Practical Gastro
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Journal
Practical Gastroenterology is a professional clinical journal focusing on the diagnosis and management of digestive diseases. Each issue consists of articles on topics that physicians encounter in daily practice. Authors are selected for their expert knowledge of their topics and their participation does not imply endorsement of products advertised. Authors’ opinions expressed in their articles are not necessarily those of Practical Gastroenterology, its publisher, Editorial Board, or its advertisers. Practical Gastroenterology, its publisher, editors, Editorial Board, and its advertisers assume no liability or responsibility for any claims, actions or damages resulting from the publication of any article. Source
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| Scope | International, Trade/B2B |
|---|---|
| Language | English |
| Country | United States of America |
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| Accepts contributed content | Yes |
Recent Articles
Search ArticlesAdvances in Eosinophilic Esophagitis: A Primer for the Primary Care Physician
Eosinophilic esophagitis (EoE) is a chronic, food-allergen-induced, immune-mediated inflammatory disorder of the esophagus with increasing incidence and prevalence in both pediatric and adult populations. Once viewed as a manifestation of gastroesophageal reflux disease, EoE is now recognized as a distinct condition driven by food antigens and type 2 inflammation.
Home Parenteral Nutrition Part I: Essential Steps for Safe Transitions from Hospital to Home
Home parenteral nutrition (HPN) is a complex, high-risk therapy used in patients with prolonged or chronic intestinal failure (IF) who require long-term nutritional support. Preparation for HPN typically begins during an acute hospitalization once a clinical indication for home therapy is identified. In the United States, after the need for HPN is established, case management verifies insurance authorization for nursing and home infusion services.
Emergency Department Use in Pediatric Patients with Inflammatory Bowel Disease - Practical Gastro
The incidence of pediatric inflammatory bowel disease (IBD) is increasing, and pediatric patients with IBD often go to the emergency department (ED) for care. The authors of this study evaluated risk factors associated with pediatric IBD and ED use. The study period was over a one-year period and occurred at a single tertiary children’s hospital. All patients diagnosed with pediatric IBD less than or equal to 21 years of age were studied.
EUS Gastroenterostomy for Malignant Gastric Outlet Obstruction via Double-Balloon Catheter
Introduction Malignant gastric outlet obstruction has a variety of treatments. This case highlights a patient with malignant gastric outlet obstruction who was treated via endoscopic gastroenterostomy with the assistance of a newly available double-balloon catheter. Case Report A 73-year-old female with known cholangiocarcinoma presented with 5 days of progressive nausea with vomiting. The patient could swallow food but noted undigested gastric contents several hours after each meal.
Pharmacological Management of Chronic Constipation
Chronic constipation is a common and often burdensome condition encountered in both primary care and gastroenterology practice. Managing it effectively requires an understanding of constipation subtypes, exclusion of secondary causes, and choosing treatments that fit the patient’s symptoms, comorbidities, and preferences. This review offers a practical, evidence-based guide to managing chronic constipation, including over-the-counter agents and prescription medications.
Endoscopic Management of Achalasia
Introduction Achalasia is a rare, chronic motility disorder of the esophagus with a worldwide prevalence of 1.8 to 12.6 per 100,000 people. In the US, a study published in 2022 reported incidence and prevalence rates of 10.5 and 18.0 per 100,000 people, respectively. Individuals of all races and sex are equally affected, but incidence increases with advancing age.1 This review examines the efficacy and safety of endoscopic treatment options for achalasia.
The Gastrointestinal Side Effectsof GLP-1 Therapies: Understanding the Physiology to Prevent Malnutrition
Glucagon-like peptide-1 (GLP-1) receptor agonists (RAs) have rapidly transformed the management of type 2 diabetes and obesity. While their cardiovascular and metabolic benefits are well established, their effects on the gastrointestinal (GI) system are often underappreciated in routine care. GLP-1 RAs modulate appetite, gastric emptying, and intestinal motility, making the GI tract both the therapeutic target and the primary site of adverse events.
Fertility and Use of Assisted Reproductive Technology among Women with Inflammatory Bowel Disease: A Practical Guide
Women with Inflammatory Bowel Disease (IBD) increasingly utilize assisted reproductive technologies (ART), such as in vitro fertilization (IVF) and oocyte cryopreservation. Women with active IBD or a history of pelvic surgery may have higher rates of infertility compared to the general population. Currently, data regarding ART and induction of IBD flare are limited.
Functional Lumen Imaging Probe (EndoFLIP)and EsoFLIP: Practical Indications, Interpretation, and Limitations
Introduction Advances in gastrointestinal functional testing have highlighted the limitations of relying on high-resolution manometry (HRM) alone to characterize esophageal pathology, especially with regards to manometric disturbances in patients with dysphagia. While HRM remains the gold standard for evaluating esophageal motor disorders, it provides a pressure-based assessment that may not fully reflect tissue compliance during bolus transit.
Fertility and Use of Assisted Reproductive Technology among Women with InflammatoryBowel Disease: A Practical Guide
Women with Inflammatory Bowel Disease (IBD) increasingly utilize assisted reproductive technologies (ART), such as in vitro fertilization (IVF) and oocyte cryopreservation. Women with active IBD or a history of pelvic surgery may have higher rates of infertility compared to the general population. Currently, data regarding ART and induction of IBD flare are limited.