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Inside Tract - Change calls and we answer

Inside Tract Summer 2011

Change calls and we answer

Date: June 1, 2011

Anthony Kalloo
Anthony Kalloo

This issue of Inside Tract calls to mind just how closely our discipline is tied to change.   

We’re acutely aware of that on a personal level, given that our entire clinical department—endoscopy and all—will have picked up and moved to new quarters on the Hopkins campus by this time next year. It’s no simple feat. The new clinical suites, by the way, are the stuff of practitioners’ dreams.

But I’m really talking about economic, societal and even environmental change that impacts gastroenterology and hepatology. There’s the shift in national medical reimbursement and in medical specialization that has driven us to new tactics to keep quality high in the face of a shortage of colonoscopists. Nurse practitioner Monica VanDongen (front page) is a happy solution.

 There’s the appearance of a new strain of enterohemorrhagic E. coli—somehow tied with urbanization and high-volume agriculture—that Olga Kovbasnjuk is trying to tame (page three). And a greater cause of alarm lies in the sharp, sudden rise of obesity worldwide, with its attendant metabolic syndrome, that Ayman Koteish reminds us is a prime suspect in nonalcoholic fatty liver disease.

We’re working daily to keep aware of change and to step up to meet it.

We hope you enjoy this glimpse of what we’re undertaking and invite you to tell us how we can contribute to your practice.


Anthony N. Kalloo, M.D. 
Director,  Johns Hopkins Division of  Gastroenterology and Hepatology