How Often Should I Have a Colonoscopy with Celiac?

Title: How Often Should I Have a Colonoscopy with Celiac?Category: Doctor's&Expert's views on SymptomsCreated: 7/24/2017 12:00:00 AMLast Editorial Review: 7/24/2017 12:00:00 AM
Source: MedicineNet Digestion General - Category: Nutrition Source Type: news

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Conclusion: Adult patients with a recent diagnosis of celiac disease have an increased prevalence of colorectal adenomas. PMID: 29849594 [PubMed]
Source: Gastroenterology Research and Practice - Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research
Many patients who present with undiagnosed iron deficiency anemia (IDA) are presumed to have occult gastrointestinal (GI) bleeding as the cause. When investigations include a negative upper endoscopy and colonoscopy, a negative celiac antibody screen and there is no obvious GI source of blood loss, occult GI bleeding from a small bowel source is considered and capsule endoscopy (CE) is pursued. Recent guidelines on the use of CE published in Gasroenterology suggested that CE is indicated in only selected cases of iron deficiency anemia; however, evidence on the yield of CE in IDA and how to optimally select cases is limited.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Monday abstract Source Type: research
A 33-year-old woman, with HIV infection (CD4 count of 13 cells per μL; viral load of 1·2 × 106 copies per mL) and Mycobacterium tuberculosis diagnosed 2 months before, presented to the National Institutes of Health (Bethesda, MD, USA). On arrival, she was on a regimen of antituberculosis drugs (rifampicin 600 mg, ethambutol 1200 mg, and pyrazinamide 1500 mg orally daily), but had not begun antiretroviral therapy (ART). About the time of ART initiation (dolutegravir 50 mg and emtricitabine 200 mg plus tenofovir 300 mg orally daily), she complained of severe nausea and tests for gastrointestinal causes (o...
Source: The Lancet Infectious Diseases - Category: Infectious Diseases Authors: Tags: Clinical Picture Source Type: research
Question: A 63-year-old African American woman presented with 2 years of nausea, vomiting, upper abdominal pain, and a 60-pound weight loss with  no reported diarrhea or gastrointestinal bleeding. Her outside hospital workup included esophagogastroduodenoscopy, colonoscopy with biopsies, and a video capsule endoscopy that showed gastric mucosal edema. Celiac serologies were negative and an empiric gluten-free diet failed to resolve her sy mptoms. She was admitted with severe malnutrition and started on total parenteral nutrition.
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Electronic Clinical Challenges and Images in GI Source Type: research
Abstract AIM: To evaluate the adequacy of the study of iron deficiency anemia (IDA) in real life practice prior to referral to a gastroenterology department for small bowel evaluation. METHODS: All consecutive patients referred to a gastroenterology department for small bowel investigation due to iron deficiency anemia, between January 2013 and December 2015 were included. Both patients referred from general practitioners or directly from different hospital departments were selected. Relevant clinical information regarding prior anemia workup was retrospectively collected from medical records. An appropriate ...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
I met Paul Graham courtesy of one of his essays.  Then, we talked by phone and I read – no devoured – his book, In Memory of Bread: A Memoir. Pardon the pun. Paul is a professor of English Department at St. Lawrence University in Canton, NY and on July 1 becomes Department Chair. He focuses on fiction and non-fiction creative writing and lives with his wife, Bec and their German shepherds. Paul, your book is the best description I’ve read about the challenges of being diagnosed with celiac. Can you summarize what happened? Given your experience, what recommendations would you have for clinicians? Sho...
Source: Disruptive Women in Health Care - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: blogs
​BY BILLY ZHANG; KRISTEN HUGHES; SHAMIM KHAN, MD; FRANCISCO JACOME, MDA 51-year-old woman presented to the emergency department with severe mid-abdominal pain that had begun early that morning and progressively worsened. The patient also reported having loose bloody stools, bouts of nausea, and several episodes of vomiting yellow bilious fluid.Her medical history was negative for similar episodes. Past medical history was significant for asthma, gastroesophageal reflux disease, hyperlipidemia, hypertension, colonic polyps, constipation, and thyroid disease. Surgical history included cholecystectomy, C-section, and N...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
Recurrent abdominal pain in children is common, and may result from a multitude of conditions including functional disorders, celiac disease, constipation and inflammatory bowel disease (IBD). While pain is not considered to be an indication for colonoscopy, many are performed to exclude significant pathology. Several reviews have reported abdominal pain to be the primary indication for colonoscopy in 13-20% of pediatric patients. The utility of colonoscopy in recurrent abdominal pain in children remains unclear.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Saturday – ASGE poster Source Type: research
Open access endoscopy can provide a timely and efficient service. Since 2011 we have provided an open access bidirectional endoscopy (BDE) service for iron deficiency anaemia (IDA) in our local catchment area. Inclusion criteria are age 50-79 years (and postmenopausal if female), ferritin ≤20 ng/ml, haemoglobin ≤13 g/dl for men and ≤11 g/dl for women. Exclusion criteria are too frail for full bowel prep or colonoscopy, IDA previously investigated, known active inflammatory bowel disease, known coeliac disease or positive tissue transglutaminase antibody result.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Tuesday – ASGE poster Source Type: research
ConclusionsA substantial proportion of subjects with endoscopic and histological findings of aspecific ileitis is eventually diagnosed as affected by Crohn ’s disease. In these subjects, a strict follow-up is strongly recommended.
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
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