January 2016 Briefing - Gastroenterology

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

Demand for Medical Office Space High and Increasing

FRIDAY, Jan. 29, 2016 (HealthDay News) -- Demand for medical office space for ambulatory care is at a high point and looks likely to continue increasing, according to an article published in Forbes.

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FDA Approves Zepatier for Chronic Hepatitis C

FRIDAY, Jan. 29, 2016 (HealthDay News) -- Zepatier (elbasvir and grazoprevir) has been approved by the U.S. Food and Drug Administration to treat chronic hepatitis C virus genotypes 1 and 4 infections.

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Guidance Issued for Endoscopic Management of Foreign Bodies

FRIDAY, Jan. 29, 2016 (HealthDay News) -- Guidelines, published online Jan. 25 in the Journal of Digestive Diseases, have been developed for endoscopic management of foreign bodies in the upper gastrointestinal tract.

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AMA Highlights Top Four Issues to Promote in State Legislation

THURSDAY, Jan. 28, 2016 (HealthDay News) -- The top four issues that will be promoted in state legislation in 2016 were discussed at the 2016 American Medical Association (AMA) State Legislative Strategy Conference, according to a report published by the AMA.

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~1% of Physicians Account for One-Third of Malpractice Claims

WEDNESDAY, Jan. 27, 2016 (HealthDay News) -- A small number of physicians account for a considerable proportion of all paid malpractice claims, according to a study published in the Jan. 28 issue of the New England Journal of Medicine.

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Alternative Payment Models Can Help Improve Patient Care

WEDNESDAY, Jan. 27, 2016 (HealthDay News) -- Alternative payment models (APMs) have been and are being developed that can allow physicians to offer new and improved services to their patients, according to a report published by the American Medical Association (AMA).

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Possibility for Health Care Legislation Changes in 2016

TUESDAY, Jan. 26, 2016 (HealthDay News) -- Given the current political climate and issues of bipartisan concern, 2016 could see certain changes to health care legislation, according to a report published in Medical Economics.

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Consistent CRC Detection Seen for Fecal Immunochemical Tests

TUESDAY, Jan. 26, 2016 (HealthDay News) -- Fecal immunochemical tests (FITs) can consistently detect colorectal cancer when used on an annual basis, and they are effective even in the second, third, and fourth years of screening, according to a study published online Jan. 26 in the Annals of Internal Medicine.

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About 1 in 7 Colorectal Cancer Patients Younger Than 50

MONDAY, Jan. 25, 2016 (HealthDay News) -- Nearly one in seven colorectal cancer patients are under 50, and younger patients are more likely to have advanced-stage cancer, according to a report published online Jan. 25 in Cancer.

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New Position Paper Developed for Introduction of Gluten in Infancy

MONDAY, Jan. 25, 2016 (HealthDay News) -- New recommendations, published online Jan. 13 in the Journal of Pediatric Gastroenterology and Nutrition, have been issued for the introduction of gluten in infants.

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Patient Satisfaction With Doctors May Be on the Rise

FRIDAY, Jan. 22, 2016 (HealthDay News) -- More Americans than ever are satisfied with their visits to the doctor, according to a new survey conducted by The Harris Poll in September.

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CDC: Increasing Rate of Gastroschisis Seen in U.S.

FRIDAY, Jan. 22, 2016 (HealthDay News) -- The birth defect gastroschisis among U.S. infants has increased over the past 18 years, according to research published in the Jan. 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Curcumin Cuts Acetaminophen-Induced Hepatotoxicity in Mice

FRIDAY, Jan. 22, 2016 (HealthDay News) -- Curcumin can attenuate acetaminophen-induced mitochondrial alterations in the livers of mice, according to an experimental study published online Jan. 15 in the Journal of Pharmacy and Pharmacology.

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Frailty Ups Mortality Risk After Surgery in Seniors

THURSDAY, Jan. 21, 2016 (HealthDay News) -- Physical frailty among older patients who have elective surgery is linked to a greater risk of death one year later, according to a study published online Jan. 20 in JAMA Surgery.

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Rectal Cancer Surgery Best at 56 Days Post Chemo/Radiation

THURSDAY, Jan. 21, 2016 (HealthDay News) -- Researchers say they've pinpointed the best length of time to wait to perform surgery for rectal cancer after chemotherapy and radiation treatment have been completed. The findings were published online Jan. 20 in the Journal of the American College of Surgeons.

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Eluxadoline Eases Pain and Diarrhea for Some With IBS

THURSDAY, Jan. 21, 2016 (HealthDay News) -- Eluxadoline (Viberzi) for irritable bowel syndrome (IBS) with diarrhea seems to reduce symptoms for some patients for at least six months, according to research published in the Jan. 21 issue of the New England Journal of Medicine. Based on these findings, eluxadoline was approved recently by the U.S. Food and Drug Administration.

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CDX2-Negative Colon Cancer May Need More Tx Post Surgery

THURSDAY, Jan. 21, 2016 (HealthDay News) -- Colon tumors that don't produce the protein CDX2 are more likely to recur following surgical removal in patients with stage II colon cancer, according to study findings published in the Jan. 21 issue of the New England Journal of Medicine.

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Pre-Op Fasting Times Often Exceed Guidelines in Cirrhosis

WEDNESDAY, Jan. 20, 2016 (HealthDay News) -- For patients who have hepatic cirrhosis or have undergone liver transplantation, medically ordered pre-procedural fasting times frequently exceed existing guidelines, according to a study published online Jan. 13 in the Journal of Clinical Nursing.

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Guidelines Provided for Correct Way to Dismiss Patients

TUESDAY, Jan. 19, 2016 (HealthDay News) -- As insurers place increasing emphasis on evaluating physicians based on quality measures, management of noncompliant patients is becoming more complex, and can lead to patient dismissal, according to an article published in Medical Economics.

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Physicians Choose Less Aggressive Care at End of Life

TUESDAY, Jan. 19, 2016 (HealthDay News) -- Physicians facing death are less likely to demand aggressive care, according to two research letters published in the Jan. 19 issue of the Journal of the American Medical Association, a theme issue on death, dying, and end of life.

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KRAS, BRAF V600E Mutations Impact Survival in Colon Cancer

MONDAY, Jan. 18, 2016 (HealthDay News) -- For patients with stage III colon cancer treated with leucovorin, fluorouracil, and oxaliplatin (FOLFOX), KRAS and BRAF V600E mutations are associated with worse clinical outcome in patients with microsatellite-stable tumors, according to a study published online Jan. 14 in JAMA Oncology.

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Greater Transparency Being Promoted in Research

MONDAY, Jan. 18, 2016 (HealthDay News) -- Greater transparency is being promoted in clinical research, according to a health policy brief published online Jan. 14 in Health Affairs.

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FDA Approves Newly Designed Olympus Endoscope

MONDAY, Jan. 18, 2016 (HealthDay News) -- A newly designed Olympus duodenoscope was approved Friday by the U.S. Food and Drug Administration.

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Design of Physician Satisfaction Surveys Affects Results

MONDAY, Jan. 18, 2016 (HealthDay News) -- Patient satisfaction scores are influenced by the design and implementation of patient surveys, according to an article published in the January-February issue of Family Practice Management.

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Splenomegaly Ups Thrombosis in Essential Thrombocythemia

FRIDAY, Jan. 15, 2016 (HealthDay News) -- In patients with essential thrombocythemia (ET), baseline splenomegaly is associated with increased risk of thrombosis, according to a study published online Jan. 7 in the American Journal of Hematology.

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Diagnostic Imaging Down With High Deductible Health Plans

FRIDAY, Jan. 15, 2016 (HealthDay News) -- U.S. patients whose health insurance plans have high deductibles undergo fewer diagnostic imaging tests, according to a study published in the February issue of Medical Care.

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Scope-Related Infections Higher Than Previously Thought

THURSDAY, Jan. 14, 2016 (HealthDay News) -- More patients than previously estimated contracted life-threatening infections from contaminated medical scopes in recent years, according to a U.S. Senate committee report released Wednesday.

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WHO: West Africa Ebola Outbreak Is Over

THURSDAY, Jan. 14, 2016 (HealthDay News) -- The two-year Ebola outbreak in West Africa that claimed more than 11,300 lives is over, the World Health Organization said Thursday.

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Mental Health Disorders Common Among Bariatric Sx Patients

TUESDAY, Jan. 12, 2016 (HealthDay News) -- Many patients having surgery for severe obesity also have mental health conditions, particularly depression and binge-eating disorder, according to research published in the Jan. 12 issue of the Journal of the American Medical Association.

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Frozen Samples Comparable to Fresh in Fecal Transplant

TUESDAY, Jan. 12, 2016 (HealthDay News) -- Frozen stool samples work just as well as freshly donated samples when treating Clostridium difficile infection through fecal transplantation, according to findings published in the Jan. 12 issue of the Journal of the American Medical Association.

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Proton Pump Inhibitors Linked to Chronic Kidney Disease

MONDAY, Jan. 11, 2016 (HealthDay News) -- Use of proton pump inhibitors (PPIs) may be linked to long-term kidney damage, according to a study published online Jan. 11 in JAMA Internal Medicine.

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Measure of Outpatient Colonoscopy Quality Developed

MONDAY, Jan. 11, 2016 (HealthDay News) -- A risk-adjusted measure of outpatient colonoscopy quality can help inform patient choices and assist in quality-improvement efforts, according to research published in the January issue of Gastroenterology.

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Review Examines Efficacy of PPI Tx for Esophageal Eosinophilia

THURSDAY, Jan. 7, 2016 (HealthDay News) -- About half of patients with symptomatic esophageal eosinophilia have clinicohistologic remission with proton pump inhibitor (PPI) therapy, according to a review published in the January issue of Clinical Gastroenterology and Hepatology.

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Positive Effects of Psychological Treatments Maintained in IBS

THURSDAY, Jan. 7, 2016 (HealthDay News) -- Psychological therapies such as relaxation and hypnosis can offer long-term benefits for patients with irritable bowel syndrome (IBS), according to a study published online Dec. 22 in Clinical Gastroenterology and Hepatology.

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Dietary Glutamic Acid Linked to Lower Risk of Colorectal Cancer

THURSDAY, Jan. 7, 2016 (HealthDay News) -- Dietary glutamic acid intake is associated with reduced risk of developing colorectal cancer (CRC), according to a study published online Dec. 30 in Cancer.

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High Rate of Symptoms Reported Post Gastric Bypass Procedure

WEDNESDAY, Jan. 6, 2016 (HealthDay News) -- While most patients who undergo Roux-en-Y gastric bypass surgery say their well-being has improved, high rates of symptoms and hospitalization are also reported, according to a study published online Jan. 6 in JAMA Surgery.

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Early-Life Exercise May Promote Lifelong Brain Function

WEDNESDAY, Jan. 6, 2016 (HealthDay News) -- Early-life exercise-induced alterations in gut microbiota may promote brain function and emotional well-being, according to a study published online Dec. 9 in Immunology & Cell Biology.

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Many Patients Using E-Mail As First Method of Provider Contact

TUESDAY, Jan. 5, 2016 (HealthDay News) -- For patients with chronic conditions, the ability to communicate with their doctor via e-mail may help improve their health, according to a study published online Dec. 21 in the American Journal of Managed Care.

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Side-to-Side Isoperistaltic Strictureplasty Helpful in Crohn's

TUESDAY, Jan. 5, 2016 (HealthDay News) -- For patients with Crohn's disease (CD), side-to-side isoperistaltic strictureplasty (SSIS) is beneficial, with acceptable recurrence rates, according to a study published online Dec. 30 in JAMA Surgery.

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