and decompensated liver disease.

Book Reviews

Viral Hepatitis in Children: Unique Features and Opportunities

Viral hepatitis in pediatric patients is an important area covered briefly in many comprehensive pediatric hepatology textbooks but is a topic which pediatric gastroenterologists and hepatologists need to be well-versed in. Presentation, evaluation, therapy, and prognosis are often different in children compared with adults, and this book clarifies these differences while comprehensively and concisely reviewing viral hepatitis in general.

Meyers' Dynamic Radiology of the Abdomen: Normal and Pathologic Anatomy, 6th Edition

I found this book to be a comprehensive overview of the abdominal radiology, including reasonable explanatory diagrams. The book has very good explanations about the dissemination of disease through peritoneal spaces, extraperitoneal spaces, lymphatics, nerves and vasculature from the abdominal and pelvic structures.