CD does not raise complication risks in pregnant women | Study: UC patients respond differently to dietary changes | Generics, mail order offer big savings for seniors
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August 15, 2014
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Digestive Health SmartBrief
From Stanley K. Fergus and the American College of Gastroenterology

Top Story
CD does not raise complication risks in pregnant women
Celiac disease does not significantly raise the risk of complications or adverse birth outcomes for pregnant women, according to a study in the American Journal of Gastroenterology. Researchers said women with diagnosed celiac disease did, however, have a higher adjusted risk for postpartum hemorrhage and a higher likelihood of assisted delivery. Healio (free registration) (8/8)
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Guide to Healthy Living
Study: UC patients respond differently to dietary changes
People with ulcerative colitis may not respond to dietary measures the same way healthy people do because their gut microbiome functions abnormally, according to Australian researchers. The study found UC patients do not get the same benefits from dietary wheat bran and resistant starch that healthy people get. Medscape (free registration)/Reuters (8/12)
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Generics, mail order offer big savings for seniors
Celebrex, Copaxone, Actonel, Nexium and Exforge are all about to get cheaper, thanks to the coming availability of generic versions, which are one tool seniors can use to hold down their out-of-pocket costs for pharmaceuticals. Mail-order pharmacies also offer big savings, often providing double or triple the quantity for the same price as a retail pharmacy, and seniors can turn to therapeutic equivalents for costly therapies. The Dallas Morning News (free content)/Kiplinger's Personal Finance (8/11)
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Diet, lifestyle can affect GERD, gastroenterologist says
Gastroesophageal reflux disease can cause severe pain and become debilitating but often changes in diet and lifestyle can reduce symptoms, said Canadian gastroenterologist Lawrence Cohen. He said citrus or tomato-based foods, chocolate, and caffeine can aggravate GERD symptoms, along with being overweight, carrying more weight around the waist and eating high-fat meals at night. The Globe and Mail (Toronto) (tiered subscription model) (8/12)
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Diagnosis & Treatment
Health groups update hepatitis C treatment guidelines
The Infectious Diseases Society of America, the American Association for the Study of Liver Diseases and the International Antiviral Society-USA have expanded their treatment guidelines for the care of patients with hepatitis C. A new section called "When and in Whom to Initiate HCV Therapy" addresses the identification of patients in need of urgent care, including those with advanced fibrosis or cirrhosis. The guidelines do not address drug cost. Healio (free registration)/HCV Next (8/11)
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Policy Watch
Exact Sciences gains FDA approval for at-home colon cancer test
The FDA on Monday approved an at-home, DNA-based colorectal screening test from Exact Sciences that can spot genetic mutations linked to cancerous and precancerous growth in the colon. The Cologuard test was able to detect more cancers during clinical trials compared with blood testing. The test isn't meant to replace more thorough evaluation methods, such as colonoscopy, but rather to encourage more people to be screened, doctors say. (8/12)
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Enrollment in Medicaid up, even where eligibility was not expanded
Medicaid enrollment has grown in states that did not expand eligibility under the Affordable Care Act as well as in states with expanded eligibility. Many new enrollees learned they were eligible through ACA outreach efforts, as was expected. The New York Times (tiered subscription model)/The Upshot blog (8/12)
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Judge allows challenge to ACA tax credits to proceed
A U.S. District Court judge in Indianapolis said a lawsuit may proceed against the Internal Revenue Service for extending tax credits under the Affordable Care Act to consumers who purchased a health plan through the federally run exchange. The lawsuit contends that only consumers who bought a plan through a state-run exchange are eligible for tax credits. The suit was brought by Indiana and 39 state public school systems. Bloomberg (8/13)
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Patient's Perspective
What remission really means
"I now realize and have come to terms with the idea that remission means 'mostly better'. It means that Crohn's is something that will never, ever go away. It will always be there. It must always be maintained. Medicines must always be taken. The foods that bother him must be avoided. And in an effort to stay in remission, we must never forget where we've been." -- blog post from Cheryl on the Mother of a Crohnie blog
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The Last Word
News and information from the American College of Gastroenterology
NSAIDs and ulcers: How to avoid unsuspected damage
If you're one of millions who take NSAIDs for pain relief, you may be at risk for ulcers and GI bleeding. You can reduce the risk of these common side effects by following a few simple guidelines. Learn important safety tips on the use of NSAIDs.
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Defeat is not the worst of failures. Not to have tried is the true failure."
-- George Woodberry,
American literary 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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