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Nutrition Issues in Gastroenterology, Series #131

The Calorie Requirement Conundrum

Joe Krenitsky

Although guidelines promote more complex means of estimating calorie expenditure, critically ill patients often receive variable and incomplete amounts of nutrition. The optimal timing and amount of nutrition to feed critically ill patients has not been established. In this article, we discuss multiple prediction equations for estimating calorie expenditure, calorie requirements, and the importance of addressing barriers to meeting basic nutrition goals in order to prevent large cumulative nutrition deficits.

Frontiers in Endoscopy, Series #12

Endoscopy for Primary Treatment of Obesity

James M Stewart, Camron Kiafar

Obesity is a major health concern in the developed world. It complicates many illnesses and its reduction offers a major opportunity for health impact. Endoscopic therapies offer reversibility, minimal invasion, and same day treatment options but are not commonly used in the United States. Here we discuss these therapies, some new and still under active investigation: space occupying intragastric balloons, duodenal barrier sleeves, caloric removal via gastric tube, and botulinum toxin to reduce gastric motility.

A Special Article

Etiology of Small Bowel Obstruction (SBO) in a Culturally Diverse Patient Population

Vivek Trivedi, Divyangkumar Gandhi, Rajivkumar Amipara,Tavankit Singh, Barundeep Singh, Vivek Gumaste

Small bowel obstructions (SBO) are a major cause of morbidity and recurrent hospitalizations worldwide. The leading cause of SBO in the western world is adhesions. The goal of this study was to determine the etiologies of SBO in a large, university-affiliated hospital with a culturally, ethnically and socioeconomically diverse patient population.

A Case Report

HSV Hepatitis as the Initial Presentation of Acquired Immune Deficiency Syndrome

Jean Ong Kian Koc, Ronald Miick, Nikroo Hashemi

Departments Section

From the Literature

Endoscopic Papillectomy to Measure Short-Term Safety and Efficacy of Papillectomy

To define patient and lesion characteristics associated with incomplete endoscopic resection, and measure adenoma recurrence rates during long-term followup, a retrospective cohort study was carried out at a tertiary- care, academic medical center, including all patients who underwent that procedure for ampullary lesions between July 1995 and June 2012.

Interpreting Polyp Size

To assess error rates in polyp size determination with open forceps as a step of measurement after the forceps are aligned on the polyp, evaluation was carried out with prospective assessment of 49 gastroenterologists who received training on 10 photographs of polyps with a line forceps and then measured 10 additional test polyps from photographs.

Cold Snare Versus Conventional Polypectomy for Removal of Small Colorectal Polyps in Anticoagulated Patients

To compare the bleeding risk after cold snare polypectomy or conventional polypectomy for small colorectal polyps in anticoagulated patients, a study was carried out in a prospective, randomized controlled study in a municipal hospital in Japan.

Endoscopic Versus Surgical Resection for Early Esophageal Cancer

To compare overall survival and mortality related to endoscopic eradication therapy and esophagectomy in patients with early esophageal cancer (EC), patients with early esophageal cancer (EC), stages T0 and T1 were identified from epidemiology and end result database from 1998 to 2009.

Endoscopy Versus Surgery for Early Neoplasia in Barrett’s Esophagus

To compare the efficacy and safety of esophagectomy versus endotherapy in the treatment of Barrett’s esophagus, with high-grade dysplasia and intramucosal cancer, seven studies were reviewed involving 870 patients.

From the Pediatric Literature

Macrolide Use and Pyloric Stenosis

Macrolides are a commonly used antibiotic class, and there is a concern regarding a possible association between infant macrolide use and infantile hypertrophic pyloric stenosis (IHPS).

Gluten Sensitivity in Children

Celiac disease (CD) is well described in children, but gluten sensitivity (GS) has undergone very limited pediatric research as to its clinical presentation. The authors of this study evaluated 15 children (10 males) with GS defined as negative CD serology and a negative allergy work-up for wheat, including food-specific IgE, prick testing, and patch testing.

Medical Bulletin Board


ENDOCAPSULE 10 Delivers Outstanding Visualization, Improved Efficiency and Enhanced Features for Noninvasive Observation of the Small Intestine

AbbVie Receives Orphan Drug Designation for HUMIRA® (adalimumab) from the U.S. Food and Drug Administration for the Investigational Treatment of Certain Forms of Non-infectious Uveitis

NORTH CHICAGO, IL - AbbVie (NYSE:ABBV) announced that the U.S. Food and Drug Administration (FDA) has granted HUMIRA® (adalimumab) orphan drug designation for the treatment of non-infectious intermediate, posterior, or pan-uveitis, or chronic non-infectious anterior uveitis, a group of rare but serious inflammatory diseases of the eye.

Meetings Calendar

July 15 - 16, 2014 The Kenneth Rainin Foundation 2014 Innovations Symposium Targeting IBD
September 16, 2014 Raising C Diff Awareness Conference
October 8 - 11, 2014 77th Annual University of Minnesota Colon and Rectal Surgery: Current Principle