The renal and urologic complications of inflammatory bowel disease.

: Extraintestinal manifestations of inflammatory bowel disease (IBD) are common. Clinically significant renal/urologic complications occur in 10-15% of patients with IBD. In this article, we review the incidence, pathogenesis, diagnosis, and management of the various renal/urologic complications.

Diagnostic yield of routine ileoscopy.

Intubation of the ileum during colonoscopy, although well described, is not routinely performed. It can establish the completeness of colonoscopic examinations and is useful in the diagnosis of inflammatory bowel disease. However, the diagnostic utility of routine ileoscopy during all colonoscopic procedures has not been well studied.

Hemolytic anemia associated with the use of omeprazole.

Omeprazole is the first drug designed to block the final step in the acid secretory process within the parietal cell. It has been shown to be extremely effective in the treatment of peptic ulcer disease, reflux esophagitis, and the Zollinger-Ellison syndrome. Although clinical experience with omeprazole is still limited, many controlled studies have established the short-term safety of this drug.

Endoscopic therapy of bleeding gastrointestinal hemangiomas and angiodysplasia.

A variety of vascular lesions may be found in the gastrointestinal tract. They make up a small but significant percentage of all gastrointestinal bleeders, especially from the colon. New endoscopic techniques have made therapy as well as diagnosis possible.