Hope for People with IBD and Those at Risk
Marla Dubinsky, MD
Chief, Pediatric Gastroenterology and Hepatology, and Co-Director of the Susan and Leonard Feinstein Inflammatory Bowel Disease Clinical Center
Icahn School of Medicine at Mount Sinai
Hope for People with IBD and Those at Risk
Up to 1.3 million Americans have inflammatory bowel disease (IBD), a complex disorder of the immune system that results in uncontrolled inflammation of the gastrointestinal (GI) tract.
Crohn's disease and ulcerative colitis are the two most common forms of IBD, causing severe GI symptoms, such as diarrhea, abdominal pain, and rectal bleeding, that can wreak havoc with everyday...
Source: Healthy Living - The Huffington Post - May 22, 2015 Category: Consumer Health News Source Type: news
What Are Risk Factors for Progression To Severe Disease with Bronchiolitis?
Discussion
Bronchiolitis is a clinical disease with following features: begins usually with rhinitis and cough that may progress to also having tachypnea, rales, wheezing and increased work of breathing shown by nasal flaring and/or accessory muscle use. The increased work of breathing may cause problems with feeding and hydration and also with mental status changes. It is usually seen in infants and children < 2 years of age. It is also usually seasonal (winter in upper North America) with 60-70% of cases being caused by respiratory syncytial virus but also human rhinorvirus, human metapneumovirus, influenza, adenoviru...
Source: PediatricEducation.org - December 15, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
Oral capsule as effective as invasive procedures for delivery of fecal transplant
A noninvasive method of delivering a promising therapy for persistent Clostridium difficile infection appears to be as effective as treatment via colonoscopy or through a nasogastric tube. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - October 11, 2014 Category: Science Source Type: news
Oral capsule as effective as invasive procedures for delivery of fecal transplant
(Massachusetts General Hospital) A noninvasive method of delivering a promising therapy for persistent Clostridium difficile infection appears to be as effective as treatment via colonoscopy or through a nasogastric tube. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - October 11, 2014 Category: Global & Universal Source Type: news
Preterm Newborn With Abdominal Distention, Altered Nasogastric Aspirates, and Hematochezia
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - October 1, 2014 Category: Pediatrics Authors: Shridhar, G., Thukral, A., Deorari, A. Tags: Visual Diagnosis Source Type: news
Featured in NEJM Journal Watch: Management of Recurrent Clostridium difficile (FREE)
Extract
Fecal microbiota transplantation was the most cost-effective therapy; use of frozen stool from screened healthy donors was efficacious whether administered by nasogastric tube or... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 12, 2014 Category: Primary Care Source Type: news
Nasogastric Tube May Be Obsolete for GI Bleeds
CHICAGO (MedPage Today) -- Placement of a nasogastric tube for determining treatment of patients with upper gastrointestinal bleeding may be unnecessary since almost all these patients will eventually undergo an endoscopic procedure, researchers argued here. (Source: MedPage Today Gastroenterology)
Source: MedPage Today Gastroenterology - May 8, 2014 Category: Gastroenterology Source Type: news
Pilot study suggests ways to widen access to fecal transplants for C. diff infections
(Infectious Diseases Society of America) Using frozen stool from healthy, unrelated donors was safe and effective in treating patients with serious, relapsing diarrhea caused by Clostridium difficile, according to a new pilot study published in Clinical Infectious Diseases and available online. Known as fecal microbiota transplantation, the treatment was equally effective whether given via a colonoscope or a nasogastric tube. The findings suggest approaches that may make this promising treatment more readily available to patients. (Source: EurekAlert! - Infectious and Emerging Diseases)
Source: EurekAlert! - Infectious and Emerging Diseases - April 24, 2014 Category: Infectious Diseases Source Type: news
Incidents spark fresh alert on nasogastric tube insertion
A patient safety alert was issued last week by NHS England on the use of placement devices for inserting nasogastric tubes. (Source: Nursing Times Breaking News)
Source: Nursing Times Breaking News - December 9, 2013 Category: Nursing Source Type: news
Patient safety alert on placement devices for nasogastric tube insertion
The full alert can be read on the NHS England website. (Source: NHS Networks)
Source: NHS Networks - December 6, 2013 Category: UK Health Authors: Karen Topping Source Type: news
Patients Prefer to Insert NG Feeding Tubes Themselves: StudyPatients Prefer to Insert NG Feeding Tubes Themselves: Study
In a recent pilot study, patients on long-term enteral tube feedings at home were able to insert their nasogastric tubes at night and remove them in the morning. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 1, 2013 Category: Consumer Health News Tags: Critical Care News Source Type: news
Feeding Felix: overcoming an early onset of Crohn’s disease
Felix
At just 3-months-old, Felix’s stool was regularly showing traces of blood. Alarmed, his mother Jessica Hsu quickly brought her young son to see his pediatrician, who referred Felix to be seen by Boston Children’s Hospital pediatric gastroenterologist Athos Bousvaros, MD, MPH.
Gastrointestinal bleeding in infants is a fairly common problem, often the result of a change in diet or possibly a food allergy. Because Felix was still in the nursing stage, Bousvaros had Jessica remove some potential allergy triggers from her diet to keep traces of them from eventually ending up in her breast milk, and in turn, i...
Source: Thrive, Children's Hospital Boston - September 27, 2013 Category: Pediatrics Authors: Tripp Underwood Tags: All posts Diseases & conditions Our patients’ stories Bousvaros Inflammatory Bowel Disease Inflammatory Bowel Disease Center our patients' stories Source Type: news
Fecal Bacteriotherapy for Clostridium difficile Infections — Its Time Has Come
Abstract:
Clostridium difficile treatment failures and recurrences occur at rates of 22.3% and 22.1%, respectively. For patients who have refractory/recurrent disease, there are limited treatment options. The use of a fecal suspension from a healthy donor instilled via a nasogastric tube, during colonoscopy, or by enema in a patient with recurrent or refractory C. difficile infection has shown a response rate of 75 to 100% with minimal adverse effects. There are multiple published case series that provide variations in administration procedures. The main barrier is the need for institutions and clinics to develop prot...
Source: Clinical Microbiology Newsletter - July 24, 2013 Category: Microbiology Authors: Lisa Avery, Muhammad Hasan Source Type: news
Nasogastric Lavage Significant Shortcomings in GI BleedsNasogastric Lavage Significant Shortcomings in GI Bleeds
Many myths surround the usefulness of stomach pumping in the exploration of upper gastrointestinal bleeding, experts warn. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 27, 2013 Category: Consumer Health News Tags: Emergency Medicine News Source Type: news
Pulmonary and Critical Care Medicine: Images in Clinical Medicine
Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoTraumatic Tension Pneumothorax Causing Heart Rotation. NEJM, 05/2014.Pulmonary Emboli Caused by Mercury.NEJM, 11/2013.Aquagenic Wrinkling (keratoderma) of Palms in Cystic Fibrosis. NEJM, 05/2012.Meconium-like Ileus in Cystic Fibrosis. NEJM, 05/2012.Barium Aspiration. NEJM, 03/2012.Westermark Sign in Pulmonary Embolism. NEJM, 03/2012.Hypertrophic Pulmonary Osteoarthropathy and Tripe Palms due to lung cancer. NEJM, 01/2012.Lung Herniation after Cough-Induced Rupture of Intercostal Muscle. NEJM, 01/2012.Paragonimiasis. NEJM, 01/2012.A Tension Bulla Mimicking ...
Source: Clinical Cases and Images - August 22, 2009 Category: General Medicine Tags: Images Pulmonology Source Type: news
