Colorectal cancer cases increase among patients younger than 50 | Survey: People will take action if genetic test shows health risk | Dietitians find nutritional flaws in gluten-free and other trendy diets
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December 12, 2014
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From Stanley K. Fergus and the American College of Gastroenterology
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Top Story
Colorectal cancer cases increase among patients younger than 50
Research from Weill Cornell Medical College found that from 2000 to 2011 the rate of colorectal cancer among patients under age 50 increased by 1.5% per year, compared with a 3.1% annual decrease in the rate among older patients. The study, presented at the ACG 2014 Annual Scientific Meeting, found patients diagnosed with early onset disease had more advanced tumors and were more likely to have their cancer spread. Gastroenterology & Endoscopy News (12/2014)
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Selling your business? Here are 7 things you should do now.
If you're considering selling your business, you should be doing everything you can to get the best possible price. In just 7 simple steps you can improve your chances of attracting buyers and getting big bucks for your business. Read the article and learn the 7 steps.

Guide to Healthy Living
Survey: People will take action if genetic test shows health risk
A survey of adults found the higher their genetic risk of colon cancer, heart disease or Alzheimer's disease, the more likely it is that people will take action to address it, Yale University researchers reported. Co-author Rene Almeling said it is important for clinicians to understand how patients may use genetic test information to make key life decisions, because risk for a disease may be treated like the actual disease. HealthDay News (12/8)
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Dietitians find nutritional flaws in gluten-free and other trendy diets
Trendy diets -- such as low-fat, low-carb and raw foods -- include elements of nutritional truth but have serious flaws, say registered dietitians Heather Mangieri and Keri Glassman. A gluten-free diet is not necessarily healthy because packaged gluten-free foods tend to have added sugars and calories and may eliminate needed nutrients, Mangieri says. New study data also suggest people with nonceliac gluten sensitivity may be reacting not to gluten but to FODMAPs, a class of carbohydrates that can cause GI distress. Men's Journal online (12/9)
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Diagnosis & Treatment
Biomarkers fail to quantify steatosis levels in NAFLD, study shows
Biomarkers such as liver fat scores or fatty liver, hepatic steatosis, visceral adiposity and triglyceride-glucose indexes did not reliably measure steatosis in nonalcoholic fatty liver disease patients, according to a European study. The biomarkers accurately detected steatosis but could not quantify or distinguish steatosis levels, the research showed. Healio (free registration) (12/9)
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Study links low hematocrit to loss of Crohn's remission
Low hematocrit was linked to a shorter time to loss of remission for Crohn's disease patients taking certolizumab pegol, compared with patients who had normal hematocrit, according to a study from the University of California San Diego Health System Inflammatory Bowel Disease Center. Study author Dr. William Sandborn said the data is comparable to observations that low serum albumin also may be a remission risk factor. Healio (free registration)/Gastroenterology (12/9)
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EoE treatment leads to healing of altered esophageal epithelia
The altered epithelial ultrastructure in patients with eosinophilic esophagitis returns to normal after treatment, according to researchers at Children's Hospital Colorado. Dr. Kelley Capocelli said EoE, an allergic disease likely linked to specific food exposures, can significantly affect quality of life, including eating, sleeping and learning. Medscape (free registration) (12/8)
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Business Tips and Advice
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Policy Watch
States have some latitude in ACA implementation
HHS rules implementing the Affordable Care Act give states flexibility in choosing benchmark plans and coverage, and states have interpreted the requirements differently, a variety of studies have found. Most plans already covered essential health benefits addressed in the law. The New York Times (tiered subscription model)/The Upshot blog (12/9)
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Report shows access problems for Medicaid patients
An HHS Office of Inspector General's investigation found that half of 1,800 physicians who were listed as Medicaid participants were not actually available to take appointments. The report said more than 33% were not at the address listed in the Medicaid managed care plan, 8% were at the listed location but did not participate in the health plan listed, and 8% were Medicaid participants but were not taking new patients. The New York Times (tiered subscription model) (12/9)
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ACOs are integral to quality, high-value care, HHS secretary says
Data-driven accountable care and better patient safety protocols have saved some 50,000 lives and saved the U.S. health care system $12 billion since 2010, HHS Secretary Sylvia Mathews Burwell said at the recent CMS Quality Conference. Continuing the shift toward patient-centered, value-based accountable care will further rein in spending and improve quality, Burwell said. EHR Intelligence (12/3)
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Patient's Perspective
Feeling the financial burden of Crohn's around the holidays
"There are so many things I'd like to do for the people who are important to me around this time of year, but I can't and I hate that. I just feel so much pressure and I’m sure the majority of it is pressure I place on myself. Because of Crohn's disease I struggle financially. It seems to be a recurring theme in my life that I spend a portion of the year in the hospital and much time out of work and then when the holidays hit I am reminded of not only how I can't take care of myself the way that I would like to, but that I can't do what I want to do for others." -- blog post from Sara on Inflamed-and-Untamed.com
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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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SmartQuote
Respect your efforts, respect yourself. Self-respect leads to self-discipline. When you have both firmly under your belt, that's real power."
-- Clint Eastwood,
American actor and filmmaker
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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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