Antacid therapy and the gastric mucosal barrier.
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Biomedical subjects
Publications and source records attributed to J E Dill.
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Irritable Bowel Syndrome (IBS) is one of the most common human ailments. The symptoms of IBS can be quite distressing and can lead to considerable economic cost to society. To more effectively treat this disorder in the medical office setting, it is proposed that Registered Nurses assume a comprehensive role. A program is presented in this article that resulted in patient satisfaction, reduced medical cost to patients with IBS, and enhanced patient productivity and general well being.
Family violence has been recognized as a significant problem and has important ramifications for nursing practice. Abuse and trauma have far-reaching biopsychosocial consequences for affected individuals, many of whom are seen in medical offices with primarily physical symptoms. These symptoms often involve the gastrointestinal tract. In this article, the authors discuss the biopsychosocial as well as psychosocial manifestations of abuse and trauma and the nurse's role in caring for this patient population. Desirable characteristics for nurses who fulfill this role and a description of the optimal therapeutic environment for this treatment approach are outlined. Finally, a nursing treatment model is proposed for the office care of patients with histories of abuse and trauma. The nurse has a crucial role in this model.
This study was designed to determine the percentage of patients in a solo gastroenterology practice with both irritable bowel syndrome and histories of sexual abuse. Sixty-five patients participated in the study. These patients had an incidence of sexual abuse greater than the general population. Implications are drawn for nurses in gastroenterology practice.
Endoscopic ultrasound (EUS) is one of the most significant advances in the history of gastrointestinal endoscopy. It is unsurpassed in local and regional staging of cancer of the esophagus, stomach, pancreas, and rectum. Recently, EUS has been applied to a number of benign conditions such as achalasia, difficult-to-diagnose gallbladder disease, and submucosal tumors. As EUS gains in popularity and increased clinical application in the United States, it is imperative that gastroenterology nurses and associates be aware of this ground-breaking technology and its indications.
Endoscopic ultrasound (EUS) is a major advance in gastrointestinal endoscopy. EUS, which is invaluable in the diagnosis and staging of gastrointestinal cancer, is now being used in the diagnosis of chronic upper abdominal pain. EUS combined with stimulated biliary drainage (EUS/SBD) aids in the diagnosis of choledocholithiasis, cholecystitis, microlithiasis, and various conditions of the upper gastrointestinal tract. This article describes the EUS/SBD procedure and nursing care. Two case histories illustrating potential benefits to patients are presented.