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Contents
Alan L. Buchman (Source: Gastroenterology Clinics of North America)
Source: Gastroenterology Clinics of North America - November 12, 2022 Category: Gastroenterology Source Type: research

Forthcoming Issues
COVID-19 and Gastroenterology (Source: Gastroenterology Clinics of North America)
Source: Gastroenterology Clinics of North America - November 12, 2022 Category: Gastroenterology Source Type: research

Diagnostic and Therapeutic Radiology of the GI Tract, Liver, and Pancreas in Patients with COVID
COVID-19 pulmonary involvement has been extensively reported in the literature. Current data highlight how COVID-19 is a systemic disease, affecting many other organs, including the gastrointestinal, hepatobiliary, and pancreatic organs. Recently these organs have been investigated using imaging modalities of ultrasound and, particularly, computed tomography. Radiological findings of the gastrointestinal, hepatic, and pancreatic involvement in patients with COVID-19 are generally nonspecific but are nonetheless helpful to evaluate and manage COVID-19 patients with organ involvement of these organs. (Source: Gastroenterolog...
Source: Gastroenterology Clinics of North America - November 2, 2022 Category: Gastroenterology Authors: Piero Boraschi, Francescamaria Donati, Ilaria Ambrosini, Luciana Bruni, Maria Letizia Mazzeo, Rachele Tintori, Michele Tonerini, Emanuele Neri Source Type: research

Gastrointestinal bleeding in COVID-19-infected patients
COVID-19 infection is an ongoing catastrophic global pandemic with significant morbidity and mortality that affects most of the world population. Respiratory manifestations predominate and largely determine patient prognosis, but gastrointestinal (GI) manifestations also relatively frequently contribute to patient morbidity and occasionally affect mortality. GI bleeding is uncommon relative to both the COVID-19 infection prevalence and its other GI manifestations. GI bleeding is usually noted after hospital admission and is often one aspect of this multisystem infectious disease. The incidence of GI bleeding is reported at...
Source: Gastroenterology Clinics of North America - October 31, 2022 Category: Gastroenterology Authors: By Mitchell S. Cappell, David M. Friedel Source Type: research

COVID-19 and Inflammatory Bowel Disease
The COVID-19 pandemic caused by the SARS-CoV-2 virus represents an unprecedented global health crisis. Safe and effective vaccines were rapidly developed and deployed that reduced COVID-19-related severe disease, hospitalization, and death. Patients with inflammatory bowel disease (IBD) are not at increased risk of severe disease or death from COVID-19, and data from large cohorts of IBD patients demonstrate that COVID-19 vaccination is safe and effective. Ongoing research is clarifying the long-term impact of SARS-CoV-2 infection on IBD patients, long-term immune responses to COVID-19 vaccination, and optimal timing for r...
Source: Gastroenterology Clinics of North America - October 30, 2022 Category: Gastroenterology Authors: Keith C. Summa, Stephen B. Hanauer, Clifford Joseph Barborka Source Type: research

Gastrointestinal Disorders in Adolescents and Young Adults
This article summarizes research on the challenges faced by emerging adults with the gastrointestinal disease during the transition to adult care. Barriers to optimal transitional care and current guidelines are discussed and used to offer practical recommendations for health care professionals working with this population. (Source: Gastroenterology Clinics of North America)
Source: Gastroenterology Clinics of North America - October 22, 2022 Category: Gastroenterology Authors: A. Natisha Nabbijohn, Sara Ahola Kohut Source Type: research

Psychological Considerations for Food Intolerances
Several chronic digestive conditions are physiologically based on food intolerance, including celiac disease, nonceliac gluten sensitivity, and eosinophilic esophagitis. Patients are expected to follow medically prescribed diets to eliminate identified food triggers to control symptoms. However, the psychological impacts of these dietary approaches are largely unaddressed in clinical practice. Hypervigilance and anxiety regarding food and symptoms, and disordered eating, may emerge and negatively affect outcomes. Clinicians working with pediatric and adult populations with food intolerances should be aware of these psychol...
Source: Gastroenterology Clinics of North America - October 21, 2022 Category: Gastroenterology Authors: Shayna Coburn, Monique Germone, Josie McGarva, Tiffany Taft Source Type: research

Identification and Management of Eating Disorders (including ARFID) in GI Patients
Eating disorders are characterized by cognitions (eg, fear of gastrointestinal symptoms around eating, overvaluation of body shape/weight) and behaviors (eg, dietary restriction, binge eating) associated with medical (eg, weight loss), and/or psychosocial impairments (eg, high distress around eating). With growing evidence for bidirectional relationships between eating disorders and gastrointestinal disorders, gastroenterology providers ’ awareness of historical, concurrent, and potential risk for eating disorders is imperative. In this conceptual review, we highlight risk and maintenance pathways in the eating disorderâ...
Source: Gastroenterology Clinics of North America - October 21, 2022 Category: Gastroenterology Authors: Helen Burton Murray, Samantha Calabrese Source Type: research

Foreword
Many clinicians probably wonder how much of their patient ’s disease is psychological. It is well known that trauma and other events may manifest itself in gastrointestinal disorders. The converse is just as important; that being, how much of the psychosocial issues patients may experience is caused or triggered by their underlying disease. One might eve n wonder about how these issues affect the treating gastroenterologist! One might even wonder how the perception of what the patient thinks the doctor thinks of them may shape their own view of their disease and symptoms. (Source: Gastroenterology Clinics of North America)
Source: Gastroenterology Clinics of North America - October 21, 2022 Category: Gastroenterology Authors: Alan L. Buchman Source Type: research

The Pervasive Impact of the Stigmatization of Gastrointestinal Diseases —A Patient’s Perspective
Stigma is a centuries-old phenomenon that pervades chronic digestive diseases, regardless of classification. Patients with gastrointestinal (GI) illness perceive others hold stigmatizing beliefs about them and their illness, including from medical professionals, and may go on to internalize or believe these negative stereotypes as true. These perceptions seem to be based on the thought that the public views GI diseases negatively. The effects of GI stigma are substantial and influence quality of life, psychological distress, treatment adherence, disease severity, and health-care utilization. These realities underscore the ...
Source: Gastroenterology Clinics of North America - October 19, 2022 Category: Gastroenterology Authors: Johannah Ruddy, Tiffany Taft Source Type: research

Future of Brain –Gut Behavior Therapies: Mediators and Moderators
With growing evidence to support their efficacy, brain –gut behavior therapies are increasingly viewed as a key component to integrated care management of disorders of gut–brain interaction. However, the types of brain–gut behavior therapies differ in how and for whom they purportedly work. We provide a conceptual review of these brain–gut behav ior therapies, with an emphasis on describing how (ie, mechanisms) and for whom (ie, moderators) they work as hypothesized and/or supported by evidence. Based on evidence to date, we recommend that brain–gut behavior therapies prioritize gastrointestinal-specific targets,...
Source: Gastroenterology Clinics of North America - October 19, 2022 Category: Gastroenterology Authors: Helen Burton Murray, Brj ánn Ljótsson Source Type: research

Stress, Resilience, and the Brain –Gut Axis
In this review article, we show that stress and resilience play an integral role in the brain –gut axis and are critical to symptom expression across all digestive disorders. The relationship between stress, coping, and resilience provides a mechanistic basis for brain–gut behavior therapies. Psychogastroenterology is the field best equipped to translate and mitigate these constructs as part of patient care across all digestive disorders. (Source: Gastroenterology Clinics of North America)
Source: Gastroenterology Clinics of North America - October 19, 2022 Category: Gastroenterology Authors: Sarah Ballou, Jordyn H. Feingold Source Type: research

Psychological Evaluation and Management of Chronic Pancreatitis
Chronic pancreatitis is a chronic digestive disorder that greatly diminishes the quality of life and is associated with significant psychological distress. A best practice recommendation in treating chronic pancreatitis is offering care in a multidisciplinary model that includes access to a behavioral health provider among other medical professionals. Behavioral interventions for patients with chronic pancreatitis have promise to improve the management of pain, comorbid psychiatric symptoms, and quality of life. If surgical interventions such as a total pancreatectomy islet autotransplant are considered, evaluating and mit...
Source: Gastroenterology Clinics of North America - October 19, 2022 Category: Gastroenterology Authors: Brooke Palmer, Megan Petrik Source Type: research

Management of Sleep and Fatigue in Gastrointestinal Patients
Sleep is an essential physiologic process, and unfortunately, people with gastrointestinal (GI) conditions are more likely than people in the general population to experience poor sleep quality, sleep disorders, and fatigue. Herein, we present information on common sleep disorders, fatigue, and data on these problems in various GI populations. We also discuss several treatments for sleep concerns and emerging research on the use of these treatments in GI populations. Cases that illustrate the GI/sleep relationship are presented, in addition to guidance for your own practice and cultural considerations. (Source: Gastroenter...
Source: Gastroenterology Clinics of North America - October 19, 2022 Category: Gastroenterology Authors: Jessica K. Salwen-Deremer, Michael Sun Source Type: research

The Three Faces of Psychogastroenterology: Science, Practice, and the Patient
Psychogastroenterology, the application of psychological science and practice to gastrointestinal (GI) health and illness, leverages the best practices and scientific tools from the fields of behavioral intervention science, cognitive science, neuroscience, experimental psychology, and psychophysiology. At its core is the biopsychosocial model of disease, which recognizes that the mind, body, and spirit cannot be disentangled when caring for an individual living with a chronic digestive condition. (Source: Gastroenterology Clinics of North America)
Source: Gastroenterology Clinics of North America - October 19, 2022 Category: Gastroenterology Authors: Laurie Keefer Tags: Preface Source Type: research