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Reviews in gastroenterological disorders最新文献

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Prevalence and risk factors of fecal incontinence in community-dwelling men. 社区男性尿失禁患病率及危险因素分析。
Reviews in gastroenterological disorders Pub Date : 2009-01-01 DOI: 10.3909/RIGD0353A
T. Shamliyan, D. Bliss, Jing Du, Ryan Ping, T. Wilt, R. Kane
{"title":"Prevalence and risk factors of fecal incontinence in community-dwelling men.","authors":"T. Shamliyan, D. Bliss, Jing Du, Ryan Ping, T. Wilt, R. Kane","doi":"10.3909/RIGD0353A","DOIUrl":"https://doi.org/10.3909/RIGD0353A","url":null,"abstract":"Fecal incontinence (FI) in community-dwelling men affects quality of life and increases the risk of institutionalization. Observational studies and randomized, controlled trials (RCTs) on epidemiology and prevention of FI published in English from 1990 to November 2007 were identified in several databases to abstract rates and adjusted odds ratios (ORs) of incontinence and to synthesize evidence with random effects models. Twenty-one observational studies and 4 RCTs were eligible for analysis. Pooled prevalence of FI in elderly men increased with age to 5% to 6%. Men over age 85 years (OR 2.5; 95% confidence interval [CI], 1.3-5) and with kidney diseases (OR 1.9; 95% CI, 1.2-3.3) had higher odds of incident FI. Significantly impaired cognitive status and general health were associated with FI. Men had increased risk of incontinence after radical prostatectomy or radiation for prostate cancer. Lower doses of radiation caused inconsistent reduction in FI across 2 RCTs. The prevalence of incontinence increased with age and functional dependency. Cognitive impairment, poor general health, surgery, and radiation for prostate cancer were associated with incontinence in community-dwelling men. No effective interventions are known at the present time.","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":"9 4 1","pages":"E97-110"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70286465","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: 14
Diarrhea--cryptosporidial diarrhea in patients with AIDS: impressive results with Rifaximin. 腹泻——艾滋病患者的隐孢子腹泻:利福昔明的效果令人印象深刻。
Reviews in gastroenterological disorders Pub Date : 2009-01-01
Edward C Oldfield
{"title":"Diarrhea--cryptosporidial diarrhea in patients with AIDS: impressive results with Rifaximin.","authors":"Edward C Oldfield","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":"9 3","pages":"E94-5"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28495757","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
Third Eye Retroscope: rationale, efficacy, challenges. 第三眼逆行镜:原理、疗效、挑战。
Reviews in gastroenterological disorders Pub Date : 2009-01-01
Douglas K Rex
{"title":"Third Eye Retroscope: rationale, efficacy, challenges.","authors":"Douglas K Rex","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The most effective colonoscopy misses polyps, and both barium enema and computed tomography colonography studies have identified hidden areas on the proximal sides of folds, flexures, and valves where colonoscopy can miss even substantially sized lesions. This article reviews the rationale, efficacy, and clinical challenges associated with one of the most promising devices for improvement of mucosal exposure during colonoscopy, the Third Eye Retroscope (Avantis Medical, Sunnyvale, CA).</p>","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":"9 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28109191","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
Functional (non-ulcer) dyspepsia and gastroparesis--differentiating these conditions and practical management approaches. 功能性(非溃疡性)消化不良和胃轻瘫——区分这些疾病和实用的治疗方法。
Reviews in gastroenterological disorders Pub Date : 2009-01-01
Nicholas J Talley, Rok Seon Choung
{"title":"Functional (non-ulcer) dyspepsia and gastroparesis--differentiating these conditions and practical management approaches.","authors":"Nicholas J Talley,&nbsp;Rok Seon Choung","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Because of the limited therapeutic options, management of patients with functional dyspepsia can be remarkably difficult. This review considers the current state of the art for patients who present with unexplained dyspepsia, and outlines a practical management approach for clinicians.</p>","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":" ","pages":"E48-53"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40024565","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
Reflux monitoring. 返流的监控。
Reviews in gastroenterological disorders Pub Date : 2009-01-01
Ellen Stein, Philip O Katz
{"title":"Reflux monitoring.","authors":"Ellen Stein,&nbsp;Philip O Katz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are several available diagnostic options to evaluate patients with suspected gastroesophageal reflux, whether acid, weakly acid, or nonacid. The appropriate application of these technologies is the subject of much discussion among experts. Thoughtful use of reflux monitoring is of great benefit in the evaluation of patients with endoscopy-negative disease reflux symptoms that are resistant, recurrent, or refractory to standard or double-dose antisecretory therapy; patients with distinct, atypical symptoms such as cough, laryngitis, chest pain, globus, or regurgitation in whom heartburn is infrequent or absent; patients who are seeking surgical or endoscopic corrective procedures to treat their symptoms; and those with recurrence of symptoms after undergoing surgical procedures. Reflux monitoring may be useful in avoiding an incorrect diagnosis of gastroesophageal reflux disease (GERD) and in management of patients with Barrett's esophagus. This article will review the current clinical applications of reflux monitoring in patients with GERD.</p>","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":" ","pages":"E54-62"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40024566","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
Antimicrobial resistance and eradication strategies for Helicobacter pylori. 幽门螺杆菌的耐药性及根除策略。
Reviews in gastroenterological disorders Pub Date : 2009-01-01
Nimish Vakil
{"title":"Antimicrobial resistance and eradication strategies for Helicobacter pylori.","authors":"Nimish Vakil","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Antimicrobial resistance is a major cause for failed Helicobacter pylori eradication. This article discusses the prevalence and mechanisms of resistance in H pylori and presents a strategy for eradication in patients harboring resistant strains.</p>","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":"9 3","pages":"E78-83"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28495755","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
Methylnaltrexone bromide: new drug for the treatment of opioid-induced bowel dysfunction. 甲基纳曲酮溴化:治疗阿片类药物引起的肠功能障碍的新药。
Reviews in gastroenterological disorders Pub Date : 2009-01-01
Danial E Baker
{"title":"Methylnaltrexone bromide: new drug for the treatment of opioid-induced bowel dysfunction.","authors":"Danial E Baker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Constipation is a common problem associated with opiates and opioid compounds used for the treatment of pain and other medical conditions, and can influence patient quality of life. Methylnaltrexone appears effective in the therapy of opioid-induced constipation and will be useful for patients failing to respond to traditional laxative regimens.</p>","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":"9 3","pages":"E84-93"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28495756","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
Infectious disease. Early loss of immune cells and progressive immunodeficiency in HIV infection: it's all about the gut. 传染病。HIV感染的早期免疫细胞丧失和进行性免疫缺陷:这都与肠道有关。
Reviews in gastroenterological disorders Pub Date : 2009-01-01
Edward C Oldfield
{"title":"Infectious disease. Early loss of immune cells and progressive immunodeficiency in HIV infection: it's all about the gut.","authors":"Edward C Oldfield","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":"9 1","pages":"35-9"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28109194","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
Advances in colonoscope technique and technology. 结肠镜技术与技术进展。
Reviews in gastroenterological disorders Pub Date : 2008-01-01
Kyu Chan Huh, Douglas K Rex
{"title":"Advances in colonoscope technique and technology.","authors":"Kyu Chan Huh,&nbsp;Douglas K Rex","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To date, no alternative platform for colonoscopy seems prepared to substantially supplant the traditional colonoscopy platform. The Invendoscope and capsule colonoscopy are the most promising of the alternative platforms. With regard to colonoscope insertion, water immersion is quite noteworthy but requires additional study in broader populations. The benefits of cap-fitted colonoscopy for insertion are small. With regard to imaging, wide-angle colonoscopy may produce an operator-dependent improvement in efficiency, but there is no consistent evidence that it improves adenoma detection. Similarly, cap-fitted colonoscopy is not convincing as a method to improve adenoma detection. There is no method for seeing flat lesions that is both effective and practical for high-level white light adenoma detectors. Narrow-band imaging may have a learning effect on low-level adenoma detectors, and autofluorescence seems promising and deserves additional study. Several methods for determination of real-time histology are promising and seem to be methods by which the cost-effectiveness of colonoscopy could be improved through reduction in pathology charges for diminutive polyps.</p>","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":"8 4","pages":"223-32"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27920000","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
Nocturnal gastroesophageal reflux disease: issues, implications, and management strategies. 夜间胃食管反流病:问题、影响和管理策略
Reviews in gastroenterological disorders Pub Date : 2008-01-01
David A Johnson, Philip O Katz
{"title":"Nocturnal gastroesophageal reflux disease: issues, implications, and management strategies.","authors":"David A Johnson,&nbsp;Philip O Katz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The consequences of nocturnal gastroesophageal reflux disease (GERD) may be greater than daytime GERD in terms of clinical complications such as increased risk of esophageal lesions and respiratory conditions, as well as issues of health-related quality of life, sleep, work productivity, and economics. Proton pump inhibitors (PPIs) are the most effective therapy for patients with GERD; however, treatment success is greater in the improvement of daytime symptoms and acid control. Acid suppression of most PPIs, which are administered once daily before breakfast, wanes during the nighttime hours. Although nighttime heartburn improves with once-daily PPI treatment, PPIs are unable to eliminate nighttime heartburn completely. Increasing the dose of a PPI provides longer acid suppression, but the benefits have not been shown to be consistently greater than standard once-daily dosing. Twice-daily dosing, with a dose given before bedtime, would extend the duration of acid suppression into the nighttime hours; however, nocturnal acid breakthrough remains an issue. As a result, improved PPIs that will more reliably control nighttime symptoms and provide on-demand relief have been developed and studied. These newer PPI formulations offer significant hope for the advancement of treatment opportunities.</p>","PeriodicalId":21173,"journal":{"name":"Reviews in gastroenterological disorders","volume":"8 2","pages":"98-108"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27547432","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
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