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August 2013 Briefing - Gastroenterology

Last Updated: September 02, 2013.

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for August 2013. 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.

Diabetes Apps Among Top 10 Doctors Recommend to Patients

FRIDAY, Aug. 30 (HealthDay News) -- Apps for managing diabetes and calculating the risk of cardiovascular disease are among the top 10 apps doctors recommend to their patients, according to researchers at Medical Economics.

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Low Gut Bacterial Richness Linked to Obesity

WEDNESDAY, Aug. 28 (HealthDay News) -- Individuals with low gut bacterial richness have more adiposity and a more pronounced inflammatory phenotype; and weight loss intervention can improve bacterial gene richness, according to two studies published in the Aug. 29 issue of Nature.

Abstract - Le Chatelier
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Abstract - Cotillard
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Final Rules Issued for Individual Shared Responsibility Mandate

WEDNESDAY, Aug. 28 (HealthDay News) -- Starting 2014, the individual shared responsibility provision of the Affordable Care Act, which calls for each individual to have basic health insurance coverage, will be implemented, according to a statement from the U.S. Department of the Treasury.

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Severe Gastroenteritis Down in Older Children and Adults

WEDNESDAY, Aug. 28 (HealthDay News) -- Reduced hospitalizations for gastroenteritis among children aged 5 years or older and among adults in post-vaccine years in the United States suggest indirect protection from infant rotavirus vaccination, according to research published in the Aug. 28 issue of the Journal of the American Medical Association.

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Health Care Savings With Early Accountable Care Organizations

WEDNESDAY, Aug. 28 (HealthDay News) -- Early accountable care organization initiatives correlate with lower spending for elderly Medicare beneficiaries, but not necessarily with improved quality, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

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Use of Intra-Op Cholangiography in Cholecystectomy Questioned

TUESDAY, Aug. 27 (HealthDay News) -- Intraoperative cholangiography does not prevent common duct injury during cholecystectomy, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

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Sofosbuvir + Ribavirin Effective for Difficult Hepatitis C Cases

TUESDAY, Aug. 27 (HealthDay News) -- In patients with chronic hepatitis C virus (HCV) with unfavorable treatment characteristics, treatment with sofosbuvir and ribavirin reduces viral load to undetectable levels in many patients, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

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Specific Lymphoma Treatment Linked to Stomach Cancer

MONDAY, Aug. 26 (HealthDay News) -- Patients with Hodgkin's lymphoma treated with high-dose radiation to the stomach and high-dose chemotherapy with procarbazine have a nearly 80-fold higher risk of developing stomach cancer, according to a study published online Aug. 26 in the Journal of Clinical Oncology.

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Obligate Anaerobes Can Be Transferred Via Breastfeeding

FRIDAY, Aug. 23 (HealthDay News) -- Gut-associated obligate anaerobes can be transferred from mother to neonate via breastfeeding, according to a study published online Aug. 23 in Environmental Microbiology.

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Non-Celiac Gluten Sensitivity's Existence Questioned

THURSDAY, Aug. 22 (HealthDay News) -- There is no evidence that gluten is a trigger in patients with non-celiac gluten sensitivity (NCGS) placed on a low fermentable, oligo-, di-, monosaccharides, and polyols (FODMAP) diet, according to a study published in the August issue of Gastroenterology.

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Vedolizumab Ups Response Rate in Ulcerative Colitis

WEDNESDAY, Aug. 21 (HealthDay News) -- Vedolizumab is associated with improved clinical response and remission versus placebo for patients with ulcerative colitis or Crohn's disease, according to two studies published in the Aug. 22 issue of the New England Journal of Medicine.

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Use of TNF Inhibitors in Crohn's Disease Discussed

WEDNESDAY, Aug. 21 (HealthDay News) -- For patients with Crohn's disease with active inflammation despite receiving standard treatment, tumor necrosis factor (TNF) inhibitors are recommended, according to a case vignette published in the Aug. 22 issue of the New England Journal of Medicine.

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New Locus ID'd for Infantile Hypertrophic Pyloric Stenosis

WEDNESDAY, Aug. 21 (HealthDay News) -- A novel locus that is associated with infantile hypertrophic pyloric stenosis (IHPS) has been identified, according to a study published in the Aug. 21 issue of the Journal of the American Medical Association.

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Implications, Solutions for U.S. Health Disparities Discussed

TUESDAY, Aug. 20 (HealthDay News) -- Research on health disparities in the United States, the policy implications of these disparities, and suggestions for improvement of disparities are discussed in "Health Policy Brief: Health Gaps," published Aug. 15 in Health Affairs.

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Increasing Operating Costs Top Concern for Medical Practices

TUESDAY, Aug. 20 (HealthDay News) -- The top five concerns of medical practice executives all relate to financial management, with dealing with increasing operating costs reported as the most difficult daily challenge, according to a report published by the Medical Group Management Association (MGMA).

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Expansion of Pharmacists' Practice Will Benefit Patients

MONDAY, Aug. 19 (HealthDay News) -- The expanding scope of pharmacists' practice will potentially improve patient care but has implications for physicians, according to an article published online Aug. 19 in CMAJ, the journal of the Canadian Medical Association.

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HHS Awards $67 Million to Marketplace Navigators

MONDAY, Aug. 19 (HealthDay News) -- $67 million is being awarded to Navigator grant applicants and their staff, who will serve as an in-person resource for those requiring additional assistance in shopping for and enrolling in Health Insurance Marketplace plans, according to a report published by the U.S. Department of Health and Human Services.

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Healthy Diet May Reduce Pancreatic Cancer Risk

FRIDAY, Aug. 16 (HealthDay News) -- A healthy diet may protect against pancreatic cancer, according to a study published online Aug. 15 in the Journal of the National Cancer Institute.

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CDC Says U.S. Has Improved in Detection of Hep C Infection

FRIDAY, Aug. 16 (HealthDay News) -- Guidelines published by the U.S. Centers for Disease Control and Prevention in 1998 to test people for hepatitis C infection (HCV) based on risk may have increased testing, but many people still did not get tested before showing signs of the infection, according to a report published in the Aug. 16 issue of the CDC's Morbidity and Mortality Weekly Report.

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IOM Describes Themes Relating to Patients' Role in Health Care

FRIDAY, Aug. 16 (HealthDay News) -- Themes and messages relating to the role of patients in informed care decisions, knowledge generation, and value improvement were discussed at the Institute of Medicine's (IOM) Workshop Proceedings, according to a report published Aug. 15 in conjunction with the transcript of the proceedings.

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U.S. Liver-Related Deaths Underestimated for Decades

FRIDAY, Aug. 16 (HealthDay News) -- Using an updated definition of liver-related causes of death raised the count of liver mortality in the National Death Registry in 2008 approximately two-fold, according to research published in the August issue of Gastroenterology.

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Doctors Pessimistic About Future of U.S. Health Care

THURSDAY, Aug. 15 (HealthDay News) -- Physicians report concerns regarding health care delivery and the future of health care, according to survey findings published by athenahealth.

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Involved Patients Have Better Health Care Experiences

THURSDAY, Aug. 15 (HealthDay News) -- Health care providers and patients shape the care experience, and strategies to improve care interactions should also help patients ensure that their needs are met, according to research published in the July issue of Health Affairs.

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Interferon-Free Treatment Effective in Hepatitis C Virus

WEDNESDAY, Aug. 14 (HealthDay News) -- For patients with hepatitis C virus (HCV), treatment with faldaprevir and deleobuvir plus ribavirin is effective, according to a study published in the Aug. 15 issue of the New England Journal of Medicine.

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Physicians Should Consider Social Media As Public Space

WEDNESDAY, Aug. 14 (HealthDay News) -- A new approach is needed for resolving the physician online identity crisis, according to a viewpoint piece published in the Aug. 14 issue of the Journal of the American Medical Association.

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Medicare Reimbursement Drives Procedural Over Cognitive Care

WEDNESDAY, Aug. 14 (HealthDay News) -- Physicians treating Medicare patients are reimbursed three to five times more for performing common procedures versus providing cognitive care, according to a study published online Aug. 12 in JAMA Internal Medicine.

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Novel Soy Germ Pasta Improves Gastric Emptying Time

WEDNESDAY, Aug. 14 (HealthDay News) -- Pasta enriched with biologically active isoflavone aglycons significantly improves gastric emptying time in patients with type 2 diabetes, according to a pilot study published online July 8 in Diabetes Care.

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New Initiative Announced for Patient-Doc Collaboration

TUESDAY, Aug. 13 (HealthDay News) -- A new Center for Patient Partnership in Healthcare (CPPH) has been launched to advance physician-patient collaboration, according to a report published by the American College of Physicians (ACP).

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Perceived Doc Verbal Abuse Impairs Nurses' Work Attitude

TUESDAY, Aug. 13 (HealthDay News) -- For registered nurses (RNs), perceived verbal abuse by physicians correlates with less favorable work conditions and attitudes, according to a study published in Nursing Outlook.

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U.S. Hospitals Up Exchange of Electronic Health Information

MONDAY, Aug. 12 (HealthDay News) -- Between 2008 and 2012, hospitals significantly increased their exchange of electronic health information with other providers, according to research published in the August issue of Health Affairs.

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Guidelines for Post-HIV Exposure Management Updated

MONDAY, Aug. 12 (HealthDay News) -- Management and prophylaxis recommendations have been updated for health care providers with occupational exposure to HIV, according to guidelines published in the September issue of Infection Control and Hospital Epidemiology.

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Childhood Functional Stomach Pain Ups Risk for Later Anxiety

MONDAY, Aug. 12 (HealthDay News) -- Children with functional abdominal pain (FAP) are at greater risk for anxiety disorders as they get older, according to research published online Aug. 12 in Pediatrics.

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Medical Center Farmers Market Aids in Medical Home Goals

MONDAY, Aug. 12 (HealthDay News) -- A seasonal farmers market at a medical center can support the institution's commitment to the goals of the medical home, according to a study published online Aug. 1 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Physicians' Malpractice Concerns Predict More Testing

FRIDAY, Aug. 9 (HealthDay News) -- Physicians' concerns about malpractice risk predict more aggressive diagnostic testing practices in office-based care, according to a study published in the August issue of Health Affairs.

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Positive Diagnostic Strategy Non-Inferior to Exclusion in IBS

FRIDAY, Aug. 9 (HealthDay News) -- For patients with irritable bowel syndrome (IBS), a positive diagnostic strategy is non-inferior to a strategy of exclusion for patients' health-related quality of life (HRQOL), according to a study published in the August issue of Clinical Gastroenterology and Hepatology.

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Gut Microbiota Less Diverse in Infants Born by C-Section

FRIDAY, Aug. 9 (HealthDay News) -- Compared to infants born by vaginal delivery, those delivered by cesarean section (CS) exhibit altered intestinal microbiota, including lower total microbial diversity, delayed colonization of certain bacteria, and lower levels of certain chemokines, according to research published online Aug. 7 in Gut.

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Impaired Sleep Ups Risk of Relapse in Crohn's Disease

THURSDAY, Aug. 8 (HealthDay News) -- For patients with Crohn's disease (CD), but not ulcerative colitis, sleep impairment is associated with increased risk of relapse, according to a study published in the August issue Clinical Gastroenterology and Hepatology.

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Probiotic Preparation Doesn't Cut Antibiotic-Linked Diarrhea

THURSDAY, Aug. 8 (HealthDay News) -- A multi-strain preparation of lactobacilli and bifidobacteria is not effective for preventing antibiotic-associated diarrhea (AAD) or Clostridium difficile diarrhea (CDD) in older inpatients exposed to antibiotics, according to a study published online Aug. 8 in The Lancet.

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Bariatric Surgery Rates for Blacks Half That of Whites

THURSDAY, Aug. 8 (HealthDay News) -- Although more blacks than whites are eligible for bariatric surgery, surgery rates are twice as high for whites, possibly due to higher rates of insurance coverage, according to a study published in the August issue of the American Journal of Gastroenterology.

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AMA, AHA Call for Realignment of Meaningful Use Stage 2

WEDNESDAY, Aug. 7 (HealthDay News) -- The American Medical Association (AMA) and American Hospital Association (AHA) are calling for additional flexibility in the timing of the adoption of stage 2 meaningful use of electronic health records, according to a letter written to the U.S. Department of Health and Human Services (HHS).

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Follow-Up Biopsies in Celiac Disease Help ID Lymphoma Risk

MONDAY, Aug. 5 (HealthDay News) -- Patients with celiac disease (CD) who have intestinal biopsy showing persistent villous atrophy are at increased risk for lymphoproliferative malignancy (LPM), according to research published in the Aug. 6 issue of the Annals of Internal Medicine.

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Invitation to CRC Screening Ups Participation in Underserved

MONDAY, Aug. 5 (HealthDay News) -- For an underserved population, an invitation to colorectal cancer (CRC) screening significantly improves screening rates, with significantly higher participation for fecal immunochemical test (FIT) versus colonoscopy, according to a study published online Aug. 5 in JAMA Internal Medicine.

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FDA Standardizes 'Gluten-Free' for Food Labeling

MONDAY, Aug. 5 (HealthDay News) -- The U.S. Food and Drug Administration has introduced a new regulation to provide a uniform standard definition for the term "gluten-free" for voluntary food labeling.

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Obesity Markers Linked to Cancer Risk in Barrett's Esophagus

MONDAY, Aug. 5 (HealthDay News) -- For patients with Barrett's esophagus (BE), levels of leptin, high-molecular-weight adiponectin, and insulin resistance correlate with esophageal adenocarcinoma (EA) risk, according to a study published in the August issue of Clinical Gastroenterology and Hepatology.

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Repeat Gallstone Pancreatitis High Without Intervention

MONDAY, Aug. 5 (HealthDay News) -- The risk of recurrence is significant in patients who do not receive cholecystectomy for treatment of acute gallstone pancreatitis, according to a study published online July 24 in JAMA Surgery.

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Participation Increases in Online CME Activities

MONDAY, Aug. 5 (HealthDay News) -- The number of physicians and non-physicians participating in continuing medical education (CME) has increased, especially in online activities, according to a report published by the Accreditation Council for Continuing Medical Education (ACCME).

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