Gastroenterology
- Awareness can prompt the search for clinical zebras
When do we look hard for uncommon causes of common symptoms?
- Median arcuate ligament syndrome: Incidental finding or real problem?
A woman was admitted with pain in the epigastrium and right upper quadrant that radiated to the back, as well as nausea and dry heaves.
- Median arcuate ligament syndrome: A clinical dilemma
Patients with chronic abdominal pain can benefit from a multidisciplinary evaluation.
- Cryptosporidiosis in an immunosuppressed patient with persistent diarrhea
A 29-year-old lung transplant recipient presents with diarrhea lasting 1 month.
- Acute pancreatitis secondary to hypertriglyceridemia
A man presents with acute severe abdominal pain and triglycerides 5,250 mg/dL.
Optimal surveillance and treatment of renal and splenic artery aneurysmsIndications for repair are based on aneurysm location and risk factors for rupture.
- When is contrast needed for abdominal and pelvic CT?
The decision to use contrast depends on the diagnosis suspected.
- Irritable bowel syndrome with diarrhea: Treatment is a work in progress
Understanding of its mechanisms is progressing, and treatments are increasingly targeted to the individual etiology.
- Perioperative infection: Are we sure what to focus on?
Which immunosuppressive drugs pose the greater danger in the perioperative period: the newer biologics or corticosteroids?
- Is it safe to continue biologic agents during surgery in patients with inflammatory bowel disease?
Patients taking monoclonal antibodies can continue taking them, but small-molecule drugs should be withheld.
