Subjects -> MEDICAL SCIENCES (Total: 8669 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (218 journals)
    - ANAESTHESIOLOGY (120 journals)
    - CARDIOVASCULAR DISEASES (338 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (235 journals)
    - DENTISTRY (294 journals)
    - DERMATOLOGY AND VENEREOLOGY (164 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (124 journals)
    - ENDOCRINOLOGY (151 journals)
    - FORENSIC SCIENCES (42 journals)
    - GASTROENTEROLOGY AND HEPATOLOGY (188 journals)
    - GERONTOLOGY AND GERIATRICS (138 journals)
    - HEMATOLOGY (157 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (176 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (99 journals)
    - MEDICAL GENETICS (58 journals)
    - MEDICAL SCIENCES (2406 journals)
    - NURSES AND NURSING (367 journals)
    - OBSTETRICS AND GYNECOLOGY (207 journals)
    - ONCOLOGY (385 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (141 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (170 journals)
    - OTORHINOLARYNGOLOGY (83 journals)
    - PATHOLOGY (100 journals)
    - PEDIATRICS (275 journals)
    - PHYSICAL MEDICINE AND REHABILITATION (158 journals)
    - PSYCHIATRY AND NEUROLOGY (833 journals)
    - RADIOLOGY AND NUCLEAR MEDICINE (192 journals)
    - RESPIRATORY DISEASES (104 journals)
    - RHEUMATOLOGY (79 journals)
    - SPORTS MEDICINE (81 journals)
    - SURGERY (406 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (155 journals)

MEDICAL SCIENCES (2406 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 401 - 600 of 3562 Journals sorted alphabetically
Ceylon Medical Journal     Open Access  
Chattagram Maa-O-Shishu Hospital Medical College Journal     Open Access  
Chiang Mai Medical Journal     Open Access  
ChiangRai Medical Journal     Open Access  
Chimerism     Full-text available via subscription  
Chinese Journal of Integrative Medicine     Hybrid Journal   (Followers: 3)
Chinese Journal of Natural Medicines     Full-text available via subscription   (Followers: 1)
Chinese Medical Journal     Open Access   (Followers: 10)
Chinese Medical Record English Edition     Hybrid Journal  
Chinese Medical Sciences Journal     Full-text available via subscription   (Followers: 2)
Chinese Medicine     Open Access   (Followers: 2)
Chinese Medicine     Open Access   (Followers: 4)
Chinesische Medizin / Chinese Medicine     Full-text available via subscription   (Followers: 2)
Chisholm Health Ethics Bulletin     Full-text available via subscription   (Followers: 1)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Chronic Diseases and Translational Medicine     Open Access  
Chronic Illness     Hybrid Journal   (Followers: 6)
Chronic Wound Care Management and Research     Open Access   (Followers: 6)
Chronobiology International     Hybrid Journal   (Followers: 3)
ChronoPhysiology and Therapy     Open Access  
Chulalongkorn Medical Bulletin     Open Access  
Chulalongkorn Medical Journal     Open Access  
Ciencia & Salud     Open Access   (Followers: 1)
Ciencia e Innovación en Salud     Open Access  
Ciencia e Investigación Medico Estudiantil Latinoamericana     Open Access  
Ciencia y Salud     Open Access   (Followers: 4)
Ciencias Clínicas     Open Access  
CienciaUAT     Open Access   (Followers: 1)
Cilia     Open Access  
Circulation : Arrhythmia and Electrophysiology     Hybrid Journal   (Followers: 10)
Cirugía Española     Full-text available via subscription   (Followers: 1)
Cirugía Paraguaya     Open Access  
Cleveland Clinic Journal of Medicine     Free   (Followers: 3)
Climacteric     Hybrid Journal   (Followers: 9)
Clin-Alert     Hybrid Journal   (Followers: 1)
Clínica     Open Access  
Clínica y Salud     Open Access  
Clinical Anatomy     Hybrid Journal   (Followers: 7)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
Clinical and Molecular Hepatology     Open Access   (Followers: 2)
Clinical and Translational Medicine     Open Access   (Followers: 2)
Clinical Audit     Open Access   (Followers: 3)
Clinical Autonomic Research     Hybrid Journal   (Followers: 1)
Clinical Biochemist Reviews     Full-text available via subscription   (Followers: 1)
Clinical Biomechanics     Hybrid Journal   (Followers: 27)
Clinical Case Reports     Open Access   (Followers: 1)
Clinical Case Studies     Hybrid Journal   (Followers: 3)
Clinical Cornerstone     Full-text available via subscription  
Clinical Diabetology     Hybrid Journal  
Clinical Dysmorphology     Hybrid Journal   (Followers: 1)
Clinical eHealth     Open Access  
Clinical Infection in Practice     Open Access   (Followers: 1)
Clinical Interventions in Aging     Open Access   (Followers: 3)
Clinical Investigation     Full-text available via subscription   (Followers: 1)
Clinical Lipidology     Open Access   (Followers: 1)
Clinical Liver Disease     Open Access   (Followers: 5)
Clinical Medicine and Diagnostics     Open Access   (Followers: 3)
Clinical Medicine and Research     Open Access   (Followers: 6)
Clinical Medicine Insights : Case Reports     Open Access   (Followers: 1)
Clinical Medicine Insights : Therapeutics     Open Access   (Followers: 1)
Clinical Nutrition ESPEN     Hybrid Journal   (Followers: 18)
Clinical Obesity     Hybrid Journal   (Followers: 18)
Clinical Parkinsonism & Related Disorders     Open Access   (Followers: 1)
Clinical Phytoscience     Open Access  
Clinical Plasma Medicine     Hybrid Journal  
Clinical Practice     Open Access   (Followers: 1)
Clinical Reviews and Opinions     Open Access   (Followers: 1)
Clinical Sarcoma Research     Open Access  
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Update     Full-text available via subscription  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clinics     Open Access  
Clinics and Practice     Open Access  
Clinics in Chest Medicine     Full-text available via subscription   (Followers: 16)
Clinics in Laboratory Medicine     Full-text available via subscription   (Followers: 14)
Clocks & Sleep     Open Access   (Followers: 2)
CMAJ Open     Open Access   (Followers: 18)
CME     Hybrid Journal   (Followers: 2)
CNS Drug Reviews     Open Access   (Followers: 5)
CNS Drugs     Full-text available via subscription   (Followers: 8)
Cochrane Database of Systematic Reviews (Highlights)     Partially Free   (Followers: 21)
Cogent Medicine     Open Access  
Cold Spring Harbor Perspectives in Medicine     Full-text available via subscription   (Followers: 1)
Colombia Forense     Open Access  
Colombia Médica     Open Access   (Followers: 1)
Colorectal Cancer: Open Access     Open Access  
Coluna/Columna     Open Access  
Combination Products in Therapy     Open Access  
Community Based Medical Journal     Open Access  
Comparative Effectiveness Research     Open Access  
Comparative Medicine     Full-text available via subscription   (Followers: 6)
Complementary Medicine Research     Full-text available via subscription  
Comprehensive Series in Photosciences     Full-text available via subscription  
Comptes Rendus Geoscience     Full-text available via subscription   (Followers: 9)
Computational and Mathematical Methods in Medicine     Open Access   (Followers: 2)
Computational Brain & Behavior     Hybrid Journal  
Computers in Biology and Medicine     Hybrid Journal   (Followers: 10)
Conference Papers in Science     Open Access   (Followers: 2)
ConScientiae Saúde     Open Access  
Contemporary Clinical Trials     Hybrid Journal   (Followers: 10)
Contemporary Clinical Trials Communications     Open Access  
Contemporary Drug Problems     Full-text available via subscription   (Followers: 3)
Core Evidence     Open Access   (Followers: 1)
Correo Científico Médico     Open Access  
Cortex     Hybrid Journal   (Followers: 22)
CRANIO® : The Journal of Craniomandibular & Sleep Practice     Hybrid Journal   (Followers: 3)
CRISPR Journal     Hybrid Journal  
Critical Ultrasound Journal     Open Access   (Followers: 4)
Cuadernos de Bioetica     Open Access   (Followers: 1)
Cukurova Medical Journal     Open Access   (Followers: 2)
Cumhuriyet Medical Journal     Open Access  
Curare     Open Access  
Current Aging Science     Hybrid Journal   (Followers: 2)
Current Attention Disorders Reports     Hybrid Journal   (Followers: 1)
Current Biomarker Findings     Open Access   (Followers: 1)
Current Clinical Microbiology Reports     Hybrid Journal   (Followers: 4)
Current Developmental Disorders Reports     Hybrid Journal   (Followers: 3)
Current Directions in Biomedical Engineering     Open Access  
Current GERD Reports     Hybrid Journal  
Current Issues in Pharmacy and Medical Sciences     Open Access   (Followers: 5)
Current Medical Issues     Open Access   (Followers: 2)
Current Medical Research and Opinion     Hybrid Journal   (Followers: 19)
Current Medical Science     Hybrid Journal   (Followers: 4)
Current Nanomedicine     Hybrid Journal   (Followers: 1)
Current Opinion in Molecular Therapeutics     Full-text available via subscription   (Followers: 13)
Current Pathobiology Reports     Hybrid Journal  
Current Regenerative Medicine     Hybrid Journal   (Followers: 1)
Current Research : Concussion     Open Access  
Current Research in Medicine     Open Access   (Followers: 3)
Current Signal Transduction Therapy     Hybrid Journal  
Current Tissue Engineering     Hybrid Journal   (Followers: 4)
Current Topics in Medicinal Chemistry     Hybrid Journal   (Followers: 9)
Current Topics in Microbiology and Immunology     Hybrid Journal   (Followers: 15)
Current Traditional Medicine     Hybrid Journal   (Followers: 4)
Current Transplantation Reports     Hybrid Journal   (Followers: 1)
Current Trauma Reports     Hybrid Journal   (Followers: 2)
Current Tropical Medicine Reports     Hybrid Journal  
CVD Prevention and Control     Hybrid Journal  
CytoJournal     Open Access   (Followers: 3)
Cytokine     Hybrid Journal   (Followers: 6)
Cytokine : X     Open Access  
Dados - Revista de Ciências Sociais     Open Access  
Dalhousie Medical Journal     Open Access  
Danish Medical Journal     Partially Free   (Followers: 7)
Dar Es Salaam Medical Students' Journal     Open Access  
Das Gesundheitswesen     Hybrid Journal   (Followers: 10)
Decision Sciences Journal of Innovative Education     Hybrid Journal   (Followers: 5)
Delta Medical College Journal     Open Access   (Followers: 1)
Denkbeeld     Hybrid Journal  
Dentistry and Medical Research     Open Access   (Followers: 1)
Der Freie Zahnarzt     Hybrid Journal  
Der Gynakologe     Hybrid Journal   (Followers: 2)
Der Klinikarzt     Hybrid Journal  
Der Notarzt     Hybrid Journal   (Followers: 3)
Der Nuklearmediziner     Hybrid Journal  
Deutsche Zeitschrift für Akupunktur     Full-text available via subscription   (Followers: 2)
Developments in Volcanology     Full-text available via subscription   (Followers: 3)
Diabetology International     Hybrid Journal   (Followers: 5)
Diagnostic and Interventional Imaging     Full-text available via subscription  
Diagnostic and Prognostic Research     Open Access  
Diagnostics     Open Access   (Followers: 1)
Diálisis y Trasplante     Full-text available via subscription  
Dialogues in Clinical Neuroscience & Mental Health     Open Access  
Dialyse aktuell     Hybrid Journal   (Followers: 1)
Dicle Tıp Dergisi / Dicle Medical Journal     Open Access  
Die Hebamme     Hybrid Journal  
Digital Chinese Medicine     Open Access   (Followers: 1)
Digital Medicine     Open Access  
Directieve therapie     Hybrid Journal  
Disability, CBR & Inclusive Development     Open Access   (Followers: 17)
Disaster and Military Medicine     Open Access   (Followers: 5)
Discussion of Clinical Cases     Open Access   (Followers: 1)
Disease Control Journal     Open Access  
Disease Markers     Open Access   (Followers: 1)
Disease Models and Mechanisms     Open Access   (Followers: 1)
Diseases     Open Access  
Diversity of Research in Health Journal     Open Access  
DMW - Deutsche Medizinische Wochenschrift     Hybrid Journal   (Followers: 40)
DNA and RNA Nanotechnology     Open Access  
DoctorConsult - The Journal. Wissen für Klinik und Praxis     Full-text available via subscription  
Doklady Biological Sciences     Hybrid Journal  
Doklady Earth Sciences     Hybrid Journal   (Followers: 2)
Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi     Open Access  
Dor on line     Open Access   (Followers: 1)
Douleurs : Evaluation - Diagnostic - Traitement     Full-text available via subscription  
Drug and Therapeutics Bulletin     Hybrid Journal   (Followers: 9)
Drug Delivery and Translational Research     Hybrid Journal   (Followers: 2)
Drug Development and Therapeutics     Open Access  
Drug Resistance Updates     Hybrid Journal   (Followers: 3)
Duazary     Open Access   (Followers: 1)
Dubai Medical Journal     Open Access  
Düzce Tıp Fakültesi Dergisi / Duzce Medical Journal     Open Access  
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Dynamis : Acta Hispanica ad Medicinae Scientiarumque Historiam Illustrandam     Open Access   (Followers: 3)
E-Jurnal Medika Udayana     Open Access   (Followers: 2)
Early Science and Medicine     Hybrid Journal   (Followers: 6)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
East African Medical Journal     Full-text available via subscription   (Followers: 2)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 24)

  First | 1 2 3 4 5 6 7 8 | Last

Similar Journals
Journal Cover
Clinical Update
Number of Followers: 0  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1070-7212
Published by Elsevier Homepage  [3207 journals]
  • Biliary self-expandable metal stents
    • Abstract: October 2009
      Publication year: 2009
      Source:Clinical Update, Volume 17, Issue 2

      Commentary: There now are a wide variety of self-expandable metal stents (SEMS) available to the endoscopist for treatment of biliary obstruction. Furthermore, there is increasing availability of stents with different designs and configurations; stents that are fully covered, uncovered, or partially covered; and several methods of stent deployment. Also, the clinical indications for use of SEMS are expanding to potentially include benign biliary tract disease as well as preoperative usage in potentially resectable malignant disease. In this Clinical Update, Dr Todd H. Baron reviews this topic, focusing on comparative clinical outcome studies of metal vs plastic stents for treatment of biliary obstruction. In addition, Dr Baron discusses possible complications of SEMS and how to manage them. – Richard C. K. Wong, MD, FASGE, Editor University Hospitals Case Medical Center, Cleveland, OH

      PubDate: 2012-12-16T22:10:44Z
       
  • Endoscopy for Internal Hemorrhoids
    • Abstract: July 2009
      Publication year: 2009
      Source:Clinical Update, Volume 17, Issue 1

      Commentary: Rectal bleeding from internal hemorrhoids occurs commonly and is a frequent indication to visit a physician. Some patients may present with severe bleeding and anemia that require hospital admission and/or blood transfusion. Although medical therapy is usually effective for the majority of outpatients, some patients with frequent and/or severe bleeding may require therapy by endoscopy or surgery. In this Clinical Update, Dr Rome Jutabha reviews the indications and contraindications to endoscopic therapy of symptomatic internal hemorrhoids. In addition, Dr Jutabha discusses the relative risks and benefits of the various commercially available endoscopic treatments. – Richard C. K. Wong, MD, FASGE, Editor University Hospitals Case Medical Center, Cleveland, OH

      PubDate: 2012-12-16T22:10:44Z
       
  • Image-Enhanced Endoscopy
    • Abstract: April 2009
      Publication year: 2009
      Source:Clinical Update, Volume 16, Issue 4



      PubDate: 2012-12-16T22:10:44Z
       
  • Endoscopic Management of Barrett's Esophagus
    • Abstract: January 2009
      Publication year: 2009
      Source:Clinical Update, Volume 16, Issue 3



      PubDate: 2012-12-16T22:10:44Z
       
  • The role of endoscopy in the evaluation of suspected pancreatic malignancy
    • Abstract: October 2008
      Publication year: 2008
      Source:Clinical Update, Volume 16, Issue 2



      PubDate: 2012-12-16T22:10:44Z
       
  • The role of endoscopy in bariatrics
    • Abstract: July 2008
      Publication year: 2008
      Source:Clinical Update, Volume 16, Issue 1

      As the prevalence of obesity and its devastating complications continue to increase, bariatric surgery has become an attractive long-term solution for many patients. In this comprehensive review, the authors discuss the role of endoscopy in patients who had undergone bariatric surgery. It is emphasized that before any endoscopic procedure, endoscopists should become familiarized with the new postsurgical anatomy. Bariatric surgery is associated with various complications that may require endoscopic intervention. Each type of surgical procedure provides different challenges for endoscopic evaluation and treatment. Because bariatric surgery is here to stay, endoscopists should start to get acquainted with the potential adverse events of the procedure and the indications for diagnostic and therapeutic endoscopy. — Ronnie Fass, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Small-bowel endoscopy
    • Abstract: April 2008
      Publication year: 2008
      Source:Clinical Update, Volume 15, Issue 4

      Commentary: In the recent past, evaluation of the small bowel was limited to various radiographic techniques, red-blood-cell scintigraphy, angiography, and push enteroscopy. Overall, the success of these tests in identifying small-bowel lesions was variable and commonly unsatisfactory. The introduction of the wireless capsule endoscopy allowed complete visualization of the small intestine, but wireless capsule endoscopy lacks the ability to provide diagnostic sampling or therapeutic maneuvers. In this review, Dr Haluszka provides an excellent summary on double-balloon enteroscopy (DBE), the first technique to provide both complete diagnostic examination of the small bowel and a full range of therapeutic maneuvers and diagnostic sampling. Still, despite its clear advantage, DBE remains largely restricted to tertiary-referral centers. The review also presents other novel methods to evaluate the small bowel, such as the single-balloon enteroscope. – Ronnie Fass, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • The role of an endoscopy in inflammatory bowel disease
    • Abstract: January 2008
      Publication year: 2008
      Source:Clinical Update, Volume 15, Issue 3

      Commentary: Indications for endoscopy in patients with inflammatory bowel disease (IBD) are diverse and are commonly prompted by acute events or the need for colorectal cancer screening. In this article, Dr Charles Bernstein provides a critical review of the value and yield of an endoscopy in various clinical scenarios where an endoscopy is commonly entertained in patients with IBD. The author emphasizes that an endoscopy should not routinely be used to evaluate disease activity in patients who are doing well and are in remission. A summary table (Table 1) provides 10 valuable tips about how to integrate an endoscopy into the management of patients with IBD. – Ronnie Fass, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Endoscopic enteral access for enteral nutrition
    • Abstract: October 2007
      Publication year: 2007
      Source:Clinical Update, Volume 15, Issue 2

      Commentary Endoscopic enteral access for enteral nutrition in patients who are unable to maintain an oral intake is an important palliative procedure that is within the gastroenterologist's armamentarium. Many new developments and improvements in this area have been introduced in the last decade. In this review, Dr DeLegge provides a detailed description of several bedside techniques of nasogastric-tube placements. In addition, different percutaneous endoscopic procedures for establishing enteral access are described. Importantly, proper usage of these modalities and potential complications are also presented. In the end, Dr DeLegge recognizes that endoscopists should be well trained in these endoscopic techniques, understand their advantages and disadvantages, and use proper clinical judgment when offering them to patients. – Ronnie Fass, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • The role of endoscopy in dyspepsia
    • Abstract: July 2007
      Publication year: 2007
      Source:Clinical Update, Volume 15, Issue 1

      Commentary In practice, dyspepsia is commonly used as an indication for endoscopy to exclude upper-gut mucosal abnormalities. However, in this review, Dr Nicholas J. Talley offers a much more pragmatic approach for the diagnosis and management of dyspepsia. By using several systematic reviews, meta-analyses, and recently proposed practice guidelines for dyspepsia, Dr Talley provides a convincing argument that upper endoscopy in subjects younger than 55 years with dyspepsia but without alarm symptoms is a low-yield diagnostic strategy. In contrast, subjects with dyspepsia and who are older than 55 years and/or with alarm symptoms would benefit from upper endoscopy as the initial evaluative strategy. An easy-to-follow (and remember) diagnostic algorithm for uninvestigated dyspepsia is offered at the end of the monograph. – Ronnie Fass, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Colorectal cancer screening
    • Abstract: April 2007
      Publication year: 2007
      Source:Clinical Update, Volume 14, Issue 4

      Commentary In the last few years, we have seen a surge in referrals for colonoscopy because of an increase in public and physician awareness of the need for colorectal cancer (CRC) screening. Colonoscopy has become one of the most important screening tools for CRC, because it can provide diagnosis and treatment in 1 visit. In this review, Dr Rex presents the arguments for CRC screening and offers easy-to-follow guidelines for referral to a gastroenterologist. In addition, different CRC screening modalities are presented, and a compelling argument is provided for the usage of colonoscopy as the leading screening strategy. Most importantly, the limitations of screening tools commonly used by primary care physicians are discussed. – Ronnie Fass, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Upper gastrointestinal bleeding
    • Abstract: January 2007
      Publication year: 2007
      Source:Clinical Update, Volume 14, Issue 3

      Commentary Upper GI bleeding is one of the most important therapeutic areas in gastroenterology. Many of the cases fall under the category of an emergency situation and thus require urgent endoscopic intervention. In this review, Dr Loren Laine provides updated information about the epidemiology, the clinical presentation, and therapeutic interventions in various GI bleeding scenarios. In addition, Dr Laine provides a critical review of some of the diagnostic and therapeutic approaches that are commonly pursued despite their very low yield. Lastly, Dr Laine emphasizes, in his review, the importance of combining endoscopic and medical therapeutic interventions in patients who present with upper-GI bleeding. – Ronnie Fass, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Eosinophilic esophagitis
    • Abstract: October 2006
      Publication year: 2006
      Source:Clinical Update, Volume 14, Issue 2

      Commentary The study of eosinophilic esophagitis (EOE) is an emerging field in adult gastroenterology that has attracted increasing attention in recent years. This disorder is commonly underdiagnosed but is now being recognized in patients presenting with dysphagia and typical endoscopic findings. In this review, Dr David Johnson describes the epidemiology, various clinical presentations, diagnostic approaches, and therapeutic modalities of EOE. This review emphasizes the need for high suspicion; proper biopsy protocol; and, for most patients, the need for topical steroids for treatment. – Ronnie Fass, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Capsule endoscopy indications
    • Abstract: July 2006
      Publication year: 2006
      Source:Clinical Update, Volume 14, Issue 1

      Commentary Capsule endoscopy (CE) is an exciting new advance in GI-tract imaging. It has expanded our view to include the small bowel, which was historically inaccessible to traditional endoscopes. This unique technology has caught the interest of the public and the lay press. Although its best-defined role is in small-bowel imaging in patients with obscure GI bleeding, other indications are emerging. Dr Glenn Eisen has reviewed the current status of the small-bowel capsule and its newer relative, the esophageal capsule. Current and potential future indications for these exciting technologies are discussed. – Grace H. Elta, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Cystic lesions of the pancreas: A surprisingly common finding
    • Abstract: April 2006
      Publication year: 2006
      Source:Clinical Update, Volume 13, Issue 4

      Commentary Although large or malignant pancreatic cysts can present with symptoms, the vast majority of pancreatic cysts are incidental lesions discovered on abdominal imaging examinations. Pancreatic cysts occur in up to 25% of patients undergoing abdominal imaging. The increasing resolution of both CT and magnetic resonance imaging (MRI) allows detection of cysts less than 2 cm in size. Although a few of these cysts are premalignant, the majority will remain clinically insignificant; this has created controversy about how these cysts should be evaluated and when they should be surgically resected. Dr Brugge has reviewed the types of cyst pathology and their natural history. By depending on the cyst appearance and its location within the pancreas, he has indicated when a cyst fluid aspirate by EUS-guided FNA (EUS-FNA) is useful and when surgical resection should be entertained. – Grace H. Elta, MD, Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • CT colonography
    • Abstract: January 2006
      Publication year: 2006
      Source:Clinical Update, Volume 13, Issue 3

      Commentary Colon-cancer screening has been endorsed by numerous medical professional societies, and several screening methods are reimbursable by most third-party payers. Of the screening methods, colonoscopy has the best sensitivity for polyps, with the added advantage of a therapeutic option during the initial examination, making it the currently favored method. There has been substantial press coverage of this important preventive health measure, and it has been incorporated into quality measures for primary care providers. Despite these facts, current compliance with any colon-cancer screening modality is only 30% to 40%. CT colonography (CTC) is a new, alternative method for imaging the colon. Drs Banerjee and Van Dam review the current methodology and the accuracy of CTC. They also review the cost and patient satisfaction issues that will help determine its ultimate role in colon imaging and colon cancer screening. – Grace H. Elta, MD

      PubDate: 2012-12-16T22:10:44Z
       
  • Surveillance and screening for Barrett's esophagus: What to do when we
           have so many patients and so little evidence
    • Abstract: October 2005
      Publication year: 2005
      Source:Clinical Update, Volume 13, Issue 2

      Commentary Screening and surveillance of Barrett's esophagus has been recommended by gastroenterology professional society guidelines in hopes of decreasing the mortality rate from esophageal adenocarcinoma. Although a large number of clinicians believe in the efficacy of both screening and surveillance for Barrett's esophagus, the evidence regarding their value is primarily inferential and based on relatively weak data. Dr. Kenneth Wang examines the current recommendations for screening and surveillance of Barrett's esophagus and reviews the most recent literature assessing their utility. Grace H. Elta, MD Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Endoscopy in the management of chronic pancreatitis
    • Abstract: July 2005
      Publication year: 2005
      Source:Clinical Update, Volume 13, Issue 1

      Commentary Chronic pancreatitis is a chronic inflammatory disorder characterized by intermittent or continuous abdominal and/or back pain, eventual exocrine and endocrine insufficiency, and complications ranging from biliary strictures and pancreatic pseudocysts to pseudoaneurysms of related arteries. The goals of pancreatic endotherapy include relief of chronic pain from pancreatic duct (PD) obstruction (secondary to stones, strictures, papillary stenosis, and anatomic abnormality), stent placement for ductal disruptions, and treatment of related complications, including biliary obstruction and pseudocysts. John Baillie, MD, discusses the indications for endoscopic intervention in chronic pancreatitis patients. Grace Elta, MD Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • The role of endoscopy in triage of patients with upper-GI bleeding
    • Abstract: April 2005
      Publication year: 2005
      Source:Clinical Update, Volume 12, Issue 4

      Commentary In the United States, upper GI (UGI) bleeding is a common clinical problem requiring more than 300,000 hospitalizations annually. Changes in practice over the last 10 years show that hospitalization days have significantly decreased and that the majority of patients with UGI bleeding undergo endoscopy within 24 hours of admission. Of these endoscopies, 20% to 35% include endoscopic hemostatic therapy. Early endoscopy (within 24 hours of hospital admission) has a greater impact than later endoscopy on length of hospital stay and requirements for blood transfusion. Dr. Lee discusses the value of preadmission endoscopy as a triage tool. The prognostic accuracy of the endoscopic results is sufficient to safely prevent hospitalization for a large number of patients. Grace Elta, MD Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Effects of nonsteroidal anti-inflammatory drugs, including COX-2 specific
           inhibitors, on the GI tract
    • Abstract: January 2005
      Publication year: 2005
      Source:Clinical Update, Volume 12, Issue 3

      Commentary Nonsteroidal anti-inflammatory drugs (NSAIDs) may cause adverse GI effects, e.g., dyspepsia (persistent pain or discomfort in the upper abdomen), and serious complications, e.g., bleeding and perforation. Although the probability is low that any individual user will suffer a complication, the huge patient exposure translates into a major health care problem. Dr. Scheiman presents a thoughtful review on the GI effects of NSAIDs, low-dose aspirin, COX-2 inhibitors, and the combination of more than one of these therapies. The recent withdrawal of rofecoxib from the market because of an increased risk of thrombotic cardiovascular events should lead clinicians to carefully consider whether this class of agents designed to reduce GI adverse events is appropriate for their patients, especially those with underlying cardiovascular risk. Dr. Scheiman emphasizes that because aspirin use substantially reduces the GI benefit of COX-2 inhibitors, alternative strategies to reduce GI toxicity should be used. Grace Elta, MD Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Ten frequently asked questions about endoscopic therapy for
           gastroesophageal reflux disease
    • Abstract: October 2004
      Publication year: 2004
      Source:Clinical Update, Volume 12, Issue 2

      Commentary GERD is the third most common GI disorder in the United States, affects 19 million US adults, and accounts annually for 4,590,000 outpatient visits and 96,000 hospitalizations, amounting to $19 billion in annual costs. The majority of patients have complete relief of symptoms on long-term medical therapy with proton pump inhibitors. However, as much as 20% continue to have a detriment in quality of life scores caused by GERD symptoms. These refractory patients, or patients who do not want to take long-term medications, may benefit from the plethora of new endoscopic therapies for GERD. Although long-term follow-up and sham-controlled studies are, in general, not yet available, Dr. Triadafilopoulos reviews the currently available techniques and offers a unique perspective on their potential role in GERD therapy. Grace Elta, MD Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Idiopathic acute pancreatitis: role of ERCP in diagnosis and therapy
    • Abstract: July 2004
      Publication year: 2004
      Source:Clinical Update, Volume 12, Issue 1

      Commentary A cause for acute pancreatitis is not identified in 10% to 30% of patients after careful history, physical examination, laboratory testing, and radiologic evaluation. These patients are conventionally classified as having idiopathic acute pancreatitis (IAP). Patients with recurrent episodes of IAP are diagnosed with idiopathic acute recurrent pancreatitis (IARP). IAP and IARP are challenging clinical problems for the physician and often frustrating for the patient. Dr. Stuart Sherman has reviewed the role of ERCP and ancillary endoscopic techniques in the evaluation and therapy of these patients. Grace Elta, MD Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • Diagnostic approach for dysphagia
    • Abstract: April 2004
      Publication year: 2004
      Source:Clinical Update, Volume 11, Issue 4

      Commentary Dysphagia is a common esophageal symptom with nearly 1 in 5 subjects older than 50 years describing this symptom in epidemiologic surveys. It is the second most common indication for upper endoscopy in the United States. There is a myriad list of possible etiologies for dysphagia. Consequently, a systematic approach to the differential diagnosis resulting in a well planned investigation is important. As described by Drs. Katzka and Kochman, a carefully obtained medical history is the initial step. Upper endoscopy is almost always indicated as part of the evaluation and treatment. Grace Elta, MD Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • The role of endoscopy in irritable bowel syndrome
    • Abstract: January 2004
      Publication year: 2004
      Source:Clinical Update, Volume 11, Issue 3

      Commentary Irritable bowel syndrome (IBS) is the most common condition encountered in general gastroenterology practice. IBS has protean manifestations but is typically characterized by abdominal pain, bloating, and disturbed defecation. The prevalence of IBS is estimated to be between 14% and 24% in women and 5% and 19% in men in the United States and Britain and is responsible for 2.4 to 3.5 million physician visits per year. The estimated total direct cost associated with IBS was $1.6 billion in 1998 with medication costs and the costs associated with diagnostic testing comprising the largest components of this estimate. Drs Cash and Chey focus on the role of endoscopy in a cost-effective diagnostic evaluation of IBS. Grace Elta, MD Editor

      PubDate: 2012-12-16T22:10:44Z
       
  • The role of endoscopy in the evaluation and management of patients with
           suspected pancreatic malignancy
    • Abstract: October 2003
      Publication year: 2003
      Source:Clinical Update, Volume 11, Issue 2

      Commentary Pancreatic cancer is the second most frequent gastrointestinal malignancy with approximately 29,000 new cases occurring annually in the United States. Almost all of these patients will die from the disease, making pancreatic cancer the fourth leading cause of cancer death for both men and women. Since surgical resection of the tumor offers the only chance for a cure, modalities for early diagnosis and accurate preoperative staging have continued to evolve. In this review, Drs. Mallery and Baron discuss the role of new diagnostic modalities including helical or multi-detector CT scan, endoscopic ultrasound (EUS), EUS-guided fine needle aspirate, and MRI, MRCP, and MR angiography. ERCP is now primarily relegated to a therapeutic palliative role in inoperable patients. A clinical management algorithm for patients with suspected pancreatic cancer is provided.

      PubDate: 2012-12-16T22:10:44Z
       
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
 


Your IP address: 35.168.112.145
 
Home (Search)
API
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-