Current Treatment Options in Gastroenterology最新文献_第4页

Management of Non-achalasia Esophageal Hypercontractility: EGJ Outflow Obstruction and Hypercontractile Esophagus 非贲门失弛缓症食管过度收缩的处理:EGJ流出梗阻和食管过度收缩

Current Treatment Options in Gastroenterology Pub Date : 2023-02-22 DOI: 10.1007/s11938-023-00410-8

F. Vahedi, E. Low, R. Yadlapati

引用次数: 1

Management of Esophageal Diverticula 食管憩室的治疗

Current Treatment Options in Gastroenterology Pub Date : 2023-02-21 DOI: 10.1007/s11938-023-00411-7

A. Kamboj, Ryan J. Law

引用次数: 0

Obesity Pharmacotherapy: a Review of Current Practices and Future Directions 肥胖药物治疗:当前实践和未来方向的回顾

Current Treatment Options in Gastroenterology Pub Date : 2023-02-08 DOI: 10.1007/s11938-023-00409-1

S. Schmitz, Beverly G Tchang, Alpana P. Shukla

引用次数: 1

A Review of Complications, Outcomes, and Technical Considerations of Endoscopically Placed Feeding Tubes in Obesity 肥胖症患者在内镜下放置饲管的并发症、结果和技术考虑的综述

Current Treatment Options in Gastroenterology Pub Date : 2023-02-02 DOI: 10.1007/s11938-023-00407-3

Ankoor H Patel, Keerthana Kesavarapu

引用次数: 0

Endobariatrics: a Still Underutilized Weight Loss Tool. 内减肥：一种仍然未被充分利用的减肥工具。

Current Treatment Options in Gastroenterology Pub Date : 2023-01-01 Epub Date: 2023-05-06 DOI: 10.1007/s11938-023-00420-6

Niel Dave, Enad Dawod, Okeefe L Simmons

{"title":"Endobariatrics: a Still Underutilized Weight Loss Tool.","authors":"Niel Dave, Enad Dawod, Okeefe L Simmons","doi":"10.1007/s11938-023-00420-6","DOIUrl":"10.1007/s11938-023-00420-6","url":null,"abstract":"Purpose of review: Bariatric and metabolic endoscopic therapies provide an option for patients seeking clinically significant weight loss with fewer adverse events than conventional bariatric surgery. Our aims are to provide an overview of the current state of primary endoscopic treatment options for weight loss and to emphasize the importance of including these therapies when presenting weight loss options to qualified patients.Recent findings: Bariatric endoscopy procedures are associated with a lower adverse event rate when compared to bariatric surgery and result in more weight loss than most existing pharmacotherapies approved by the Food and Drug Administration.Summary: Sufficient evidence exists to implement bariatric endoscopic therapies-namely, the intragastric balloon and endoscopic sleeve gastroplasty-as safe and effective treatment options for weight loss when used in combination with lifestyle changes. However, bariatric endoscopy remains an underutilized option by weight management providers. Future studies are needed to identify patient and provider-level barriers to adopting endoscopic bariatric therapies as an option for the treatment of obesity.","PeriodicalId":10998,"journal":{"name":"Current Treatment Options in Gastroenterology","volume":"21 2","pages":"172-184"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583127","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: 1

Management of Post Ablative Barrett's Esophagus: a Review of Current Practices and Look at Emerging Technologies. 消融后Barrett食管的管理：对当前实践的回顾和新兴技术的展望。

Current Treatment Options in Gastroenterology Pub Date : 2023-01-01 Epub Date: 2023-03-10 DOI: 10.1007/s11938-023-00414-4

Christian Davis, Jennifer M Kolb

{"title":"Management of Post Ablative Barrett's Esophagus: a Review of Current Practices and Look at Emerging Technologies.","authors":"Christian Davis, Jennifer M Kolb","doi":"10.1007/s11938-023-00414-4","DOIUrl":"10.1007/s11938-023-00414-4","url":null,"abstract":"Purpose of review: Endoscopic eradication therapy is an effective and durable treatment for Barrett's esophagus (BE) related neoplasia, but even after achieving successful eradication, these patients remain at risk for recurrence and require ongoing routine examinations. The optimal surveillance protocol including endoscopic technique, sampling strategy, and timing are still being refined. The aim of this review is to discuss current management principles for the post ablation patient and emerging technologies to guide clinical practice.Recent findings: There is increasing evidence to support less frequent surveillance exams in the first year after complete eradication of intestinal metaplasia and a move towards targeted biopsies of visible lesions and sampling high-risk locations such as the gastroesophageal junction. Promising technologies on the horizon that could impact management include novel biomarkers, personalized surveillance intervals, and non-endoscopic approaches.Summary: Ongoing high-quality examinations after endoscopic eradication therapy are key to limiting recurrent BE. Surveillance intervals should be based on the pretreatment grade of dysplasia. Future research should focus on technologies and surveillance practices that are most efficient for patients and the healthcare system.","PeriodicalId":10998,"journal":{"name":"Current Treatment Options in Gastroenterology","volume":"21 2","pages":"125-137"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9999319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589938","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

Ileal Pouch-Anal Anastomosis in the Older Adult: a Review of Postoperative Outcomes and Pouchitis Treatment. 老年人回肠袋-肛门吻合术:术后疗效及袋炎治疗回顾。

Current Treatment Options in Gastroenterology Pub Date : 2022-12-01 DOI: 10.1007/s11938-022-00405-x

Sabrina L Chen, Adam S Faye, Shannon Chang

{"title":"Ileal Pouch-Anal Anastomosis in the Older Adult: a Review of Postoperative Outcomes and Pouchitis Treatment.","authors":"Sabrina L Chen, Adam S Faye, Shannon Chang","doi":"10.1007/s11938-022-00405-x","DOIUrl":"https://doi.org/10.1007/s11938-022-00405-x","url":null,"abstract":"Purpose of review: Ileal pouch-anal anastomosis (IPAA) has become the preferred surgical treatment for patients with medically refractive ulcerative colitis (UC). Previous studies have suggested that outcomes of this procedure may be worse in older patients; however, more recent reports have suggested that IPAA in select patients is safe, feasible, and results in good quality of life. In this review, we discuss the recent literature surrounding clinical considerations and treatment management of IPAA in older adults.Recent findings: IPAA complication rates and adverse events are similar in the older adult population, as compared to the younger adult patient population. Although fecal urgency and incontinence may be more common among older adults, chronological age alone is not a contraindication for IPAA surgery, as good quality of life can still be achieved. In this review, we will also discuss the development of pouchitis after IPAA, particularly among older adults, as the emergence of newer biologic drugs has shifted the treatment landscape.Summary: IPAA can be a safe and effective treatment modality for older adults with UC, with high self-reported patient satisfaction. Patient optimization and careful case selection are vital to achieving these outcomes, and specialized preoperative assessments and counseling can help facilitate the proper treatment.","PeriodicalId":10998,"journal":{"name":"Current Treatment Options in Gastroenterology","volume":"20 4","pages":"564-581"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10848966","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

Esophageal Manifestations of Dermatological Diseases, Diagnosis and Management. 食道皮肤病的表现、诊断与治疗。

Current Treatment Options in Gastroenterology Pub Date : 2022-12-01 Epub Date: 2022-10-18 DOI: 10.1007/s11938-022-00399-6

Amr M Arar, Kelli DeLay, David A Leiman, Paul Menard-Katcher

{"title":"Esophageal Manifestations of Dermatological Diseases, Diagnosis and Management.","authors":"Amr M Arar, Kelli DeLay, David A Leiman, Paul Menard-Katcher","doi":"10.1007/s11938-022-00399-6","DOIUrl":"10.1007/s11938-022-00399-6","url":null,"abstract":"Purpose of review: The purpose of this article is to discuss the diagnosis and treatment of diseases that affect both the skin and the esophagus.Recent findings: The diagnosis of dermatological conditions that affect the esophagus often requires endoscopy and biopsy with some conditions requiring further investigation with serology, immunofluorescence, manometry, or genetic testing. Many conditions that affect the skin and esophagus can be treated successfully with systemic steroids and immunosuppressants including pemphigus, pemphigoid, HIV, esophageal lichen planus, and Crohn's disease. Many conditions are associated with esophageal strictures which are treated with endoscopic dilation. Furthermore, many of the diseases are pre-malignant and require vigilance and surveillance endoscopy.Summary: Diseases that affect the skin and esophagus can be grouped by their underlying etiology: autoimmune (scleroderma, dermatomyositis, pemphigus, pemphigoid), infectious (herpes simplex virus, cytomegalovirus, human immunodeficiency virus), inflammatory (lichen planus and Crohn's disease), and genetic (epidermolysis bullosa, Cowden syndrome, focal dermal hypoplasia, and tylosis). It is important to consider primary skin conditions that affect the esophagus when patients present with dysphagia of unknown etiology and characteristic skin findings.","PeriodicalId":10998,"journal":{"name":"Current Treatment Options in Gastroenterology","volume":"20 4","pages":"513-528"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10243751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9974263","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

Revisiting Dietary Approaches in the Management of Chronic Pancreatitis 重新审视慢性胰腺炎治疗中的饮食方法

Current Treatment Options in Gastroenterology Pub Date : 2022-10-01 DOI: 10.1007/s11938-022-00402-0

K. Roberts, P. Hart, S. Duggan

引用次数: 1

Evaluation of Diarrhea in Older Adults 老年人腹泻的评价

Current Treatment Options in Gastroenterology Pub Date : 2022-09-27 DOI: 10.1007/s11938-022-00400-2

L. Schiller

引用次数: 0