lee_oct-nov
Quick Hits

In the daily practice of gastroenterology, early detection of gastric cancer is especially difficult because of the flat morphology, rapid submucosal invasion and relatively short duration (about 1.5 years) of an asymptomatic stage. This presents a small window for gastroenterologists to identify early gastric cancer.1 The cause of gastric cancer is now recognized as chronic […]

pichetshote-pimentel_oct-nov
Quick Hits

Small intestinal bacterial overgrowth (SIBO) is a condition where bacteria are seen in excess in the small intestine.1 It is associated with numerous conditions, the foremost of which are listed in Table 1. The stomach and proximal small bowel normally contain few bacteria, and when present, this overabundance of organisms can be associated with bloating, […]

jensen_oct-nov
Quick Hits

My goals in this article are to give you my current recommendations on how you should risk stratify and treat patients with peptic ulcer bleeding (PUB) and other types of non-variceal upper GI hemorrhage (NVUGIH), based upon recent studies performed by me and my research group, the CURE Hemostasis Research Group. For more than four […]

golabi-younossi_oct-nov
Quick Hits

Nonalcoholic fatty liver disease (NAFLD) is currently considered one of the most common chronic liver diseases in the world. NAFLD is defined as the fatty infiltration of the liver without secondary causes such as alcohol, medication, genetic and viral factors. Liver biopsies of patients with NAFLD can range from simple steatosis, which is the presence […]

bhamidimarri-martin_oct-nov
Quick Hits

The prevalence of hepatitis C (HCV) in dialysis patients is higher than that of the general population, ranging from 1.8 to 8 percent in developed countries, with much higher rates in the developing world. Its prevalence correlates with the number of patient-years on dialysis. HCVinfected patients on maintenance dialysis experience increased mortality compared to uninfected […]

brill_oct-nov
Quick Hits

Hippocrates of Kos was a Greek physician of the Age of Pericles, credited as the first person to believe that disease was not a punishment inflicted by the gods, but rather the product of environmental factors, diet and living habit.1,2¬†Hippocratic medicine was notable for its strict professionalism, discipline and rigorous practice, recommending that physicians always […]

more_oct-nov
Debates

Celiac disease is diagnosed by small intestinal biopsy. As the popularity of the gluten-free diet has surged in the past decade, histology has largely remained intact as the arbiter between celiac disease and non-celiac gluten sensitivity, a condition whose etiology, pathogenesis and natural history remain incompletely understood. Though a pathway for a biopsy-free diagnosis of […]

less_oct-nov
Debates

Broadly, my celiac patients suffer from two main problems. The first is poorly controlled celiac disease, with some combination of ongoing symptoms, enteropathy and laboratory abnormalities. This group, collectively referred to as nonresponsive celiac disease, is significant and although all current data on this issue comes from a few tertiary referral centers, it is likely […]