10 Recent Innovative Studies on Gastroenterology & Endoscopy

Here are 10 recent studies containing useful findings, ranging from patient colonoscopy demand to adolescent bariatric surgery, for GI-driven ASCs.

1.  Polyp Removal Prevents Colorectal Cancer Deaths.  A study published in the New England Journal of Medicine found that colonoscopic removal of adenomatous polyps prevented colorectal cancer deaths. Out of 2,602 colonoscopy patients who had polyps removed, 1,246 died from any cause and 12 from colorectal cancer after an average follow-up time of about 15 years.

2.  Diabetes Might Start in the Intestine. Washington University School of Medicine in St. Louis research suggests problems controlling blood sugar might begin in the intestines. Researchers studied mice that are unable to make fatty acid synthase, an enzyme crucial for lipid production and regulated by insulin. Mice without the enzyme in the intestines developed chronic inflammation in the gut, a predictor of diabetes.

3.  Laparoscopy-Assisted Gastrectomy Has Good Long-Term Prognosis for Gastric Cancer. Researchers found laparoscopy-assisted gastrectomy is as effective and safe for treatment of early gastric cancer as open gastrectomy.

4.  Demand for Screening Colonoscopy Down During Recession. A study found insured patients reduced their use of screening colonoscopy from December 2007 to June 2009 compared to the two years before the recession began. Researchers also found patients with higher out-of-pocket costs had lower rates of screening before and during the recession and had a larger decrease in screening rates during the recession.

5.  Overweight Physicians Less Likely to Offer Weight Loss Advice. Overweight and obese physicians were less likely to talk to their patients about weight loss and felt less confident doing so, according to findings in Obesity. Researchers found that 30 percent of physicians with normal BMI engaged their obese patients in conversations about weight loss compared to only 18 percent of overweight physicians.

6.  Eating Fish Might Protect Against Colon Polyps in Women. A new study found intake of omega 3 polyunsaturated fatty acids, such as those found in fish, can protect against developing colon polyps. Researchers found fish intake was associated with a reduced risk of colorectal adenomas in women only, with an adjusted odds ratio of 0.67.

7.  Breast Cancer Biomarkers Predict Weight Loss After Bariatric Surgery.  Researchers found adiponectin, a protein, increased in women after gastric bypass and was associated with greater weight loss. High levels of the protein are also associated with an increased risk for breast cancer.

8.  Alcohol Consumption, Family History Increase Risk of Colon Cancer. People with a family history of colon cancer and who drink an average of 30 or more grams of alcohol per day have an increased risk of colon cancer, according to a Boston University Medical Center study.

9.  Colorectal Cancer Screening Most Likely Preventive Service to be Completed. A new study found that of 19 national guideline-recommended preventive services, screening tests for colorectal cancer were most likely to be completed.

10. Bariatric Surgery in Adolescents Improves Obesity-Related Diseases in First Two Years.  Bariatric surgeons at Nationwide Children's Hospital in Columbus found adolescents who underwent weight-loss surgery lost excess body weight and showed improvement in many obesity-related diseases within the first or second year following surgery.

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