• Review: Pathogenesis and Prevention of Gastric Cancer

Review: Pathogenesis and Prevention of Gastric Cancer

New diagnostic protocols, effective medical treatments, and recently developed conservative ablative procedures could make gastric cancer a preventable malignancy, says a review article in the December issue of Clinical Gastroenterology and Hepatology. Gastric cancer is 1 of the 5 most common causes of cancer death, and only 30% of patients survive 5

Read more
  • Does Enhanced Sterilization of Duodenoscopes Reduce Contamination?

Does Enhanced Sterilization of Duodenoscopes Reduce Contamination?

A comparison of duodenoscopes reprocessed by standard high-level disinfection (sHLD) vs double high-level disinfection (dHLD) and standard high-level disinfection followed by ethylene oxide gas sterilization (HLD–ETO) found no significant differences in contamination with multidrug-resistant organisms (MRDO) or other bacteria. The article, published in the October issue of Gastroenterology, concludes that enhanced disinfection

Read more
  • Can Your Diet Affect Your Risk for Gallstone-related Pancreatitis?

Can Your Diet Affect Your Risk for Gallstone-related Pancreatitis?

Consumption of red meat, saturated fat, and cholesterol increase risk for gallstone-related acute pancreatitis, researchers report in the February issue of Clinical Gastroenterology and Hepatology. Dietary fiber protects against acute pancreatitis—related and unrelated to gallstones—whereas coffee protects against acute pancreatitis not associated with gallstones, the study of thousands of patients

Read more
  • Can Vitamin D Affect Risk of Ulcerative Colitis Relapse?

Can Vitamin D Affect Risk of Ulcerative Colitis Relapse?

Serum levels of vitamin D of 35 ng/mL or less in patients with ulcerative colitis (UC) in clinical remission are associated with disease relapse, researchers report in the February issue of Clinical Gastroenterology and Hepatology. Increasing patients’ levels of vitamin D might reduce their risk for UC relapse. Vitamin D

Read more
  • Study Estimates Medical Errors May Cause More Than 250,000 Deaths Each Year in the US

Study Estimates Medical Errors May Cause More Than 250,000 Deaths Each Year in the US

Medical error is the third leading cause of death in the United States, after heart disease and cancer, a study concluded. Analyzing medical death rate data over an 8 year period, Marin Makary and Michael Daniel (Johns Hopkins University [JHU]) estimated that more than 250,000 deaths/year are due to medical error

Read more
  • Do NSAIDs Prevent PEP?

Do NSAIDs Prevent PEP?

Rectal indomethacin does not prevent pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP), researchers report from a randomized controlled study published in the April issue of Gastroenterology. These findings contradict more than a decade of evidence that nonsteroidal anti-inflammatory drugs (NSAIDs) decrease the risk of post-ERCP pancreatitis (PEP). Acute pancreatitis is the

Read more

Peanut Consumption in Infancy not Only Prevents Allergy but Effects Persist After Avoidance

The benefits of regularly consuming peanut-containing foods early in life to prevent the development of peanut allergy persist even when subjects stopped peanut consumption for 1 year, a clinical study found. Early introduction of peanuts to infants at high risk for allergy was previously shown to prevent peanut allergy. In a

Read more
  • Can a Cocktail Prevent Colorectal Adenoma Recurrence?

Can a Cocktail Prevent Colorectal Adenoma Recurrence?

The combination of calcitriol, aspirin, and calcium carbonate did not prevent recurrence of colorectal adenomas over a 3-year period, found a prospective study published in the January issue of Gastroenterology. This negative result might have been affected by the numbers of smokers included in the study or low doses of

Read more
  • What is the Best way to Manage Diverticulitis, and how Many People Have it?

What is the Best way to Manage Diverticulitis, and how Many People Have it?

Not all patients with multiple episodes of diverticulitis should undergo preventative surgery, shows a Markov decision model published in the January 2016 issue of Clinical Gastroenterology and Hepatology. Elective surgery after 2 episodes produces fewer quality-adjusted life-years (QALYs) than surgery after 3 episodes or conservative or medical treatments, the model found.

Read more
  • Do Patients Really Prefer Colon Capsule Endoscopy Over Colonoscopy?

Do Patients Really Prefer Colon Capsule Endoscopy Over Colonoscopy?

Slightly more than 50% of people with an inherited risk for colorectal cancer (CRC) agree to undergo screening for this cancer, and most prefer colonoscopy to colon capsule endoscopy—even though these are equally effective screening tools—researchers report in the December issue of Clinical Gastroenterology and Hepatology. Colonoscopy should therefore remain

Read more