Web Focus: Genetics and Gastrointestinal Diseases | AJG Video of the Month: Emergency Endoscopic Fenestration for Treatment of a Recurrence Pancreatic Pseudocyst | Bariatric surgery improves health measures in diabetes, obese patients
May 20, 2015
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Clinical Updates
Web Focus: Genetics and Gastrointestinal Diseases
Genetics and genomics are beginning to strongly influence the care of patients with GI conditions. From common disorders such as colorectal cancer, pancreatitis and multiple polyps to rare conditions like hereditary hemorrhagic telangectasia, knowledge of genomic developments is increasingly highly useful to doctors and their patients. This web focus brings together seminal articles exploring new genomic findings in clinical practice that have been published in Genetics in Medicine, The American Journal of Gastroenterology and Clinical and Translational Gastroenterology. Access the focus for free online.
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AJG Video of the Month: Emergency Endoscopic Fenestration for Treatment of a Recurrence Pancreatic Pseudocyst
A 43-year-old man who had undergone percutaneous drainage of a pancreatic pseudocyst 3 months previously presented with abdominal distension and dyspnea. CT revealed a well-defined 20 cm × 14 cm cyst between the liver and the stomach. Emergency endoscopic gastric-wall fenestration was successfully performed using endoscopic ultrasonography combined with CT guidance. Watch the video.
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Bariatric surgery improves health measures in diabetes, obese patients
Patients with diabetes or obesity showed significant improvements in neuropathy, neurologic and cardiac autonomic function tests, as well as in BMI, body weight and body fat percentage, at 12 and 24 weeks after undergoing vertical sleeve gastrectomy or Roux-en-Y gastric bypass. The findings, presented at the American Association of Clinical Endocrinologists meeting, also revealed greater improvements in electrochemical skin conductance among type 2 diabetes patients at 24 weeks compared with those without diabetes. Healio (free registration)/Endocrine Today (5/19)
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Legal & Regulatory
N.Y. bill would require more drugmaker cost transparency
A proposed bill in New York would require drugmakers to report total production costs for costly medications, and that information would be posted on a publicly accessible website. Drugmakers would also be required to report average wholesale price and wholesale acquisition cost histories as well as the amount of financial assistance provided through prescription assistance programs. Policy and Medicine blog (5/18)
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Practice News
CMS to discuss ICD-10, ICD-10-PCS Section X in national call
A national call will be hosted by the CMS on June 18 to discuss resources and strategies to help health care providers convert to ICD-10 codes. The ICD-10-PCS Section X for new technologies, which hospitals will use, will be covered in the call. Health Industry Washington Watch blog (5/19)
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Deadline for EHR hardship exemption is July 1
The deadline for submitting hardship exemption applications for the 2014 Medicare EHR Incentive Program is set for July 1. Reimbursement cuts will go into effect Jan. 1, 2016, for eligible providers who didn't attest to meaningful use in 2014. BeckersHospitalReview.com (5/15)
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Business & Market Trends
Drug companies to collaborate on hepatitis C treatments
Johnson & Johnson and Achillion Pharmaceuticals formed a partnership to develop and commercialize the latter's hepatitis C drugs, including sovaprevir and ACH-3102, which are in midstage trials. The move is part of a trend toward developing all-oral HCV treatments to replace injectable interferon and ribavirin. Reuters (5/19)
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Patient's Perspective
Patients want to talk costs with doctors, yet often don't
Patients often wish they could discuss the cost of care with their physicians, yet many are reluctant to do so, according to data collected by the online health community Inspire. One patient described cycling through prescription drugs, abandoning various regimens because of side effects and feeling like she was throwing away money with each new prescription filled. Some patients simply don't fill prescriptions or obtain tests ordered by their doctor because of the cost, experts say. Los Angeles Times (tiered subscription model) (5/17)
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ACG News
Live from Honolulu! 3rd Annual Endoscopy Video Forum
Share your unique case or case series with colleagues by submitting it for presentation at ACG 2015 during Live from Honolulu! The 3rd Annual Endoscopy Video Forum. Exceptional video submissions will be featured during a special video symposium at ACG 2015 in Honolulu. All submitted videos will be considered for oral presentation during this symposium. The 75-minute session will focus on endoscopy techniques, challenging or unique cases, and cases in the area of GI endoscopy. Submission can be a case or a case series and should be no longer than 5 minutes in length. Authors of accepted videos will present their video live and will have up to 2 minutes to answer questions from the Moderators and the audience. During the session, the audience, along with the Moderators, will vote to select the best video of ACG 2015. The deadline for submission of all abstracts is Monday, June 8, 11:59 p.m. Eastern Time. No abstracts will be accepted after this date. Don't miss out on this opportunity. Learn more and submit your abstract.
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Pearls in Acute Pancreatitis
Hear an expert identify management options in acute pancreatitis that improve patient outcomes when you attend the ACG Eastern Regional Postgraduate Course on Saturday and Sunday, June 13 and 14, at the Seaport Hotel & World Trade Center in Boston. Other topics to be offered include controversies in IBD; celiac disease; gastroparesis, functional dyspepsia and dysphagia; quality indicators for Barrett's esophagus, colonoscopy and IBD; case studies in IBS; performing endoscopy on patients taking anti-coagulants; practical issues related to performing fecal transplantation in your practice; and video case presentations. Prior to the start of the Regional Course, ACG will offer Hepatitis School on Friday, June 12. Registration is open. Learn more about Hepatitis School and the Eastern Regional Postgraduate Course. Register today.
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Editor's Note
SmartBrief will not publish May 25
In observance of Memorial Day in the U.S., ACG SmartBrief originally scheduled for publication on Monday, May 25, will be published Tuesday, May 26.
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All truths are easy to understand once they are discovered; the point is to discover them."
-- Galileo Galilei,
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