GI Insights

GI Insights

Episodes

  • Notes From a Pathologist: On Collaborating With GI Docs

    Jul 14, 2014 | 15 min
    Hosted by: Jay Goldstein Guest: Elizabeth Montgomery Gastroenterologists and pathologists often rely on each other to care for patients. How can clinicians and pathologists best facilitate each other's work for the good of the patient? Dr. Elizabeth Montgomery, professor of pathology and oncology at Johns Hopkins University School of Medicine, explores the interaction between gastroenterologists and pathologists with host Dr. Jay Goldstein. Also, Dr. Montgomery outlines biopsy tips for gastroenterologists.  
  • Obesity in Children: What's the Role of Fructose?

    Jul 7, 2014 | 16 min
    Hosted by: Mark DeLegge Guest: Miriam Vos Although it's important to consider the many factors that contribute to childhood obesity when designing a weight loss plan, sugar may be one of the most important components to target. Specifically, how does fructose influence childhood obesity? Dr. Miriam Vos, assistant professor in the department of gastroenterology at Emory University and author of the book The No-Diet Obesity Solution for Kids, published by the AGA Institute Press, offers tips for discussing a healthy lifestyle with parents of overweight children. Dr. Mark DeLegge hosts.
  • Clostridium difficile and Inflammatory Bowel Disease

    Jun 30, 2014 | 16 min
    Hosted by: Jay Goldstein Guest: Christian Stone Incidents of Clostridium difficile, or C.diff, are increasing in the US. Are patients with ulcerative colitis or Crohn's disease more at risk for developing C. difficile infection than other patients? Is this due to an increased use of antibiotics in hospitals, or are other factors playing a role? Join host Dr. Jay Goldstein as he welcomes Dr. Christian Stone, associate professor of medicine at Washington University School of Medicine in St. Louis, to discuss the recent trends of C. difficile infections among inflammatory bowel disease patients.
  • Gastroparesis: Causes and Management Strategies

    Jun 23, 2014 | 15 min
    Hosted by: Jay Goldstein Guest: Linda Lee How does delayed gastric emptying, or gastroparesis, affect patients? What are some of the common comorbid conditions of gastroparesis, and why are women and diabetic patients more susceptible? Dr. Linda Lee, clinical director of the division of gastroenterology and hepatology and director of the Johns Hopkins Integrative Medicine and Digestive Center at the Johns Hopkins University School of Medicine, reviews the best gastroparesis diagnostic tools and management strategies with host Dr. Jay Goldstein.
  • Probiotics for IBS and IBD: What's the Harm?

    Jun 16, 2014 | 14 min
    Hosted by: Mark DeLegge Guest: Charles Bernstein Probiotics are becoming increasingly popular, but is there any substantial evidence supporting the efficacy of probiotics for irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD)? Are there any potential risks to IBS and IBD patients using probiotic therapy? Which probiotic strains might be most beneficial, and what dosage is optimal? Dr. Charles Bernstein, director of the University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre, explores these and other questions, and suggests physicians might want to be cautious when considering probiotic therapy for their patients. Hosted by Dr. Mark DeLegge.
  • Nutrition and Obesity: Gastroenterologists' Expanding Role

    Jun 9, 2014 | 16 min
    Hosted by: Jay Goldstein Guest: Mark DeLegge What unique perspectives can gastroenterologists offer to help manage and treat obesity, and how can gastroenterologists address the needs of their obese or overweight patients? When should a surgical bypass or lap-band procedure be considered? Host Dr. Jay Goldstein welcomes his GI Insights co-host, Dr. Mark DeLegge, to discuss the role of the gastroenterologist in preventing and treating obesity. You can access the AGA’s new materials about nutrition and obesity on the AGA's website, including The Nutrition Toolkit Series, authored by Dr. DeLegge
  • Genetic Testing for Pancreatitis: Weighing the Options

    Jun 2, 2014 | 16 min
    Hosted by: Mark DeLegge Guest: Alphonso Brown The causes of pancreatitis are often unknown, but we're learning that there are more potential causes than previously believed. Genetic causes are rare, but their detection has improved with new technology. What role might genetic testing play in correctly diagnosing and managing the condition? And what are the ramifications of genetic testing for the patient? Dr. Alphonso Brown, assistant professor of medicine at Harvard Medical School and co-director of the Pancreas Center at Beth Israel Deaconess Medical Center, joins host Dr. Mark DeLegge to discuss the application of genetics for patients with pancreatitis.
  • Clostridium difficile and Inflammatory Bowel Disease

    May 26, 2014 | 16 min
    Hosted by: Jay Goldstein Guest: Christian Stone Incidents of Clostridium difficile, or C.diff, are increasing in the US. Are patients with ulcerative colitis or Crohn's disease more at risk for developing C. difficile infection than other patients? Is this due to an increased use of antibiotics in hospitals, or are other factors playing a role? Join host Dr. Jay Goldstein as he welcomes Dr. Christian Stone, associate professor of medicine at Washington University School of Medicine in St. Louis, to discuss the recent trends of C. difficile infections among inflammatory bowel disease patients.
  • Point/Counterpoint: Treatment of IBS With Antibiotics

    May 19, 2014 | 9 min
    Hosted by: Mark DeLegge Guests: William Chey, Mark Pimentel Irritable bowel syndrome, or IBS, affects a significant number of patients and can be challenging to treat. How might antibiotic therapy benefit IBS patients, and how is antibiotic therapy a unique option for treating IBS? Should physicians empirically treat IBS patients with antibiotics? Joining us to debate these questions are Dr. William Chey, professor in the department of internal medicine at the University of Michigan Medical School, and Dr. Mark Pimentel, associate professor of medicine at the UCLA Geffen School of Medicine. Dr. Mark DeLegge hosts.
  • Women's Reproductive Health and IBD

    Apr 28, 2014 | 14 min
    Hosted by: Jay Goldstein Guest: Maria T. Abreu Dr. Maria Abreu, professor of medicine and chief of the division of gastroenterology at the University of Miami Miller School of Medicine, joins host Dr. Jay Goldstein to discuss inflammatory bowel disease, or IBD, and women's reproductive health. Does inflammatory bowel disease, or IBD, affect female fertility? What influence does IBD have on the course of pregnancy, and how does pregnancy, in turn, affect the natural history of IBD? Which medicines used to treat IBD are safe to use during pregnancy, and for new mothers who are nursing? Tune in to hear a discussion of these questions and more.
  • Drug-Induced Liver Injury

    Apr 21, 2014 | 14 min
    Hosted by: Mark DeLegge Guest: Rowen Zetterman Acetaminophen, vitamin supplements and antibiotics are just a few of the medications that can cause liver injury. What are the signs of drug-induced liver injury? Are the effects immediate, or do the effects become noticeable after an extended period of time? Dr. Rowen Zetterman, professor of internal medicine at the University of Nebraska Medical Center, provides an overview of factors that might lead to drug-induced liver injury. Dr. Mark DeLegge hosts.
  • Extraesophageal GERD: Fact or Fiction?

    Apr 14, 2014 | 14 min
    Hosted by: Jay Goldstein Guest: John Inadomi Non-cardiac chest pain and chronic cough are just two of the extraesophageal manifestations of gastroesophageal reflux disease, or GERD. What other symptoms should we look for? If a patient displays characteristics of GERD, such as esophogeal regurgitation, is that patient also likely to experience extraesophogeal manifestations of GERD? Dr. John Inadomi, the Dean M. Craig Endowed Chair in Gastrointestinal Medicine at the University of California, San Francisco, explains what distinguishes extraesophogeal manifestations of GERD from GERD symptoms. Do proton pump inhibitors treat both GERD and its extraesophogeal symptoms? Dr. Jay Goldstein hosts.
  • Barrett's Esophagus and Esophageal Cancer

    Apr 7, 2014 | 2 min
    Hosted by: Mark DeLegge Guest: Donald Castell How common is Barrett's esophagus in patients with chronic gastroesophageal reflux disease (GERD) or asymptomatic reflux? What risk factors might predict a diagnosis of Barrett's esophagus? Dr. Donald Castell, professor of medicine and director of the esophageal disorder program at the Medical University of South Carolina, joins host Dr. Mark DeLegge to discuss this potentially pre-cancerous condition.
  • Outcomes Research: What Every Physician Should Know

    Mar 31, 2014 | 2 min
    Hosted by: Jay Goldstein Guest: Glenn Eisen What does outcomes research measure, and how does it differ from clinical trials? Is evidence-based medicine related to outcomes research? Host Dr. Jay Goldstein evaluates outcomes research with Dr. Glenn Eisen, professor in the department of medicine and the division of gastroenterology at Oregon Health and Science University. How will outcomes research impact clinical practices?
  • Understanding and Treating Chronic Constipation

    Mar 24, 2014 | 2 min
    Hosted by: Mark DeLegge Guest: David Peura Constipation is a common symptom that presents more often in women and as patients get older. What are the primary and secondary causes of chronic constipation? What are some of the differentiating factors between chronic constipation and IBS-C? Dr. David Peura, professor of medicine at the University of Virginia School of Medicine, joins host Dr. Mark DeLegge to discuss algorithms for diagnosing chronic constipation. When are lifestyle changes not enough for treating chronic constipation, and what are the most effective alternatives?
  • Management and Prevention of GI Disorders in Women

    Mar 18, 2013 | 2 min
    Hosted by: Jay Goldstein Guest: Deborah Proctor Host Dr. Jay Goldstein welcomes Dr. Deborah Proctor, professor of medicine in the section of digestive diseases and medical director of the Inflammatory Bowel Disease Program at Yale University School of Medicine, to provide an overview of common female gastroenterological disorders. They discuss which gastroenterological disorders present differently in women than in men. How do pelvic surgeries, such as C-sections or hysterectomies, affect colon cancer screening efficacy in women? And what factors increase a woman's chance of developing irritable bowel syndrome or Barrett's esophagus?  
  • Helicobacter Pylori: Still a Problem in the U.S?

    Feb 11, 2013 | 2 min
    Hosted by: Jay Goldstein Guest: David Peura Helicobacter pylori, often known as H. pylori, was discovered in the 1980s and is found worldwide in the stomachs of billions of people. H. pylori can cause gastritis and ulcers, but often presents no symptoms or problems for years. How concerned should we be about the stomach bacterium? Host Dr. Jay Goldstein discusses with Dr. David Peura, professor of medicine at the University of Virginia School of Medicine, the extent to which H. pylori is still a health problem in the United States.
  • Oral Vaccines Using Probiotics

    Feb 4, 2013 | 2 min
    Hosted by: Jay Goldstein Guest: Mansour Mohamadzadeh Researchers have developed an oral vaccine utilizing probiotics and, in preclinical studies, have found it successful in providing immunity against anthrax. Why are probiotics a good delivery component, and why might this method encourage a greater degree of response than the traditional vaccine injection? Dr. Mansour Mohamadzadeh, associate professor of medicine in the division of gastroenterology at Northwestern University Feinberg School of Medicine, tells host Dr. Jay Goldstein about this new vaccine delivery method. Will oral vaccines soon be ready for clinical trials?
  • When PPIs Fail: Evaluating and Managing Patients with Refractory GERD

    Jan 28, 2013 | 14 min
    Hosted by: Lee Freedman Guest: Brian Lacy Resistance to proton pump inhibitors, or PPIs, is not uncommon among patients with gastroesophogeal reflux disease, or GERD. How should physicians initially approach managing patients with suspected GERD, and at what point should physicians classify a patient as a PPI non-responder? Our guest, Dr. Brian Lacy, associate professor of medicine at Dartmouth Medical School, and director of the GI Motility Laboratory at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire, suggests tests that physicians might use in evaluating patients with refractory GERD, including upper endoscopy and various types of pH monitoring. What therapeutic strategies ca...

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