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  1. Article ; Online: Health maintenance and inflammatory bowel disease.

    Manolakis, Catherine S / Cash, Brooks D

    Current gastroenterology reports

    2014  Volume 16, Issue 10, Page(s) 402

    Abstract: Inflammatory bowel disease (IBD) patients, specifically those with Crohn's disease and ulcerative colitis, are at an increased risk of developing adverse events either related to disease course or therapeutic interventions. These risks can be mitigated ... ...

    Abstract Inflammatory bowel disease (IBD) patients, specifically those with Crohn's disease and ulcerative colitis, are at an increased risk of developing adverse events either related to disease course or therapeutic interventions. These risks can be mitigated by ensuring the patient is current on all aspects of their general health maintenance. This article is intended to serve as a guide regarding the health maintenance issues of the patient with IBD with recommendations for screening and surveillance intervals.
    MeSH term(s) Gastroenterology/methods ; Humans ; Inflammatory Bowel Diseases/complications ; Preventive Health Services/methods ; Smoking Cessation ; Vaccination
    Language English
    Publishing date 2014-09-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2041376-2
    ISSN 1534-312X ; 1522-8037
    ISSN (online) 1534-312X
    ISSN 1522-8037
    DOI 10.1007/s11894-014-0402-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Crohn's disease: the subsequent visit.

    Manolakis, Catherine S / Farraye, Francis A / Di Palma, Jack A

    Gastroenterology & hepatology

    2014  Volume 9, Issue 1, Page(s) 16–20

    Abstract: The diagnosis and subsequent management of Crohn's disease are challenging for both the patient and the gastroenterologist. After the initial assessment, subsequent visits should assess the patient's readiness to begin therapy, monitor progress if ... ...

    Abstract The diagnosis and subsequent management of Crohn's disease are challenging for both the patient and the gastroenterologist. After the initial assessment, subsequent visits should assess the patient's readiness to begin therapy, monitor progress if therapy has been initiated, assess for complications of the disease or therapy, and ensure that all appropriate health maintenance measures are current. This article is intended to be a companion to our earlier paper "Crohn's Disease: The First Visit," which was published in Gastroenterology & Hepatology in March 2011. This article will offer a methodologic and sequential approach to subsequent office visits, as well as provide a checklist for the assessment of Crohn's disease.
    Language English
    Publishing date 2014-02-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2386402-3
    ISSN 1554-7914
    ISSN 1554-7914
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: "Red flag" evaluation yield in irritable bowel syndrome.

    Black, Tyler P / Manolakis, Catherine S / Di Palma, Jack A

    Journal of gastrointestinal and liver diseases : JGLD

    2012  Volume 21, Issue 2, Page(s) 153–156

    Abstract: Background: The diagnosis of irritable bowel syndrome (IBS) is based on clinical criteria. Further diagnostic testing is advised for certain "red flag" alarm or warning signs.: Aim: This investigation was designed to examine the yield of testing for " ...

    Abstract Background: The diagnosis of irritable bowel syndrome (IBS) is based on clinical criteria. Further diagnostic testing is advised for certain "red flag" alarm or warning signs.
    Aim: This investigation was designed to examine the yield of testing for "red flags".
    Methods: Consecutive patients who were prospectively evaluated and met the ROME III criteria for IBS were reviewed for "red flags" which included: 1) rectal bleeding, 2) iron-deficiency anemia (IDA), 3) weight loss, 4) family history of colon cancer, 5) fever, and 6) age of onset after age 50. The evaluations were reviewed for type of testing and findings. Subjects with nocturnal symptoms and fecal soiling, although not traditional warning signs, were also reviewed.
    Results: There were 200 patients who met the IBS criteria; 139 (70%) had a "red flag" alarm symptom or sign. Diarrhea predominant-IBS (D-IBS) was seen in 105, constipation predominant-IBS (C-IBS) in 57, alternating, mixed, or pain predominant-IBS in 38. There were 30 men and 170 women. Testing was not often performed in this setting and, when done, the yield was low with few clinically significant diagnostic findings.
    Conclusion: There was a high prevalence of "red flag" symptoms or signs in the prospectively evaluated IBS cohort, but a low frequency of diagnostic testing directed at the investigation of these symptoms or signs. Further systematic study may show that the yield for testing in IBS is low even when "red flags" prompt diagnostic testing.
    MeSH term(s) Age of Onset ; Anemia, Iron-Deficiency/etiology ; Colonic Diseases/genetics ; Constipation/etiology ; Diarrhea/etiology ; Female ; Fever/etiology ; Gastrointestinal Hemorrhage/etiology ; Humans ; Irritable Bowel Syndrome/complications ; Irritable Bowel Syndrome/diagnosis ; Male ; Middle Aged ; Prospective Studies ; Weight Loss
    Language English
    Publishing date 2012-06
    Publishing country Romania
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 2427021-0
    ISSN 1842-1121 ; 1841-8724
    ISSN (online) 1842-1121
    ISSN 1841-8724
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Rectal extranodal Rosai-Dorfman disease diagnosed by EUS-FNA: a case report and review of the literature.

    Ioannidis, Ioannis / Manolakis, Catherine / Laurini, Javier A / Roveda, Kelly P / de Melo, Silvio / Avery, Brenda / Boudreaux, Carole W

    Diagnostic cytopathology

    2015  Volume 43, Issue 1, Page(s) 40–44

    Abstract: Rosai-Dorfman disease (RDD), also known as "sinus histiocytosis with massive lymphadenopathy," only rarely involves the gastrointestinal (GI) tract. Therefore, this unusual site of presentation can be challenging for the pathologist. We present a case of ...

    Abstract Rosai-Dorfman disease (RDD), also known as "sinus histiocytosis with massive lymphadenopathy," only rarely involves the gastrointestinal (GI) tract. Therefore, this unusual site of presentation can be challenging for the pathologist. We present a case of RDD manifesting as a rectal submucosal mass associated with rectal bleeding in a 54 year old woman. The diagnosis was made on cytologic preparations obtained through endoscopic ultrasound guided fine needle aspiration (EUS-FNA) and subsequently confirmed by biopsy. To our knowledge, this is the first time extranodal RDD of the GI tract has been diagnosed by EUS-FNA. A review of previously published cases of GI RDD is presented to increase awareness of this exceptional presentation.
    MeSH term(s) Endoscopic Ultrasound-Guided Fine Needle Aspiration ; Female ; Histiocytosis, Sinus/pathology ; Humans ; Middle Aged ; Rectum/pathology
    Language English
    Publishing date 2015-01
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 632710-2
    ISSN 1097-0339 ; 8755-1039
    ISSN (online) 1097-0339
    ISSN 8755-1039
    DOI 10.1002/dc.23112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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