Current Gastroenterology Reports最新文献_第3页

Enteral Nutrition Therapy: Historical Perspective, Utilization, and Complications. 肠内营养疗法：历史回顾、使用情况和并发症。

Current Gastroenterology Reports Pub Date : 2024-08-01 Epub Date: 2024-05-24 DOI: 10.1007/s11894-024-00934-8

Osman Mohamed Elfadil, Saketh R Velapati, Janki Patel, Ryan T Hurt, Manpreet S Mundi

{"title":"Enteral Nutrition Therapy: Historical Perspective, Utilization, and Complications.","authors":"Osman Mohamed Elfadil, Saketh R Velapati, Janki Patel, Ryan T Hurt, Manpreet S Mundi","doi":"10.1007/s11894-024-00934-8","DOIUrl":"10.1007/s11894-024-00934-8","url":null,"abstract":"Purpose of review: Enteral nutrition (EN) therapy can provide vital nutrition support for patients with various medical conditions as long as it is indicated and supported by ethical reasoning. This review seeks to offer a detailed account of the history of EN development, highlighting key milestones and recent advances in the field. Additionally, it covers common complications associated with EN and their management.Recent findings: After years of research and development, we have reached newer generations of enteral feeding formulations, more options for enteral tubes and connectors, and a better understanding of EN therapy challenges. Given the availability of many different formulas, selecting a feeding formula with the best evidence for specific indications for enteral feeding is recommended. Initiation of enteral feeding with standard polymeric formula remains the standard of care. Transition to small-bore connectors remains suboptimal. Evidence-based practices should be followed to recognize and reduce possible enteral feeding complications early.","PeriodicalId":10776,"journal":{"name":"Current Gastroenterology Reports","volume":" ","pages":"200-210"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Celiac Disease, Gluten Sensitivity, and Diet Management. 乳糜泻、麸质敏感和饮食管理。

Current Gastroenterology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-12 DOI: 10.1007/s11894-024-00931-x

Elizabeth Wall, Carol E Semrad

{"title":"Celiac Disease, Gluten Sensitivity, and Diet Management.","authors":"Elizabeth Wall, Carol E Semrad","doi":"10.1007/s11894-024-00931-x","DOIUrl":"10.1007/s11894-024-00931-x","url":null,"abstract":"Purpose of review: Celiac disease is a common chronic inflammatory condition of the small bowel triggered by gluten in wheat, rye and barley in the diet. Non-celiac gluten sensitivity presents with symptoms similar to celiac disease with the ingestion of gluten or other components of wheat. In this article, we review challenges presented by a gluten free diet for the treatment of both disorders.Recent findings: Wheat is ubiquitous in the diet and medications/products. A registered dietitian is mandatory for patient education on the gluten free diet. Naturally gluten free foods provide a healthy diet for those with celiac disease. Whole grains labelled gluten free, including oats, are encouraged in the diet as refined grains may be deficient in fiber, protein, and micronutrients, particularly folate. Gluten contamination is the most common cause of persistent symptoms in celiac disease though shared equipment of food preparation may not be as large a problem as suspected. Most with celiac disease on a gluten free diet will fully recover and gain weight that poses a problem for those overweight to start. The gluten free diet may have a negative impact on quality of life for both celiac patients and their families. Those with hypervigilance of the gluten free diet and avoidance of dining out have the lowest quality of life. The gluten free diet is currently the only effective treatment for celiac disease. A registered dietitian is needed to educate patients on the complexity of the gluten free diet with a goal of healthy eating, maintaining a healthy weight, and avoiding disordered eating or diet hypervigilance; key to a good quality of life.","PeriodicalId":10776,"journal":{"name":"Current Gastroenterology Reports","volume":" ","pages":"191-199"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stopgap Measures for Obesity Prior to Surgery. 手术前治疗肥胖症的权宜之计。

Current Gastroenterology Reports Pub Date : 2024-08-01 Epub Date: 2024-05-09 DOI: 10.1007/s11894-024-00933-9

Nagesh Kamat, Amit Maydeo, Gaurav Patil, Ankit Dalal, Amol Vadgaonkar, Sanil Parekh

引用次数: 0

Integrative Approaches to Managing Gut Health. 管理肠道健康的综合方法。

Current Gastroenterology Reports Pub Date : 2024-07-01 Epub Date: 2024-03-12 DOI: 10.1007/s11894-024-00927-7

Marvin M Singh

引用次数: 0

Esophagogastric Junction Outflow Obstruction (EGJOO): A Manometric Phenomenon or Clinically Impactful Problem. 食管胃交界流出道梗阻 (EGJOO)：是人体测量现象还是有临床影响的问题？

Current Gastroenterology Reports Pub Date : 2024-07-01 Epub Date: 2024-03-28 DOI: 10.1007/s11894-024-00928-6

Laura Bach, Marcelo F Vela

{"title":"Esophagogastric Junction Outflow Obstruction (EGJOO): A Manometric Phenomenon or Clinically Impactful Problem.","authors":"Laura Bach, Marcelo F Vela","doi":"10.1007/s11894-024-00928-6","DOIUrl":"10.1007/s11894-024-00928-6","url":null,"abstract":"Purpose of review: Esophagogastric junction outflow obstruction (EGJOO), defined manometrically by impaired esophagogastric junction relaxation (EGJ) with preserved peristalsis, can be artifactual, due to secondary etiologies (mechanical, medication-induced), or a true motility disorder. The purpose of this review is to go over the evolving approach to diagnosing and treating clinically relevant EGJOO.Recent findings: Timed barium esophagram (TBE) and the functional lumen imaging probe (FLIP) are useful to identify clinically relevant EGJOO that merits lower esophageal sphincter (LES) directed therapies. There are no randomized controlled trials evaluating EJGOO treatment. Uncontrolled trials show effectiveness for pneumatic dilation and peroral endoscopic myotomy to treat confirmed EGJOO; Botox and Heller myotomy may also be considered but data for confirmed EGJOO is more limited. Diagnosis of clinically relevant idiopathic EGJOO requires symptoms, exclusion of mechanical and medication-related etiologies, and confirmation of EGJ obstruction by TBE or FLIP. Botox LES injection has limited durability, it can be used in patients who are not candidates for other treatments. PD and POEM are effective in confirmed EGJOO, Heller myotomy may also be considered but data for confirmed EGJOO is limited. Randomized controlled trials are needed to clarify optimal management of EGJOO.","PeriodicalId":10776,"journal":{"name":"Current Gastroenterology Reports","volume":" ","pages":"173-180"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Ileus Represent the Forgotten End Organ Failure in Critical Illness? 回肠是否代表了危重病中被遗忘的终末器官衰竭？

Current Gastroenterology Reports Pub Date : 2024-06-01 Epub Date: 2024-04-01 DOI: 10.1007/s11894-023-00910-8

Christy M Lawson, Chris Jones, Michael Herman, Cecilia Kim, Elizabeth Mannino, Endashaw Omer, Carlas Venegas

引用次数: 0

Peri-Operative Optimization of Patients with Crohn's Disease. 克罗恩病患者的围手术期优化。

Current Gastroenterology Reports Pub Date : 2024-05-01 Epub Date: 2024-02-29 DOI: 10.1007/s11894-024-00925-9

Hareem Syed, Ahmed Nadeem, David Gardinier, Kendra Weekley, Dovid Ribakow, Stephen Lupe, Shubha Bhat, Stefan Holubar, Benjamin L Cohen

{"title":"Peri-Operative Optimization of Patients with Crohn's Disease.","authors":"Hareem Syed, Ahmed Nadeem, David Gardinier, Kendra Weekley, Dovid Ribakow, Stephen Lupe, Shubha Bhat, Stefan Holubar, Benjamin L Cohen","doi":"10.1007/s11894-024-00925-9","DOIUrl":"10.1007/s11894-024-00925-9","url":null,"abstract":"Purpose of review: The management of patients with Crohn's disease (CD) undergoing surgery is complex and optimization of modifiable factors perioperatively can improve outcomes. This review focuses on the perioperative management of CD patients undergoing surgery, emphasizing the need for a multi-disciplinary approach.Recent findings: Research highlights the benefits of a comprehensive strategy, involving nutritional optimization, psychological assessment, and addressing septic complications before surgery. Despite many CD patients being on immune-suppressing medications, studies indicate that most of these medications are safe to use and should not delay surgery. However, a personalized approach for each case is needed. This review underscores the importance of multi-disciplinary team led peri-operative management of CD patients. We suggest that this can be done at a dedicated perioperative clinic for prehabilitation, with the potential to enhance outcomes for CD patients undergoing surgery.","PeriodicalId":10776,"journal":{"name":"Current Gastroenterology Reports","volume":" ","pages":"125-136"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11081987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Intelligence and IBD: Where are We Now and Where Will We Be in the Future? 人工智能与 IBD：我们现在在哪里，未来会在哪里？

Current Gastroenterology Reports Pub Date : 2024-05-01 Epub Date: 2024-02-27 DOI: 10.1007/s11894-024-00918-8

Mehwish Ahmed, Molly L Stone, Ryan W Stidham

{"title":"Artificial Intelligence and IBD: Where are We Now and Where Will We Be in the Future?","authors":"Mehwish Ahmed, Molly L Stone, Ryan W Stidham","doi":"10.1007/s11894-024-00918-8","DOIUrl":"10.1007/s11894-024-00918-8","url":null,"abstract":"Purpose of review: Artificial intelligence (AI) is quickly demonstrating the ability to address problems and challenges in the care of IBD. This review with commentary will highlight today's advancements in AI applications for IBD in image analysis, understanding text, and replicating clinical knowledge and experience.Recent findings: Advancements in machine learning methods, availability of high-performance computing, and increasing digitization of medical data are providing opportunities for AI to assist in IBD care. Multiple groups have demonstrated the ability of AI to replicate expert endoscopic scoring in IBD, with expansion into automated capsule endoscopy, enterography, and histologic interpretations. Further, AI image analysis is being used to develop new endoscopic scoring with more granularity and detail than is possible using conventional methods. Advancements in natural language processing are proving to reduce laborious tasks required in the care of IBD, including documentation, information searches, and chart review. Finally, large language models and chatbots that can understand language and generate human-like replies are beginning to exhibit clinical intelligence that will revolutionize how we deliver IBD care. Today, AI is being deployed to replicate expert judgement in specific tasks where disagreement, subjectivity, and bias are common. However, the near future will herald contributions of AI doing what we cannot, including new detailed measures of IBD, enhanced analysis of images, and perhaps even fully automating care. As we speculate on future technologic capabilities that may improve how we care for IBD, this review will also consider how we will implement and fairly use AI in practice.","PeriodicalId":10776,"journal":{"name":"Current Gastroenterology Reports","volume":" ","pages":"137-144"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Managing Risks with Newer Oral Small Molecules in Patients with Inflammatory Bowel Diseases. 管理炎症性肠病患者使用新型口服小分子药物的风险。

Current Gastroenterology Reports Pub Date : 2024-05-01 Epub Date: 2024-02-14 DOI: 10.1007/s11894-024-00923-x

Malek Ayoub, Shivani Mattay, Andres J Yarur, Parakkal Deepak

引用次数: 0

The Role of the Gut Microbiome in Health and Disease in the Elderly. 肠道微生物组在老年人健康和疾病中的作用。

Current Gastroenterology Reports Pub Date : 2024-04-20 DOI: 10.1007/s11894-024-00932-w

Lea Ann Chen, Kaitlyn Boyle

引用次数: 0