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Mayo Clinic Digestive Diseases Physician Update e-Edition
May 2012
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Patient Care

Patient Care Renewed interest in PSC may aid search for treatments

Primary sclerosing cholangitis (PSC) is a progressive liver disease with no effective medical treatment. Jayant A. Talwalkar, M.D., discusses diagnosis, complications, liver transplantation, and Mayo Clinic's role in developing new diagnostic tests and PSC therapies.

Older patients with constipation benefit from education, simple routines

Education about diet, exercise and bowel techniques should be considered a first line treatment for chronic constipation in older patients, says a Mayo Clinic specialist.

AIP consensus criteria improve diagnosis

Autoimmune pancreatitis is notoriously difficult to distinguish from pancreatic cancer, and different diagnostic criteria in the East and West once compounded the problem. Now, new international consensus criteria should improve diagnosis and aid the search for better long-term treatments.

Novel methods effectively manage leaks, fistulas

Todd H. Baron Sr., M.D., describes new techniques for managing post-surgical leaks and chronic fistulous tracts, including fibrin-type glues, fully covered expandable stents and a novel over-the-scope clip device on YouTube. Also discussed is the effect of leaks and fistulas on quality of life.


IBD pipeline drugs take aim at diverse targets
Emerging therapies and new applications of existing ones seek to expand treatment options for inflammatory bowel disease by targeting a range of pathways. Whether some or all will hit the mark remains to be seen.

pCLE improves dysplasia detection in Barrett's esophagus
In an international, multicenter trial, probe-based confocal laser endomicroscopy (pCLE) significantly improved the detection of dysplasia in patients with Barrett's esophagus. The technology may increase the efficiency of surveillance endoscopy and help orient patient management in real time.

Study aims to unravel mysteries of eosinophilic esophagitis

Mayo Clinic investigators are participating in a multinational study that seeks to develop an activity index to assess the symptoms and biological activity of eosinophilic esophagitis (EoE). Until now, this inflammatory condition of the esophagus has been relatively unstudied.

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Patient Care

9th Annual EUS Course 2012
Principles and Pearls in Pancreatology

Aug. 1-4, 2012, in Rochester, Minn.
This course offers health care providers at all levels of expertise a comprehensive, multidisciplinary review of endoscopic ultrasound. The one-day pancreatology course covers appropriate use of diagnostic and therapeutic modalities in the management of pancreatic diseases.

Patient Care Mayo Clinic Gastroenterology and Hepatology Board Review

Sept. 6-9, 2012, in Chicago
This course simulates board examinations in gastroenterology. Topics include pathology, endoscopy, radiology and nutrition.

See all Gastroenterology Continuous Professional Development courses

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Grand Rounds

Management of IBD in pregnancy

Sunanda V. Kane, M.D., addresses fertility, the effect of pregnancy on inflammatory bowel disease, and management of IBD during pregnancy.

The liver in heart disease

Patrick S. Kamath, M.D., discusses approaches to different manifestations of liver and heart disease, including cardiac manifestations of liver disease, hepatic manifestations of heart disease, and conditions for the liver and heart involved by the same disease.

New Grand Rounds presentations are available online

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Consults & Referrals

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