August 2013 Vol XXXVII Issue 8

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Frontiers in Endoscopy, Series #5

Interventional EUS: Big Bang or Little Fizzle?

Thiruvengadam Muniraj, Harry R. Aslanian

The progression that interventional endoscopic ultrasound (EUS) has made transporting techniques and tools from the arenas of interventional radiology and endoscopic retrograde cholangiopancreatography (ERCP) has been remarkable. In this review we discuss advances in the science of tumor therapy and the development of EUS specific tools and techniques.

Nutrition Issues in Gastroenterology, Series #120

Low Serum Phosphorus Got You Down?

Kendra Glassman

Phosphorus is a key nutrient in the human body involved in many critical functions, including nutrient utilization. Recent parenteral nutrition shortages have made supplementing low levels of phosphorus challenging. This article will provide the clinician with background on the importance of phosphorus, clinical sequelae for high and low phosphorus levels, and alternative suggestions for supplementing low levels.

A Case Report

Widespread Microscopic Gastrointestinal Metastases: An Unusual Manifestation of Breast Cancer

Mahdee E. Sobhanie, Tejas Venkat-Ramani, Maria Navas, Costas H. Kefalas, Michael W. Rich

Departments Section

From the Pediatric Gastroenterology Literature

Esophageal Manometry in Neurologically Impaired Children

Minimal studies regarding abnormal esophageal manometry findings are available in children, and this aspect is certainly true in children with neurologic impairment. The authors of this study evaluated esophageal manometry findings of children with hypoxic-ischemic encephalopathy (HIE). Children with HIE have central nervous system damage early in brain development, and the effects of this damage on esophageal manometry findings are not well described. The authors of this study evaluated the effects of esophageal provocation testing in children with HIE compared to controls. The study was also done to compare esophageal manometry findings in children with HIE who had received therapeutic hypothermia compared to children who received standard HIE care.

Pancreatic Function in Infants with Cystic Fibrosis

Most infants with cystic fibrosis (CF) have pancreatic insufficiency (PI) although some infants have pancreatic sufficiency (PS) at birth that can potentially convert to insufficiency over time. The advent of fecal elastase testing has made testing for PI an easier process. Pancreatic elastase is a protease released from acinar cells that does not undergo bacterial degradation in the intestine. However, it is unknown if fecal elastase levels change over time in infants diagnosed with CF, and the authors of this study attempted to follow fecal elastase levels in a longitudinal fashion.

Medical Bulletin Board

Taking a Probiotic, Such As Vidazorb® May Be Helpful for Those Suffering with Celiac Disease

May is Celiac Awareness Month, and during a month when we honor those who suffer with this disease, Vidazorb® wants Celiacs to know that relief may be well within reach. It is important for consumers to know that probiotics may provide the restorative balance their digestive system needs.

NewYork-Presbyterian Hospital Is One of First Hospitals in U.S. to Offer Computer-Assisted Colonoscopy

Remote-controlled system transmits less force on the bowel wall; may allow for a more comfortable and potentially sedation-free examination