December 2013 Vol XXXVII Issue 12

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Nutrition Issues in Gastroenterology, Series #124

Fiber-Enriched Enteral Formulae: Advantageous or Adding Fuel to the Fire?

Sherry M. Tarleton, Carolyn A. Kraft, John K. DiBaise

It has been suggested that the addition of fiber to enteral formulas may help to alleviate alterations in bowel function. However, fiber has well described effects on the gut and may cause multiple unwanted gastrointestinal symptoms potentially leading to intolerance of enteral nutrition. This review will evaluate the evidence for and against the clinical use of fiber- containing enteral formulae.

Inflammatory Bowel Disease: A Practical Approach, Series #86

The Safety of Thiopurines in Patients with IBD at Conception, During Pregnancy and Nursing

Mona Akbari, Adam S. Cheifetz

An area of concern for providers who care for patients with inflammatory bowel disease (IBD) is the issue of conception and pregnancy, and the use of thiopurines during this time. This review outlines the effects of IBD and active disease on pregnancy outcomes, pregnancy outcomes for female and male patients taking thiopurines, and thiopurine use during breast feeding.

A Case Report

Esophageal Rupture Presenting with Hematemesis

Chaya Abelow, Arkady Broder, Angelo Reyes, Seth A. Cohen

Departments Section

Book Reviews

Proton Pump Inhibitors: A Balanced View

Proton pump inhibitors (PPIs) are the most prescribed medicines in gastroenterology and perennially among the top three classes of medicines by sales in the United States. These potent suppressors of gastric acid have revolutionized the treatment of gastroesophageal reflux disease (GERD), upper gastrointestinal (GI) bleeding, and peptic ulcer disease to name but a few conditions. Yet there is evidence that PPIs are often prescribed for long duration without documented indications, and like most medicines, PPIs may have adverse effects. This book covers the discovery, mechanisms, uses, and potential adverse effects of PPIs in ten chapters.

Yamada's Handbook of Gastroenterology

Dr. Yamada’s Textbook of Gastroenterology has served as the primary textbook for countless numbers of internists and gastroenterologists. From this textbook comes Yamada’s Handbook of Gastroenterology, which serves as a companion to provide a more concise version geared towards medical students, house officers, and fellows.

Medical Bulletin Board


Sylys® Surgical Sealant is the first of its kind synthetic sealant designed specifically to protect the suture line from leaks in intestinal anastomosis procedures.