Pearls in Gastroenterology Today’s pearls are tomorrow’s fecaliths. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) is a valuable resource for pt education materials. Information is distributed…
Procedures Comment: Because the endoscopist may notmeet the pt until minutes before the procedure, particularly in open-access systems, it is important that a clinician be able to describe to the…
Liver Disease in Pregnancy Am J Gastro 2004;99:2479; Nejm 1996;335:569 Liver disease in pregnancy may represent a disease present at conception, a disease acquired unique to pregnancy, or a disease…
Vascular Liver Disease 16.1 Budd-Chiari Syndrome Nejm 2004;350:578; J Clin Gastro 2000;30:155; Brit J Surg 1995;82:1023 Cause: Budd-Chiari syndrome is caused by obstruction of the normal hepatic venous outflow. This…
Complications of End-Stage Liver Disease 15.1 Portal Hypertension and Variceal Hemorrhage Am J Gastro 2007;102:2086; Gastroenterol Clin North Am 2003;32:1079; Nejm 2001;345:669 Cause: Rupture of varices secondary to portal HTN,…
Drug- and Toxin-Induced Liver Disease 14.1 Alcoholic Liver Disease Mayo Clin Proc 2001;76:1021; Postgrad Med J 2000;76:280 Cause: Excessive intake of ethanol. For practical purposes, alcohol has been defined in…
Neoplastic Liver Disease 13.1 Hepatocellular Carcinoma Lancet 2003;362:1907; Postgrad Med J 2000;76:4 Cause: (Nejm 1999;340:798) The vast majority of cases of hepatocellular carcinoma (HCC) are due to chronic hep B…
Metabolic and Inflammatory Liver Disease 12.1 Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis Hepatology 2009;49:306; Nejm 2002;346:1221 Epidem: The prevalence of nonalcoholic fatty liver disease (NAFLD) is estimated between 10%…
Infections of the Liver 11.1 Hepatitis A Lancet 1998;351:1643; Gastroenterologist 1996;4:107 Cause: The hep A virus, a small, nonenveloped RNA virus of the genus Hepatovirus. There are 4 stable human…
The Biliary Tree 10.1 Cholecystitis and Biliary Colic Am Fam Phys 2000;61:1673; Clin Perspect Gastro 2000;March:87 Epidem: The risk of gallstones rises with age. The prevalence of gallstones in young…
