February 2017 Briefing - Gastroenterology

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Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for February 2017. 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.

Strategies Suggested to Protect Practices From Hackers

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Steps should be taken to protect medical practices, including small practices, from hackers, according to a report published in Medical Economics.

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CRC Incidence on the Rise Among Younger Americans

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Americans in their early 50s and younger are experiencing significant increases in colorectal cancer incidence, according to research published online Feb. 28 in the Journal of the National Cancer Institute.

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Physician Burnout Eroding Sense of Calling

TUESDAY, Feb. 28, 2017 (HealthDay News) -- For physicians across specialties, burnout is associated with reduced odds of a sense of calling, according to a study published online Feb. 8 in the Mayo Clinic Proceedings.

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Supreme Court Rules Patient Safety Data Subject to Litigation

MONDAY, Feb. 27, 2017 (HealthDay News) -- The Supreme Court of Florida has reversed a District Court of Appeal decision deeming information related to patient safety unprotected from litigation discovery, according to a report published from the American Medical Association.

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$20 Million Awarded for Quality Payment Program Training

FRIDAY, Feb. 24, 2017 (HealthDay News) -- About $20 million has been awarded to 11 organizations for the first of a five-year program to provide training and education about the Quality Payment Program for clinicians in individual or small group practices, with up to $80 million to be invested over the remaining four years, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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Cyberattacks Remain Serious Threat to Health Providers

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cyberattacks remain a serious threat to small providers as well as big institutions, according to a report published in Medical Economics.

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Health Information Theft a Pressing Concern for U.S. Patients

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Forty-four percent of U.S. adults are worried about having their personal health care information stolen, according to findings from the Xerox eHealth Survey published Feb. 9 in HIT Consultant.

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Survival 79 Percent for Congenital Diaphragmatic Hernia

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Survival is 79 percent for neonates with congenital diaphragmatic hernia (CDH) undergoing surgical repair, with higher survival for those not needing extracorporeal membrane oxygenation (ECMO), according to a study published online Feb. 17 in Pediatric Anesthesia.

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CMS Rule Set to Stabilize Small Health Insurance Markets

TUESDAY, Feb. 21, 2017 (HealthDay News) -- The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

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Antibiotics Could Be Alternative to Surgery for Appendicitis

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Avoiding surgery and treating appendicitis with antibiotics alone may be a safe approach for many children, according to a review published online Feb. 17 in Pediatrics.

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Gluten-Free Diet Linked to Increased Levels of Toxic Metals

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Higher levels of arsenic and mercury have been identified in individuals consuming gluten-free diets, according to a study published online Feb. 3 in Epidemiology.

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Health Care Spending Expected to Grow 5.6% Annually to 2025

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Health care spending is expected to grow at an average annual rate of 5.6 percent from 2016 to 2025, according to a report published online Feb. 15 in Health Affairs.

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Bariatric Surgery Tied to T2DM Resolution in Obese Patients

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Five years after bariatric surgery, patients with type 2 diabetes who have the procedure show better improvements in quality of life and overall health, compared with those who only take diabetes medications, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.

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Shorter Runway Time Linked to Better Colon Cleansing

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- For patients undergoing combined esophagogastroduodenoscopy (EGD) and colonoscopy with propofol sedation, shorter runway time is associated with better quality colon cleansing, according to a study published online Feb. 11 in the Journal of Digestive Diseases.

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Uric Acid Concentration, Fructose Intake Up NASH in Children

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Among children with non-alcoholic fatty liver disease (NAFLD), serum uric acid concentrations and fructose consumption are associated with non-alcoholic steatohepatitis (NASH), according to a study published online Feb. 14 in the Journal of Hepatology.

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No Chemopreventive Effect Seen for H2RAs in Barrett's Esophagus

TUESDAY, Feb. 14, 2017 (HealthDay News) -- For patients with Barrett's esophagus (BE), proton pump inhibitor (PPI) but not histamine-2 receptor antagonist (H2RA) use is associated with reduced risk of neoplastic progression, according to research published online Feb. 11 in the Journal of Digestive Diseases.

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FDA Issues Safety Alert for Fluid-Filled Intragastric Balloons

MONDAY, Feb. 13, 2017 (HealthDay News) -- Fluid-filled intragastric balloons used to treat obesity have been linked to two different types of adverse events, according to the U.S. Food and Drug Administration.

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Short-Course Tocilizumab May Up Hep B Reactivation in RA

MONDAY, Feb. 13, 2017 (HealthDay News) -- For patients with rheumatoid arthritis (RA), one to three doses of tocilizumab may increase the risk of hepatitis B virus (HBV) reactivation, according to a study published online Feb. 3 in the International Journal of Rheumatic Diseases.

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Review: Noncomplete Mesorectal Excision Up With Laparoscopy

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Patients undergoing laparoscopic rectal resection (LRR) have increased risk for noncomplete mesorectal excision versus those undergoing open rectal resection (ORR), according to a review and meta-analysis published online Feb. 8 in JAMA Surgery.

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Fecal Transplant Feasible for C. difficile Infection in Pregnancy

THURSDAY, Feb. 9, 2017 (HealthDay News) -- A fecal microbiota transplant through colonoscopy appears to be safe for recurrent Clostridium difficile infection during pregnancy, according to a case report published in the March issue of Obstetrics and Gynecology.

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Rat Study Shows Gut Dysbiosis Impacts Systolic Blood Pressure

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Gut dysbiosis seems to affect systolic blood pressure (SBP) in a rat model, according to an experimental study published recently in Physiological Genomics.

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Guideline Issued on Molecular Biomarkers for CRC Tissues

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- A guideline, published online Feb. 6 in the Archives of Pathology & Laboratory Medicine, has been developed in relation to molecular biomarker testing of colorectal cancer (CRC) tissues.

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30-day Mortality Down With Vancomycin in C. difficile

TUESDAY, Feb. 7, 2017 (HealthDay News) -- For patients with Clostridium difficile infection (CDI), recurrence rates are similar with vancomycin and metronidazole treatment, but the risk of 30-day mortality is significantly reduced with vancomycin, according to a study published online Feb. 6 in JAMA Internal Medicine.

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CDC Issues Updated Immunization Schedule

TUESDAY, Feb. 7, 2017 (HealthDay News) -- A new adult vaccine schedule from the U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has been published online Feb. 7 in the Annals of Internal Medicine.

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Outreach Strategies Increase HCC Screening in Cirrhosis

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Outreach strategies increase the percentage of patients with cirrhosis who undergo hepatocellular carcinoma (HCC) screening, according to a study published in the February issue of Gastroenterology.

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Bundle of Items Can Reduce SSI Rate in Colon Surgery

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Implementation of a bundle of five items can reduce the surgical site infection (SSI) rate in colon surgery, according to a study published online Feb. 1 in the Journal of Evaluation in Clinical Practice.

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Risk of Certain Adverse Outcomes Up With Endoscopy in Pregnancy

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Endoscopy during pregnancy is associated with increased risk of preterm birth or small for gestational age, according to a study published in the February issue of Gastroenterology.

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Poor Pathologist Agreement for Low-Grade Dysplasia in Barrett's

MONDAY, Feb. 6, 2017 (HealthDay News) -- There is poor agreement between pathologists in diagnosis of low-grade dysplasia (LGD) in patients with Barrett's esophagus (BE), according to a study published in the February issue of Gastroenterology.

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Coffee Speeds Time to Bowel Movement After Gynecologic Sx

FRIDAY, Feb. 3, 2017 (HealthDay News) -- Coffee consumption speeds the time to bowel movement after complete staging surgery of gynecologic cancers, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.

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Transverse Myelitis ID'd As Manifestation of Celiac Dx in Child

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Transverse myelitis (TM) can be a manifestation of celiac disease (CD) in young children, according to a case report published online Feb. 2 in Pediatrics.

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Metabolic Sx May Up CRC Risk Even in Healthy-Weight Women

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- Even normal-weight women may be at greater risk for colorectal cancer if they have certain traits, such as elevated triglycerides, low high-density lipoprotein cholesterol, elevated blood pressure, and elevated fasting glucose, according to a study published online Feb. 1 in Cancer Epidemiology, Biomarkers & Prevention.

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Relapse Risk Up With Low Vitamin D Levels in Ulcerative Colitis

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- For patients with ulcerative colitis (UC), serum vitamin D levels ≤35 ng/mL are associated with increased risk of clinical relapse, according to a study published in the February issue of Clinical Gastroenterology and Hepatology.

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