Articles tagged with Gastroenterology
A recent study published in the Journal of Pediatric Gastroenterology and Nutrition found that children with autism do not have a unique pattern of abnormal results on endoscopy or other tests for gastrointestinal disorders. The researchers analyzed the results of diagnostic tests in 61 children with autism being evaluated for GI sympt...
Colorectal cancer patients require follow-up colonoscopy after surgery to detect second cancers and polyps, with recommended intervals varying from one to nine years. The US Multi-Society Task Force updates guidelines to emphasize the role of colonoscopy in post-surgical surveillance.
A study analyzing billing data found that nearly 29% of patients undergoing colonoscopy had a pre-procedure office visit, resulting in increased healthcare costs. Office visits were more common among patients with higher Charlson Comorbidity Index scores and were associated with a diagnosis of screening or preoperative evaluation.
Endoscopic sleeve gastroplasty is a minimally invasive procedure that reduces stomach size and alters physiology, resulting in significant weight loss. The study found a 54% reduction in excess body weight at one year, with improved patient satisfaction and delayed solid food emptying.
The American Gastroenterological Association has released six clinical practice guidelines for common gastrointestinal conditions. The guidelines recommend budesonide for microscopic colitis treatment and suggest selectively using antibiotics in acute diverticulitis management. AGA also advises against upper GI biopsies in immunocompro...
Healthcare professionals across Europe are urged to address alcohol misuse and dependence to prevent colorectal cancer (CRC). A growing European primary care study highlights the need for family doctors to identify and treat hazardous drinkers.
A study published in Clinical Gastroenterology and Hepatology found that feeding at-risk infants gluten until two years of age increases the risk of developing celiac disease. The research suggests that early gluten intake plays a role in disease course, particularly in children with genetic risk factors for celiac disease.
Experts at UEG Week 2015 reveal compelling evidence of the link between excess body weight and colorectal cancer risk. Men who gained at least 10 cm in waist circumference over 10 years experienced a nearly 60% increased CRC risk, with obesity doubling this risk for those with Lynch Syndrome.
Italian scientists discover higher blood levels of zonulin in patients with non-coeliac gluten sensitivity (NCGS) and irritable bowel syndrome (IBS), suggesting a role for the protein in developing these conditions. The findings may lead to new treatment strategies for NCGS and IBS.
Fecal microbiota transplantation may predict treatment failure for Clostridium difficile, while changes in gut microbiota could be linked to weight gain or loss. The American College of Gastroenterology's 80th Annual Scientific Meeting highlights the latest scientific advances and clinical practice management.
Experts share insights on fecal microbiota transplantation, Clostridium difficile infection, and constipation management. Key findings highlight predictors of treatment failure and the cost-effectiveness of competing strategies for managing multiply recurrent C. difficile infections.
A new capsule form of faecal microbiota transplantation (FMT) has been shown to be well-tolerated and effective in resolving diarrhoea in patients with difficult-to-treat C difficile infection. The study found a 90% rate of symptom resolution, suggesting that FMT could potentially supersede antibiotics as a treatment option.
A study published in Clinical Gastroenterology and Hepatology suggests that all relatives of individuals with colorectal cancer are at increased risk for this cancer, regardless of their age. The risk is highest among young first-degree relatives under 50 years old.
A new study has found that detecting small fragments of tumor DNA in a patient's pre-surgery serum samples can predict early recurrence of hepatocellular carcinoma and guide treatment. This non-invasive method may lead to improved survival rates for liver cancer patients.
The American Gastroenterological Association recommends testing all newly diagnosed cases of colorectal cancer to identify Lynch syndrome, a genetic disorder that increases the risk of colorectal and endometrial cancers. Regular surveillance colonoscopy is also recommended for individuals with Lynch syndrome.
Dr. Theresa Alenghat receives $100,000 grant to study epigenetics role in IBD development and progression. Her research aims to test the hypothesis that dysregulation of epigenomic modifications and microbiota alterations drive IBD.
A Veterans Affairs team found that longer-lasting colonoscopies are associated with lower cancer rates. Doctors with average withdrawal times of under six minutes had patients more than twice as likely to have cancer. Experts recommend focusing quality-improvement efforts on withdrawal times of under six minutes.
The American Gastroenterological Association (AGA) has proposed an alternate pathway to recertification that focuses on active, adaptive, self-directed learning modules. This approach aims to enhance patient care by making the recertification process more individualized and competency-based.
A recent study published in Cellular and Molecular Gastroenterology and Hepatology found that intra-abdominal fat cells may promote inflammation in IBD patients. The research isolated and cultured pre-intra-abdominal fat cells from healthy subjects and those with IBD, revealing significant differences in signaling mediators produced by...
Two studies published in Gastroenterology found that weight loss through lifestyle modification or bariatric surgery significantly reduces NASH features. Lifestyle modifications resulted in a 10% weight reduction needed to reverse scarring, while bariatric surgery eliminated NASH in 85% of patients after one year.
A genetic mutation in the PLVAP gene has been identified as a cause of severe protein losing enteropathy in infants, leading to abdominal swelling, malnutrition and early death. The study's findings offer hope for targeted correction through gene therapy.
The European Society for Paediatric Gastroenterology and Nutrition recommends that children with inflammatory bowel disease should not be switched to biosimilar products without long-term studies. Post-marketing surveillance programs are also essential to confirm efficacy, safety, and immunogenicity of new biosimilars.
A clinical trial confirms that pinaverium is an effective and safe option for treating irritable bowel syndrome (IBS), with a significantly higher percentage of patients reporting improved symptoms compared to the placebo group. The medication was also associated with common side effects, but no severe adverse effects were reported.
A nationwide observational cohort study found that spouses and first-degree relatives of celiac disease patients are at a higher risk of developing nonceliac autoimmune diseases. The most common conditions were systemic lupus erythematosus, type I diabetes mellitus, and sarcoidosis. Genetic, environmental, and ascertainment bias mechan...
A study published in Cellular and Molecular Gastroenterology and Hepatology found that modulating B lymphocyte function may help regulate T lymphocyte activity to treat immune-mediated disorders like IBD. Researchers discovered a pathway involving IL-10, IL-27, and regulatory T lymphocytes.
Research on gender in GI publishing landscape reveals growing proportion of female first authors, but senior authors still lag behind. The study found a significant association between the gender of the lead and senior author.
A prospective study found that telbivudine prevented perinatal transmission of hepatitis B virus (HBV) in pregnant women with high viral loads. The study showed a significant reduction in HBV transmission in infants whose mothers received telbivudine, with almost no positive tests after six months.
A risk prediction model has been developed to identify patients with hepatitis C who have the most urgent need for new anti-viral drugs. The model uses routine lab values and machine-learning methods to predict health outcomes, allowing doctors to target treatment to those with high risk of complications.
A study conducted at Virginia Mason Medical Center found that computer-assisted propofol sedation can reduce recovery room time for patients by almost 20%, compared to traditional midazolam and fentanyl sedation. The new method, known as CAPS, also shows higher patient satisfaction scores.
The American Gastroenterological Association recognizes Robert S.andler for his lifelong contributions to gastroenterology and AGA, while C. Richard Boland receives the William Beaumont Prize for his work on Lynch syndrome and colorectal cancer research. The Distinguished Educator Awards are given to Patrick S. Kamath and Charles Melbe...
A simple blood test can predict which chronic hepatitis C patients will respond to interferon-based therapy, according to a recent study. The researchers found that levels of oxidized low-density lipoprotein (LDL) in the blood predicted treatment response.
The American Gastroenterological Association (AGA) highlights notable clinical practice data and basic science research presented at Digestive Disease Week (DDW) 2015. Notable abstracts include fecal microbiota transplantation donors, maximizing endoscopy utilization, and bile acid roles in obesity.
A new special issue of the journal Gastroenterology explores how food affects health and disease, including the gut microbiome, food allergies, and non-celiac wheat sensitivity. The research provides evidence-based summaries to guide clinical recommendations for patients and clinicians.
The study found that the Sofosbuvir/daclatasvir combination achieved an 81.6% SVR4 rate after 12 weeks of treatment and a 93.9% SVR4 rate after 24 weeks, with a 100% SVR4 rate when combined with ribavirin. The treatment was effective in both cirrhotic and non-cirrhotic patients.
Recent studies confirm that NAFLD worsens heart disease and increases serum levels of cardiovascular risk markers. Additionally, a large population sample found a significant association between psychological distress and liver disease mortality. Meanwhile, inpatient mortality for cirrhosis patients has decreased by 41% in the U.S., at...
Natural language processing can help track quality of care at individual provider, service line, and health-care systems levels. The Regenstrief Institute's Center for Biomedical Informatics is utilizing natural language processing to improve care and provide information to those who need it.
Research links non-alcoholic steatohepatitis (NASH) with increased intestinal permeability, suggesting a 'gut-liver axis' role in its development. The study found that liver injury may precede changes in gut permeability, potentially worsening liver disease.
Women with inflammatory bowel disease (IBD) are at a higher risk of developing cervical dysplasia and cancer, according to a new study. Researchers found that patients with Crohn's disease had a significantly higher risk of cervical neoplasia, especially those diagnosed at a young age or treated with certain medications.
The American Gastroenterological Association recommends longer surveillance periods and new criteria for surgery to limit unnecessary interventions. The risk of malignancy for pancreatic cysts is low, with most patients having benign cysts.
Researchers have found that IL-33 is a critical messenger triggering changes in the stomach's inflammatory response to H. pylori infection, potentially leading to new therapies targeting gastric damage. Elevated IL-33 levels may be associated with chronic infection and metaplasia.
A new study published in Clinical Gastroenterology and Hepatology found that chronic narcotic use is more prevalent in children with inflammatory bowel disease (IBD) compared to children without the disease. The study also identified factors associated with narcotic use, such as psychological impairment and health-care utilization.
New American Gastroenterological Association guidelines provide guidance on managing HBV reactivation in patients undergoing long-term immunosuppressive therapy. The guidelines recommend screening for HBV in patients at moderate or high risk, and consider prophylaxis with anti-hepatitis B therapeutics.
A new study finds that steroid therapy is associated with a nearly five-fold increase in venous thromboembolism events among IBD patients. Corticosteroid use was linked to a higher rate of venous thromboembolic events, even when combined with biologic therapies.
A study found that transoral fundoplication was more effective in eliminating troublesome regurgitation than omeprazole in patients with persistent GERD symptoms. The procedure showed a lower failure rate and better safety profile compared to traditional surgery, making it a promising treatment option.
Researchers have discovered a link between Sox10 protein defects and post-operative GI dysfunction in Hirschsprung's disease patients. The study found that mutations in the Sox10 gene disrupts the balance of cell types in the intestine, leading to impaired GI motility.
Researchers have discovered a new signaling intermediate, leukotriene B4, which is synthesized and released by pancreatic acinar cells. This finding provides a potential target for the development of novel therapies for pancreatitis, a common disorder that complicates many ailments.
Researchers found that cathelicidin protein can prevent intestinal fibrosis and scarring in colitis, potentially sparing patients from repeated surgeries. The study used pre-clinical models of disease and human colonic fibroblasts to demonstrate the anti-fibrotic effects of cathelicidin.
A 24-week course of sofosbuvir and ribavirin prevents HCV recurrence after liver transplantation, with positive outcomes for short- and long-term health. The therapy is effective in 70% of patients, including those with advanced disease.
A new formulation of oral budesonide suspension is safe and effective in treating pediatric patients with eosinophilic esophagitis, according to a recent study. The treatment demonstrated remarkable efficacy in reducing eosinophilic inflammation and improving symptoms.
A large cohort study found that women with celiac disease do not report fertility problems more often than women without the condition. However, rates of infertility were slightly higher among women diagnosed with celiac disease at a younger age, likely due to increased concern prompting earlier consultations.
Two new treatments for liver diseases are being explored. A probiotic, VSL#3, has been shown to improve liver function and reduce the risk of hospitalization in patients with cirrhosis. Meanwhile, a fatty acid conjugate called Aramchol has been found to significantly reduce liver fat content in patients with nonalcoholic fatty liver di...
A new guideline from the American Gastroenterological Association provides guidance on treatments for irritable bowel syndrome (IBS), highlighting the effectiveness of linaclotide and rifaximin. The guidelines also suggest using tricyclic antidepressants, antispasmodics, and other therapies for IBS patients.
A new study suggests fecal immunochemical tests (FIT) can detect all colorectal cancers and 61% of advanced adenomas, similar to colonoscopy screening. FIT may offer a less invasive option for high-risk individuals with familial colorectal cancer.
The study found that over-the-scope clip (OTSC) placement is a safe and effective therapy for closing gastrointestinal (GI) defects. Clinical success rates ranged from 90% for perforations to 73% for leaks, with successful closure of fistulae being less than half the patients.
Researchers have made significant progress in understanding the pathophysiology of irritable bowel syndrome (IBS), leading to the development of novel molecular therapies. Current therapies are often ineffective or have unknown long-term efficacy, but new treatments show promise in treating IBS symptoms.
A new study found that both short and long sleep durations are associated with an increased risk of developing ulcerative colitis. The study, published in Clinical Gastroenterology and Hepatology, followed over 90% of nurses for biennial questionnaires to examine the association between sleep duration and incident disease.
Intestinal failure-associated liver disease (IAFLD) in children is characterized by gradual and often symptomless liver injury, with mortality rates up to 40%. Early enteral feeding and referral to specialized intestinal failure centers are key to prevention and treatment.
Fecal microbiota transplantation has been proven to be a safe and highly effective treatment for recurrent C. difficile infections, eradicating bacteria in around 90% of cases with good safety profiles. The technique is now officially recognized as an effective treatment for this difficult-to-treat infection.
Researchers found that taller individuals are less likely to develop esophageal cancer and its precursor, Barrett's esophagus. The study, which included data from 1,000 cases of esophageal cancer and twice as many cases of Barrett's esophagus, consistently demonstrated an inverse association between height and these conditions.
The US Multi-Society Task Force on Colorectal Cancer released new consensus guidelines highlighting the importance of good bowel cleansing for high-quality colonoscopy. The guidelines aim to reduce missed precancerous lesions and increase patient safety, with an 85% target for adequate cleansing rate.