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Johns Hopkins Medicine Gastroenterology Podcasts |
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GI Second Opinions
Anthony Kalloo, M.D., chief of gastroenterology and hepatology at Johns Hopkins, talks about the importance of getting a second opinion in gastroenterology.
Program Notes:
0:11 Getting a second opinion in gastroenterology
1:07 Highly specialized in specific problems
2:19 The research and the teaching is really about the patient
3:07 If you've not had a resolution to your problem
4:10 Most physicians feel comforted by second opinion
5:14 Website defines medical terms
6:27 More than one problem at a time?
7:24 Most GI conditions are benign
8:22 Follow up care can be here or to primary physician
9:17 End
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Nutrition
Gerard Mullin, M.D., director of integrative nutrition services at Johns Hopkins, talks about managing nutritional aspects of GI conditions.
Program Notes:
0:10 Integrative nutrition services
0:35 Nutritional supplement use
1:35 Cucurmin may have anti-inflammatory properties
2:31 Transcends GI problems
3:34 Those patients who have nutritional compromise
5:10 Become familiar with these supplements
6:10 Powerful preventive actions?
7:01 Interacts with medications
8:00 People should have freedom of choice
8:30 Be educated, consult with your physician
8:44 End
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Pancreatitis
Sanjay Jagannath, M.D., gastroenterologist at Johns Hopkins, discusses the diagnosis and management of pancreatitis.
Program Notes:
0:30 Pancreas helps digestion and produces hormones
1:00 Acute and chronic pancreatitis
1:30 Scar tissue forms in chronic form
2:19 Alcohol and gallstones cause
3:00 Severe pain in abdomen
4:00 CT scan to diagnose
5:10 Prevention may be possible depending on cause
5:37 Chronic form
6:09 Classic scenario is a history of alcohol use
7:21 Important to be seen at comprehensive center
8:25 Rest the pancreas
8:42 Pain medications may be needed
9:48 Patients need team approach
10:02 End
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Ulcerative Colitis
Mary Harris, M.D., gastroenterologist at Johns Hopkins, talks about ulcerative colitis.
Program Notes:
0:15 Ulcerative colitis
0:36 Versus Crohn's disease
1:26 Who is at risk?
2:00 15-25 year olds, then older than 50
3:21 Rectal bleeding
4:22 Incontinence
4:50 Colonoscopy and biopsy
5:20 Medications
6:15 Corticosteroid use
7:18 Immunologic problem
8:23 Cure is surgical
9:16 In women reduced fertility
10:10 Outlook bright
10:55 Ulcerative colitis and colon cancer
11:44 Need to be screened and biopsied
12:19 End
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Heartburn
Patrick Okolo, M.D., M.P.H., chief of gastrointestinal endoscopy at Johns Hopkins, discusses the prevention, diagnosis and management of heartburn.
Program Notes:
0:22 GERD
1:10 About one in twenty has significant life impact
2:00 Real increase in numbers of people with GERD
2:53 All medications available over the counter
3:20 H2 receptor blockers one class
4:17 Very effective in most people
5:00 No real long term consequence to use
6:00 Barrett's esophagus and esophageal cancer
7:00 See a gastroenterologist if GERD is longstanding
8:00 Lifestyle modifications also help
9:00 Relationship between GERD and Helicobater pylori
10:36 End
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Colon Cancer Screening
Francis Giardiello, M.D., professor of gastroenterology at Johns Hopkins, discusses options for colon cancer screening.
Program Notes:
0:25 Current recommendations
0:47 Stool cards
0:53 Flexible sigmoidoscopy
1:00 Barium enema
1:18 Colonoscopy
1:43 Describe each method
4:07 Advantages to colonoscopy
4:30 Preparation has improved
5:20 Virtual colonoscopy
6:42 Preparation for both about the same
7:10 My recommendations in general
7:57 End
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