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| This section contains a collection of articles on pediatric gastroenterology selected by Christopher Jolley, MD. Dr. Jolley, who is a member of Gastroenterology & Endoscopy News’ Medical Advisory Board, provides a commentary on each of the articles in this section. Dr. Jolley is an assistant professor of pediatrics and chief of pediatric gastroenterology at the University of Florida College of Medicine in Gainesville, Florida. |
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Eosinophilic Esophagitis Gains Recognition as Incidence Climbs
Guidelines Offer Direction for Treatment of Both Children and Adults Amid Paucity of Studies
ISSUE: MAY, 2009 The trickle of information on eosinophilic esophagitis (EoE) in the literature and at medical meetings is turning into a steady flow, giving pediatric and adult gastroenterologists more abundant evidence on which to base the diagnosis and treatment of this condition—the prevalence of which appears to have increased at least fourfold since the year 2000. The first consensus guideline for the diagnosis and treatment of EoE was published in 2007 to guide gastroenterologists in the management of this condition.
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Alternative Medicine Use Common in Pediatric IBD
ISSUE: FEBRUARY, 2009 A multicenter survey has demonstrated a high level of alternative medicine use among pediatric patients with inflammatory bowel disease (IBD). Fully 49.6% of the 236 survey respondents with Crohn’s disease or ulcerative colitis reported the use of herbal medicine, nutritional supplements, homeopathy, spiritual interventions or acupuncture. This is more than twice the rate found in a survey of 126 children with chronic constipation.
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Pediatric IBD Gaining More Attention as Incidence Rises
But as Researchers Learn More, New Questions About IBD’s Etiology Surface
ISSUE: NOVEMBER, 2008 Why is the incidence of pediatric inflammatory bowel disease (IBD) increasing? What are the factors that determine who will develop the disease and who will not? And are the causes of pediatric and adult IBD the same, or are there some fundamental differences? Those questions are keeping a number of pediatric and adult gastroenterologists up at night—and the answers are providing abundant information about the intersection of gastroenterology, genetics, infectious diseases and immunology.
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Methotrexate Shaping Up as Solid Second-line Therapy in Pediatric Crohn’s Disease
ISSUE: FEBRUARY, 2008 Borrowing a page from the rheumatology playbook, more and more pediatric gastroenterologists are trying methotrexate in their patients with Crohn’s disease—and finding it often works.
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Capsule Endoscopy Comes of Age in Pediatric Population
ISSUE: DECEMBER, 2007 Capsule endoscopy can be used in children as young as 18 months to diagnose small bowel diseases, including inflammatory bowel disease and obscure bleeding, new research has revealed.
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IBD Upsets Childhood Development
ISSUE: JUNE, 2007 When it comes to inflammatory bowel disease, it is worth repeating the medical maxim that children are not small adults.
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Pediatric Cholestatic Liver Disease Requires Careful Planning, Immediate Action
ISSUE: MAY, 2007 In pediatric patients with cholestatic liver disease, lost time can mean the difference between life and death.
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Importance of Bone Mineral Density in Children With IBD Unclear
ISSUE: FEBRUARY, 2006 Although both adults and children with inflammatory bowel disease (IBD) are at risk for the development of metabolic bone diseases, important differences in the pathophysiology, diagnosis and natural history of such illnesses in these two populations distinguish the clinical approaches to younger and older IBD patients.
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