Complaints secondary to hemorrhoidal disease have been treated by health care providers for centuries. Most symptoms referable to hemorrhoidal disease can be managed nonoperatively. When symptoms do not respond to…
A good understanding of anorectal physiology is essential for the diagnosis and appropriate treatment of various anorectal disorders, such as fecal incontinence, constipation, and pain. This article reviews the physiology…
The rectum and anus are two anatomically complex organs with diverse pathologies. This article reviews the basic anatomy of the rectum and anus. In addition, it addresses the current radiographic…
To my wife, Kammy, for her constant understanding and unending love and emotional support. And to my sons, Connor, Christopher, and Luke, for making every day a new adventure. (D.J.M.)…
David J. Maron, MD, MBA, FACS, FASCRS, Editor Steven D. Wexner, MD, PhD(Hon), FACS, FRCS, FRCS(Ed), Editor We are delighted to present you with this issue of Gastroenterology Clinics of…
Forthcoming Issues March 2014 GERD Joel Richter, MD, Editor June 2014 Eosinophilic Esophagitis Ikuo Hirano, MD, Editor September 2014 Upper GI Bleeding Ian Gralnek, MD, Editor Recent Issues September 2013…
Epidemiologic data have demonstrated that obesity is an important risk factor for the development of gastroesophageal reflux disease (GERD). There is also accumulating data that obesity is associated with complications…
Gastroesophageal reflux disease is a common disorder in all patients but a particular problem in the elderly, for whom the disease often presents with advanced mucosal damage and other complications….
Surgical management of gastroesophageal reflux disease has evolved from relatively invasive procedures requiring open laparotomy or thoracotomy to minimally invasive laparoscopic techniques. Although side effects may still occur, with careful…
The mainstay of pharmacological therapy for GERD is gastric acid suppression with proton pump inhibitors (PPIs), which are superior to histamine-2 receptor antagonists for healing erosive esophagitis and achieving symptomatic…
