October 2019 Briefing - Gastroenterology

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

Bariatric Surgery Linked to Reduced Risk for Skin Cancer

THURSDAY, Oct. 31, 2019 (HealthDay News) -- For individuals with obesity, bariatric surgery is associated with a reduced risk for skin cancer, including melanoma, according to a study published online Oct. 30 in JAMA Dermatology.

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Survey Reveals Many Americans Lack Cancer Prevention Knowledge

WEDNESDAY, Oct. 30, 2019 (HealthDay News) -- Only one in four U.S. adults report incorporating cancer prevention into their daily lives, according to the results of the American Society of Clinical Oncology 2019 National Cancer Opinion Survey.

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CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017

WEDNESDAY, Oct. 30, 2019 (HealthDay News) -- Life expectancy has increased slightly in the United States, and mortality is lower than in 2007, according to a report published Oct. 30 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

Health, United States, 2018

Facebook Launches Preventive Health Tool

TUESDAY, Oct. 29, 2019 (HealthDay News) -- A new tool designed to help guide preventive care for heart disease, cancer, and seasonal flu was launched in the United States Monday by Facebook.

CNN Article

Patients Should Restart Blood Thinners After GI Bleed

TUESDAY, Oct. 29, 2019 (HealthDay News) -- Patients who restart their blood thinners after a gastrointestinal bleed have a lower risk for dying within the next two years even though they have a higher risk for recurrent gastrointestinal bleeding, according to a study recently published in Alimentary Pharmacology and Therapeutics.

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Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators

MONDAY, Oct. 28, 2019 (HealthDay News) -- Receiving medical care from fraud and abuse perpetrators (FAPs), subsequently excluded from Medicare, is associated with higher rates of all-cause mortality and emergency hospitalization, according to a study published online Oct. 28 in JAMA Internal Medicine.

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Family Involvement Cuts Postop Delirium in Older Patients

FRIDAY, Oct. 25, 2019 (HealthDay News) -- The Tailored, Family-Involved Hospital Elder Life Program (t-HELP) is effective in reducing postoperative delirium (POD) for older patients, according to a Chinese study published online Oct. 21 in JAMA Internal Medicine.

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Poor Health Literacy Tied to More Hardships Among Cancer Survivors

WEDNESDAY, Oct. 23, 2019 (HealthDay News) -- Health insurance literacy may be an important intervention for addressing financial problems associated with cancer, according to a study published online Oct. 21 in JNCI Cancer Spectrum.

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More Choices, Lower Premiums for ACA Consumers Next Year

TUESDAY, Oct. 22, 2019 (HealthDay News) -- There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act, according to the Trump administration.

AP News Article

Personal Colorectal Cancer Risk Should Drive Screening

TUESDAY, Oct. 22, 2019 (HealthDay News) -- Using the GRADE system to review new evidence, a panel issued weak recommendations for colorectal cancer screening options based on estimated 15-year individual risk, according to a clinical practice guideline published online Oct. 2 in The BMJ.

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Zantac Recalled by Sanofi

MONDAY, Oct. 21, 2019 (HealthDay News) -- The over-the-counter heartburn drug Zantac (ranitidine) has been recalled in the United States and Canada by French drug maker Sanofi.

The New York Times Article

Recommendations Updated for Nonvariceal Upper GI Bleeding

MONDAY, Oct. 21, 2019 (HealthDay News) -- In clinical guidelines published online Oct. 22 in the Annals of Internal Medicine, updated recommendations are presented for the management of nonvariceal upper gastrointestinal bleeding.

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Prediagnostic Colonoscopy Cuts Colorectal Cancer Death Risk

THURSDAY, Oct. 17, 2019 (HealthDay News) -- The risk for colorectal cancer death drops with an increasing number of prediagnostic colonoscopies, largely due to fewer advanced cancers at time of diagnosis, according to a study recently published in BMC Cancer.

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Quality Improvement Program Lowers Prolonged Steroid Use With IBD

THURSDAY, Oct. 17, 2019 (HealthDay News) -- A quality improvement program can lower steroid use among patients with inflammatory bowel disease (IBD), according to a study published online Oct. 8 in Alimentary Pharmacology and Therapeutics.

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Surgery May Be Best Option for Some With Refractory Heartburn

WEDNESDAY, Oct. 16, 2019 (HealthDay News) -- In patients who truly have proton pump inhibitor (PPI)-refractory heartburn, including those with reflux hypersensitivity, surgery may be the best treatment option, according to a study published in the Oct. 16 issue of the New England Journal of Medicine.

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Risk for Cancer Incidence, Mortality Increased With Psoriasis

WEDNESDAY, Oct. 16, 2019 (HealthDay News) -- Patients with psoriasis have an increased risk for developing or dying from cancer, according to a review published online Oct. 16 in JAMA Dermatology.

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Tesamorelin May Aid Patients With HIV, Fatty Liver Disease

WEDNESDAY, Oct. 16, 2019 (HealthDay News) -- Tesamorelin reduces liver fat content in patients with HIV and nonalcoholic fatty liver disease (NAFLD), according to a study published online Oct. 11 in The Lancet HIV.

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Postop Opioid Rx Sevenfold Higher in U.S., Canada Versus Sweden

WEDNESDAY, Oct. 16, 2019 (HealthDay News) -- Patients in the United States and Canada receive prescription opioids after surgeries at a rate that is approximately seven times higher than the rate in Sweden, according to a study published online Sept. 4 in JAMA Network Open.

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Pulmonary Embolism Risk Elevated for More Than Six Weeks Postop

TUESDAY, Oct. 15, 2019 (HealthDay News) -- The postoperative risk for pulmonary embolism extends more than six weeks for six types of surgery, according to a study published online Oct. 9 in JAMA Surgery.

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Patient Portal Use Has Positive Impact on Preventive Health Behaviors

FRIDAY, Oct. 11, 2019 (HealthDay News) -- Patient portal use has a positive impact on preventive health behaviors, but not on chronic health outcomes, according to a study published in the October issue of the Journal of Medical Internet Research.

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Medicare Fraud-Prevention Rules to Be Revised

WEDNESDAY, Oct. 9, 2019 (HealthDay News) -- Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.

AP News Article

2000 to 2015 Saw Increase in Medicare GME Payments

WEDNESDAY, Oct. 9, 2019 (HealthDay News) -- Medicare graduate medical education (GME) payments increased significantly from 2000 to 2015, according to a study published online Oct. 7 in JAMA Internal Medicine.

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American Indians, Alaska Natives Have Higher Cancer Incidence

WEDNESDAY, Oct. 9, 2019 (HealthDay News) -- The U.S. American Indian and Alaska Native (AI/AN) population faces a higher risk for many cancers than white Americans living in the same geographical region, according to a study published in the October issue of Cancer Epidemiology, Biomarkers & Prevention.

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American Airlines Passengers May Have Been Exposed to Hepatitis A

TUESDAY, Oct. 8, 2019 (HealthDay News) -- Passengers on several American Airline flights in the United States may have been exposed to hepatitis A by a flight attendant, the U.S. Centers for Disease Control and Prevention says.

ABC News Article

Burnout Linked to Poor Quality Care in Published Literature

TUESDAY, Oct. 8, 2019 (HealthDay News) -- In the published literature, burnout in health care professionals is frequently associated with poor-quality care, but the effect size may be smaller than reported, according to data from a systematic review published online Oct. 8 in the Annals of Internal Medicine.

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Cost of Waste in U.S. Health System Estimated

TUESDAY, Oct. 8, 2019 (HealthDay News) -- The estimated cost of waste in the U.S. health care system varies from $760 to $935 billion, according to a special communication published online Oct. 7 in the Journal of the American Medical Association.

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Low-FODMAP Diet Relieves Gut Symptoms for More IBD Patients

MONDAY, Oct. 7, 2019 (HealthDay News) -- More patients with inflammatory bowel disease following a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) report adequate relief of gut symptoms, according to a study published online Oct. 2 in Gastroenterology.

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Hepatitis C Virus Infection Rates Up for Women Giving Birth

FRIDAY, Oct. 4, 2019 (HealthDay News) -- Among women giving birth, the rates of hepatitis C virus (HCV) infection increased more than 400 percent from 2000 to 2015, with rates much higher among those with opioid use disorder, according to research published in the Oct. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Enhanced Recovery Program Aids Bariatric Surgery Outcomes

THURSDAY, Oct. 3, 2019 (HealthDay News) -- Implementation of a large-scale, enhanced recovery project for bariatric surgery is feasible and results in a decrease in extended length of stay (ELOS), according to a study published online Sept. 23 in Surgery for Obesity and Related Diseases.

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Obesity Associated With Higher Risk for Chronic Diarrhea

WEDNESDAY, Oct. 2, 2019 (HealthDay News) -- Individuals who are obese or severely obese are more likely to have chronic diarrhea, according to a study published online Sept. 18 in Alimentary Pharmacology and Therapeutics.

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Elderly Who Start Thiopurine Tx for IBD Have Higher Risk for AEs

TUESDAY, Oct. 1, 2019 (HealthDay News) -- Elderly patients with inflammatory bowel disease (IBD) are at higher risk for adverse events (AEs) related to the use of thiopurines, according to a study published in the October issue of Alimentary Pharmacology and Therapeutics.

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