UC patients benefit from surveillance colonoscopy, study says | Study: Gut microbe may help regulate blood glucose, fat | High-protein snacks have healthy benefits, dietitians say
June 26, 2015
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Digestive Health SmartBrief
From Stanley K. Fergus and the American College of Gastroenterology

Top Story
UC patients benefit from surveillance colonoscopy, study says
Surveillance colonoscopy may help reduce the risk of colorectal cancer and colectomy rates in ulcerative colitis patients, according to data from a 40-year neoplasia surveillance program. The study reported in The American Journal of Gastroenterology included 1,375 patients with ulcerative colitis and data from 8,650 colonoscopies. Read the abstract. Healio (free registration) (6/22)
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Guide to Healthy Living
Study: Gut microbe may help regulate blood glucose, fat
A study found the microbe Akkermansia muciniphila, which is associated with a high-fiber diet, may help reduce blood glucose, insulin and fats. Gut bacteria get nutrients from food, keep the gut healthy and help fight disease, says registered dietitian Samantha Heller. HealthDay News (6/23)
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High-protein snacks have healthy benefits, dietitians say
Study data link high-protein snacks to increased satiety, blood glucose control and a lower risk of hypertension. Registered dietitian Jessica Crandall said most people do not eat enough protein in the morning, which can affect performance and hunger, and registered dietitian nutritionist Isabel Maples suggested choosing a protein-rich dairy snack because many people fall short of the recommended daily intake. Today's Dietitian (6/2015)
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Diagnosis & Treatment
Study: Opioids may affect esophagus function after tomography
A study in The American Journal of Gastroenterology found patients taking opioid medications were more likely to have esophageal dysfunction following esophageal pressure tomography than those who discontinued the medications for at least 24 hours. Researchers from the Mayo Clinic campus in Arizona noted that opioid medication may affect esophageal motility by interfering with contraction inhibition. Read the abstract. Medscape (free registration) (6/22)
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Beclomethasone dipropionate for UC on par with prednisone
Disease Activity Index response rates for the oral ulcerative colitis therapy prolonged release beclomethasone dipropionate were 64.6% after four weeks, compared with 66.2% in a group of patients taking prednisone, researchers reported in The American Journal of Gastroenterology. The findings show noninferiority for beclomethasone dipropionate, according to the report. Read the abstract. Healio (free registration) (6/23)
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Gene expression could guide metastatic colorectal cancer treatment
Metastatic colorectal cancer in patients who had low expression of the genes ERCC1 and TS, linked to DNA repair, responded to treatment with oxaliplatin, while the cancer responded to irinotecan at the same rate regardless of ERCC1 and TS expression level, a study found. The results suggest that irinotecan be considered first-line treatment for patients with high ERCC1 or TS gene expression and oxaliplatin is a better choice for those with low expression. Genetic Engineering & Biotechnology News (6/18)
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Ribavirin might not be needed with AbbVie HCV treatment
Hepatitis C virus responded to AbbVie's Viekira Pak as a standalone treatment in a late-stage study, the drugmaker reports. The FDA approved Viekira Pak in December as a standalone therapy and as a combination treatment with ribavirin. Reuters (6/24)
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Policy Watch
Report: VA may outsource hepatitis C care for some veterans
The Department of Veterans Affairs, faced with increased costs for drugs and high patient volume, plans to outsource care for some veterans with hepatitis C, a report said. The new policy prioritizes patients, so the sickest people get treatment first, while those who have severe and irreversible cognitive impairment or less than a year to live will not be eligible for treatment. The Arizona Republic (Phoenix) (tiered subscription model) (6/19)
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U.S. Supreme Court upholds ACA exchange subsidies
Supreme Court
The Supreme Court. (Mandel Ngan/Getty Images)
The U.S. Supreme Court on Thursday upheld federal subsidies under the Affordable Care Act for people buying insurance through the federal insurance exchange, HealthCare.Gov. The 6-3 opinion in King vs. Burwell was written by Chief Justice John Roberts. The decision confirms that people qualify for subsidies whether they buy health plans through state or federal exchanges. NBC News (6/25), The New York Times (tiered subscription model) (6/25)
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Patient's Perspective
Staying positive when things get tough
"I go back and forth about whether I should even be sharing things ... because I’m not in the best place. I don’t want to come off too negative and I know multiple 'downer' type of posts in a row don’t exactly scream inspirational or hopeful to those who are struggling. I always want to provide hope to you all so you know everything is going to be okay. I really believe that. Even with as bad a days as I’ve been having and everything I’ve been through that doesn’t even compare (to be honest,) I still believe I will be okay." -- blog post from Marisa on JournalingIBD.org
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The Last Word
News and information from the American College of Gastroenterology
How to handle belching, bloating and flatulence
Ever wonder why you experience belching, bloating and flatulence from time to time? Although intestinal gas is unavoidable, you may be able to alleviate the symptoms by following some helpful tips.
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Art is pattern informed by sensibility."
-- Herbert Read,
poet and art critic
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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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