FRONTIERS IN ENDOSCOPY, SERIES # 24

Sheeva Parbhu, Douglas G. Adler

Endoscopic sphincterotomy (ES) is a complex procedure performed under direct endoscopic observation. ES is performed for a variety of both biliary and pancreatic disorders, including the treatment of biliary and pancreatic leaks, to facilitate the placement of biliary or pancreatic stents, as a precursor to cholangioscopy and/or pancreatoscopy, and to treat suspected sphincter of Oddi dysfunction. The need for repeat sphincterotomy can arise in clinical practice and interventionalists should be prepared to perform this when it is needed. In this article we discuss the efficacy, outcomes, and adverse events associated with these procedures.

NUTRITION ISSUES IN GASTROENTEROLOGY, #148

Soumya Chatterjee

Scleroderma (SSc) is an autoimmune disease characterized by progressive fibrosis of skin and various internal organs, including the lungs, heart, kidneys, and the gastrointestinal (GI) tract. Effective collaboration with gastroenterologists in the evaluation and management of SSc in a multispecialty partnership model has the potential to produce better outcomes. This article discusses the nutritional implications and current evidence-based management recommendations for the wide range of GI manifestations in SSc.

LIVER DISORDERS, SERIES #4

Duminda Suraweera, Courtney Reynolds, Shehan Thangaratnam, Gaurav Singhvi

Primary biliary cholangitis (PBC), previously known as primary biliary cirrhosis, is a chronic, cholestatic, inflammatory liver disease characterized by destruction of intrahepatic bile ducts resulting in progressive liver damage. The etiology of PBC is still not fully understood but likely involves both environmental and genetic factors. Here we provide a review of the etiology, pathogenesis, natural history, diagnosis and management of primary biliary cholangitis.

A CASE REPORT

John R. Stroehlein, Martin Poliak, Huamin Wang

Departments Section