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Given the prevalence of obesity, any physician providing clinical care will be involved in the care of obese patients. Gastroenterologists will play an active role in the evaluation and treatment of these patients. Thereby, it is essential to fully understand the scope of the problem and the opportunities for intervention. The expert authors assembled for this issue offer expanded insight which can enhance care plans provided to this patient population. Since Dr. Johnson’s first issue published, there are several updates in this area, and the articles in this volume address those. These updates are seen in the areas of medical therapy, surgical options, and endoscopic treatments for obese patients.
Given the prevalence of obesity, any physician providing clinical care will be involved in the care of obese patients. Gastroenterologists will play an active role in the evaluation and treatment of these patients. Thereby, it is essential to fully understand the scope of the problem and the opportunities for intervention. The expert authors assembled for this issue offer expanded insight which can enhance care plans provided to this patient population. Since Dr. Johnson's first issue published, there are several updates in this area, and the articles in this volume address those. These updates are seen in the areas of medical therapy, surgical options, and endoscopic treatments for obese patients.
Many patients who are seen by gastroenterologists are overweight or obese. Moreover, gastroenterologists often are consulted to help manage obesity-related gastrointestinal diseases or gastrointestinal complications of weight loss therapy. Therefore, it is important for gastroenterologists to understand the key clinical issues associated with obesity that are discussed in this issue.  In addition, gastroenterologists can provide a valuable clinical service by becoming actively involved in helping their obese patients lose weight.
In the last three decades, the prevalence of obesity has doubled with over 600 million obese adults worldwide. The gastrointestinal complications of obesity are well publicized; however, the role of the gastrointestinal tract in the development and treatment of obesity is often understated. From the pathophysiologic role of gut hormones and the microbiota, to the purposeful, anatomic derangement of the gastrointestinal tract that is utilized as a treatment for obesity, it is imperative that gastroenterologists understand the full scope of obesity in relation to the gastrointestinal system. Studies suggest that in the U.S. obesity is underrecognized and undertreated by health care providers. Given its complex sociology, pathophysiology, and treatment, obesity, like many other diseases, requires a multidisciplinary approach. Therefore, gastroenterologists must be equipped with the relevant knowledge of obesity that will empower them to properly manage their patients.
In this issue of Gastroenterology Clinics, guest editor Dr. Lee M. Kaplan brings his considerable expertise to the topic of Management of Obesity, Part I: Overview and Basic Mechanisms. Most of the world's population live in countries where being overweight and obese is more life-threatening than being underweight. This preventable disease leaves patients with a cascade of health problems, resulting in serious stress and impact on global economies and healthcare systems. This issue, the first of two, addresses basic mechanisms and contributors of obesity, along with health care disparities and access.. Contains 16 practice-oriented topics including the many forms of obesity; genetic contributions to obesity; health complications of obesity; the effect of obesity on gastrointestinal disease; disparities in access and quality of obesity care; and more. Provides in-depth clinical reviews of management of obesity, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
With collaboration of Consulting Editor, Dr. Alan Buchman, Guest Editors Drs. Gerard Mullen and Berkeley Limketkai have created a practical and current issue covering the breadth of topics in nutrition and gastrointestinal disease. Articles are specifically devoted to the following topics: Nutrition in the Management of Inflammatory Bowel Diseases; Irritable Bowel Syndrome: Food as a Friend or Foe; Treatment of Obesity: Beyond the Diet; Nutritional Management of Acute Pancreatitis; Nutritional Care in Patients with Intestinal Failure; The Life-long Role of Nutrition on the Gut Microbiome and Gastrointestinal Disease; Nutritional Strategies for Esophageal Disorders; Precision Medicine in Obesity; Gastrointestinal Food Allergies and Intolerances; All Things Gluten; Fish Oil for Inflammatory Bowel Disease: Panacea or Placebo; Nutrition Tools for the Practicing Gastroenterologist; Colorectal Cancer and Diet: Is Diet an Intervention; Non-Alcoholic Fatty Liver Disease: Nutritional Considerations; and Nutritional Considerations in the Hospital Setting. Readers will come away with current clinical information that they can employ in the clinical setting to improve outcomes in patients with gastrointestinal diseases.
Dr. Rothstein has assembled top experts to present the current status of the role of endoscopy in managing the obese patient. Authors present current clinical information on the following topics: Small Bowel Target Devices and Techniques; Reimbursement Issues for Endoscopic Devices Used for Metabolic Endoscopy; the Physiologic Alteractions of Bariatric Surgery; Non-Balloon Gastric and Pyloric Therapies for Obesity; Aspiration Therapy for Obesity; Endoscopic Therapies after Surgery; Duodenal Mucosal Resurfacing: Role for Diabetes Treatment; Gastric Plication; and Gastric Balloons. Readers should come away with the information they need to utilize endoscopic techniques to improve outcomes in their patients.
In this issue of Gastroenterology Clinics, guest editor Dr. Lee M. Kaplan brings his considerable expertise to the topic of Management of Obesity, Part I: Overview and Basic Mechanisms. Most of the world's population live in countries where being overweight and obese is more life-threatening than being underweight. This preventable disease leaves patients with a cascade of health problems, resulting in serious stress and impact on global economies and healthcare systems. This issue, the first of two, addresses basic mechanisms and contributors of obesity, along with health care disparities and access.. Contains 16 practice-oriented topics including the many forms of obesity; genetic contributions to obesity; health complications of obesity; the effect of obesity on gastrointestinal disease; disparities in access and quality of obesity care; and more. Provides in-depth clinical reviews of management of obesity, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
With collaboration of Consulting Editor, Dr. Alan Buchman, Guest Editors Drs. Gerard Mullen and Berkeley Limketkai have created a practical and current issue covering the breadth of topics in nutrition and gastrointestinal disease. Articles are specifically devoted to the following topics: Nutrition in the Management of Inflammatory Bowel Diseases; Irritable Bowel Syndrome: Food as a Friend or Foe; Treatment of Obesity: Beyond the Diet; Nutritional Management of Acute Pancreatitis; Nutritional Care in Patients with Intestinal Failure; The Life-long Role of Nutrition on the Gut Microbiome and Gastrointestinal Disease; Nutritional Strategies for Esophageal Disorders; Precision Medicine in Obesity; Gastrointestinal Food Allergies and Intolerances; All Things Gluten; Fish Oil for Inflammatory Bowel Disease: Panacea or Placebo; Nutrition Tools for the Practicing Gastroenterologist; Colorectal Cancer and Diet: Is Diet an Intervention; Non-Alcoholic Fatty Liver Disease: Nutritional Considerations; and Nutritional Considerations in the Hospital Setting. Readers will come away with current clinical information that they can employ in the clinical setting to improve outcomes in patients with gastrointestinal diseases.
Several new scientific developments in the area of nutrition and an increasing interest in the nutritional interventions in gastrointestinal diseases justify a timely issue on on Nutritional Management of Gastrointestinal Disease. The articles in this issue are very relevant to our readers because diet and nutritional therapy positively affect various bodily functions, reduce the risk of disease progression, and optimize outcomes in patients with gastrointestinal disorders. Expert authors have written reviews devoted to the following topics: Malnutrition in GI disorders; Detection and nutritional assessment; Enteral feeding: Access and its complications; Parenteral nutrition: Indications, access and complications; Nutritional aspects of acute pancreatitis; Nutritional therapy in chronic pancreatic; Nutritional interventions in chronic intestinal pseudoobstruction and scleroderma; The role of diet in the treatment of irritable bowel syndrome; and Nutritional considerations in celiac disease and non-celiac gluten sensitivity. Readers will have a complete clinical understanding of best practices and outcomes for the gastroenterologist managing GI diseases.