Survey: Primary care referral is key in choosing colonoscopist | Persistent gastric reflux raises risks, doctor says | ACG Note
February 20, 2015
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Digestive Health SmartBrief
From Stanley K. Fergus and the American College of Gastroenterology

Top Story
Survey: Primary care referral is key in choosing colonoscopist
A survey of 417 patients about to have a colonoscopy found 88% were familiar with bowel preparation quality measures, 20% had looked up their physician's ratings and 87% said a referral from their primary care doctor was among the top two considerations when selecting a colonoscopist. Researchers from Yale University and other health care facilities in Connecticut wrote in The American Journal of Gastroenterology that primary care physicians have an important role in patient education on the issue of quality metrics. (2/17)
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Get Creative: 10 Ways to Think Outside the Box
No matter your business, smart solutions come from out-of-the-box thinking. We all know creativity is king, but are you doing all you can to inspire and encourage creativity in your staff? Read the article and learn 10 ways to inspire creativity at your office.

Guide to Healthy LivingAdvertisement
Persistent gastric reflux raises risks, doctor says
Gastroenterologist Dr. Gilbert Simoni says patients who have atypical symptoms of gastric reflux, such as chronic cough or sore throat, may not see a physician or may be misdiagnosed with allergies or asthma. A smaller percentage of patients with persistent reflux may go on to develop Barrett's esophagus, which can lead to esophageal cancer. Los Angeles Times (tiered subscription model) (2/13)
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ACG note: Reflux can be a serious issue. If you have symptoms, see your doctor. The College offers patient education information on Acid Reflux and Barrett's Esophagus. In addition, for physicians, the College published new guidelines on gastroesophageal reflux disease (GERD) in early 2013 and guidelines also exist for Barrett's esophagus.
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2 antibiotics may lead to GI condition in newborns, study finds
Newborns given oral azithromycin and erythromycin may be at increased risk of the gastrointestinal condition pyloric stenosis, researchers from the Uniformed Services University of the Health Sciences reported. The study found the biggest risk comes in the first two weeks of life, with a reduced risk for babies ages 2 weeks to 6 weeks. HealthDay News (2/16)
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Philadelphia outreach program connects patients to HCV care
A community-based hepatitis C screening program called Do One Thing was successful in connecting Philadelphia residents living in underserved neighborhoods to HCV care, researchers reported. The program sent physicians, patient advocates and social workers into the community to use street outreach and door-to-door screenings. Goals included getting uninsured patients connected with insurance programs, increasing primary care physician referrals for HCV care and linking patients to specialists for HCV treatment. Healio (free registration)/HCV Next (2/16)
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High-fiber diet can lead to weight loss, study says
Obese adults who followed a diet with at least 30 grams of fiber per day lost about 4.5 pounds on average after one year, compared with about 6 pounds lost by a group following an American Heart Association plan with 25 to 30 grams of fiber, researchers reported. Both groups had better blood pressure and insulin resistance. Registered dietitian Julia Zumpano says the high-fiber diet was easy to follow, which can increase compliance. Reuters (2/16)
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Building Workplace Trust 2015
Interaction Associates' 6th annual research study tracking trust on the job, Building Workplace Trust, is out, and more than half of employees surveyed give their organizations low marks for trust and leadership. Yet this year's findings again point to how high trust leads to better outcomes and financial results — and even boosts innovation.

Diagnosis & TreatmentAdvertisement
Endoscopist experience linked to radiation exposure in ERCP
Patients having an endoscopic retrograde cholangiopancreatography done by a low-volume physician may get higher radiation exposure than if a high-volume endoscopist did the procedure, Stanford University researchers said. An editorial accompanying the study suggested that ERCP providers benchmark success rates, adverse events, repeat procedure frequency and average radiation exposure per procedure. Healio (free registration)/Gastroenterology (2/17)
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Case study links fecal transplant to new-onset obesity
Two physicians reported a case study in which a woman with recurrent C. difficile infection who was treated with a fecal microbiota transplant from her daughter developed new-onset obesity. Report co-author Dr. Colleen Kelly of Brown University said the weight gain was "dramatic and disturbing" and called for additional research and patient follow-up after fecal transplantation. Medscape (free registration) (2/17)
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Whitepaper: SDN: How do you get there from here?
Are the growing data needs of mobile, cloud, big data and social threatening today's enterprise networks? Scalable processes, a phased integration approach and the appetite to optimize over time are key components of a modern network. It's how agile organizations prepare for the data needs of tomorrow.
Explore the whitepaper to start down the path toward SDN.

Policy Watch
ACA enrollment reaches 11.4M
The White House announced this week that enrollment in private health insurance through the Affordable Care Act reached 11.4 million. Individuals who were not able to enroll due to a technical glitch will have an enrollment extension, HHS said. Reuters (2/17)
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Patient's Perspective
Trying to love a body that doesn't work
"Society tells me because I have a good body and a pretty face, I am beautiful and therefore lovable. But society doesn't see my illness. It doesn't see the part of me that make me 'unlovable', which is the part of myself that I have not been able to reconcile in my not so normal life." -- blog post from Sarah on My Not So Normal Life with Crohn's Disease
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The Last Word
News and information from the American College of Gastroenterology
Don't let IBS ruin your day: Take control of your symptoms
Tired of the abdominal pain, diarrhea and constipation associated with IBS? IBS is a common digestive disorder affecting millions of Americans every day. Learn the facts about IBS and find out which treatment options are right for you.
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[I]f one advances confidently in the direction of his dreams, and endeavors to live the life which he has imagined, he will meet with a success unexpected in common hours."
-- Henry David Thoreau,
writer and naturalist
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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
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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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