R E Clouse

..Description of the techniques, the topographic representation of normal and abnormal esophageal motility, and advantages of topography over conventional manometric methods are discussed in this review...

..Psychological treatment options include psychotherapy, relaxation techniques, and hypnosis. Refractory FAPS patients may benefit from a multidisciplinary pain clinic approach...

..Depression predicts onset of and poor outcome from CHD in nondiabetic populations. We hypothesized that the doubled rates of depression in female diabetic patients could help explain the high prevalence of CHD in women with diabetes...

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..Esophageal double-peaked waves occur with increased frequency in patients with functional esophageal symptoms. This study was undertaken to further understand the mechanisms responsible for their production...

..Depression is common among patients with diabetes, but its relationship to glycemic control has not been systematically reviewed. Our objective was to determine whether depression is associated with poor glycemic control...

..This investigation evaluated the effects of nortriptyline on depression and glycemic control to see whether depression in diabetes is treatable and whether restoring mental health contributes to improved medical outcome...

..The objective of this study was to examine the strength and consistency of the relationship between depression and diabetes complications in studies of type 1 and type 2 adult patients with diabetes...

..It is associated with poor glycemic control and is linked to an increased risk for diabetic complications. In this study, we assessed the efficacy of fluoxetine for depression in patients with diabetes...

..Duration of episodes increases with age to age 20 yr. Increased awareness of the condition and a high index of suspicion may help decrease delay in diagnosis after symptom onset...

..The transsphincteric gradient is a novel approach for measuring sphincter relaxation, is unaffected by sphincter asymmetry and axial movement, and has the best receiver operating characteristics using point-pressure sensors...

..CONCLUSIONS--The presence of diabetes doubles the odds of comorbid depression. Prevalence estimates are affected by several clinical and methodological variables that do not affect the stability of the ORs...

..Clinicians should consider whether patients with functional disorders have SD, a diagnosis that indicates specific clinical management strategies...

..The clinical outcomes of laparoscopic antireflux surgery (LARS) in patients with the spectrum of nonspecific spastic esophageal motor disorders (NSSDs) are not known...

..CONCLUSIONS: Extending monitoring to 2 days with a wireless pH monitoring system increases the detection of GERD in a clinically significant proportion of patients with NCCP...

..In patients with diabetes mellitus, depression is a prevalent and recurrent problem that adversely affects the medical prognosis...

..Additional investigation will be required to determine if depression and anxiety affect the development or progression of NASH and serve as modifiable risk factors...

..A secondary analysis was performed to assess this effect in younger and older subsets of patients...

..Issues in the management of depression in diabetes are outlined, including interactions of depression and insulin resistance...

..This therapeutic option should be further studied in diabetic patients considering the morbidity of chronic vomiting in this population...

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..We used bupropion hydrochloride (Wellbutrin XL) to determine whether this improvement could be attributed to changes in anthropometrics or diabetes self-care...

..Additional studies are required to confirm the magnitude of the relationship, to elucidate moderating and causal factors, and to determine whether successful treatment of anxiety improves glycemic control...

..These patients should be carefully counseled preoperatively regarding expected symptomatic outcomes...

..Additional epidemiological studies are needed to determine the prevalence of anxiety in the broader population of persons with diabetes...

..The study's aim was to determine within a female IBS population the degree of segregation of psychiatric illness, functional disorders, and health care utilization with somatization disorder...

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..To describe factors influencing chest pain expression in patients with cardiac or noncardiac disease...

..This commonly overlooked comorbidity affects more than one quarter of the diabetic population, making its recognition and treatment in diabetic patients clinically relevant...

..In this study, we applied mediational analysis methods to determine whether the hyperglycemic effect of depression could be mediated by poor diabetes self-care...

..We determined the relative value of a 2-day versus a 1-day study in detection of abnormal esophageal acid exposure and reflux symptom associations...

..We performed high-resolution manometry in preterm and term neonates to determine the ontogenesis of esophageal motility with regard to this segmental architecture...

..As such, the results from the study provide the clinician with useful data to decide if the glucose method is appropriate for use in clinical settings...

..The clinical response to treatment with 2 newer antiepileptic drugs was evaluated retrospectively to see whether they might have a prophylactic role in this syndrome...

..05). CONCLUSIONS: Ischemia can manifest endoscopically as the CSSS. This sign seems to characterize milder disease in the clinical spectrum of ischemic colitis...

..Separation of the capsule from the mucosa with a cold snare may be the preferred method of accomplishing uncomplicated removal...