Comments for Gut Check on Gastroenterology

Comment on SIBO (small intestinal bacterial overgrowth): How common is it, and how should we diagnose it? by Jay

Jay — Tue, 07 May 2013 10:54:27 +0000

I have recently had a lactulose breath test. The result was negative. I have IBS – C.

However I was on a low FODMAP diet for 2 weeks before the breath test…could this have fudged the results?

Kind regards.

Comment on Can colonoscopy cause diverticulitis? by Amy uppinghouse

Amy uppinghouse — Thu, 02 May 2013 04:29:29 +0000

Today is wed and on monday I started the prep for a colonoscopy. My son ended up getting sick so I had to reachedule my colonoscopy. Tonight I ended up with a diverticulitis flare up. Oh the cramping!! I havent ate anything bad and just lowered my fiber for the procedure so the only thing I can think of is the prep had to irritate it. Any info would be great.

Comment on Can colonoscopy cause diverticulitis? by I Rishguy

I Rishguy — Wed, 01 May 2013 04:40:25 +0000

I am a 57 year old male who had one polyp removed during my first colonoscopy about 6 years ago. As a result I was scheduled for another colonoscopy 3 years ago & the diagnosis was that I had diverticulitis. My Bm’s were normal before the second colonoscapy but were certainly not after my second colonoscopy. I am glad I do not have colon cancer but diverticulitis is no laughing matter.

Comment on Sedation-Free Colonoscopy: Why Isn’t It the Standard? by Mary

Mary — Sun, 28 Apr 2013 03:21:18 +0000

I have a strong family history of colon cancer, so it’s obvious that frequent colonoscopies are a good idea for me…..I have had terrible reactions to “sedation” in the past from propofol, midazolam etc…minor stuff like respiratory distress, anaphalaxis, etc…..but when I try to explan that I need to schedule an unsedated colonoscopy, I have to argue with a nurse anesthetist who thinks that she’s an anesthesiologist, trying to convince me that I should risk sedation. sorry, I’m a physician and would never consent to procedural sedation, especially from a crna/nurse

Comment on Should Propofol Be Used for Routine Endoscopy? by Lisa

Lisa — Sat, 27 Apr 2013 01:55:24 +0000

I just had my first colonoscopy this week. I requested Propofol, (which will not be covered by insurance), over Versed. I felt so much more comfortable going into the procedure knowing that I would be in a deeper sedation. The fear of being too conscious and feeling too much of the procedure – which is a concern with Versed – would have probably led me to forgo the procedure altogether. I hate to say it, but I probably wouldn’t have had the colonoscopy if I couldn’t have the Propofol. When I showed up in the surgical room with my anesthesiologist, all of the nurses said how lucky I was to have the Propofol and that they didn’t see it very often in their practice. (Probably because it is not covered by insurance – which it SHOULD be.) As a patient, I believe that patient comfort and pain control should be way, way up there in considering which meds to administer.

Comment on SIBO (small intestinal bacterial overgrowth): How common is it, and how should we diagnose it? by Sharon

Sharon — Tue, 23 Apr 2013 20:10:29 +0000

Hi iv have trouble or about 5 years with Ibs yes I old like the breath test . Iv got bloating

Comment on How do you treat eosinophilic esophagitis? by Jody S

Jody S — Wed, 17 Apr 2013 21:22:12 +0000

Sondra,
I agree! I am 40 and was diagnosed 8 years ago. I’m in a major flare up right now, and often fantasize about not having to go through the pain and torment of this disease anymore. I can’t tolerate steroids well. There are NO specialists where I live. Some days, I wish I were dead. Sorry to say that, but I am very ill, and in so much pain…I need help! I need this to be taken just as seriously for me as if I were a child. I can’t tolerate ANY protein powders, eggs, dairy, oats, quinua, grains at all, gluten, corn, rice, chicken, fish, shell fish, pork (except bacon), most raw veggies, vitamins, and so much more. I’ve also developed a SEVERE case of PVC’s, and feel this is somehow related. If there was at least one blessing to come of this, and most people have it, adn that’s weight loss, but NO, I don’t have that…I have weight gain!! I don’t even know what to eat anymore!

Comment on Barrett esophagus with dysplasia: Endoscopic resection or endoscopic burning? by terriere luc

terriere luc — Mon, 15 Apr 2013 09:24:59 +0000

treatement:0ne session Ffa 3cm ballon; endoscopy with biopsies for FU ;

Comment on Barrett esophagus with dysplasia: Endoscopic resection or endoscopic burning? by mohamed el Ghobary

mohamed el Ghobary — Sun, 14 Apr 2013 18:23:58 +0000

I would remove the high dysplastic area by duette, and do APC or RFA for the remaining by circumferential treatment after two weeks, then after one month

Comment on Barrett esophagus with dysplasia: Endoscopic resection or endoscopic burning? by Dr. T P GEORGE

Dr. T P GEORGE — Sat, 13 Apr 2013 07:19:17 +0000

Endoscopic submucosal dissection is feasible, safe and ideal. Enbloc resectiob helps with full histological assessment including resection margin. Since it is near GO junction scope can be retroverted and resection is easier.

Other technuqes such as EMR and ablatation are inferior to ESD. The alternatives are popular and talked about because western endoscpists do not have the skill and patience to practice and perfect the gold standard