GI Grand Rounds – Topics (2010-2011)
Abdomen: foreign body reaction (glass fragments in worker’s abdomen)
Treatments for achalasia
Acute intermittent porphyria
Acute lymphocytic leukemia
Acute portal vein thrombosis
Adalimumab in the US
Adenomyomatosis of the gallbladder
Adult cholangitis s/p Kasai in infancy w/dilation of tributary
Effect of alcohol on GI cancers
Ampullary perforations
Antibiotics s/p biliary stent removal
Autoimmune hepatitis overlap syndromes (not distinct: treat dominant features first)
Autoimmune hepatitis: predictors of response for early treatment
Autoimmune pancreatitis (Ig64-associated systemic disease)
Bariatrics and endoscopy
Barrett’s biopsies as evidence for systematic bx
Barrett’s esophagus
Biliary stenting in malignant obstruction
Black esophagus (necrosis) ischemia secondary to another injury
Bleeding and mortality risk of percutaneous liver bx (mild bleed 1:100, severe 1-6:1000, mortality 1-2:10,000 (stay > 60,000 pH INR)
Burping (supragastric)
Cancer risk and its decline in ulcerative colitis
Cannabinoid hyperemesis
Carcinoid tumors
C.difficile fecal transplant s/p ampullectomy
C.difficile: new tx
Celiac crisis versus autoimmune enteropathy
Celiac disease (silent) and lymphoma (screening justification?)
Celiac disease versus tropical sprue in Mexicans
Center for Latino Health
Cholangiocarcinoma: diagnostic methods
Chromoendoscopy
Chronic elevated transaminases
Chronic pancreatitis
CMV colitis in IBD – is it real? (only treat in setting of + immunohistochemistry)
Colonic interposition (replacing esophagus)
Complications of peptic ulcer disease
Conference pearls
Is criminality a barrier to transplant?
Crohn’s axillary and gluteal abscess: metastatic Crohn’s, hidradenitis, or pyoderma gangrenosum?
Cryoglobulinemia treatment (rituvimab)
Cyclic vomiting syndrome (use of Namenda in chronic pain)
Cystic fibrosis patient with GERD – pretransplant Nissen
DIO syndrome: distal intestinal obstruction syndrome in cystic fibrosis
Diseases of liver vasculature: medical aspects
Dyspepsia
Endoscopic diagnostic modalities for common duct stones
Endoscopic remission in IBD
Esophageal cancer in achalasia
Esophageal cancer on biphosphonates?
Esophageal ulcers in HIV
EUS for endometriosis
Exercise-induced hematochezia and other exercise-related GI symptoms
Factitious diarrhea
Fecal markers of IBD activity: calprotectin, lactoferrin
Fever of unknown origin > cholangitis
Fiber does not protect against diverticulosis
Fundic polyps in FAP
Generalized megaviscera of lupus
GERD-related cough and gabapentin
GI neurofibromas and periampullary cancer in neurofibromatosis
Giant gastric ulcer penetrating the colon to the small bowel > cancer?
GVHD of the GI tract
Heart-liver-kidney transplant (treat HCV pre-transplant?)
Heavy metal screen
Helicobacter pylori in non-ulcer dyspepsia — equivocal trials
Hepatic granulomas
Hepatitis-associated aplastic anemia
Hepatitis E
High-grade dyplasia in ulcerative colitis
HSV esophagitis in immune competent patient
IBD Rx (part 1 – advances; part 2 – more advances)
IL28 B genotype in response to HCV Rx
Incontinence: failing biofeedback: sacral nerve stimulation
Irregular Z line
J pouch-related obstruction by volvulus
Liver lesions in Osler-Weber-Rendu syndrome
Liver update from EASLD
Mallory-Weiss syndrome
Mantle cell lymphoma polyps
Marizzi syndrome secondary to cystic duct stone and cholelithiasis
Maternal antiviral therapy versus vertical hepatitis D transmission
Metaclopramide and lawsuits
Metastatic gastrinoma
Methotrexate hepatotoxicity
Microscopic colitis
Mucinous adenocarcinoma of the colon > ovarian > liver
Non-cirrhotic portal hypertension secondary to cystic fibrosis (role of liver bx in CF? use of ursodiol?)
Non-cirrhotic portal hypertension secondary to oxaliplatin chemotherapy
NSAID enteritis versus Crohn’s disease
Nutrition support in stress
Palliation of esophageal cancer
Pancreas divisum
Pancreatic cystic neoplasm – main duct versus breached duct
PEG tube complications
Pelvic floor dysynergia
Peutz-Jeghers syndrome vs sporadic hamartoma
Plasmopheresis in pancreatitis with elevated triglycerides
Polycystic liver disease
Post-surgical ERCP (after Billroth II, Roux-en-Y, or Whipple)
Post-transplant lymphoproliferative disorder
Pouchitis
Predictors of Crohn’s disease
Prognostic tests for Crohn’s disease
Progressive multifocal leukoencephalopathy
Protein-losing enteropathy
Pseudo-colitis: polyposis secondary to mucosal prolapse
Radiation enteritis
Radiation proctitis
Rectal bleeding in pregnancy: cautions around endoscopy
RFA contraindicated in Barrett’s with varices (PDT, cryoablation, or banding)
Screening for HCC in cirrhotic medical population
Sickle cell crisis and its effects on the liver
Small bowel AVMs and efficacy of endoscopic Rx
Rapid gastric emptying (dumping syndrome)
Rectal prolapse in men
Seroquel risks in functional GI disorders
Serrated adenomas
Severity scores in a) pancreatitis and b) aggressive fluid resuscitaton (outcomes no better, but unclear)
Sorafenib in HCC
S/p anastomosis – resection of rectal CA
Sphincter of Oddi dysfunction
Stimulant laxatives
Topamax, Depakote and hepatic encephalopathy
TPMT assay in 6-MP Rx (6-MMPR and 6-TGN levels)
Tysabri for progressive multifocal leukoencephalopathy
Ustekinimab and tofacitinib in IBD
Variable stiffness colonoscopy
Vascular diseases of the liver
Whipworms