July 2016 Briefing - Gastroenterology

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

Biological Changes Real for Non-Celiac Wheat Sensitivity

FRIDAY, July 29, 2016 (HealthDay News) -- There are clear biological changes in patients presenting with non-celiac wheat sensitivity, according to research published online July 25 in Gut.

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Esophageal Cancer Risk Raised by Alcohol Intake, Obesity

FRIDAY, July 29, 2016 (HealthDay News) -- New research suggests that in the United States, a third of esophageal cancer cases -- about 5,600 per year -- could be prevented if people maintained a healthy weight and didn't drink.

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American Red Cross Says Blood Donations Needed Urgently

TUESDAY, July 26, 2016 (HealthDay News) -- The American Red Cross says it has an urgent need for blood donations, with less than a five-day supply of blood on hand to help those who need it.

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Medical Students Often Track Progress of Former Patients

TUESDAY, July 26, 2016 (HealthDay News) -- Many U.S. medical students use electronic health records to track the progress of their former patients and confirm the accuracy of their diagnoses, according to research letter published online July 25 in JAMA Internal Medicine.

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Recent Increases in Rate of Hep C Detection in Young Women

TUESDAY, July 26, 2016 (HealthDay News) -- From 2011 to 2014 there were increases in the rate of hepatitis C virus (HCV) detection among women of childbearing age, according to research published in the July 25 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Total Drug Expenditures Projected to Increase in 2016

MONDAY, July 25, 2016 (HealthDay News) -- Total drug expenditures are expected to increase by 11 to 13 percent in 2016, according to a study published online in the American Journal of Health-System Pharmacy.

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Review: Adverse Event Rate 8.8 Percent With RFA in Barrett's

MONDAY, July 25, 2016 (HealthDay News) -- For patients with Barrett's esophagus with dysplasia, the pooled rate of all adverse events from radiofrequency ablation (RFA) with or without endoscopic mucosal resection (EMR) is 8.8 percent, with increased risk for RFA with versus without EMR, according to a review published in the August issue of Clinical Gastroenterology and Hepatology.

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'Walking Meetings' Feasible Strategy for Employee Wellness

MONDAY, July 25, 2016 (HealthDay News) -- Converting a single weekly meeting to a walking meeting can help raise work-related physical activity levels of white-collar workers, according to a report published online June 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Low-FODMAP Bread May Reduce Symptoms of IBS

FRIDAY, July 22, 2016 (HealthDay News) -- Rye bread low in fermentable oligo-, di-, monosaccharides and polyols (FODMAPs) can help control symptoms of irritable bowel syndrome (IBS), according to a study published online July 15 in Alimentary Pharmacology and Therapeutics.

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Shared Drug Snorting Straws May Transmit Hepatitis C Virus

FRIDAY, July 22, 2016 (HealthDay News) -- Sharing snorting straws for noninjection drug use may be a source for hepatitis C virus (HCV) transmission, according to research published in the August issue of Obstetrics & Gynecology.

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Intake of Marine ω-3 PUFAs Tied to Colorectal Cancer Survival

FRIDAY, July 22, 2016 (HealthDay News) -- Colorectal cancer (CRC) patients who consume higher amounts of omega-3 polyunsaturated fatty acids (PUFAs), mainly from oily fish, may have better odds of survival, according to a study published online July 19 in Gut.

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Health Expenditures Rising for Middle Class, Wealthy

THURSDAY, July 21, 2016 (HealthDay News) -- While overall U.S. medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans, according to research published in the July issue of Health Affairs.

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Medicare Spending Up for Decedents Versus Survivors

WEDNESDAY, July 20, 2016 (HealthDay News) -- Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year, according to a report published by the Kaiser Family Foundation.

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Labor Compensation, Purchased Goods, Service Biggest Spends

TUESDAY, July 19, 2016 (HealthDay News) -- Labor compensation remains the single largest contributor to costs among physicians' offices, hospitals, and outpatient care centers, according to a report published in the July issue of Health Affairs.

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Burnout Can Have Acute Personal, Professional Consequences

MONDAY, July 18, 2016 (HealthDay News) -- Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.

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Biologic Response Modifier Use in Kids Ups Infectious Complications

MONDAY, July 18, 2016 (HealthDay News) -- For pediatric patients, the use of biologic response modifiers (BRMs) is associated with increased risk of infectious complications, according to a clinical report published online July 18 in Pediatrics.

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Cancer Patients, Oncologists Have Discordant Opinions on Prognosis

FRIDAY, July 15, 2016 (HealthDay News) -- Cancer patients and their oncologists often hold different opinions about the patient's chances for survival and how long they might live, according to a study published online July 14 in JAMA Oncology.

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Growth in U.S. Health Spending Set to Average 5.8 Percent

FRIDAY, July 15, 2016 (HealthDay News) -- Growth in U.S. health spending is expected to average 5.8 percent for 2015 to 2025, according to a study published in the July issue of Health Affairs.

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Pre-Op Patterns Can Predict Post-Cardiac Surgery Constipation

FRIDAY, July 15, 2016 (HealthDay News) -- For patients undergoing cardiac surgery, preoperative constipation patterns are associated with postoperative constipation patterns, according to a study published online July 12 in the Journal of Clinical Nursing.

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Supreme Court Ruling Could Impact Med School Admissions

THURSDAY, July 14, 2016 (HealthDay News) -- The U.S. Supreme Court's ruling upholding the University of Texas at Austin's consideration of race and ethnicity in college admissions has implications for medical schools, according to the American Medical Association (AMA).

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Metamizole Could Be Alternative to Classical NSAIDs

THURSDAY, July 14, 2016 (HealthDay News) -- Metamizole seems to be safer than other nonsteroidal anti-inflammatory drugs (NSAIDs) and causes fewer gastric and duodenal ulcers in postoperative pain management, according to a review published online June 27 in Pain Practice.

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Differences in Salary for Male, Female Faculty Physicians

WEDNESDAY, July 13, 2016 (HealthDay News) -- For physicians with faculty appointments at 24 U.S. public medical schools there are significant salary differences between men and women, even after adjustment for confounding variables, according to a study published online July 11 in JAMA Internal Medicine.

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Antibiotic Exposure Linked to Increased Odds of Child Obesity

WEDNESDAY, July 13, 2016 (HealthDay News) -- Antibiotic exposure is associated with increased odds of obesity among young children, according to a study published in the July issue of Gastroenterology.

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Appendicitis Should Be Considered Among Elderly

WEDNESDAY, July 13, 2016 (HealthDay News) -- Appendicitis should be considered for older adults presenting with abdominal pain or nonspecific symptoms, according to a letter to the editor published in the June issue of the Journal of the American Geriatrics Society.

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Follow-Up of Colorectal CA Screens Lacking in Older Patients

WEDNESDAY, July 13, 2016 (HealthDay News) -- A considerable proportion of older patients are not up-to-date with colorectal cancer screening and do not receive timely follow-up of abnormal fecal blood tests, according to a study published online June 22 in the American Journal of Preventive Medicine.

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Recommendations Updated for H. pylori Treatment in Adults

TUESDAY, July 12, 2016 (HealthDay News) -- Recommendations have been updated for treatment of Helicobacter pylori in adults, according to a consensus statement published in the July issue of Gastroenterology.

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Second, Unrelated Malignancies Strike 1 in 12 Cancer Patients

FRIDAY, July 8, 2016 (HealthDay News) -- A new study indicates that 8 percent of patients -- or one in 12 -- already diagnosed with one form of cancer will develop a second unrelated malignancy. The findings were published online July 5 in Cancer.

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VA Appealing to Physicians to Join Agency

FRIDAY, July 6, 2016 (HealthDay News) -- The U.S. Department of Veterans Affairs (VA) is appealing to physicians to join the agency as part of its recovery from a 2014 scandal linked to excessive wait times, according to a report published by the American Medical Association.

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Reduced Microbiome Diversity in Myalgic Encephalopathy/CFS

FRIDAY, July 8, 2016 (HealthDay News) -- Patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) have reduced diversity and altered composition of the gut microbiome, according to a study published online June 23 in Microbiome.

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Medical Marijuana Laws Affect Medicare Part D Spending

FRIDAY, July 8, 2016 (HealthDay News) -- Legalization of medical marijuana and its associated availability have affected prescribing patterns and spending in Medicare Part D, according to a study published online July 6 in Health Affairs.

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Circulating Tumor DNA May Help Predict Colon CA Recurrence

FRIDAY, July 8, 2016 (HealthDay News) -- Detection of circulating tumor DNA (ctDNA) after resection of stage II colon cancer may identify patients at increased risk of recurrence, according to a study published July 6 in Science Translational Medicine.

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Lab-Established Diagnosis Key for Persistent Diarrhea

THURSDAY, July 7, 2016 (HealthDay News) -- Persistent diarrhea is typically caused by parasites or bacteria and requires accurate diagnosis in order to determine appropriate treatment, according to a review published online June 28 in the Journal of the American Medical Association.

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Relamorelin Beneficial in Adults With Diabetic Gastroparesis

THURSDAY, July 7, 2016 (HealthDay News) -- For adults with diabetic gastroparesis, relamorelin reduces vomiting frequency and severity and accelerates gastric emptying, according to a study published in the July issue of Gastroenterology.

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Risk of Noncervical Anogenital Cancer Up With History of CIN2/3

WEDNESDAY, July 6, 2016 (HealthDay News) -- Women with a history of cervical intraepithelial neoplasia (CIN)2 or CIN3 have increased risks of subsequent development of anal, vulvar, and vaginal cancers, according to a study published online June 29 in Cancer Epidemiology, Biomarkers & Prevention.

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Many Clinical Trials Are Not Listed in Data-Sharing Repository

WEDNESDAY, July 6, 2016 (HealthDay News) -- Only about half of trials registered at ClinicalTrials.gov are listed in the largest data-sharing repository, according to a research letter published online June 28 in the Journal of the American Medical Association.

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Knowledge of CT Risks Varies Among Health Care Providers

FRIDAY, July 1, 2016 (HealthDay News) -- Radiologists and technologists have better knowledge about the risks associated with medical imaging examinations than referring physicians, according to a study published online June 22 in the Journal of Medical Imaging and Radiation Sciences.

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U.S. Cancer Survivors Aging, Battling Other Chronic Disease

FRIDAY, July 1, 2016 (HealthDay News) -- In 2016, nearly 62 percent of almost 16 million cancer survivors are aged 65 or older; and, by 2040, an estimated 73 percent of 26 million cancer survivors will be 65 or older, according to a report published in the July 1 issue of Cancer Epidemiology, Biomarkers & Prevention.

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Extended-Spectrum Antibiotics No Benefit for Pediatric Appendicitis

FRIDAY, July 1, 2016 (HealthDay News) -- For children diagnosed with appendicitis undergoing appendectomy, extended-spectrum antibiotics seem to offer no advantage over narrower-spectrum agents, according to a study published online June 28 in Pediatrics.

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