Gastroenterology & Endoscopy News

Gastroenterology & Endoscopy News No. 1–rated independent monthly newspaper providing news and information for 18,000+ gastroenterologists, colorectal surgeons, hepatologists, PAs and NPs.

Shortages of analgesics, antiemetics, antibiotics—the list goes on.But what happens when you're short on parenteral nu...
07/19/2019
PN Shortages Make for an Unhealthy Diet

Shortages of analgesics, antiemetics, antibiotics—the list goes on.

But what happens when you're short on parenteral nutrition? Researchers from The Ohio State University found it probably means inadequate nutrition for patients.
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#nutrition #parenteralnutrition #IV #shortages #drugshortages #gastroenterology #GI #gut #health #healthcare #medicine #doctors #patients #healthyliving #wellness

Phoenix—Nutrition shortages are not only a headache for health care organizations; the resultant rationing also may put patients’ health at risk, according to research presented at the American Society for Parenteral and Enteral Nutrition (ASPEN) 2019 Nutrition Science and Practice Confe...

How do you handle screening reflux patients for Barrett’s esophagus? Or biopsies for Helicobacter pylori infection for...
07/19/2019
On the Spot: Upper GI Endoscopy

How do you handle screening reflux patients for Barrett’s esophagus? Or biopsies for Helicobacter pylori infection for any patient with gastritis?

Our experts from a variety of institutions talk Upper GI Endoscopy in this newest edition of On the Spot.
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#upperGI #endoscopy #helicobacterpylori #hpylori #barrettsesophagus #barretts #GERD #acidreflux #dysphagia #biopsies #cancer #gastroenterology #GI #gut #health #healthcare #medicine #wellness #healthyliving #doctors #patients

This month’s On the Spot owes a special debt to Prateek Sharma, MD, a professor of medicine at the University of Kansas Medical Center, who said there were enough issues in the area of upper GI endoscopy (UGI) to warrant a feature—and we agree!

Can you tell the difference between pancreatic cystic lesions?Our experts from the Ichan School of Medicine at Mount Sin...
07/18/2019
Pancreatic Cystic Lesions: Diagnosis, Evaluation, and Management

Can you tell the difference between pancreatic cystic lesions?

Our experts from the Ichan School of Medicine at Mount Sinai discuss the different types.
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#pancreas #pancreaticcancer #cancer #diagnosis #treatment #gastroenterology #GI #gut #health #healthcare #medicine #doctors #patients #healthyliving #wellness

Pancreatic cystic lesions (PCLs) are increasingly encountered incidentally due to the widespread use of abdominal cross-sectional imaging.

How do you improve hep C care for patients who are also IV drug users?Our experts from the Austin Hepatitis Center go th...
07/18/2019
Improving Hepatitis C Care Cascade In IV Drug Users

How do you improve hep C care for patients who are also IV drug users?

Our experts from the Austin Hepatitis Center go through strategies and challenges for care in this population.
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#hepatitis #hepC #hepatitisC #virus #viralinfection #liver #infectiousdisease #opioidcrisis #opioids #substanceabusedisorder #druguse #gastroenterology #hepatology #GI #gut #health #healthcare #medicine #healthyliving #wellness #doctors #patients

Many people who are infected with the hepatitis C virus (HCV) remain undiagnosed and untreated. Although those born between 1946 and 1964 represent most of the population with chronic HCV infection, persons who inject drugs (PWID) now make up the largest population of new cases of the disease.

#ICYMI: Entyvio was nearly 50% more effective than Humira in inducing clinical and mucosal remission in patients with mo...
07/17/2019
Tea Leaves No More: Biologics Head-to-Head Produces a Winner

#ICYMI: Entyvio was nearly 50% more effective than Humira in inducing clinical and mucosal remission in patients with moderate to severe ulcerative colitis.
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#vedolizumab #adalimumab #entyvio #humira #ulcerativecolitis #UC #IBD #inflammatoryboweldisease #gastroenterology #GI #gut #health #healthcare #medicine #wellness #healthyliving #doctors #patients

In the first head-to-head trial of biologic treatments for inflammatory bowel disease, vedolizumab (Entyvio, Takeda) was nearly 50% more effective than adalimumab (Humira, AbbVie) in inducing clinical and mucosal remission in patients with moderate to severe ulcerative colitis.

#ICYMI: There's not always objective evidence of active disease when doctors raise anti-TNF agents for inflammatory bowe...
07/17/2019
Dose Hikes of Anti-TNFs More Common Than Justified

#ICYMI: There's not always objective evidence of active disease when doctors raise anti-TNF agents for inflammatory bowel disease, according to a new study.
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#inflammatoryboweldisease #IBD #humira #enbrel #antiTNF #biologics #biosimilars #gastroenterology #GI #gut #health #healthcare #medicine #doctors #patients #healthyliving #wellness

Banff, Alberta—Clinicians routinely raise doses of anti–tumor necrosis factor-alpha (anti-TNF) agents for their patients with inflammatory bowel disease, but usually without objective evidence of active disease, new research has found.

Low risk = low surveillance, according to a new study presented at Digestive Disease Week® (DDW®).“The findings sugg...
07/16/2019
Evidence Mounts Against Extended Surveillance for Low-Risk Adenomas

Low risk = low surveillance, according to a new study presented at Digestive Disease Week® (DDW®).

“The findings suggest that for patients with high-risk adenomas early surveillance is needed, and they give assurance that less intensive surveillance—more than five years—or simply rescreening at 10 years is acceptable to patients with low-risk adenomas,” said Jeffrey Lee, MD, MPH, of Kaiser Permanente Thrive.
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#colorectalcancer #cancer #colonoscopy #gastroenterology #GI #gut #health #healthcare #DDW19 #medicine #doctors #patients #healthyliving #wellness

San Diego—People found during screening colonoscopy to have low-risk adenomas do not have a higher risk for subsequent colorectal cancer and death than those without adenomas, according to a new study.

Who would have thought? Researchers from Johns Hopkins Medicine found that bariatric surgery patients who crave salty fo...
07/16/2019
Salt Craving May Predict Weight Regain After Bariatric Surgery

Who would have thought? Researchers from Johns Hopkins Medicine found that bariatric surgery patients who crave salty foods gained more weight back after their procedures.
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#bariatricsurgery #food #obesity #overweight #weightloss #healthyliving #wellness #salt #gastroenterology #surgery #GI #gut #health #healthcare #medicine #doctors #patients

Bariatric surgery patients who crave salty foods before their operations may be more likely to regain weight within two years than patients without specific food preferences, according to researchers at the Johns Hopkins University School of Medicine in Baltimore.

Do you know how to manage infectious diarrhea? When is it acute, and when is it persistent?Experts discussed it at Canad...
07/15/2019
Managing Infectious Diarrhea Doesn’t Have to Be a Mess

Do you know how to manage infectious diarrhea? When is it acute, and when is it persistent?

Experts discussed it at Canadian Digestive Diseases Week (CDDW).
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#CDDW19 #diarrhea #gastroenterology #GI #gut #health #healthcare #medicine #doctors #patients #healthyliving #wellness #infectiousdisease

Banff, Alberta—Diagnosing and treating infectious diarrhea may not always be straightforward, but knowledge of current guidelines will help gastroenterologists optimize care for their patients.

It's lurking in your swimming pools. And it's on the rise.Learn more about #Crypto outbreaks from CDC facts....#Cryptosp...
07/15/2019
Hot Times in the Summer: Crypto Outbreaks Increasing

It's lurking in your swimming pools.
And it's on the rise.

Learn more about #Crypto outbreaks from CDC facts.
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#Cryptosporidium #parasite #diarrhea #swimmingpools #summer #infection #infectiousdisease #gastroenterology #GI #gut #health #healthcare #medicine #wellness #doctors #patients #healthyliving

Cryptosporidium is a parasite, frequently found in swimming pools. The CDC said illnesses from the organism are increasing.

Do you know how to deal with abdominal compartment syndrome in acute pancreatitis? Dejan Radenkovic, MD, PhD of the Univ...
07/14/2019
Report From DDW: Managing Abdominal Compartment Syndrome

Do you know how to deal with abdominal compartment syndrome in acute pancreatitis?

Dejan Radenkovic, MD, PhD of the University of Belgrade, Serbia, told us about his work in the subject at Digestive Disease Week® (DDW®).
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#DDW19 #pancreatitis #pancreas #gastroenterology #GI #gut #health #healthcare #medicine #video #doctors #patients #healthyliving #wellness

Dejan Radenkovic, MD, PhD, from the University of Belgrade, in Serbia, discusses the management of abdominal compartment syndrome in patients with acute pancreatitis at DDW 2019.

How do you mark the quality of your upper GI endoscopies?One study proposes a new measure, the biopsy rate....#endoscopy...
07/14/2019
Biopsy Rate a Quality Signal In Upper GI Endoscopy

How do you mark the quality of your upper GI endoscopies?

One study proposes a new measure, the biopsy rate.
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#endoscopy #upperGIendoscopy #gastroenterology #GI #gut #health #healthcare #medicine #doctors #patients #cancer #diagnosis #biopsy

Upper gastrointestinal endoscopy is a field that currently lacks validated quality markers, but a new study proposes that the rate at which an operator takes biopsies could serve as one such measure.

85% of endoscope repairs are avoidable, according to experts.Learn how to best take care of your endoscopy equipment.......
07/13/2019
Avoiding the Broken Endoscope Blues

85% of endoscope repairs are avoidable, according to experts.

Learn how to best take care of your endoscopy equipment.
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#endoscopy #medicalequipment #endoscope #gastroenterology #GI #gut #health #healthcare #medicine #doctors #patients

A broken endoscope is more than just an equipment failure. It can delay treatment for patients and create unhappy staff who lack appropriate tools and must work late, increasing overtime costs and decreasing revenue due to canceled procedures.

What's it like to be the first GI doc EVER in your town in 2019?David Gutman, MD, FACG, now of Carthage Area Hospital ta...
07/13/2019
Q&A: So You’re the First GI Specialist Town ... Ever

What's it like to be the first GI doc EVER in your town in 2019?

David Gutman, MD, FACG, now of Carthage Area Hospital talked to GastroEndoNews about his experiences so far, moving from the sprawl of NYC to the rural North Country of New York, where many of his new patients come from the local military base.
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#ruraldoctors #rural #countrydoctor #military #FortDrum #NorthCountryNY #UpstateNY #NY #medicine #gastroenterology #GI #gut #health #healthcare #doctors #patients #wellness #healthyliving

David Gutman, MD, spoke to Gastroenterology & Endoscopy News about his experiences, including some surprises in patient profiles and workplace technology, for this new series exploring clinician life across the country.

How do you get more women GI fellows? Have women in leadership.If either the director or associate director of a fellows...
07/12/2019
Correcting Gender Disparity in GI Demands More Female Leaders

How do you get more women GI fellows?

Have women in leadership.

If either the director or associate director of a fellowship program is a woman, the proportion of women substantially exceeds men (4.26 vs. 3.36; P=0.041). If any department leader, including the chairman or division chief, is a woman, the difference is even greater (4.04 vs. 2.87; P=0.007).
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#women #womeninscience #womeninstem #genderequality #genderdisparity #gastroenterology #gender #GI #gut #health #healthcare #medicine #doctors #patients

San Diego—The relatively low rates of female doctors specializing in gastroenterology are well documented, but new data point to a solution: Place more women in leadership roles.

Bariatric surgery is just one option to treat obesity.Our expert Elena A. Ivanina, DO, MPH of Lenox Hill Hospital discus...
07/12/2019
Endobariatrics: Filling the Gap for Nonsurgical Candidates

Bariatric surgery is just one option to treat obesity.

Our expert Elena A. Ivanina, DO, MPH of Lenox Hill Hospital discusses endobariatric procedures—solutions for patients that may not be fit for surgery.
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#bariatric #surgery #endoscopy #endobariatrics #obesity #weight #healthyliving #wellness #patients #doctors #gastroenterology #GI #gut #health #healthcare

Nearly 40% of American adults are obese. Although bariatric surgery has been a mainstay in the treatment of obesity in patients with a body mass index (BMI) of 40 kg/m2 or greater without comorbid illness or 35.0 to 39.9 kg/m2 with at least one obesity-related comorbidity, there has been a treatment...

Did you know that lack of diversity can be dangerous for patients?Read more about why #DiversityInGI matters from our ex...
07/11/2019
#DiversityInGI: A Movement Beyond Hashtags, Tweets and Posts to More Inclusivity

Did you know that lack of diversity can be dangerous for patients?

Read more about why #DiversityInGI matters from our experts from NYU Langone Health and The Ohio State University.

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#diversity #gastroenterology #GI #gut #health #healthcare #medicine #wellness #healthyliving #doctors #patients #socialmedia #Twitter #Facebook

“Diversity” and “inclusion” are terms that have become omnipresent in our workplaces and social and professional organizations that some may dismiss them as mere buzzwords, whereas others associate them with superficial exercises in number counting and quotas.

Clinicians routinely raise doses of anti–tumor necrosis factor-alpha (anti-TNF) agents for their patients with inflamm...
07/11/2019
Dose Hikes of Anti-TNFs More Common Than Justified

Clinicians routinely raise doses of anti–tumor necrosis factor-alpha (anti-TNF) agents for their patients with inflammatory bowel disease.

But this is sometimes without objective evidence of active disease, new research has found.

Investigators found that among the 269 dose augmentations they assessed, objective evidence of inflammation was present in only 69 (25.7%).

“We’re seeing a fairly high incidence of patients requiring anti-TNF dose augmentation for inflammatory bowel disease,” said Evan Elias, MD, of the University of Manitoba in Canada.

“Nevertheless, it’s quite difficult to determine clinically whether these patients’ symptoms are from ongoing inflammation or driven by something that may not be the result of active inflammatory burden. It’s certainly not an ideal situation from a patient treatment standpoint, where you want to make sure you’re addressing the appropriate disease process.”

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#inflammatoryboweldisease #IBD #crohns #ulcerativecolitis #antitumornecrosisfactor #antiTNF #medication #medicine #gastroenterology #GI #gut #health #healthcare #healthyliving #wellness

Banff, Alberta—Clinicians routinely raise doses of anti–tumor necrosis factor-alpha (anti-TNF) agents for their patients with inflammatory bowel disease, but usually without objective evidence of active disease, new research has found.

PPIs don't cause a slew of adverse effects that were previously questioned, according to a new randomized trial of more ...
07/10/2019
Large Randomized Trial Supports Safety of PPIs

PPIs don't cause a slew of adverse effects that were previously questioned, according to a new randomized trial of more than 17,000 patients.

One of the most comprehensive studies to date on the potential harms of proton pump inhibitors for gastric reflux has found no link between the drugs and a host of potential adverse events, ranging from fractures to dementia.

Previous analyses tended to be association studies with the disclaimer that prospective, randomized data are needed to confirm their findings.

Use of PPIs was not associated with any of the events so far described “with the possible exception of enteric infection,” reported Paul Moayyedi, MD, PhD, of McMaster University in Canada.

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#PPIs #protonpumpinhibitors #medication #pharma #clinicaltrial #drugs #GERD #gastroenterology #GI #gut #health #healthcare #medicine #doctors #patients #healthyliving #wellness

San Diego—One of the most comprehensive studies to date on the potential harms of proton pump inhibitors for gastric reflux has found no link between the drugs and a host of potential adverse events, ranging from fractures to dementia.

Adults with cystic fibrosis: -have a threefold increased risk for Barrett’s esophagus or related neoplasia  -develop i...
07/10/2019
Cystic Fibrosis Associated With Increased Risk for Barrett’s Esophagus

Adults with cystic fibrosis:

-have a threefold increased risk for Barrett’s esophagus or related neoplasia

-develop it at younger ages than the general population

Given these findings in a new matched cohort study, screening for Barrett’s esophagus (BE) may be warranted in selected patients with cystic fibrosis, especially those who have undergone solid organ transplantation.

“Because cystic fibrosis is associated with a significant risk of colon cancer, new guidelines have been put in place recommending that these patients have a screening colonoscopy at an earlier age than the general population,” said Rita M. Knotts, MD, MS, of NYU Langone Health.

“Based on these results, it might also make sense to add an upper endoscopy in patients with chronic GERD, which is a majority of cystic fibrosis patients on proton pump inhibitors.”

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#cysticfibrosis #barrettsesophagus #barretts #GERD #gastroenterology #GI #gut #health #healthcare #wellness #healthyliving #medicine #doctors #patients

Adults with cystic fibrosis have a threefold increased risk for Barrett’s esophagus or related neoplasia and develop it at younger ages than the general population, according to a matched cohort study.

Even in the GI world, sometimes necessity gives birth to innovation.With few effective options, researchers in the UK an...
07/09/2019
Studies Confirm Efficacy of Topical Tacrolimus For Refractory Proctitis

Even in the GI world, sometimes necessity gives birth to innovation.

With few effective options, researchers in the UK and Australia acted on a small body of evidence indicating topical tacrolimus may be effective and safe for the treatment of refractory proctitis in people with inflammatory bowel disease.

However, a lack of approved tacrolimus suppositories or enemas meant they had to mix their own formulations.

Their approach worked: Nearly 80% of patients showed signs of improvement in their IBD on endoscopy.

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#inflammatoryboweldisease #IBD #crohnsdisease #crohns #ulcerativecolitis #endoscopy #gastroenterology #GI #gut #health #healthcare #medicine #healthyliving #wellness #doctors #patients

When it comes to treatment of refractory proctitis in people with inflammatory bowel disease, necessity gives birth to innovation.

Outbreaks of Cryptosporidium—frequently linked to pools or water playgrounds—in the United States increased an avera...
07/09/2019
Hot Times in the Summer: Crypto Outbreaks Increasing

Outbreaks of Cryptosporidium—frequently linked to pools or water playgrounds—in the United States increased an average 13% each year from 2009 to 2017.

“Young children can get seriously sick and easily spread Crypto. They don’t know how to use the toilet and wash their hands, or are just learning how.

"But we as parents can take steps to help keep our kids healthy in the water, around animals and in child care,” said Michele Hlavsa, RN, MPH, the chief of the CDC's Healthy Swimming Program.

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#cryptosporidium #crypto #swimming #water #summer #infectiousdisease #gastroenterology #GI #gut #health #healthcare #medicine #doctors #patients #healthyliving #wellness

Cryptosporidium is a parasite, frequently found in swimming pools. The CDC said illnesses from the organism are increasing.

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