February 2016 Briefing - Gastroenterology

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Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for February 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Drug-Induced Liver Injury From Chinese, Western Meds Varies

MONDAY, Feb. 29, 2016 (HealthDay News) -- Chinese herbal medicine (CHM) and Western medicine (WM) have different effects as causes of drug-induced liver injury (DILI), according to a study published online Feb. 20 in the Journal of Gastroenterology and Hepatology.

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Irritable Bowel Self-Management Strategies Sustainable

FRIDAY, Feb. 26, 2016 (HealthDay News) -- Comprehensive self-management (CSM) strategies are sustainable for patients with irritable bowel syndrome (IBS), according to a study published in the February issue of Clinical Gastroenterology and Hepatology.

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Drinking Coffee May Slow Progression of Liver Disease

THURSDAY, Feb. 25, 2016 (HealthDay News) -- Regular coffee consumption seems to delay disease progression in alcoholic liver disease (ALD) and primary sclerosing cholangitis (PSC) patients with end-stage liver disease (ESLD) and increase long-term survival following liver transplantation, according to a study published online Feb. 15 in the Journal of Gastroenterology and Hepatology.

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Researchers Say Pancreatic Cancer Is Four Separate Diseases

THURSDAY, Feb. 25, 2016 (HealthDay News) -- Scientists who discovered that pancreatic cancer is at least four separate diseases say their findings could lead to improved treatments for the disease.

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Suggestions for Optimizing Practice Feedback Effectiveness

THURSDAY, Feb. 25, 2016 (HealthDay News) -- In an article published online Feb. 23 in the Annals of Internal Medicine, 15 suggestions are presented to optimize the effectiveness of practice feedback.

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Curcumin May Help Prevent Liver Damage From Acetaminophen

WEDNESDAY, Feb. 24, 2016 (HealthDay News) -- Curcumin exerts a hepatoprotective effect against acetaminophen-induced damage in mice, according to an experimental study published in the February issue of the Journal of Pharmacy and Pharmacology.

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Recommendations Developed for CRC Screening in Primary Care

TUESDAY, Feb. 23, 2016 (HealthDay News) -- Recommendations have been developed for colorectal cancer screening in primary care. The guidelines were published online Feb. 22 in CMAJ, the journal of the Canadian Medical Association.

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PET Scans May Be Overused in Monitoring of Cancer Survivors

TUESDAY, Feb. 23, 2016 (HealthDay News) -- Many lung and esophageal cancer survivors have positron emission tomography (PET) imaging scans as part of ongoing monitoring, but many of those scans may be unnecessary, according to a study published online Feb. 22 in the Journal of the National Cancer Institute.

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Bariatric Surgery Tied to Drop in Heart Failure Exacerbations

TUESDAY, Feb. 23, 2016 (HealthDay News) -- Bariatric surgery to promote substantial weight loss is linked to reduced rates of emergency department visits and hospitalizations for heart failure exacerbations among obese patients with the condition, according to research published in the March 1 issue of the Journal of the American College of Cardiology.

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Birth Defects Not Up Significantly With Anti-TNFs in Pregnancy

MONDAY, Feb. 22, 2016 (HealthDay News) -- Birth defects are not significantly more prevalent among women receiving anti-tumor necrosis factor (TNF) agents during pregnancy, according to a study published in the February issue of Clinical Gastroenterology and Hepatology.

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Chewing Gum Improves Colonoscopy Preparation

MONDAY, Feb. 22, 2016 (HealthDay News) -- Chewing gum relieves discomfort associated with ingestion of the polyethylene glycol solution for colonoscopy preparation, according to a study published in the February issue of the Journal of Clinical Nursing.

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Mortality 18.5 Percent for Ebola Management in U.S., Europe

THURSDAY, Feb. 18, 2016 (HealthDay News) -- Patients with Ebola virus disease (EVD) who received care in the United States and Europe show mortality of 18.5 percent, according to a study published in the Feb. 18 issue of the New England Journal of Medicine.

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Geriatric Events in Cancer Surgery Common in Elderly

THURSDAY, Feb. 18, 2016 (HealthDay News) -- Geriatric events are common among elderly patients who undergo major surgery for cancer, according to research published online Feb. 16 in the Journal of Clinical Oncology.

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Many Med Schools Appear Unwelcoming Regarding Disability

WEDNESDAY, Feb. 17, 2016 (HealthDay News) -- Most medical schools need to post, update, or clarify technical standards (TSs), required under the Americans with Disabilities Act (ADA), that detail what a school will do to accommodate a student with a disability, according to a study published online Jan. 19 in Academic Medicine.

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NAFLD Linked to Unfavorable Metabolic Profile in T2DM

TUESDAY, Feb. 16, 2016 (HealthDay News) -- For obese patients with type 2 diabetes mellitus (T2DM), nonalcoholic fatty liver disease (NAFLD) is associated with an unfavorable metabolic profile, according to a study published online Feb. 9 in Diabetes Care.

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Proton Pump Inhibitors Linked to Increased Dementia Risk

MONDAY, Feb. 15, 2016 (HealthDay News) -- Proton pump inhibitors (PPIs) may be tied to the development of dementia in the elderly, according to a study published online Feb. 15 in JAMA Neurology.

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Risk of Reoperation Up With Perianal Lesions in Crohn's

MONDAY, Feb. 15, 2016 (HealthDay News) -- For patients with Crohn's disease, the risk of reoperation is increased for those with perianal lesions, according to a study published online Feb. 5 in the Journal of Gastroenterology and Hepatology.

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CDC: Number of Uninsured Persons in U.S. Down Since 2013

FRIDAY, Feb. 12, 2016 (HealthDay News) -- The percentage of uninsured persons is decreasing in the United States, according to a report published by the National Center for Health Statistics (NCHS).

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Rate of Missed Adenomas >5 mm Similarly Low for BBPS 2, 3

FRIDAY, Feb. 12, 2016 (HealthDay News) -- The rate of missed adenomas larger than 5 mm is similarly low for men with Boston Bowel Prep Scale (BBPS) scores of 2 or 3, according to a study published in the February issue of Gastroenterology.

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Physicians Concerned By Increasing Cost of Generics

THURSDAY, Feb. 11, 2016 (HealthDay News) -- Pennsylvania physicians have called for state- and national-level medical associations to take an active role in addressing the issue of increasing generic drug prices, according to an article published by the Pennsylvania Medical Society.

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Early Surgery Common for Uncomplicated Diverticulitis

THURSDAY, Feb. 11, 2016 (HealthDay News) -- Elective colon resection is often performed after fewer than three previous episodes of uncomplicated diverticulitis, according to research published online Feb. 10 in JAMA Surgery.

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Gastric Bypass Tied to Reduced Mortality for Obese >35 Years

WEDNESDAY, Feb. 10, 2016 (HealthDay News) -- Gastric bypass surgery is associated with improved long-term survival for patients at all ages above 35 years, according to a study published online Feb. 10 in JAMA Surgery.

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No Need to Avoid Statins in Hep C Compensated Cirrhosis

WEDNESDAY, Feb. 10, 2016 (HealthDay News) -- Statin use is associated with decreased risk of cirrhosis decompensation and death in patients with hepatitis C virus (HCV)-related compensated cirrhosis, according to research published in the February issue of Gastroenterology.

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Cola Intake Increases Exposure of Erlotinib

WEDNESDAY, Feb. 10, 2016 (HealthDay News) -- Cola intake leads to a clinically relevant and statistically significant increase in the bioavailability of erlotinib during esomeprazole treatment, according to a study published online Feb. 8 in the Journal of Clinical Oncology.

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Recurrent Erythema Seen With H. cinaedi Bacteremia

WEDNESDAY, Feb. 10, 2016 (HealthDay News) -- Recurrent superficial cellulitis-like erythema is associated with Helicobacter cinaedi (H. cinaedi) bacteremia, according to a case report published online Jan. 30 in The Journal of Dermatology.

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AMA Highlights Issues Relating to Medical Liability Reform

MONDAY, Feb. 8, 2016 (HealthDay News) -- Medical liability reforms are likely to be advanced and challenged in 2016, according to a report published by the American Medical Association (AMA).

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Doctors Offer Suggestions for Electronic Health Records

FRIDAY, Feb. 5, 2016 (HealthDay News) -- Physicians recently met in Seattle to discuss the difficulties and benefits associated with electronic health records (EHRs) in a third town hall meeting on the subject, according to a report published by the American Medical Association.

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Seven Tips Provided for Optimizing Practice Revenue

THURSDAY, Feb. 4, 2016 (HealthDay News) -- Business operations data represent a relatively untapped resource for optimizing practice revenue, and can indicate areas of strength and opportunities for improvement, according to a report published in Medical Economics.

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Patient-Centered System Recommended for Medical Billing

THURSDAY, Feb. 4, 2016 (HealthDay News) -- Simplification, consolidation, and real time point-of-care information could address the inefficiencies in the medical billing system, according to an Ideas and Opinions piece published online Feb. 2 in the Annals of Internal Medicine.

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Video Games Offer Educational Methods for Med Students

THURSDAY, Feb. 4, 2016 (HealthDay News) -- Video games can play a role in medical education, offering new methods for teaching medical students, according to a report published by the American Medical Association (AMA).

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Better Follow-Up Needed After Positive Fecal Blood Tests

THURSDAY, Feb. 4, 2016 (HealthDay News) -- Characteristics of individuals and health care systems may contribute to the differences in follow-up after a positive fecal blood test, according to research published online Feb. 3 in Cancer Epidemiology, Biomarkers & Prevention.

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Endoscopic Sleeve Gastroscopy Feasible in Obesity

THURSDAY, Feb. 4, 2016 (HealthDay News) -- For selected patients with obesity, minimally invasive endoscopic sleeve gastroplasty (ESG) delays gastric emptying, induces early satiation, and reduces body weight, according to a study published online in Clinical Gastroenterology and Hepatology.

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Office Visits Before Screening Colonoscopy Raise Costs

WEDNESDAY, Feb. 3, 2016 (HealthDay News) -- Despite the availability of open-access colonoscopy in the United States, about one-third of colonoscopies for colon cancer screening and polyp surveillance are preceded by a visit to a gastroenterology office, according to a research letter published in the Feb. 2 issue of the Journal of the American Medical Association.

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QOL, Other Outcomes Up With Laparoscopic Sx in Diverticulitis

WEDNESDAY, Feb. 3, 2016 (HealthDay News) -- For patients with uncomplicated diverticulitis, quality of life (QOL) and other patient-reported outcomes (PROs) are improved following laparoscopic surgery versus conservative treatment, according to a review published in the February issue of Clinical Gastroenterology and Hepatology.

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Tips Presented for Encouraging Treatment Adherence

TUESDAY, Feb. 2, 2016 (HealthDay News) -- Tips for increasing patient adherence to treatment plans include patient engagement and addressing barriers to adherence, according to an article published in Medical Economics.

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Considerable Global Variation in Colorectal Cancer Incidence

TUESDAY, Feb. 2, 2016 (HealthDay News) -- There is considerable variation in colorectal cancer (CRC) incidence and mortality rates, with the rates correlating with human development levels, according to a study published online Jan. 27 in Gut.

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Patients and Families Highlight Value of Nurse Practitioners

MONDAY, Feb. 1, 2016 (HealthDay News) -- Patients and their families believe that teams in acute and primary care are more effective when they include nurse practitioners, according to research published online Jan. 27 in the Journal of Clinical Nursing.

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