Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for June 2012. 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.
Vegetable Consumption Lowers Risk of Acute Pancreatitis
FRIDAY, June 29 (HealthDay News) -- Vegetable consumption significantly reduces the risk of non-gallstone-related acute pancreatitis, according to a study published online June 27 in Gut.
Fluticasone Improves Histologic Eosinophilia in Esophagitis
FRIDAY, June 29 (HealthDay News) -- Swallowing aerosolized fluticasone improves histologic eosinophilia but does not improve dysphagia symptoms in adults with eosinophilic esophagitis (EoE), according to a study published online in the July issue of Clinical Gastroenterology and Hepatology.
Aspirin Use Linked to Reduced Risk of Barrett's Esophagus
THURSDAY, June 28 (HealthDay News) -- Current aspirin users have a significantly reduced risk of being diagnosed with Barrett's esophagus (BE) on first endoscopy compared with nonusers, according to a study published in the July issue of Clinical Gastroenterology and Hepatology.
Supreme Court Upholds Health Care Reform Law
THURSDAY, June 28 (HealthDay News) -- The U.S. Supreme Court voted June 28 to uphold the constitutionality of the Patient Protection and Affordable Care Act (PPACA), which has been the subject of debate and multiple lawsuits since its 2010 inception.
Duplicate Payments by Federal Government Increasing
WEDNESDAY, June 27 (HealthDay News) -- The federal government spends a substantial and increasing amount on individuals who are dually enrolled in separate managed care programs (the Veterans Affairs health care system [VA] and Medicare Advantage plan [MA]), according to a study published online June 26 in the Journal of the American Medical Association to coincide with presentation at the Annual Research Meeting of AcademyHealth, held from June 24 to 26 in Orlando, Fla.
Use of Electronic Records Tied to Fewer Malpractice Claims
TUESDAY, June 26 (HealthDay News) -- Use of electronic health records (EHRs) is associated with fewer medical malpractice claims among physicians from multiple surgical and medical specialties, according to a research letter published online June 25 in the Archives of Internal Medicine.
Olmesartan May Be Linked to Spruelike Enteropathy
TUESDAY, June 26 (HealthDay News) -- Patients treated with olmesartan may develop a severe form of spruelike enteropathy, which improves after suspension of the drug, according to research published online June 25 in the Mayo Clinic Proceedings.
Early Vaccinations Not Linked to Celiac Disease in Sweden
MONDAY, June 25 (HealthDay News) -- Early vaccinations do not seem to influence the risk of celiac disease (CD) among infants, nor do changes in the vaccination program explain the CD epidemic, according to a Swedish study published online June 25 in Pediatrics.
Reduced Efficacy for CRC Screenings Done by Non-GI Docs
FRIDAY, June 22 (HealthDay News) -- Having interval colorectal cancer (CRC) colonoscopy screenings performed by nongastroenterologists compared with gastroenterologists (GIs) results in a noticeable reduction in the long-term CRC prevention rate, according to research published online June 15 in Cancer.
Half of Residents Report Working While Sick
THURSDAY, June 21 (HealthDay News) -- About half of residents have worked while sick, with many reporting feeling obligated to colleagues and patients, according to a research letter published online June 18 in the Archives of Internal Medicine.
Laparoscopic Safer Than Open Surgery for Gastric Bypass
THURSDAY, June 21 (HealthDay News) -- Laparoscopic Roux-en-Y gastric bypass (LRYGB) is safer than open Roux-en-Y gastric bypass (ORYGB), even after adjusting for patient-level variables, according to research published in the June issue of the Archives of Surgery.
Research Suggests Flavocoxid Causes Acute Liver Injury
TUESDAY, June 19 (HealthDay News) -- Flavocoxid, a proprietary prescription medical food used to treat osteoarthritis, appears to cause acute liver injury within months of initiating use, according to research published in the June 19 issue of the Annals of Internal Medicine.
Pregnancy Deemed Feasible After Liver Transplant
THURSDAY, June 14 (HealthDay News) -- For liver transplant (LT) recipients, pregnancy is feasible, but the rates of obstetric complications, including preeclampsia, cesarean section delivery, and preterm delivery, are higher than in the general population, according to a study published in the June issue of Liver Transplantation.
Fecal Incontinence Costs ~$4,000 Per Patient Annually
WEDNESDAY, June 13 (HealthDay News) -- Direct medical and nonmedical costs, plus indirect costs, including loss of productivity, for the treatment of fecal incontinence average $4,110 per patient annually, according to a study published in the May issue of Diseases of the Colon & Rectum.
Gender Gap Exists in Physician Researchers' Salaries
TUESDAY, June 12 (HealthDay News) -- A survey of mid-career academic physician researchers shows that gender differences in salary exist even after adjusting for differences in specialty, institutional characteristics, academic productivity, academic rank, and work hours, according to a study published in the June 13 issue of the Journal of the American Medical Association.
Many PCPs Recommend Colorectal Cancer Screening in Elderly
MONDAY, June 11 (HealthDay News) -- A substantial portion of primary care physicians (PCPs) recommend screening elderly patients with advanced cancer for colorectal cancer (CRC), according to a study published online June 1 in the Journal of General Internal Medicine.
Two Groups of Cells ID'ed in Healing Potential of Omentum
FRIDAY, June 8 (HealthDay News) -- Immunomodulatory myeloid-derived suppressor cells and omnipotent stem cells are two of the groups of cells in the omentum which are involved in tissue repair, according to an experimental study published online June 6 in PLoS One.
Prevalence, Predictors of Interval Colorectal Cancer ID'd
FRIDAY, June 8 (HealthDay News) -- A variety of procedural and biologic factors contribute to the development of interval colorectal cancers, seen in 7.2 percent of Medicare beneficiaries, according to a study published in the June 15 issue of Cancer.
Elimination Diet Can Treat Eosinophilic Esophagitis in Adults
FRIDAY, June 8 (HealthDay News) -- A six-food elimination diet can successfully treat adults with eosinophilic esophagitis (EoE), according to a study published in the June issue of Gastroenterology.
Rule Combo Accurately Predicts Organ Failure in Pancreatitis
THURSDAY, June 7 (HealthDay News) -- A series of 12 predictive rules that combines existing scoring systems in patients with acute pancreatitis improves the accuracy of predicting persistent organ failure, according to a study published in the June issue of Gastroenterology.
NAFLD Independently Linked to Cardiovascular Disease
THURSDAY, June 7 (HealthDay News) -- Nonalcoholic fatty liver disease (NAFLD) is independently associated with an increased risk of cardiovascular disease (CVD), but it is not associated with a statistically significantly increased risk of cardiovascular mortality, according to a study published in the June issue of Clinical Gastroenterology and Hepatology.
Aspirin Ups Risk of Bleeding in All But Diabetes Patients
TUESDAY, June 5 (HealthDay News) -- Aspirin use is associated with an increased risk of major bleeding, while patients with diabetes have a high risk of bleeding, independent of aspirin use, according to a study published in the June 6 issue of the Journal of the American Medical Association.
Many Patients Keep Using PPIs After Negative GERD Test
TUESDAY, June 5 (HealthDay News) -- Nearly half of patients continue to use proton pump inhibitors (PPIs) even after pH studies confirm that they do not have gastroesophageal reflux disease (GERD), and most do not recall being instructed to stop taking PPIs, according to a study published in the June issue of Clinical Gastroenterology and Hepatology.
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