Study: Timing of first gluten exposure may not affect celiac disease risk | Do not ignore GI symptoms, gastroenterologist says | Study: Dyspepsia patients may have poor dietary habits
January 21, 2015
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Digestive Health SmartBrief
From Stanley K. Fergus and the American College of Gastroenterology

Top Story
Study: Timing of first gluten exposure may not affect celiac disease risk
The time at which gluten is introduced to an infant's diet may not be linked to the risk of celiac disease or celiac disease autoimmunity by age 5, data from a study in Pediatrics showed. The study involved research centers in the U.S., Finland, Germany and Sweden. Medscape (free registration) (1/19)
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How Much Do You Really Need to Make? The Answer May Shock You
Rather than focus on what you can afford to pull out of the business to cover your living expenses, you need to focus on how much you need to earn at your business in order to afford the lifestyle you want to have. This is where the Personal Earnings Goal, or PEG, comes into play. Learn how to calculate your PEG and find out how much you really need to make.

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Do not ignore GI symptoms, gastroenterologist says
Digestive health is important to overall well-being and people should not dismiss symptoms such as bloating, gas or diarrhea, said gastroenterologist Roshini Raj. She said gastrointestinal symptoms could be a sign of an underlying condition, such as exocrine pancreatic insufficiency, so it is important to overcome any embarrassment and talk with a physician to find the cause. WMGT-TV (Macon, Ga.) (1/16)
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Study: Dyspepsia patients may have poor dietary habits
People with refractory functional dyspepsia and non-RFD had higher rates of unhealthy diet behaviors, such as skipping meals or eating extra meals, compared with a group of healthy controls, according to a study by Chinese researchers. Data from dietary questionnaires also showed RFD patients preferred sweet and gas-producing foods. News (1/16)
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Beans can help digestive system, nutritionist says
Beans are heart healthy and have soluble and insoluble fiber that helps the digestive system run properly, registered dietitian Cynthia Sass says. Adding beans to a healthy diet can help with blood sugar and cholesterol levels, aid in weight control and boost vitamin B and iron intake, Sass says. (1/9)
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Survey: Poor numeracy skills tied to negative CRC screening perceptions
Patient survey data found those who had poor numeracy skills may have more negative feelings about colorectal cancer screening and be less likely to have the test, U.K. researchers said. The study showed people who had trouble using numbers were more likely to think a colorectal cancer screening test was disgusting or embarrassing and were more likely to be afraid of getting an abnormal result. They also tended to not know as much about colorectal cancer. Oncology Nurse Advisor online (1/16)
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Higher annual health cost seen for the obese, smokers
Research data showed obese individuals had a mean additional medical cost of $1,360 per year compared with their non-obese counterparts. Data also showed smokers had an average additional cost of $1,046 compared with nonsmokers. Out-of-pocket expenses were also higher among obese patients and smokers than their healthier peers. HealthDay News (1/16)
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How to Achieve IT Agility: A Survival Guide for IT Decision Makers
When business teams add new apps and services to already-strained networks, IT departments are accountable for making everything work. Is your team ready for this challenge? Read this eGuide to learn how IT teams are automating their networks, why they're utilizing Ethernet fabrics and SDN, and what success looks like as they regain network control and business relevance.

Diagnosis & Treatment
Research questions call for expanded hepatitis C screening
Expanded hepatitis C screening recommended by the CDC and the U.S. Preventive Services Task Force due to new treatments for the disease may be premature, according to a report from researchers at the University of California, Los Angeles. The analysis said there are questions about the safety of new treatments, data suggest from 80% to 85% of patients with hepatitis C will die of other causes, and expanded screening may result in unnecessary treatment. Family Practice News (1/13)
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Entecavir plus chemo prevents HBV reactivation in lymphoma patients, study finds
Patients with untreated diffuse large B-cell lymphoma who had entecavir with a chemotherapy regimen had lower incidence of hepatitis B recurrence than those who received lamivudine, according to study data. Chinese researchers said in the entecavir group, HBV-related hepatitis incidence was 0%, compared with 13.3% in the lamivudine group. Healio (free registration)/HemOnc Today (1/15)
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Surgery rates decline for late-stage colon cancer, data show
Data from more than 64,000 patients with advanced colon or rectal cancer showed the prevalence of surgery to remove a primary tumor decreased from 75% of cases in 1988 to 57% in 2010. Researchers from the University of Texas MD Anderson Cancer Center said the median relative survival rate increased from 9% in 1988 to 18% in 2009. HealthDay News (1/14)
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Clinical Trial Monitor
A selection of U.S. based clinical trials seeking participants
Combination chemo for patients w/advanced or metastatic esophageal, gastric, or gastroesophageal junction cancer
Alabama, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Texas, Virginia, Washington, Wisconsin, Wyoming.
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Multicenter study to evaluate the efficacy and safety of metoclopramide nasal spray in women with diabetic gastroparesis
Alabama, Arizona, Arkansas, California, Florida, Georgia, Illinois, Indiana, Kansas, Louisiana, Michigan, Mississippi, Missouri, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Tennessee, Texas, Virginia, Wisconsin.
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YF476 in patients with type II gastric carcinoids associated with Zollinger-Ellison Syndrome
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Cancer research repository for individuals with cancer diagnosis and high risk individuals. (iCaRe2)
Alabama, Illinois, Indiana, Michigan, Minnesota, Nebraska, New York, Pennsylvania, South Dakota, Italy.
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A study to evaluate the efficacy, safety, and pharmacokinetics of co-administration of ABT-493 and ABT-530 with and without RBV in subjects with chronic hepatitis C virus (HCV) genotype 2 or genotype 3 infection
Alabama, California, Georgia, Louisiana, Missouri, New York, Oregon, Pennsylvania, Tennessee, Texas.
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Did you know?
Indigestion symptoms can vary
"Indigestion (dyspepsia) is a mild discomfort in the upper belly or abdomen, it occurs during or right after eating. It may feel like a feeling of heat, burning, or pain in the area between the navel and the lower part of the breastbone; [or] an unpleasant feeling of fullness that comes on soon after a meal begins or when the meal is over. Most of the time indigestion is not a sign of a serious health problem unless it occurs with other symptoms. These may include bleeding, weight loss, or trouble swallowing." -- National Institutes of Health
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The Last Word
News and information from the American College of Gastroenterology
Colon cancer: Have you been screened?
If you are 50 or over or have a family history of colon cancer, you should be screened. African-Americans should be screened beginning at age 45. Colon cancer is one of the most preventable -- and curable -- types of cancer when detected early. Since the risk of colon cancer increases with age, getting screened is essential. Learn more about colon cancer, who is at risk and when you should get tested. If you have a colonoscopy scheduled or would like to learn more about what to expect during the procedure, see the video, What to Expect During a Colonoscopy.
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It is good to have an end to journey towards, but it is the journey that matters, in the end."
-- Ursula Le Guin,
American writer
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Contact Your Doctor
Stanley K. Fergus
Gastroenterolgy Associates of West Tennessee
1400 Kings Boulevard
Memphis, TN 38105

Phone: (901) 555-1234
Contact ACG
American College of Gastroenterology
P.O. Box 342260
Bethesda, MD 20827-2260
The presence of any advertisement in this newsletter does not constitute endorsement of the associated service, product, or company by the American College of Gastroenterology, SmartBrief, or any participating physicians.
The information contained in Digestive Health SmartBrief is not intended to be medical advice. Consult your physician before making any decisions regarding your health care.
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