July 2015 Briefing - Gastroenterology

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Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for July 2015. 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.

AMA Wants Doctor Input on EHRs, Meaningful Use

FRIDAY, July 31, 2015 (HealthDay News) -- The American Medical Association (AMA) is encouraging clinicians to share their perspectives on electronic heath records (EHRs) and the meaningful use program.

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U.S. Health Spending Projected to Rise 5.8 Percent By 2024

FRIDAY, July 31, 2015 (HealthDay News) -- From 2014 to 2024, U.S. health spending growth is projected to increase by about 6 percent, according to a report published online July 28 in Health Affairs.

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FDA Approves Balloon Device to Treat Obesity

WEDNESDAY, July 29, 2015 (HealthDay News) -- The ReShape Integrated Dual Balloon System has been approved by the U.S. Food and Drug Administration to combat adult obesity. Inflated inside the stomach, the device appears to create a sense of fullness, although how it works isn't completely understood, the FDA said in a news release.

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Novel Microendoscope Ups Accuracy of Esophageal Screening

WEDNESDAY, July 29, 2015 (HealthDay News) -- A novel, low-cost, high-resolution microendoscope (HRME) improves the accuracy of Lugol's chromoendoscopy (LCE) for screening and surveillance of esophageal squamous cell neoplasia, according to a study published in the August issue of Gastroenterology.

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2015 MOC Program Expected to Cost $5.7 Billion Over 10 Years

WEDNESDAY, July 29, 2015 (HealthDay News) -- The 2015 version of the American Board of Internal Medicine (ABIM) maintenance-of-certification (MOC) program is expected to generate considerable costs, mainly due to physician time costs, according to research published online July 28 in the Annals of Internal Medicine.

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Patients Report Improved Care Access, Better Health With ACA

TUESDAY, July 28, 2015 (HealthDay News) -- Millions more Americans have affordable health insurance, access to a personal doctor, and feel they are in better health following the first two open-enrollment periods of the Affordable Care Act (ACA), a new analysis shows. The results are published in the July 28 issue of the Journal of the American Medical Association.

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Not Resecting Ideal Candidates Ups Mortality in Liver Cancer

TUESDAY, July 28, 2015 (HealthDay News) -- For patients with hepatocellular carcinoma (HCC), not resecting ideal candidates for resection is associated with increased mortality, according to a study published in the Aug. 1 issue of Hepatology.

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Delays Noted in the Reporting of Serious Patient Harms to FDA

MONDAY, July 27, 2015 (HealthDay News) -- About 10 percent of cases where a drug does serious harm are not reported to the U.S. Food and Drug Administration within the required 15-day period, according to a new analysis published online July 27 as a research letter in JAMA Internal Medicine.

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35% of Colorectal Cancers in Patients Age ≤35 Are Genetic

MONDAY, July 27, 2015 (HealthDay News) -- More than a third of colorectal cancers diagnosed in younger patients are caused by inherited gene mutations, according to a study published online July 20 in the Journal of Clinical Oncology.

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New Gene Test Speeds Diagnosis of Enterovirus D68

MONDAY, July 27, 2015 (HealthDay News) -- Researchers have developed a genetic test to quickly detect enterovirus D68 (EV-D68). The researchers published details of the test's techniques online recently in the Journal of Clinical Microbiology.

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FDA Approves Technivie for Hepatitis C

FRIDAY, July 24, 2015 (HealthDay News) -- Technivie (ombitasvir, paritaprevir and ritonavir) has been approved by the U.S. Food and Drug Administration, in tandem with ribavirin, to treat hepatitis C genotype 4 infection among people without cirrhosis and without scarring.

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Review: Eradicating H. pylori Cuts Incidence of Gastric Cancer

FRIDAY, July 24, 2015 (HealthDay News) -- Eradication of Helicobacter pylori in asymptomatic adults is associated with a reduction in the incidence of gastric cancer, according to a review published online July 22 in The Cochrane Library.

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Expansion of High-Deductible Plans to Impact Physician Care

FRIDAY, July 24, 2015 (HealthDay News) -- As a result of the increasing popularity of high-deductible health care plans, patients now have more financial responsibility for medical services, which is impacting physician practices, according to an article published in Medical Economics.

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Pharmacological Prophylaxis Doesn't Cut VTE in Cirrhosis

THURSDAY, July 23, 2015 (HealthDay News) -- Pharmacological thromboprophylaxis does not reduce the risk of venous thromboembolism (VTE) in patients with cirrhosis, according to a study published in the July issue of the Journal of Thrombosis and Haemostasis.

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Review Highlights Surgical Options for Gallbladder Disease

THURSDAY, July 23, 2015 (HealthDay News) -- In a new review, experts compare the pros and cons of several surgical methods for the management of gallbladder disease. The report was published in the July 23 issue of the New England Journal of Medicine.

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Improved Metabolic Profile After Roux-en-Y Gastric Bypass

THURSDAY, July 23, 2015 (HealthDay News) -- Roux-en-Y gastric bypass (RYGB) is associated with attenuated markers of oxidative stress in subcutaneous adipose tissue, according to a study published recently in Diabetes.

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Autoimmune Risk Up for Relatives of Those With Celiac Disease

MONDAY, July 20, 2015 (HealthDay News) -- First-degree relatives and spouses of those with celiac disease have increased risk for nonceliac autoimmune disease, according to a study published in the July issue of Clinical Gastroenterology and Hepatology.

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Clinicians May Harbor Biases About Sexual Orientation

FRIDAY, July 17, 2015 (HealthDay News) -- Clinicians may be biased when it comes to the sexual orientation of patients, new research suggests. The study was published online July 16 in the American Journal of Public Health.

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U.S. E. coli O157 Outbreaks Mainly Due to Food

FRIDAY, July 17, 2015 (HealthDay News) -- Outbreaks of Shiga toxin-producing bacterium Escherichia coli O157 infection are mainly caused by food, especially beef and leafy vegetables, according to a study published in the August issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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CDC: ACA May Have Boosted Uptake of Preventive Care

FRIDAY, July 17, 2015 (HealthDay News) -- Americans are up to three times more likely to receive preventive care if they have health insurance, federal officials reported Thursday. And people paying for private insurance received the same preventive care as people on Medicaid or Medicare, according to the findings published in the July 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AMA Suggests Ways to Encourage Use of Patient Portals

THURSDAY, July 16, 2015 (HealthDay News) -- Measures can be taken to encourage patients to use patient portals to help ensure practices meet current Stage 2 meaningful use requirements, according to an article published by the American Medical Association (AMA).

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Choosing Wisely: How to Implement in Clinical Practice

THURSDAY, July 16, 2015 (HealthDay News) -- Strategies should be adopted to help with implementation of the Choosing Wisely program, which was designed to address the problem of medical overuse, according to an article published in the July/August issue of Family Practice Management.

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Antibodies to Serum Amyloid P Deplete Amyloid Deposits

THURSDAY, July 16, 2015 (HealthDay News) -- For patients with systemic amyloidosis, treatment with (R)-1-[6-[(R)-2-carboxy-pyrrolidin-1-yl]-6-oxo-hexanoyl]pyrrolidine-2-carboxylic acid (CPHPC) followed by an anti-serum amyloid P component (SAP) efficiently depletes amyloid load in the liver and kidney, according to a study published online July 15 in the New England Journal of Medicine.

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Metoclopramide Nasal Spray Helps Gastroparesis in Women

WEDNESDAY, July 15, 2015 (HealthDay News) -- For women, but not men, with diabetes, metoclopramide nasal spray reduces symptoms of gastroparesis, according to a study published in the July issue of Clinical Gastroenterology and Hepatology.

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Colectomy May Beat Medical Therapy for Ulcerative Colitis

TUESDAY, July 14, 2015 (HealthDay News) -- Colectomy may extend the lives of older adults with ulcerative colitis, new research suggests. The study was published online July 14 in the Annals of Internal Medicine.

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Caution: Increasing Trend of Foraging for Mushrooms

TUESDAY, July 14, 2015 (HealthDay News) -- Mistaking toxic mushrooms for edible ones is common and sometimes deadly, researchers warn in an article published online July 13 in CMAJ, the journal of the Canadian Medical Association.

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Progress in Reporting Conflict of Interest Among IRB Members

TUESDAY, July 14, 2015 (HealthDay News) -- Among institutional review board (IRB) members, there has been positive progress in the reporting and management of conflicts of interest, according to a study published online July 13 in JAMA Internal Medicine.

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Arts Observation Curriculum May Be Beneficial for Medical Students

TUESDAY, July 14, 2015 (HealthDay News) -- Use of an arts observation curriculum can help students learn to observe objectively and articulate their observations, which are important traits for clinical practice, according to an article published online July 3 in Academic Medicine.

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Coronary Artery Disease Ups Risk of Bowel Bleeds With NSAIDs

MONDAY, July 13, 2015 (HealthDay News) -- Patients with coronary artery disease are at higher risk of small bowel bleeding (SBB) when taking nonsteroidal anti-inflammatory drugs (NSAIDs), according to research published online July 6 in the Journal of Digestive Diseases.

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Pockets of U.S. Have Excessive Colorectal Cancer Mortality

WEDNESDAY, July 8, 2015 (HealthDay News) -- People living in 94 counties spread across the lower Mississippi Delta region, in 107 counties in west-central Appalachia, and in 37 counties in eastern Virginia/North Carolina have seen little change in lives lost to colorectal cancer, according to a study published online July 8 in Cancer Epidemiology, Biomarkers & Prevention.

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Non-AIDS In-Hospital Deaths Up in HIV-Infected Patients

WEDNESDAY, July 8, 2015 (HealthDay News) -- Trends in hospital deaths among HIV-infected patients show that mortality during the antiretroviral therapy (ART) era is often caused by diseases and conditions other than AIDS. The findings were published online June 30 in the Journal of Hospital Medicine.

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Court Upholds Medical Liability Damages Cap

TUESDAY, July 7, 2015 (HealthDay News) -- The non-economic damages cap under the Medical Injury Compensation Reform Act (MICRA) has been upheld again in a California court of appeal, according to a report published by the American Medical Association.

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Despite Risk to Patients, Health Providers Often Work While Sick

MONDAY, July 6, 2015 (HealthDay News) -- Many health care professionals work when they are sick, putting their patients at risk for serious illness or even death, according to a study published online July 6 in JAMA Pediatrics.

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CDC: BBQ Grill Brush Wires Can Cause Serious GI Injury

MONDAY, July 6, 2015 (HealthDay News) -- Wire bristles from grill brushes can snap off, land on the grate, and find their way into grilled meats, public health experts warn. If ingested, these bristles can perforate a person's throat and digestive tract, causing potentially life-threatening injuries.

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Mortality Rates Declining for Many Cancers

MONDAY, July 6, 2015 (HealthDay News) -- For many cancers, mortality rates are declining and are expected to meet Healthy People 2020 (HP2020) targets, according to a study published online July 2 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Split-Dose Better Than Day-Before Colonoscopy Prep

MONDAY, July 6, 2015 (HealthDay News) -- Split-dose regimens increase the quality of colon cleansing compared to day-before colonoscopy preparation, according to a review and meta-analysis published in the July issue of Gastroenterology.

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Residents' Knowledge of High-Value Care Varies

WEDNESDAY, July 1, 2015 (HealthDay News) -- U.S. internal medicine (IM) residents report varying knowledge and practice of high-value care (HVC), according to research published online June 16 in Academic Medicine.

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Bariatric Surgery Beats Lifestyle Change for T2DM Remission

WEDNESDAY, July 1, 2015 (HealthDay News) -- Three-year outcomes indicate that bariatric surgery is superior to lifestyle intervention alone for inducing remission of type 2 diabetes mellitus (T2DM) in obese patients, according to research published online July 1 in JAMA Surgery.

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Hep C Infections Underreported in the United States

WEDNESDAY, July 1, 2015 (HealthDay News) -- New cases of hepatitis C are drastically underreported to federal officials, according to a case series and chart review published online June 30 in the Annals of Internal Medicine.

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Meta-Analysis: Gum Chewing Beneficial After Cesarean Delivery

WEDNESDAY, July 1, 2015 (HealthDay News) -- Gum chewing seems to be effective for reducing post-cesarean delivery gastrointestinal (GI) complications, according to a meta-analysis published in the July issue of the Journal of Clinical Nursing.

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Public Opinion Sought on New Licensure for Assistant Physicians

WEDNESDAY, July 1, 2015 (HealthDay News) -- New classification of licensure for assistant physicians has been created, and public opinion is being sought by the Missouri State Board of Registration for the Healing Arts prior to filing these rules with the Secretary of State's Office and the Joint Committee on Administrative Rules.

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