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May 2020 Briefing - Gastroenterology

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for May 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

9.5 Percent Uninsured in U.S. From January Through June 2019

WEDNESDAY, May 27, 2020 (HealthDay News) -- A total of 9.5 percent of persons were uninsured from January through June 2019, according to a report published online May 28 by the National Center for Health Statistics.

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Links Found Between Leaders of Medical Associations, Industry

THURSDAY, May 28, 2020 (HealthDay News) -- There are extensive financial relationships between leaders of U.S. professional medical associations and industry, according to a study published online May 27 in The BMJ.

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U.K. Patients Hospitalized With COVID-19 Are More Often Male

WEDNESDAY, May 27, 2020 (HealthDay News) -- Patients hospitalized with COVID-19 are more often male and frequently have comorbidities, according to a study published online May 22 in the The BMJ.

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Only One in Four U.S. Hospitals With ICUs Have Tele-ICU Services

WEDNESDAY, May 27, 2020 (HealthDay News) -- In 2018, half of U.S. hospitals had the capacity to conduct telehealth-based outpatient visits, while only one in four had tele-intensive care unit (tele-ICU) capabilities, according to a research letter published online April 30 in the Annals of Internal Medicine.

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Platinum Therapy May Up Survival in Pancreatic Cancer With DNA Repair Defects

TUESDAY, May 26, 2020 (HealthDay News) -- For patients with advanced-stage pancreatic ductal adenocarcinoma (PDAC), those with homologous recombination deficiency (HRD) have improved survival with first-line (1L) platinum treatment, according to a study published online May 22 in Clinical Cancer Research.

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Lasting Drop Seen in CRC Incidence, Death After Negative Colonoscopy

TUESDAY, May 26, 2020 (HealthDay News) -- Colorectal cancer (CRC) incidence and mortality are reduced for a period of 17.4 years following a single negative screening colonoscopy, according to a study published online May 26 in the Annals of Internal Medicine.

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Antiobesity Meds May Curb Weight Regain After RYGB

FRIDAY, May 22, 2020 (HealthDay News) -- The antiobesity medications (AOMs) phentermine and topiramate may help mitigate weight regain (WR) after Roux-en-Y gastric bypass (RYGB) surgery, according to a study published online May 22 in Obesity.

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Updated Guidelines Issued for Management of Diverticulitis

FRIDAY, May 22, 2020 (HealthDay News) -- In clinical practice guidelines from the American Society of Colon and Rectal Surgeons, published in the June issue of Diseases of the Colon & Rectum, updated recommendations are presented for the management of diverticulitis.

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Melanoma Risk From Biologic Therapy Remains Uncertain

THURSDAY, May 21, 2020 (HealthDay News) -- Clinically important increases in melanoma risk in patients treated with biologic therapy for common inflammatory diseases cannot be ruled out based on current evidence, according to a review published online May 20 in JAMA Dermatology.

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Excessive Drinking Seen in Some Patients With Chronic Conditions

WEDNESDAY, May 20, 2020 (HealthDay News) -- Among those reporting alcohol use, patients with certain common medical conditions are more likely to report excessive drinking, according to a study published online May 13 in JAMA Network Open.

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Burnout Comparable Between Millennial, Gen X Residents, Fellows

TUESDAY, May 19, 2020 (HealthDay News) -- Millennial and Generation X medical residents and fellows experience similar rates of burnout and have similar levels of empathy, according to a study published online May 5 in Academic Psychiatry.

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Spending on Primary Care Continues to Lag in the U.S.

TUESDAY, May 19, 2020 (HealthDay News) -- Spending on inpatient services, specialty care, and prescriptions together accounted for about two-thirds of the increase in total U.S. health care spending from 2002 to 2016, according to a research letter published online May 18 in JAMA Internal Medicine.

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Corticosteroids for IBD May Up Risk for Severe COVID-19

TUESDAY, May 19, 2020 (HealthDay News) -- For patients with inflammatory bowel disease (IBD) and COVID-19, risk factors for severe disease include increasing age, comorbidities, and systemic corticosteroids, according to a study published online May 18 in Gastroenterology.

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28 Million-Plus Surgeries Could Be Canceled Due to COVID-19

TUESDAY, May 19, 2020 (HealthDay News) -- Worldwide, more than 28 million elective surgeries could be canceled or postponed during the 12 weeks of peak disruption due to COVID-19, according to a study published online May 12 in the British Journal of Surgery.

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Most Physicians Have Seen False-Negative COVID-19 Test Results

MONDAY, May 18, 2020 (HealthDay News) -- Most physicians believe they have seen false-negative results for a COVID-19 diagnostic test, according to the results of a recent survey.

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Cough May Not Appear in Young Children With COVID-19

MONDAY, May 18, 2020 (HealthDay News) -- Young children with COVID-19 may not present with respiratory symptoms, according to a case report published online May 12 in Frontiers in Pediatrics.

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Regular Aspirin Use Tied to Lower Risk for Digestive Tract Cancers

FRIDAY, May 15, 2020 (HealthDay News) -- Regular aspirin use is associated with a lower risk for colorectal and other digestive tract cancers, according to a review published in the May 1 issue of the Annals of Oncology.

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Any Weight Loss Before Bariatric Surgery May Cut 30-Day Mortality

THURSDAY, May 14, 2020 (HealthDay News) -- Even moderate weight loss before bariatric surgery is associated with a lower risk for 30-day mortality, according to a study published online May 14 in JAMA Network Open.

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Opt-Out Universal Hep C Screening in Emergency Dept Is Useful

THURSDAY, May 14, 2020 (HealthDay News) -- Emergency department opt-out universal hepatitis C virus (HCV) screening can identify a large number of unrecognized HCV infections, including among those born after 1965, according to research published in the May 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Risk for Inflammatory Bowel Disease, Celiac Disease Linked

THURSDAY, May 14, 2020 (HealthDay News) -- Patients with celiac disease have an increased risk for inflammatory bowel disease (IBD) and vice versa, according to research published online May 13 in Gastroenterology.

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Bowel Abnormalities Described in Inpatients With COVID-19

THURSDAY, May 14, 2020 (HealthDay News) -- Bowel abnormalities have been identified on abdominal imaging of some inpatients with COVID-19, according to a study published online May 11 in Radiology.

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Atezolizumab-Bevacizumab Beats Sorafenib in Liver Cancer

WEDNESDAY, May 13, 2020 (HealthDay News) -- Atezolizumab plus bevacizumab improves survival outcomes versus sorafenib in patients with unresectable hepatocellular carcinoma, according to a study published in the May 14 issue of the New England Journal of Medicine.

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Deceased Donor Transplantation Has Dropped Since COVID-19

WEDNESDAY, May 13, 2020 (HealthDay News) -- Since the COVID-19 outbreak, there has been a reduction in deceased donor transplantations in France and the United States, according to a research letter published online May 11 in The Lancet.

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Experts Discuss Strategy for Bariatric Surgery During COVID-19

WEDNESDAY, May 13, 2020 (HealthDay News) -- In a personal view article, published online May 7 in The Lancet Diabetes & Endocrinology, recommendations are presented for the management of bariatric and metabolic surgery patients during the COVID-19 pandemic.

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Organic Pollutant Exposure May Up Celiac Disease Risk in Children

TUESDAY, May 12, 2020 (HealthDay News) -- In children, the odds of celiac disease are increased in association with persistent organic pollutant (POP) exposure, according to a study published online May 11 in Environmental Research.

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Acupuncture Beneficial for Postprandial Distress Syndrome

MONDAY, May 11, 2020 (HealthDay News) -- Acupuncture results in an increased response rate and elimination rate for all the cardinal symptoms in patients with postprandial distress syndrome (PDS), according to a study published online May 12 in the Annals of Internal Medicine.

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IBD Not Tied to Female Genital Tract Malignancies

MONDAY, May 11, 2020 (HealthDay News) -- Inflammatory bowel disease (IBD) patients do not have a higher risk for female genital tract malignancies, according to a study recently published in Digestive and Liver Disease.

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Health Insurance Coverage Disruption Impedes Cancer Care

THURSDAY, May 7, 2020 (HealthDay News) -- Disruptions in health insurance coverage are common and are associated with poorer cancer care and survival, according to a review published online April 27 in the Journal of the National Cancer Institute.

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RHB-105 Effective for Eradication of Helicobacter pylori in Adults

THURSDAY, May 7, 2020 (HealthDay News) -- A novel rifabutin-based triple therapy (RHB-105) is effective for eradication of Helicobacter pylori, with eradication rates unaffected by resistance to clarithromycin or metronidazole, according to a study published online May 5 in the Annals of Internal Medicine.

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New York State Reports Cases of Pediatric Inflammatory Syndrome Tied to COVID-19

THURSDAY, May 7, 2020 (HealthDay News) -- The New York State Department of Health issued an advisory on May 6 regarding cases of pediatric multisystem inflammatory syndrome potentially associated with COVID-19.

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AHA Statement

GI Symptoms Seen in Less Than 10 Percent of COVID-19 Patients

THURSDAY, May 7, 2020 (HealthDay News) -- Gastrointestinal (GI) symptoms are seen in less than 10 percent of patients with COVID-19, according to a meta-analysis published online May 4 in Gastroenterology.

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High Clinical Burden Associated With Nonalcoholic Fatty Liver Disease

WEDNESDAY, May 6, 2020 (HealthDay News) -- The clinical burden associated with nonalcoholic fatty liver disease (NAFLD) is high, according to a study published online May 5 in Alimentary Pharmacology and Therapeutics.

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USPSTF Recommends Hep B Screening for Those at Increased Risk

TUESDAY, May 5, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening adolescents and adults at increased risk for hepatitis B virus (HBV) infection. These findings form the basis of a draft recommendation statement published online May 5 by the USPSTF.

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ATS Issues Guideline on the Diagnosis of Sarcoidosis

MONDAY, May 4, 2020 (HealthDay News) -- In an official American Thoracic Society clinical practice guideline, published online April 15 in the American Journal of Respiratory and Critical Care Medicine, recommendations are presented for the detection and diagnosis of sarcoidosis.

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Recommendations Made for PPE Use by HCPs in COVID-19 Care

MONDAY, May 4, 2020 (HealthDay News) -- In guidelines from the Infectious Diseases Society of America, recommendations are presented for personal protective equipment (PPE) use by health care providers (HCP) in caring for suspected or known COVID-19 patients.

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Guidelines Issued for Managing Eosinophilic Esophagitis

MONDAY, May 4, 2020 (HealthDay News) -- Recommendations are presented for the management of eosinophilic esophagitis (EoE) in clinical practice guidelines published in the May issue of Gastroenterology.

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Incidence of Enteric Infections Due to Pathogens Up or Stable

FRIDAY, May 1, 2020 (HealthDay News) -- In 2019, the incidence of enteric infections caused by eight pathogens increased or remained stable, according to a study published May 1 in the U.S. Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report.

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