June 2013 Vol XXXVII Issue 6

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Endoscopy: Opening New Eyes, Series #7

Endoscopic Management and Therapy of Primary Sclerosing Cholangitis

Matthew E. Feurer, Douglas G. Adler

Endoscopic therapy plays a vital role in the diagnosis and management of primary sclerosing cholangitis (PSC), a chronic progressive liver disease associated with cholangiocarcinoma (CCA) in 10-15% of patients. A strategy of surveillance is recommended to enhance early detection of CCA to improve the possibility of resection and/or liver transplant, ultimately leading to increased survival. This article will review the role of endoscopy in the management of PSC and discuss its potential application for the surveillance of progression of PSC to CCA.

Nutrition Issues in Gastroenterology, Series #118

A Practical Guide to the Nutritional Management of Chronic Pancreatitis

Sinead N. Duggan, Kevin C. Conlon

Typical complications of chronic pancreatitis include maldigestion, malabsorption, abdominal pain, vitamin deficiency and poor bone health. Nutritional problems are exacerbated by poor dietary intake, pain, and possibly alcoholism. The aim of this review is to present the available evidence, highlight areas with recently published research, and to provide a framework for the management of patients with this nutritionally-challenging disease.

Inflammatory Bowel Disease: A Practical Approach, Series #83

Management of Biologic Agents During Pregnancy in Patients with Inflammatory Bowel Disease

Sarah Sheibani, Uma Mahadevan

Since Inflammatory Bowel Disease (IBD) activity has been shown to increase the risk of pregnancy and neonatal complications, it is generally advised that women continue appropriate medical therapy throughout pregnancy. Here we discuss the challenges of caring for a pregnant patient with IBD. Providing optimal medical therapy with biologics to control disease activity must be balanced with concerns regarding potential harm to the fetus and infant.

A Case Report

Schistosoma Infection in a Patient with Iron Deficiency Anemia

Jason E. Domagalski, Mark D. Cumings, Matthew W. Short

Departments Section

Book Reviews

Revisiting IBD Management: Dogmas to Be Challenged

The textbook, Revisiting IBD Management: Dogmas to Be Challenged, is a collection of articles submitted from authors around the world focusing on a variety of debated subjects in inflammatory bowel disease (IBD) from innate immunity to the relationship between bacteria and IBD to treatment options. The individual articles read like a map from the basic science introductory chapters to the concluding chapters focused on a novel classification of IBD and a potential ‘cures’. The crux of the book focuses on the surrounding dogma and debate of IBD therapeutics.

Common Liver Diseases and Transplantation

This 179 page book is divided into 10 chapters and provides a succinct resource for dealing with the most common adult hepatology problems. The organization is appropriate beginning with an approach to the most common clinical scenarios encountered in hepatologyevaluating a patient with suspected liver disease. This aspect is followed by disease-specific chapters with algorithms covering both pre- and post-transplant care, viral hepatitis, autoimmune and inherited metabolic conditions.

The Tunnel at the End of the Light

This book has something in it for everyone, from the first-year GI fellow to the seasoned gastroenterologist to the advanced therapeutic endoscopists to the aspiring academic gastroenterologist. Over six decades, it follows the career of Doctor Peter Cotton, a pioneer in the field of therapeutic gastrointestinal endoscopy.

Medical Bulletin Board


Non-Surgical Procedure Yields High Patient Satisfaction Scores; Reduced Need for Medication; No Serious Adverse Effects


(Houston, TX) ? After her husband Dr. Matthew Minson, nearly died from what is known as "Silent Reflux" where the person has the disease but does not exhibit the symptoms until it is almost too late, Houston native Kelli Minson developed an elevated sleeping solution, Gravity1st™, that just launched into the market.