Treatment: Crohn’s Disease & Ulcerative Colitis Goals of therapy for IBD: Induction and maintenance of remission (Gastroenterology. 2006;130:935-987) CATEGORY: 5ASA (5 AMINO SALICYLIC ACID) Induction/maintenance for UC; Induction/maintenance for very…
Microscopic & Radiation Colitis MICROSCOPIC COLITIS (Am J Gastroenterol 2004, 94:451-65) Definition: Idiopathic colitides with mild inflammatory changes diagnosed only by colorectal biopsy and thus only microscopically Microscopic colitis is…
Crohn’s Disease (Aliment Pharmacol Ther. 2003;18:263-77. Am J Gastroenterol. 2001;96:635-43. N Engl J Med 2002; 347:417-29) DEFINITION: Idiopathic or nonspecific transmural inflammation of the any segment of the GI tract…
Whipple’s Disease (N Engl J Med 2007;356:55-66) DEFINITION: An extremely rare infectious illness that causes an intestinal malabsorption process Can have numerous other potential manifestations including rheumatological, cardiopulmonary, and neurological…
Small Bowel Tumors DEFINITION: Tumors of the small bowel; Fortunately primary neoplasia of the small bowel is rare EPIDEMIOLOGY: Small bowel comprises >75% of the length and >90% of the…
Short Bowel Syndrome (Gut 2006;55:1-12. Gastroenterology 2003;124:1105-10 & 1111-34) DEFINITION: A malabsorptive state that often follows massive resection of the small intestine The definition is a functional one: the extent…
Nutrition: Total Parenteral Nutrition (TPN) & Refeeding Syndrome (Gastroenterology 2001;121:966-69 & 970-1001) GENERAL NUTRITION QUESTIONS/ANSWERS: Ask yourself: How long has the patient been without nutrition? How malnourished is the patient?…
Nutrition: Malnutrition & Obesity (Gastroenterology 2002;123:879-81 & 882-32) DEFINITIONS: Nutritional status: reflects how well nutrient intake contributes to body composition and function in the face of existing metabolic needs Four…
Megacolon (Ogilvie’s Syndrome) (Gastrointest Endosc 2002;56:789-92) DEFINITION: Ogilvie’s Syndrome (Acute Colonic Pseudo-obstruction): acute non-toxic megacolon without evidence of more distal colonic obstruction Usually dilation of cecum and/or right side of…
