Managing Complex Cases in Gastroenterology: A Curbside Guide

ISBN-13: 9783031489488 / Angielski

W. Harley Sobin; Kia Saeian; Patrick Sanvanson

Spis treści

INTRODUCTION

1)   Eosinophilic esophagitis-Patrick Sanvanson

2)   Oropharyngeal dysphagia-Patrick Sanvanson

3)   Achalasia-Benson Massey

4)   Other motility disorders of the esophagus and achalasia-Francis Edeani

5)   GERD-Patrick Sanvanson

6)   Refractory GERD-W. Harley Sobin

7)   Surgery for GERD-Jon Gould

8)   Barrett’s esophagus-Kulwinder Dua and Wilfredo Pagani

9)   PEG tubes-William Berger

10) Autoimmune metaplastic atrophic gastritis-Francis Edeani

11) Subepithelial lesions and NETs-Phillip Chisholm

12) Viewpoints on over 50 years of clinical practice-Helmut Ammon

13)  SIBO-Benson Massey

14)  Abdominal pain-W. Harley Sobin

15)  Vascular disorders of the intestine-James Nelson

16)  Polypectomy-Zachary Smith and Matt Mohorek

17)  Rectal incontinence-Ling Mei and Krupa Patel

18)  Diverticulitis-William Berger, Keely Browning, W. Harley Sobin MD

19)  Pancreatic cysts and recurrent pancreatitis-Phillip Chisholm

20)  Chronic pancreatitis-Srivats Madhavan

21)  GI oncology-Ben George

22)  Issues in Therapeutic Endoscopy-Kulwinder Dua

23)  GI pharmacology-Elizabeth Pieper

IBD COMPENDIUM

24) Crohn’s ileitis-Preetika Sinh

25)  Ulcerative colitis refractory to mesalamine-Daniel Stein and Salina Faidhalla

26)  Managing Crohn’s in a patient with prior MI-Preetika Sinh

27)  Managing post-op Crohn’s-Amir Patel

28)  Managing pseudopolyps-Poonam Beniwal-Patel

29)  Ulcerative colitis refractory to anti-TNFs-Daniel Stein and Salina Faidhalla

30)  Severe ulcerative colitis-Amir Patel

31)  Resistant/refractory proctitis-Poonam Beniwal-Patel

32)  Vaccinations in newly diagnosed IBD-Preetika Sinh

33)  Ustekinumab vs risankizumab in Crohn’s-Daniel Stein and Salina Faidhalla

34)  Use of vedolizumab in UC-Daniel Stein and Salina Faidhalla

35)  Functional diarrhea in IBD-Amir Patel

36)  When to postpone infusions-Poonam Beniwal-Patel

37) Musculoskeletal complaints in a patient on anti-TNFs-Amir Patel

38)  Use of immune modulators in patients being started on anti-TNFs-Daniel Stein and Salina Faidhalla

39)  Pyoderma gangrenosum-Poonam Beniwal-Patel

40)  UC in a patient who failed mesalamine and anti-TNF-Daniel Stein and Salina Faidhalla

41) Patients with IBD who are squeamish about rectal meds and self-injection-Amir Patel

42) Colon stricture in UC-Poonam Beniwal-Patel

43) Nonspecific ileal ulcers-Amir Patel

44) Concern about Pneumocystis jirovecii-Poonam Beniwal-Patel

45) Bloating in Crohn’s-Poonam Beniwal-Patel

46) Severe diarrhea in a patient on chemotherapy-Amir Patel

47) Microscopic colitis-Poonam Beniwal-Patel

48) Miscellaneous questions-Daniel Stein and Salina Faidhalla. Amir Patel

FUNCTIONAL GI DISORDERS

49) IBS-D-W. Harley Sobin

50)  IBS-C-W. Harley Sobin

51)  Functional dyspepsia-W. Harley Sobin

52)  Bloating-W. Harley Sobin

HEPATOLOGY COMPENDIUM

53) Liver enzyme elevation-negative work-up-Francisco Durazo

54) Increased LFTs with increased iron-Jose Franco

55) Increased LFTs with low ceruloplasmin-Jose Franco

56) Normal ceruloplasmin-suspected Wilson’s-Jose Franco

57) Increased LFTs-alpha 1 antitrypsin deficiency-Jose Franco

58) Suspected Gilbert’s-Jose Franco

59) Significance of AST>ALT-Francisco Durazo

60) Marked hyperbilirubinemia-Kia Saeian

61) Suspected NAFLD-James Esteban

62) Treatment of NAFLD-Francisco Durazo

63) Treatment Of NAFLD-Achutan Sourianarayanane

64) Alcohol and liver disease in women-Veronica Loy

65) Alcoholic hepatitis-Francisco Durazo

66) Fatty liver on ultrasound with normal LFTs-Francisco Durazo

67) Evaluation for liver damage from chronic ETOH use-Francisco Durazo

68) Ascites in a patient without obvious cirrhosis-Jose Franco

69) Low SAAG ascites-Jose Franco

70) Banding esophageal varices-Kia Saeian

71) Gastric varices-Kia Saeian

72) Increased ascites in a stable cirrhotic-Kia Saeian

73) Complications related to managing ascites-James Esteban

74) Portal vein thrombosis in cirrhosis-James Esteban

75) PVT and Budd Chiari as a complication of UC-Kia Saeian

76) HCC management in a Child’s A cirrhotic-Francisco Durazo

77) Management of Unresectable HCC in a Cirrhotic-Francisco Durazo

78) HCC in NAFLD without cirrhosis-Francisco Durazo

79) Primary biliary cholangitis-Juan Trivella

80) Advanced PBC-Juan Trivella

81) Autoimmune hepatitis-Francisco Durazo

82) Autoimmune hepatitis-James Esteban

83) Primary sclerosing cholangitis-Juan Trivella

84) PBC-AIH overlap-Juan Trivella

85) Chronic HBV-immune tolerant-James Esteban

86) Immune active HBV-James Esteban

87) Relapsing HBV-James Esteban

88) Differentiating acute HBV from an acute exacerbation of chronic HBV-James Esteban

89) Acute HBV-James Esteban

90) Complicated HCV-Kia Saeian

91) Acute liver failure-Kia Saeian

92) Delayed presentation of Tylenol overdose-Kia Saeian

93) Candidates for liver transplant? -Veronica Loy

94) Frustrations with waiting for a liver transplant-Veronica Loy

95) Complications post liver transplant-Veronica Loy

O autorze

W. Harley Sobin MD   

Assistant Professor of Medicine  

Medical College of Wisconsin 

Milwaukee, WI  

USA  

   

Kia Saeian MD  

Konrad H Soergel MD and Walter J Hogan MD Endowed Professor of Medicine  

Medical College of Wisconsin  

Milwaukee, WI  

USA  

  

Patrick Sanvanson MD  

Associate Professor of Medicine  

Medical College of Wisconsin  

Milwaukee, WI  

USA  

Blurb

This book was designed to help gastroenterologists take care of their patients with challenging problems. Every day in practice we face patients with issues that are not simple to master. Oftentimes we search out some guidance from “the experts,” and, if they are available, we will curbside them, either by phone or in person.  

This text is written from the standpoint of a community gastroenterologist curbsiding his academic cohorts with his challenging cases. We present a patient with a difficult GI problem and ask the academic expert how he, or she, would manage the case. We have provided over a hundred examples of problem cases and asked the experts at the Medical College of Wisconsin (MCW) for help in their management. These cases run the gamut, including general GI, motility disorders, inflammatory bowel disease, advanced therapeutics, hepatology and functional GI disorders. 

The main objective of this book is to compile the most clinically useful questions, present them to experts who frequently deal with these problems, and then wrap up their knowledge within one clinically useful text. If a community gastroenterologist had endless access to an academic panel of GI experts, these are the questions they might ask. There are hundreds of useful clinical pearls between the pages of this book which should help anyone taking care of patients with GI problems.  

While the text may be targeted particularly toward practicing community gastroenterologists, it certainly can be of benefit to GI fellows in training, academic gastroenterologists, and general internists and surgeons with a strong interest in gastroenterology as well as APPs.