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GASTROENTEROLOGY ARTICLE OF THE WEEK

November 29, 2007 

Shields HM, Shaffer K, O’Farrell RP, et al.  Gastrointestinal manifestations of dermatologic disorders.  Clin Gastroenterol Hepatol 2007;5:1010-1017. 

1.  GI complications of mastocytosis include

            a.  peptic ulcer disease

            b.  constipation with fecal impaction

            c.  pancreatic insufficiency

            d.  hepatosplenomegaly

            e.  diarrhea, weight loss and hypoalbuminemia  

True or False 

2.  Epidermolysis bullosa is associated with odynophagia, dysphagia, esophageal strictures and esophageal ulcers  

3.  Only half of the patients with systemic mastocytosis have skin involvement  

4.  Most patients with Osler Weber Rendu present with gastrointestinal bleeding in the 2nd or 3rd decade of life.  

5.  Melanoma is the most common metastatic tumor to the GI tract  

6.  Bougies should be used instead of balloons when dilating esophageal strictures in patients with epidermolysis bullosa  

7.  Juvenile polyposis syndrome is more common in patients with Osler Weber Rendu

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