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April 2019 Briefing - Gastroenterology

Last Updated: May 01, 2019.

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for April 2019. 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.

EHR Decision Support Can Reduce Inappropriate GI Testing

MONDAY, April 29, 2019 (HealthDay News) -- Electronic health record (EHR) decision support reduces inappropriate use of an expensive gastrointestinal test for patients hospitalized with diarrhea, according to a study published online April 23 in Infection Control & Hospital Epidemiology.

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Gender Differences Seen in Adverse Drug Reactions

FRIDAY, April 26, 2019 (HealthDay News) -- The risk for adverse drug reactions (ADRs) may be higher for women, even when accounting for gender differences in drug use, according to a study published online April 2 in the British Journal of Clinical Pharmacology.

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FDA Announces New Steps to Reduce Risks Tied to Surgical Staplers

THURSDAY, April 25, 2019 (HealthDay News) -- The U.S. Food and Drug Administration this week announced three new efforts to protect patients from malfunctions, injuries, and deaths associated with the use of surgical staplers for internal use and implantable surgical staples.

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Sucking Ice Chips Cuts Oral Side Effects of Oxaliplatin Chemo

WEDNESDAY, April 24, 2019 (HealthDay News) -- Chemotherapy patients who suck on ice chips during treatment with oxaliplatin infusion have less trouble with eating and drinking cold things, fewer negative effects on quality of life due to oral symptoms, and a shorter duration of oral symptoms, according to a study published in the April issue of the Journal of the National Comprehensive Cancer Network.

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Cognitive Behavioral Therapy Aids Irritable Bowel Symptoms

TUESDAY, April 23, 2019 (HealthDay News) -- Both telephone-delivered and web-delivered cognitive behavioral therapy (CBT) can significantly improve irritable bowel syndrome (IBS) symptoms, according to a study published online April 10 in Gut.

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Financial Incentives Do Not Boost Use of At-Home CRC Screening Tests

MONDAY, April 22, 2019 (HealthDay News) -- Financial incentives do not increase response rates among patients mailed at-home colorectal cancer screening tests, according to a study published online March 22 in JAMA Network Open.

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Conception by IVF May Increase Risk for Rare Childhood Cancer

FRIDAY, April 19, 2019 (HealthDay News) -- There is a small association between conception by in vitro fertilization (IVF) and childhood cancer, particularly hepatic tumors, according to a study published online April 1 in JAMA Pediatrics.

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Loan Forgiveness, Educational Debt May Affect Practice Patterns

FRIDAY, April 19, 2019 (HealthDay News) -- Increased educational debt appears to directly influence physician practice choice, according to a study published in the April issue of the Journal of the American Osteopathic Association.

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Need for Sedation Up for Regular Cannabis Users

FRIDAY, April 19, 2019 (HealthDay News) -- Regular cannabis users require a significantly higher amount of sedation for endoscopic procedures compared with nonusers, according to a study published online April 15 in the Journal of the American Osteopathic Association.

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National Hand Hygiene Initiative Successful in Australia

FRIDAY, April 19, 2019 (HealthDay News) -- The National Hand Hygiene Initiative (NHHI) has successfully sustained improvement in hand hygiene compliance, according to a study recently published in The Lancet Infectious Diseases and presented at the European Congress of Clinical Microbiology & Infectious Diseases, held from April 13 to 16 in Amsterdam.

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Sixty People Charged in Massive Opioid Painkiller Investigation

THURSDAY, April 18, 2019 (HealthDay News) -- Fifty-three medical professionals, including 31 doctors, are among the 60 people charged by U.S. authorities for their alleged involvement in the illegal prescribing and distribution of opioid painkillers.

AP News Article

Sensory Sensitivity Tied to Constipation in Young Children

THURSDAY, April 18, 2019 (HealthDay News) -- Children with chronic constipation have underlying sensory characteristics that contribute to toileting behavioral difficulties, according to a study published online April 18 in The Journal of Pediatrics.

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Some Patients With Imminently Fatal Cancer Undergo Treatment

WEDNESDAY, April 17, 2019 (HealthDay News) -- Some patients with imminently fatal de novo metastatic cancer undergo treatment, according to a study published online April 15 in JNCI: Cancer Spectrum.

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Microbial Features ID'd for Pediatric Irritable Bowel Syndrome

WEDNESDAY, April 17, 2019 (HealthDay News) -- Microbial and metabolic features can distinguish children with irritable bowel syndrome (IBS) from controls, according to a study published online April 17 in the Journal of Molecular Diagnostics.

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Standardizing Demographics Ups Accuracy of Patient Matching

MONDAY, April 15, 2019 (HealthDay News) -- Standardizing demographic data can improve the accuracy of patient matching, according to a study published in the May issue of the Journal of the American Medical Informatics Association.

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Colorectal Neoplasia Risk Up for Hodgkin Lymphoma Survivors

MONDAY, April 15, 2019 (HealthDay News) -- Hodgkin lymphoma (HL) survivors have an increased risk for advanced colorectal neoplasia, including advanced adenomas, advanced serrated lesions, and serrated polyposis syndrome, according to a study published in the March 15 issue of Cancer.

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Foreign Body Ingestions Increasingly Common in Young Children

FRIDAY, April 12, 2019 (HealthDay News) -- Foreign-body ingestions (FBIs) are common in children aged younger than 6 years and have increased over time, according to a study published online April 12 in Pediatrics.

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Domestic Responsibilities Tied to Physician Mothers' Satisfaction

THURSDAY, April 11, 2019 (HealthDay News) -- For physician mothers in procedural specialties, being responsible for five or more domestic tasks is associated with an increased likelihood of career dissatisfaction, according to a study published online April 10 in JAMA Surgery.

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CDC: Still No Source As E. Coli Outbreak Grows to 96 Cases

WEDNESDAY, April 10, 2019 (HealthDay News) -- U.S. health officials say an outbreak of Escherichia coli illness from an unknown source has risen to 96 cases across five Eastern states, up from the 72 cases reported last Friday.

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2000 to 2015 Saw Increase in Liver Cancer Mortality

WEDNESDAY, April 10, 2019 (HealthDay News) -- From 2000 to 2015, there was an increase in liver cancer mortality, which was mainly seen in less educated individuals, according to a study published online April 8 in Cancer.

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Same Services More Expensive in Outpatient Than Office Settings

WEDNESDAY, April 10, 2019 (HealthDay News) -- The same services are more expensive when performed in outpatient versus office settings, according to a blog post from the Health Care Cost Institute.

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New, Revised Topics Released in ACR Appropriateness Criteria

TUESDAY, April 9, 2019 (HealthDay News) -- The latest edition of the American College of Radiology (ACR) Appropriateness Criteria has been released and includes 188 diagnostic imaging and interventional radiology topics, with 908 clinical variants covering more than 1,670 clinical scenarios.

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High Response Seen for All Hep C Tx Models in Injection Drug Users

TUESDAY, April 9, 2019 (HealthDay News) -- For people with hepatitis C virus (HCV) who inject drugs (PWID) and receive opioid agonist therapy (OAT), receipt of HCV treatment is associated with high sustained virologic response (SVR), according to a study published online April 9 in the Annals of Internal Medicine.

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Older Patients With Crohn Disease May Benefit From Early Combo Tx

MONDAY, April 8, 2019 (HealthDay News) -- A post hoc analysis of data from a randomized trial shows no difference between older and younger patients for the safety and efficacy of early combined immunosuppression therapy compared with conventional management for Crohn disease, according to a study published online March 19 in Alimentary Pharmacology and Therapeutics.

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Alcohol, Drug Misuse Tied to Long-Term Health Problems

MONDAY, April 8, 2019 (HealthDay News) -- More than one-third of U.S. adults in recovery for alcohol and other drug (AOD) use have health problems related to previous substance use, according to a study published online March 16 in the Journal of Addiction Medicine.

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Preventive Drugs Often Used in Last Year of a Cancer Patient's Life

MONDAY, April 8, 2019 (HealthDay News) -- Preventive drugs are frequently used in the last year of life among older adults with cancer, according to a study published online March 25 in Cancer.

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Patient Behaviors Identified That Impact Weight Regain After RYGB

FRIDAY, April 5, 2019 (HealthDay News) -- Several patient behaviors are associated with weight regain after Roux-en-Y gastric bypass (RYGB) surgery, including sedentary time, eating fast food, and eating when feeling full, according to a study published online April 4 in the Annals of Surgery.

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Neoadjuvant Chemotherapy Key to Survival in Pancreatic Cancer

THURSDAY, April 4, 2019 (HealthDay News) -- Three factors can predict survival in patients with borderline resectable (BR) or locally advanced (LA) pancreatic ductal adenocarcinoma (PDAC), according to a study published online April 2 in the Annals of Surgery.

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Bariatric Embolization Feasible for Treatment of Severe Obesity

WEDNESDAY, April 3, 2019 (HealthDay News) -- Bariatric embolization is well tolerated in severely obese adults and is associated with weight loss for up to 12 months, according to a study published online April 2 in Radiology.

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Americans Borrowed $88 Billion in Past Year to Pay for Health Care

TUESDAY, April 2, 2019 (HealthDay News) -- About one in eight Americans borrowed a total of $88 billion in the past year to pay for health care, a new West Health-Gallup survey shows.

CNN Article
West Health-Gallup Survey

Over-the-Counter Meds Save Health Care System Money

TUESDAY, April 2, 2019 (HealthDay News) -- On average, each dollar spent on over-the-counter (OTC) medicines saves the U.S. health care system $7.20, totaling nearly $146 billion in annual savings, according to a report released March 18 by the Consumer Healthcare Products Association (CHPA).

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Doctors Unclear on Legal Obligations in Caring for Patients With Disability

MONDAY, April 1, 2019 (HealthDay News) -- Practicing physicians might not understand their legal responsibilities when caring for people with disability, which may contribute to inequalities in their care, according to a study published online April 1 in Health Affairs.

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