May 2016 Briefing - Gastroenterology

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

Educational Booklet Improves Bowel Preparation for Inpatients

TUESDAY, May 31, 2016 (HealthDay News) -- Providing inpatients with an educational booklet before colonoscopy improves the odds of achieving adequate bowel preparation, according to a study published in the June issue of Clinical Gastroenterology and Hepatology.

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FDA Approves Ocaliva for Primary Biliary Cholangitis

TUESDAY, May 31, 2016 (HealthDay News) -- Ocaliva (obeticholic acid) has been approved by the U.S. Food and Drug Administration to treat primary biliary cholangitis (PBC) in combination with ursodeoxycholic acid (UDCA) in adults with inadequate response to UDCA, or as a single therapy in adults unable to tolerate UDCA.

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AHRQ Communication Toolkit Can Help After Patient Harm Occurs

TUESDAY, May 31, 2016 (HealthDay News) -- A new communication toolkit created by the Agency for Healthcare Research and Quality (AHRQ) can help health care organizations and providers communicate with patients and families when harm occurs to patients.

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PPI Use Ups NSAID-Induced Small Bowel Injury

FRIDAY, May 27, 2016 (HealthDay News) -- Proton pump inhibitors (PPIs) increase the risk of nonsteroidal anti-inflammatory drug-induced small bowel injury, according to a study published in the June issue of Clinical Gastroenterology and Hepatology.

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Remaining Uninsured May Be Difficult to Reach Via ACA

FRIDAY, May 27, 2016 (HealthDay News) -- Uninsurance rates have decreased since the introduction of the Affordable Care Act (ACA), but reaching the remaining uninsured may prove challenging, according to a health policy brief published online May 23 in Health Affairs.

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Recognition of Patient Expertise Can Improve Adherence

FRIDAY, May 27, 2016 (HealthDay News) -- Recognizing the unique role of patients and their expertise within the physician-patient interaction can help to prevent non-adherence based on disagreement, according to an article published online May 18 in the Journal of Evaluation in Clinical Practice.

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Guidelines Issued for Recommending Metabolic Surgery

WEDNESDAY, May 25, 2016 (HealthDay News) -- Weight-loss surgery quickly improves glycemic control in patients with type 2 diabetes, and should be recommended or considered as a treatment for certain obese patients with diabetes, according to a report in the June issue of Diabetes Care.

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Many Advanced Cancer Patients Lack Info About Their Disease

TUESDAY, May 24, 2016 (HealthDay News) -- Many patients with advanced cancer lack basic information about their prognosis or treatment, according to a study published online May 23 in the Journal of Clinical Oncology.

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Overweight Colorectal CA Patients Display Better Survival Odds

FRIDAY, May 20, 2016 (HealthDay News) -- Overweight colorectal cancer (CRC) patients may have better survival than their normal-weight peers, according to research published online May 19 in JAMA Oncology.

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Strategies Can Help Streamline Revenue-Related Processes

THURSDAY, May 19, 2016 (HealthDay News) -- Strategies can be employed to maximize the amount of time available for patient care by streamlining revenue-related processes, according to the American Medical Association (AMA).

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Burnout, Lack of Job Satisfaction Driving Doctors to Cut Hours

WEDNESDAY, May 18, 2016 (HealthDay News) -- Full-time physicians reporting worsening burnout or decreased job satisfaction are more likely to reduce their work hours, according to a study published in the April issue of Mayo Clinic Proceedings.

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Diabetic Ketoacidosis Can Occur Post Bariatric Surgery in T2DM

WEDNESDAY, May 18, 2016 (HealthDay News) -- Diabetic ketoacidosis (DKA) can occur after bariatric surgery in patients with type 2 diabetes, according to a report published online May 10 in Diabetes Care.

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IOM Committee Finds Genetically Engineered Crops Safe

WEDNESDAY, May 18, 2016 (HealthDay News) -- Crops created through genetic engineering are as safe to eat as crops developed through traditional plant-breeding methods, according to the National Academies of Sciences, Engineering, and Medicine.

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Sexual Harassment Experienced by One-Third of Female Doctors

WEDNESDAY, May 18, 2016 (HealthDay News) -- Thirty percent of female physicians face sexual harassment on the job, while close to three-quarters perceive gender bias at work and two-thirds say they have actually experienced it, according to survey findings published in the May 17 issue of the Journal of the American Medical Association.

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Obesity, RYGB Impact Skeletal Muscle Proteome

TUESDAY, May 17, 2016 (HealthDay News) -- Obesity and Roux-en-Y gastric bypass (RYGB) affect the skeletal muscle proteome, with changes in protein abundance in skeletal muscle before and after RYGB surgery, according to a study published online May 10 in Diabetes.

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Novel Index Predicts Survival After Chemo in Pancreatic Cancer

MONDAY, May 16, 2016 (HealthDay News) -- For patients with advanced pancreatic cancer receiving chemotherapy, the systemic inflammation response index (SIRI), based on peripheral neutrophil, monocyte, and lymphocyte counts, can predict survival, according to a study published online May 6 in Cancer.

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Complementary Medicine Use Up With Chronic Conditions

MONDAY, May 16, 2016 (HealthDay News) -- Adults with multiple chronic conditions frequently use complementary and alternative medicine (CAM), according to a study published online May 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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PPI Exposure Accelerates Aging in Lab Endothelial Cells

WEDNESDAY, May 11, 2016 (HealthDay News) -- Esomeprazole accelerates aging of endothelial cells in lab tests, raising red flags about its long-term effect on cardiovascular health, according to research published online May 10 in Circulation Research.

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Survival for HCV Cirrhosis, SVR Same As General Population

TUESDAY, May 10, 2016 (HealthDay News) -- For patients with compensated hepatitis C virus (HCV) cirrhosis, those who achieve sustained virologic response (SVR) on an interferon-based (IFN) regimen have survival comparable to that of the general population, according to research published online April 5 in the Journal of Hepatology.

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Slow Adoption of CO2 Insufflation for Post-Colonoscopy Pain

TUESDAY, May 10, 2016 (HealthDay News) -- Despite evidence for the benefits of carbon dioxide (CO2) insufflation for reducing post-colonoscopy pain, adoption of this innovation has been slow, according to an Ideas and Opinions piece published online May 10 in the Annals of Internal Medicine.

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Cutting Brand-Name Drug Use Could Save U.S. $73 Billion

TUESDAY, May 10, 2016 (HealthDay News) -- Americans could save tens of billions of dollars with more efficient drug use, replacing brand-name drugs with their generic equivalents whenever possible, according to a study published online May 9 in JAMA Internal Medicine.

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Regular Aspirin Use May Protect Against Bile Duct Cancer

MONDAY, May 9, 2016 (HealthDay News) -- Regular aspirin use may lower the risk of bile duct cancer, according to a study published online April 26 in Hepatology.

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Microbiome Linked to Infectious Complications in AML

MONDAY, May 9, 2016 (HealthDay News) -- For patients with acute myelogenous leukemia (AML) undergoing induction chemotherapy (IC), gastrointestinal microbiome composition is associated with infectious complications, according to a study published online May 3 in Cancer.

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CDC Establishes New 'Clean Hands Count' Campaign

MONDAY, May 9, 2016 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has introduced a new campaign, "Clean Hands Count," to encourage health care professionals, patients, and patients' families to keep their hands clean in order to prevent health care-associated infections.

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First Case of Paintball-Linked Liver Injury Described

FRIDAY, May 6, 2016 (HealthDay News) -- A first case of paintball-related blunt liver injury has been described in an article published online April 27 in BMJ Case Reports.

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CDC: Hepatitis C Leads Infectious Disease Mortality in U.S.

THURSDAY, May 5, 2016 (HealthDay News) -- The number of hepatitis C-linked deaths in the United States reached a record high in 2014, and the disease is now the leading cause of infectious disease mortality in the United States, according to a report published in the May 15 issue of Clinical Infectious Diseases.

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Readability of Online Info About Pancreatic Cancer Varies

THURSDAY, May 5, 2016 (HealthDay News) -- The readability and accuracy of online information regarding pancreatic cancer varies, according to a study published online May 4 in JAMA Surgery.

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No Link for Tea, Coffee Intake With Barrett's Esophagus

THURSDAY, May 5, 2016 (HealthDay News) -- After adjustment for confounding variables there is no correlation between the risk of Barrett's esophagus (BE) and tea or coffee consumption, according to a study published in the May issue of Clinical Gastroenterology and Hepatology.

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Ozanimod Shows Promise for Ulcerative Colitis Remission

WEDNESDAY, May 4, 2016 (HealthDay News) -- A daily dose of ozanimod (1 mg) shows potentially positive results for clinical remission of ulcerative colitis, compared to placebo, according to a preliminary study published in the May 5 issue of the New England Journal of Medicine.

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Physician Leadership Training May Help Counteract Burnout

WEDNESDAY, May 4, 2016 (HealthDay News) -- Physician leaders with good leadership qualities are more likely to have employees who are satisfied and do not show signs of burnout, according to a study published in the April issue of the Mayo Clinic Proceedings and a report published by the American Medical Association.

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Laparoscopic Antireflux Sx May Provide Added Benefits in GERD

WEDNESDAY, May 4, 2016 (HealthDay News) -- Laparoscopic antireflux surgery (LARS) and esomeprazole are both beneficial for patients with chronic gastroesophageal reflux disease (GERD), but surgery may have an edge, according to research published in the May issue of Clinical Gastroenterology and Hepatology.

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Price Transparency Tool Doesn't Cut Health Care Spending

WEDNESDAY, May 4, 2016 (HealthDay News) -- Employee use of a price transparency tool does not cut health care spending, according to a study published in the May 3 issue of the Journal of the American Medical Association.

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Additional Treatments Offer Little Benefit for Pancreatic Cancer

WEDNESDAY, May 4, 2016 (HealthDay News) -- Additional treatments for locally advanced pancreatic cancer don't appear to improve survival, according to a study published in the May 3 issue of the Journal of the American Medical Association.

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USPSTF: Evidence Lacking for Celiac Disease Screening

TUESDAY, May 3, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to weigh the potential benefits and harms of screening for celiac disease in asymptomatic individuals. These findings form the basis of a draft recommendation statement published online May 3 by the USPSTF.

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Adding Antiviral to Sorafenib Is Cost-Effective in HCC

TUESDAY, May 3, 2016 (HealthDay News) -- The addition of antiviral therapy to sorafenib is a cost-effective option compared with sorafenib monotherapy in patients with advanced hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC) in China, according to a study published online April 27 in the Journal of Gastroenterology and Hepatology.

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Lasting Safety, Efficacy for Magnetic Device in GERD

TUESDAY, May 3, 2016 (HealthDay News) -- For patients with gastroesophageal reflux disease (GERD), a magnetic device is safe and effective for augmenting lower esophageal sphincter function over a five-year follow-up period, according to a study published in the May issue of Clinical Gastroenterology and Hepatology.

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Report: Why Health Care Costs Are Lower in Europe Than U.S.

TUESDAY, May 3, 2016 (HealthDay News) -- European residents have access to the same health care services as U.S. residents but pay much less, and this is related to several specific factors, according to a report published by INDIGOMED on April 25.

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2017 May Offer Fewer Choices for Affordable Care Act Enrollees

MONDAY, May 2, 2016 (HealthDay News) -- With the nation's largest health insurer exiting all but a few Affordable Care Act exchanges next year, some Americans may be left with fewer choices and some might see higher monthly premiums.

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Exenatide Reduces Liver Fat in Type 2 Diabetes With Obesity

MONDAY, May 2, 2016 (HealthDay News) -- For patients with obesity and type 2 diabetes, exenatide reduces epicardial adipose tissue (EAT) and liver fat content, according to a study published online April 23 in Diabetes, Obesity and Metabolism.

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