Gastroenterology

  • Measuring both serum amylase and lipase for acute pancreatitis lowers quality and raises cost
    Abdulhadi Akhtar, MD, Ravindra Sarode, MD and Deepak Agrawal, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 670-672; DOI: https://doi.org/10.3949/ccjm.84a.16103

    Measuring lipase alone is sufficient.

  • Another complication of cirrhosis
    Houriya Ayoubieh, MD and Eyas Alkhalili, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 701-706; DOI: https://doi.org/10.3949/ccjm.84a.16084

    A patient with cirrhosis presents with acute abdominal pain and shock.

  • A minimally invasive treatment for early GI cancers
    A minimally invasive treatment for early GI cancers
    Lady Katherine Mejía-Pérez, MD, Seiichiro Abe, MD, Tyler Stevens, MD, Mansour A. Parsi, MD, Sunguk N. Jang, MD, Ichiro Oda, MD, John J. Vargo, MD, MPH, Yutaka Saito, MD, PhD and Amit Bhatt, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 707-717; DOI: https://doi.org/10.3949/ccjm.84a.16063

    Endoscopic submucosal dissection allows curative resection of early malignant gastrointestinal lesions.

  • Reproductive planning for women after solid-organ transplant
    Mina Al-Badri, MBCHB, Juliana M. Kling, MD, MPH and Suneela Vegunta, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 719-728; DOI: https://doi.org/10.3949/ccjm.84a.16116

    Pregnancy can succeed, but patients must wait at least a year. Until then, meticulous contraception is mandatory.

  • To have not and then to have: A challenging immune paradox
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.84b.12017

    The immune reactivation syndrome can occur when the immune system in an immunosuppressed patient with a partially controlled indolent infection is suddenly normalized.

  • Drug reaction or metastatic lung cancer?
    Hiromichi Hara, MD, PhD, Hirofumi Utsumi, MD, PhD, Hiroshi Wakui, MD, PhD, Haruhiko Yanagisawa, MD, PhD, Mitsuo Hashimoto, MD, PhD and Kazuyoshi Kuwano, MD, PhD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 914-915; DOI: https://doi.org/10.3949/ccjm.84a.17005

    Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

  • What stool testing is appropriate when diarrhea develops in a hospitalized patient?
    Sheena K. Ramdeen, MD, MPH and Glenn W. Wortmann, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 882-884; DOI: https://doi.org/10.3949/ccjm.83a.16039

    Most cases are not due to infection, but Clostridium difficile is the most common infectious cause.

  • Update on the management of intestinal failure
    Shishira Bharadwaj, MD, Parul Tandon, DO, John M. Rivas, MD, Anne Furman, RD, Lisa Moccia, RD, Ashley Ratliff, RD, Abdullah Shatnawei, MD, Ezra Steiger, MD and Donald F. Kirby, MD
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 841-848; DOI: https://doi.org/10.3949/ccjm.83a.15045

    Bowel resection can lead to inability to maintain nutritional homeostasis, a serious complication.

  • Air leakage in multiple compartments after endoscopy
    Amanda Grippen Goddard, DO, Bryan McConomy, MD, Girish Bathla, MBBS, FRCR, Muhammad Furqan, MBBS and William B. Silverman, MD, FACG, FASGE, AGAF
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 705-707; DOI: https://doi.org/10.3949/ccjm.83a.15168

    An attempt to cannulate the common bile duct led to abdominal pain and distention and crepitus of the right chest wall.

  • Skin findings associated with nutritional deficiencies
    Fabrizio Galimberti, MD, PhD and Natasha A. Mesinkovska, MD, PhD
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 731-739; DOI: https://doi.org/10.3949/ccjm.83a.15061

    Reviewing the dermatologic effects of defi ciencies of zinc and vitamins A, B2, B3, B6, and C.

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