DOCSLIB.ORG

Meducate® Order Form

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Meducate® Order Form Meducate® Order Form GI Patient Education Brochures and Dietary Booklets Indicate the quantity of each title you would like to order, fill in the total amounts and complete the Ship To, Bill To and Method of Payment sections on the reverse side of this form. Email to [email protected] or fax to (717) 761-0216. 50 brochures per pack. 3 pack minimum. Price per pack: $23.50 GI Patient Education Brochures GI Patient Education Brochures Title English Qty Spanish Qty Title English Qty Spanish Qty Anal Fissure, Abscess, & Fistula MGI-38 ____ MSGI-38 ____ Helicobacter Pylori MGI-30 ____ MSGI-30 ____ Barrett’s Esophagus MGI-40 ____ MSGI-40 ____ Hemorrhoids MGI-10 ____ MSGI-10 ____ Celiac Disease MGI-50 ____ MSGI-50 ____ Hepatitis C MGI-42 ____ MSGI-42 ____ Cirrhosis MGI-14 ____ MSGI-14 ____ Hiatal Hernia MGI-08 ____ MSGI-08 ____ Colonoscopy MGI-19 ____ MSGI-19 ____ High Fiber Diet MGI-22 ____ MSGI-22 ____ Colon Polyps/Cancer MGI-01 ____ MSGI-01 ____ Irritable Bowel Syndrome MGI-03 ____ MSGI-03 ____ Constipation MGI-07 ____ MSGI-07 ____ Lactose Intolerance MGI-24 ____ MSGI-24 ____ Crohn’s Disease MGI-16 ____ MSGI-16 ____ Liver Biopsy MGI-27 ____ MSGI-27 ____ Diarrhea MGI-28 ____ MSGI-28 ____ Low Fiber Low Residue MGI-56 ____ MSGI-56 ____ Diverticulosis/Diverticulitis MGI-02 ____ MSGI-02 ____ Peptic Ulcer Disease MGI-09 ____ MSGI-09 ____ Endoscopic Ultrasound MGI-52 ____ MSGI-52 ____ Prev. of Colon Polyps/Cancer MGI-32 ____ MSGI-32 ____ Eosinophilic Esophagitis MGI-55 ____ MSGI-55 ____ Probiotics MGI-59 ____ MSGI-59 ____ ERCP MGI-20 ____ MSGI-20 ____ Rectal Bleeding MGI-29 ____ MSGI-29 ____ Esophageal Dilatation MGI-25 ____ MSGI-25 ____ Reflux Esophagitis & Stricture MGI-05 ____ MSGI-05 ____ Esophageal Manometry MGI-31 ____ MSGI-31 ____ Ulcerative Colitis MGI-15 ____ MSGI-15 ____ Esophageal Varices MGI-51 ____ MSGI-51 ____ Upper GI Endoscopy MGI-18 ____ MSGI-18 ____ Fatty Liver MGI-37 ____ MSGI-37 ____ Flexible Sigmoidoscopy MGI-23 ____ MSGI-23 ____ Total # packs _______ Gallstones MGI-17 ____ MSGI-17 ____ Gas MGI-06 ____ MSGI-06 ____ Total Cost of Merchandise (Total # packs x 23.50) $______ Gastritis MGI-46 ____ MSGI-46 ____ Shipping: $10 for first 3 packs; $2 for each additional $______ Gastroparesis MGI-45 ____ MSGI-45 ____ Subtotal $______ GERD MGI-39 ____ MSGI-39 ____ Personalization Charge (if applicable) $______ Heartburn and Reflux MGI-04 ____ MSGI-04 ____ TOTAL $______ GI Patient Education Brochure Kits GI Brochures GI Brochures Starter Kit Complete Kit The starter kit contains 1 pack (50 each) Title Item No. Price Qty The complete of our 10 most popular titles: kit contains • Colonoscopy • Heartburn and Reflux GI Brochures Starter Kit MGI-30 $235.00 ____ 1 pack (50 each) • Colon Polyps/Cancer • Hemorrhoids GI Brochures Complete Kit MGI-10 $900.00 ____ • Diverticulosis/Diverticulitis • Hiatus Hernia of all 40 titles. • Gastritis • High Fiber Diet GI Brochures 10 pocket display MGI-18 $99.00 ____ ««««« • GERD • Upper GI Endoscopy Personalized orders: Email letterhead or fax typewritten personalization. Personalized: YES NO Logos must be provided as camera ready art. One time fee of $55 for personalization or Change to existing personalization: YES NO change to existing personalization. Available for GI Patient Education Brochures only. Customer Account ______________________________ Dietary Booklets also available: See other side. (800) 451-5797 | (717) 761-0216 (Fax) | [email protected] | gi-supply.com 10 booklets per pack. 3 pack minimum. Dietary Booklets (10 booklets of the same title per pack) Dietary Booklets (10 booklets of the same title per pack) Title Item No. Price Qty Title Item No. Price Qty High Fiber D-01 $15.95 ____ Ash D-30 $6.95 ____ Low Fiber/Low Residue D-02 $6.95 ____ High/Low Potassium D-31 $15.95 ____ Gastroesophageal Reflux Disease (GERD) D-03 $6.95 ____ Low-Tyramine D-32 $10.95 ____ Peptic Ulcer Disease/Non Ulcer Dyspepsia D-04 $6.95 ____ Breast-Feeding D-33 $10.95 ____ Lactose-Free/Low-Lactose D-05 $10.95 ____ Pregnancy D-34 $10.95 ____ Gluten-Free D-06 $10.95 ____ Soft and Mechanical Soft D-35 $10.95 ____ Dysphagia-5 Levels Difficulty in Swallowing D-07 $19.95 ____ Increasing Calories D-37 $10.95 ____ Gastroparesis/Delayed Stomach Emptying D-08 $10.95 ____ High/Low Iron D-38 $6.95 ____ Anti-Dumping/Post-Gastrectomy D-09 $6.95 ____ Vitamin K Regulated D-39 $6.95 ____ Low Protein D-10 $15.95 ____ Oral Glucose Tolerance Test Preparation D-40 $6.95 ____ Low Fat (Diarrhea/GB) D-11 $10.95 ____ Nutrition and COPD D-41 $10.95 ____ Gas and Flatulence Prevention D-12 $10.95 ____ Nutrition and Cancer D-42 $10.95 ____ Colostomy, Ileostomy, Rectal Pouch D-13 $10.95 ____ High Blood Pressure D-43 $10.95 ____ Clear Liquid D-14 $6.95 ____ Nutrition and AIDS/HIV D-44 $10.95 ____ Full Liquid D-15 $6.95 ____ Weight Loss D-45 $19.95 ____ Fecal Fat Test-Preparation D-16 $6.95 ____ Finding Nutrition in Fast Food D-46 $10.95 ____ Low Copper/Wilson’s Disease D-17 $10.95 ____ Gestational Diabetes D-47 $10.95 ____ Vegetarian D-18 $6.95 ____ Nutrition for Older Adults D-48 $15.95 ____ Hypoglycemia D-19 $10.95 ____ Carbohydrate Counting for Type l Diabetes D-49 $10.95 ____ Osteoporosis D-20 $10.95 ____ Carbohydrate Counting for Type ll Diabete D-50 $10.95 ____ Reduced Sodium D-21 $10.95 ____ Ulcerative Colitis D-51 $10.95 ____ Gastric Bypass D-22 $10.95 ____ Crohn’s Disease D-52 $10.95 ____ Parkinson’s D-23 $10.95 ____ Cholesterol Connection D-3330 $23.95 ____ Low Cholesterol (Step 1 and Step 2) D-24 $15.95 ____ Mediterranean Pyramid D-26 $10.95 ____ Total # packs _______ Kidney Stone (Cystine Stones) D-27 $8.95 ____ Total Cost of Merchandise $______ Kidney Stone (Uric Acid Stones) D-28 $8.95 ____ Shipping: $10 for first 3 packs; $2 for each additional $______ Kidney Stone (Calcium Stones) D-29 $10.95 ____ TOTAL $______ Dietary Booklet Kits Dietary Booklets Dietary Booklets Complete Kit Starter Kit Title Item No. Price Qty The complete kit The starter kit contains 1 pack contains 1 pack (10 each) of our 6 most popular titles: Dietary Booklets Starter Kit D2000 $55.00 ____ (10 each) of all • High Fiber • Low Fiber/Low Residue Dietary Booklets Complete Kit D2200 $360.00 ____ 52 titles. • Clear Liquid • Gastroparesis ««««« • GERD • Low Fat (Diarrhea/GB) Ship to: Customer Account __________________ Bill to: Same as Ship to Facility _________________________________________________________ Facility _________________________________________________________ Address ________________________________________________________ Address ________________________________________________________ City ___________________________ State ____ ZIP ________________ City ___________________________ State ____ ZIP ________________ Phone ________________________ FAX ____________________________ Phone ________________________ FAX ____________________________ Contact Person __________________________________________________ Method of Payment: Email __________________________________________________________ Bill - Net 30 days. P. O. No. ________________________________________________________ Credit Card: VISA MarterCard Special Shipping Instructions: ______________________________________ Card No. ______________________________ Exp. Date ____________ _______________________________________________________________ Name on card ______________________________ Code ____________ Internal Use Only: Date ______________ Initials ____________ Sales Order ________________________________________ (800) 451-5797 | (717) 761-0216 (Fax) | [email protected] | gi-supply.com G-1208-07 | © 2020 GI Supply. All rights reserved. | Pricing effective Febuary 1, 2017 and is subject to change..
Load more

Recommended publications
  • 16. Questions and Answers
    16. Questions and Answers 1. Which of the following is not associated with esophageal webs? A. Plummer-Vinson syndrome B. Epidermolysis bullosa C. Lupus D. Psoriasis E. Stevens-Johnson syndrome 2. An 11 year old boy complains that occasionally a bite of hotdog “gives mild pressing pain in his chest” and that “it takes a while before he can take another bite.” If it happens again, he discards the hotdog but sometimes he can finish it. The most helpful diagnostic information would come from A. Family history of Schatzki rings B. Eosinophil counts C. UGI D. Time-phased MRI E. Technetium 99 salivagram 3. 12 year old boy previously healthy with one-month history of difficulty swallowing both solid and liquids. He sometimes complains food is getting stuck in his retrosternal area after swallowing. His weight decreased approximately 5% from last year. He denies vomiting, choking, gagging, drooling, pain during swallowing or retrosternal pain. His physical examination is normal. What would be the appropriate next investigation to perform in this patient? A. Upper Endoscopy B. Upper GI contrast study C. Esophageal manometry D. Modified Barium Swallow (MBS) E. Direct laryngoscopy 4. A 12 year old male presents to the ER after a recent episode of emesis. The parents are concerned because undigested food 3 days old was in his vomit. He admits to a sensation of food and liquids “sticking” in his chest for the past 4 months, as he points to the upper middle chest. Parents relate a 10 lb (4.5 Kg) weight loss over the past 3 months.
    [Show full text]
  • Chronic Pancreatitis: What the Clinician Want to Know from Mri
    HHS Public Access Author manuscript Author ManuscriptAuthor Manuscript Author Magn Reson Manuscript Author Imaging Clin Manuscript Author N Am. Author manuscript; available in PMC 2019 August 01. Published in final edited form as: Magn Reson Imaging Clin N Am. 2018 August ; 26(3): 451–461. doi:10.1016/j.mric.2018.03.012. CHRONIC PANCREATITIS: WHAT THE CLINICIAN WANT TO KNOW FROM MRI TEMEL TIRKES, M.D. Department of Radiology and Clinical Sciences, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA Keywords Pancreas; Chronic Pancreatitis; Magnetic Resonance Imaging; Magnetic Resonance Cholangiopancreatography; Computerized Tomography INTRODUCTION Chronic pancreatitis (CP) is a low prevalence disease.1–3 In 2006, there were approximately 50 cases of definite CP per 100,000 population in Olmsted County, MN 3, translating to a total of 150,000–200,000 cases in the US population. Clinical features of CP are highly variable and include minimal, or no symptoms of debilitating pain repeated episodes of acute pancreatitis, pancreatic exocrine and endocrine insufficiency and pancreatic cancer. CP profoundly affects the quality of life, which can be worse than other chronic conditions and cancers.4 Natural history studies for CP originated mainly from centers outside the U.S.5−910,11 conducted during the 1960–1990’s and consisted primarily of males with alcoholic CP. Only one large retrospective longitudinal cohort study has been conducted in the US for patients seen at the Mayo Clinic from 1976–1982.12 While these data provide general insights into disease evolution, it is difficult to predict the probability of outcomes or disease progression in individual patients.
    [Show full text]
  • Navigating Home Care: Parenteral Nutrition—Part Two
    NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES #11 Series Editor: Carol Rees Parrish, M.S., R.D., CNSD Navigating Home Care: Parenteral Nutrition—Part Two by Gisela Barnadas Parenteral nutrition (PN) is often used for patients who are unable to absorb suffi- cient nutrition through the gastrointestinal tract. PN can be safely administered in the home setting with proper assessment and monitoring of the patient. An interdiscipli- nary team approach is used to identify and avoid potential complications, which may occur. This article provides the physician with specific guidelines for evaluating, ordering and monitoring PN therapy in the home patient. It also addresses financial and reimbursement considerations with emphasis on understanding the often con- fusing, Medicare guidelines. CASE 1 • What resources are available to help manage this JR is a 65-year-old female with vascular disease, patient in the home? hypertension, diabetes and history of a hysterectomy. • What resources are there available for the patient? She presents with severe abdominal pain, vomiting and • Will insurance pay for this? diarrhea. A small bowel series documents a bowel obstruction, most likely due to bowel ischemia. Find- Providing total parenteral nutrition in the home ings during surgical intervention included: twisted, (HPN) is by no means a new treatment option. The gangrenous small bowel with multiple adhesions first record of a patient receiving HPN was a 36-year- resulting in resection of her distal jejunum, ileum and old woman with extensive metastatic ovarian carci- right colon, leaving an intact duodenum, approximately noma in 1968.(1) While the exact number of people 100 cm of the jejunum and most of her left colon.
    [Show full text]
  • P:\DMERC Publications\2004\SUMMER 2004
    DMERC Dialogue Durable Medical Equipment Regional Carrier (DMERC) Region D July 2004 (Summer) General Release 04-3 A Medicare Newsletter for Region D DMEPOS Suppliers - A service of CIGNA HealthCare Medicare Administration Subscribe to the CIGNA Medicare Electronic Mailing List From the Medical Director… To receive automatic notification Robert Hoover, Jr., MD, MPH via e-mail of the posting of LMRPs, publications and other important BAM!!! Let’s Take It Up A Notch Medicare announcements, subscribe to the CIGNA Medicare electronic mailing list at www.cignamedicare.com/mailer/subscribe.asp. By now most of you are familiar with the Comprehen- sive Error Rate Testing (CERT) program from previous articles in the DMERC Dialogue. CERT is the Centers In This Issue for Medicare & Medicaid Services (CMS) initiative that measures claim payment errors in the Medicare pro- FROM THE MEDICAL DIRECTOR gram. BAM!!! Let’s Take It Up A Notch ........................................... 1 MEDICAL POLICY Through oversight audits by the CERT contractor, Durable Medical Equipment: AdvanceMed, contractors like CIGNA Medicare receive Wheelchair Options/Accessories And Wheelchair data on various types of claim errors and use this data Seating - Policy Revisions ............................................ 3 to develop strategies to reduce errors in the Medicare General: program. LMRP Conversion To LCD And Policy Articles .................. 3 Orthotics: Clarification - Coding Of Night Splints For Plantar One of the major types of error is lack of documenta- Fasciitis ........................................................................ 3 tion. Although suppliers who have claims chosen for Pharmacy: CERT review are informed in their notification letter of External Infusion Pumps - Coverage For Gallium the importance of submitting documentation to Nitrate Added ................................................................ 4 AdvanceMed, there is still an unacceptably high non- New Immunosuppressive Drug .........................................
    [Show full text]
  • Post-Whipple: a Practical Approach to Nutrition Management
    NINFLAMMATORYUTRITION ISSUES BOWEL IN GASTROENTEROLO DISEASE: A PRACTICALGY, SERIES APPROACH, #108 SERIES #73 Carol Rees Parrish, M.S., R.D., Series Editor Post-Whipple: A Practical Approach to Nutrition Management Nora Decher Amy Berry The classic pancreatoduodenectomy (PD), also known as the Kausch-Whipple, and the pylorus- preserving pancreatoduodenectomy (PPPD) are most commonly performed for treatment of pancreatic cancer and chronic pancreatitis. This highly complex surgery disrupts the coordination of tightly orchestrated digestive processes. This, in combination with a diseased gland, sets the patient up for nutritional complications such as altered motility (gastroparesis and dumping), pancreatic insufficiency, diabetes mellitus, nutritional deficiencies and bacterial overgrowth. Close monitoring and attention to these issues will help the clinician optimize nutritional status and help prevent potentially devastating complications. 63-year-old female, D.D., presented to the copper, zinc, selenium, and potentially thiamine University of Virginia Health System (UVAHS) (thiamine was repleted before serum levels were Awith weight loss and biliary obstruction. She was checked). A percutaneous endoscopic gastrostomy with diagnosed with a large pancreatic serous cystadenoma jejunal extension (PEG-J) was placed due to intolerance and underwent a pancreatoduodenectomy (PD) of gastric enteral nutrition (EN). After several more (standard Whipple procedure with partial gastrectomy) hospitalizations, prolonged rehabilitation in a nursing with posterior anastomosis and cholecystectomy. Seven home, 7 months of supplemental nocturnal EN, and months later she was admitted to UVAHS with nausea, treatment of pancreatic insufficiency with pancreatic vomiting, diarrhea and a severe weight loss of 47lbs enzymes (with her meals and EN), D.D. was able to (33% of her usual body weight).
    [Show full text]
  • CGHS DELHI 2010 RATES S.No
    CGHS DELHI 2010 RATES S.No. Name of Treatment Procedure Rates for Rates for Rates for Super NABH Non- Accredited NABH Hospitals Hospitals Spl.Hospitals OPD 1 Consultation OPD 58 50 240 2 Consultation- for Inpatients 72 63 240 3 Dressings of wounds 58 50 4 Suturing of wounds with local anesthesia 124 108 5 Aspiration Plural Effusion - Diagnostic 193 168 6 Aspiration Plural Effusion - Therapeutic 193 168 7 Abdomil Aspiration - Diagnostic 345 300 8 Abdomil Aspiration - Therapeutic 460 400 9 Pericardial Aspiration 380 330 10 Joints Aspiration 317 276 11 Biopsy Skin 230 200 12 Removal of Stitches 41 36 13 Venesection 124 108 14 Phimosis Under LA 1311 1140 15 Sterl puncture 173 150 16 Injection for Haemorrhoids 414 360 17 Injection for Varicose Veins 414 360 18 Catheterisation 83 72 19 Dilatation of Urethra 575 500 20 Incision & Draige 483 420 21 Intercostal Draige 125 106 22 Peritoneal dialysis 1466 1275 Skin 23 Excision of Moles 345 300 24 Excision of Warts 310 264 25 Excision of Molluscumcontagiosum 130 111 26 Excision of Veneral Warts 160 136 27 Excision of Corns 140 119 28 I/D Injection Keloid of Acne 97 84 29 Chemical Cautery (s) 110 96 Opthalmology 30 Subconjunctival/subtenon’s injections in one eyes 69 60 31 Subconjunctival/subtenon’s injections in both eyes 138 120 32 Pterygium surgeries 86 75 33 Conjunctival peritomy 58 50 34 Conjunctival wound repair or exploration following blunt 115 100 trauma 35 Removal of corneal foreign body 115 100 36 Cauterization of ulcer/subconjunctival injection in one eye 69 60 37 Cauterization of ulcer/subconjunctival
    [Show full text]
  • In the Clinic
    in the clinic Irritable Bowel Syndrome Diagnosis page ITC7-2 Treatment page ITC7-8 Practice Improvement page ITC7-14 Patient Information Page page ITC7-15 CME Questions page ITC7-16 Section Editors The content of In the Clinic is drawn from the clinical information and Christine Laine, MD, MPH education resources of the American College of Physicians (ACP), including David Goldmann, MD PIER (Physicians’ Information and Education Resource) and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine Science Writer editors develop In the Clinic from these primary sources in collaboration with Jennifer F. Wilson the ACP’s Medical Education and Publishing Division and with the assistance of science writers and physician writers. Editorial consultants from PIER and MKSAP provide expert review of the content. Readers who are interested in these primary resources for more detail can consult http://pier.acponline.org and other resources referenced in each issue of In the Clinic. The information contained herein should never be used as a substitute for clinical judgment. © 2007 American College of Physicians Downloaded From: http://annals.org/ by McGill University, Teresa Rudkin on 04/08/2016 in the clinic rritable bowel syndrome (IBS) is a common but poorly understood dis- order that interferes with normal colon function, resulting in abdominal I pain, bloating, constipation, and diarrhea. No specific biological bio- marker, physiologic abnormality, or anatomical defect has been discovered. Psychosocial stress may exacerbate symptoms. IBS is 1 of 28 adult and 17 pediatric functional gastrointestinal disorders. These disorders are symptom-based and not explained by other pathologically defined diseases.
    [Show full text]
  • The Current State of Diagnosis and Management of Chronic Pancreatitis
    DOI: https://doi.org/10.22516/25007440.301 Review articles The current state of diagnosis and management of chronic pancreatitis Lázaro Antonio Arango M., MD1*; Claudia Patricia Díaz T., MD2; Carlos Andrés Caicedo Q., MD3; Camilo Ángel Rodríguez, MD4 1. Physician, General Surgeon, Surgical Clinical Abstract Gastroenterologist, and Coordinator of the Surgical Clinical Gastroenterology Program at the Universidad Chronic pancreatitis (CP) is an inflammatory condition that leads to fibrosis, damage, and even destruction of de Caldas in Manizales, Colombia the pancreatic parenchyma and ducts. These permanent changes can alter pancreatic exocrine and endocri- 2. Physician, General Surgeon, Surgical Clinical ne functioning, cause biliary and pancreatic stenosis, lead to formation of pseudocysts and even increase the Gastroenterologist and Professor of Surgical Clinical Gastroenterology at the Universidad de Caldas in possibility of developing pancreatic cancer. The main clinical characteristic is pain which significantly alters Manizales, Colombia quality of life. To diagnose the CP, we have direct and indirect functional tests and the pancreatic structure test. 3. Physician, General Surgeon and Clinical The great challenge of these methods is early diagnosis, but this is difficult due to the subtlety of changes. Gastroenterologist at the Universidad de Caldas in Manizales, Colombia Once CP is diagnosed, management must be staggered. Medical management is the initial step which can be 4. General Practitioner from the Universidad de los followed by endoscopic management, surgical management, and for the most difficult cases a combination Andes in Bogotá, Colombia of these. The goal is to manage and understand the whole patient and illness to provide the best possible *Correspondence: Lázaro Antonio Arango, quality of life.
    [Show full text]
  • A Primer on Exocrine Pancreatic Insufficiency, Fat Malabsorption, and Fatty Acid Abnormalities
    7/22/2019 Print | AJMC https://www.ajmc.com/journals/supplement/2017/perspectives-in-exocrine-pancreatic-insufficiency/a-primer-on- exocrine-pancreatic-insufficiency-fat-malabsorption-and-fatty-acid-abnormalities-article A Primer on Exocrine Pancreatic Insufficiency, Fat Malabsorption, and Fatty Acid Abnormalities Samer Alkaade, MD and Ashley A. Vareedayah, MD Normal Pancreatic Physiology Positioned next to the duodenum and behind the stomach, the pancreas is an essential part of the gastrointestinal system.1 The location of the pancreas and its unique cellular organization facilitate its physiological role in the digestion and absorption of nutrients. The pancreas is composed of exocrine and endocrine glands; the exocrine portion accounts for roughly 85% of the total volume of the pancreas, whereas the endocrine pancreas represents less than 2%. The remaining pancreatic mass is accounted for by extracellular matrix (10%) and ductal cells and blood vessels (4%).2 The exocrine pancreas is composed of acinar cell clusters and epithelial cells which line pancreatic ducts (ductal cells). The pancreatic acini produce and secrete digestive enzymes which are delivered to the duodenum and along with bile salts are responsible for the majority of the digestive process within the small intestine. Ductal cells produce large quantities of an alkaline mixture of water and bicarbonate, which guides enzyme transport through the pancreatic ducts for delivery to the duodenum, as well as providing the optimum pH for enzyme activity. Clusters of endocrine
    [Show full text]
  • Small Bowel and Liver/Small Bowel Transplantation in Children
    ---------... --.. Small Bowel and Liver/Small Bowel Transplantation in Children By Jorge Reyes, Andreas G. Tzakis, Sat~ru Todo, Bakr Nour, and Thomas E. Starzl Pittsburgh, Pennsylvania A clinical trial of intestinal transplantation was initiated at from either graft rejection, sepsis, or technical failure, the University of Pittsburgh in May 1990. Eleven children with loss of graft and, many times, of the patient. received either a combined liver / small bowel graft (n = 8) or Until 1990, there were only two survivors of isolated an isolated small bowel graft (n = 3). Induction as well as maintenance immunosuppression was with FK-506 and ste­ cadaveric grafts, one in France and the other in roids. Four patients were male, and seven were female; the Germany.6,7 age range was 6 months to 10.2 years. There were 3 deaths A trial of small bowel transplantation alone or with (all in recipients of the combined liver/small bowel graft). the liver was initiated at the University of Pittsburgh which were attributed to graft-versus-host disease (n = 1), in 1990 in both adults and children.s The longest­ posttransplant Iymphoproliferative disease (n = 1), and bili­ ary leak (n = 1). Transplantation of the intestine has evolved surviving child of this series, the recipient of a into a feasible operation, with an overall patient and graft combined liver-intestinal graft more than 2 years survival rate of 73%. These survivors are free of total ago, 8 has enjoyed a normal life-style free of TPN for parenteral nutrition, and the majority are home. These encour­ essentially all of her posttransplant life.9 Although aging results justify further clinical trials.
    [Show full text]
  • Relationship Between Portal HTN and Cirrhosis As a Cause for Diabetes
    Case Report Relationship between portal HTN and cirrhosis as a cause for diabetes Herbert Djiambou-Nganjeu Danylo Halytsky Lviv National Medical University, Lviv, Ukraine ABSTRACT Our aim was to explore the relationship between liver cirrhosis (LC), portal hypertension (PH), and diabetes mellitus (DM). LC displayed hemodynamic alterations reflected by signs and symptoms of hypertension and hyperdynamic circulation. Portal hypertension also caused splenomegaly because of the blood flow into the spleen from the portal vessels and portal flow. The alcoholic cirrhosis displayed abnormal values (AST, ALT, AST/ALT, albumin, ammonia, bilirubin, blood platelet, erythrocytes, glucose, Hb, international normalized ratio (INR), PT, prothrombin index (PI), thymol test, white blood cell (WBC) count), which demonstrated the presence of portal hypertension, ascites, DM, infection, and coagulopathy. The evaluation of liver enzymes and other laboratories data helped to determine the severity of the condition and prognosis. Diabetes appeared to be less affecting the prognosis of patients with cirrhosis than LC itself, showing that hepatocellular failure was largely responsible for patients’ mortality rather than diabetes and its complications. Patients displayed a BMI correlating obesity, although affected by concomitant diseases that commonly cause a severe weight loss. The elevated BMI in this case was accentuated by the presence of ascitic fluid, which is responsible for the increase in weight and the inaccurate BMI evaluation. Ascites affect patients’ recovery from liver diseases. Obese patients with cirrhosis can be related to have a large amount of ascites and that physicians should be expecting to notice changes in their BMI pre- and postoperatively, subsequently making a prior classification as obese inappropriate.
    [Show full text]
  • Pediatric Medical Nutrition Therapy
    SECTION V Pediatric Medical Nutrition Therapy CHAPTER 12 Gastrointestinal Disorders ................... 267 CHAPTER 13 Critical Care. 313 CHAPTER 14 Cardiology ................................ 325 CHAPTER 15 Pulmonary Diseases ........................ 351 CHAPTER 16 Oncology and Hematology ................... 387 CHAPTER 17 Pediatric Surgical Nutrition: Principles and Techniques ............................ 423 CHAPTER 18 Chronic Kidney Disease ...................... 435 CHAPTER 19 Nutrition for Burned Pediatric Patients ......... 449 CHAPTER 20 Diabetes .................................. 465 © Gajus/istock/Getty Images. 265 © Gajus/istock/Getty Images. CHAPTER 12 Gastrointestinal Disorders Jennifer Autodore, Julia Driggers, and Rebecca Wilhelm LEARNING OBJECTIVES ■ Explain how to assess, diagnose, and manage common pediatric gastrointestinal nutrition related topics such as celiac disease, lactose intolerance, inflammatory bowel disease, and pancreatitis ■ Discuss normal digestion and absorption in the gastrointestinal tract ■ Identify diagnosis related at-risk macro and micronutrients ■ Interpret common diagnostic tests for pediatric gastrointestinal disorders particularly vulnerable to disease or surgical resection. ▸ Introduction FIGURE 12.1 graphically portrays the principal sites of The gastrointestinal tract is an organ system that absorption of macro- and micronutrients, vitamins, stretches from the mouth to the anus. It is a large and minerals. muscular tube designed to ingest, digest, and absorb Symptoms of gastrointestinal
    [Show full text]