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Duodenal Biopsies in Celiac Disease: Adhering to Guidance? Duodenal Biopsies in Celiac Disease: Adhering to Guidance?
Guidelines recommend taking at least four duodenal biopsy specimens at the time of upper GI endoscopy if celiac disease is suspected, but this study indicates some centers are falling short.BMJ Open Gastroenterology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 4, 2017 Category: Consumer Health News Tags: Gastroenterology Journal Article Source Type: news

7 medtech stories we missed this week: August 11, 2017
[Image from unsplash.com]From Xtant Medical’s 510(k) extension to Varian Medical’s distribution deal, here are seven medtech stories we missed this week but thought were still worth a mention. 1. FDA extends Xtant Medical’s 510(k) for Calix C spinal implant Xtant Medical announced in an Aug. 9 press release that the FDA has cleared its product line extensions for the Calix-C cervical inter body cages. The clearance allows for two larger footprints to be added for use with allograft. The Calix-C Cervical Interbody Spacer is designed for spinal fusion procedures at level one in patients who are skeletally m...
Source: Mass Device - August 11, 2017 Category: Medical Devices Authors: Danielle Kirsh Tags: 510(k) Cardiovascular Clinical Trials Food & Drug Administration (FDA) Oncology Regulatory/Compliance Spinal Surgical Apifix Cardiac Science Hip Innovation Life Spine Inc. MedTech Pentax Medical Varian Medical Systems Xtant M Source Type: news

FDA clears updated labeling, design for FujiFilm ED-530XT duodenoscopes
Fujifilm Medical (TSE:4901) today issued a select voluntary recall for its model ED-530XT duodenoscopes after the FDA cleared an update to the design and labeling of the device, intending to supply customers with new forceps elevator mechanism, O-ring seals, distal end caps and updated operations manuals. The company said it won FDA clearance for the updated design and labeling today, with the intention of implanting them to reduce potential health risks during reprocessing of the device. Duodenoscopes have been linked in the past to superbug outbreaks, with the FDA issuing specific warnings in an attempt to curb such...
Source: Mass Device - July 21, 2017 Category: Medical Devices Authors: Fink Densford Tags: Endoscopic / Arthroscopic Food & Drug Administration (FDA) Recalls Regulatory/Compliance Fujifilm Holdings Source Type: news

Role of early endoscopic evaluation in decreasing morbidity, mortality, and cost after caustic ingestion: a retrospective nationwide database analysis - Abbas A, Brar TS, Zori A, Estores DS.
Caustic substance ingestion (CSI) is a serious medical problem with potentially devastating short- and long-term consequences. Early upper gastrointestinal endoscopy (EaEn) is recommended to evaluate the extent of injury and guide management but there has ... (Source: SafetyLit)
Source: SafetyLit - May 9, 2017 Category: International Medicine & Public Health Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news

Upper endoscopy
(Source: MayoClinic.com Full Feed)
Source: MayoClinic.com Full Feed - May 9, 2017 Category: Consumer Health News Source Type: news

Crospon wins FDA 510(k) for next-gen Endoflip system
Endoscopic diagnostic company Crospon said today it won FDA 510(k) clearance for its next-gen Endoflip system with Flip topography module, designed to allow clinicians to assess patient motility disorders during endoscopy. The newly cleared Endoflip 2.0 system includes imaging software that displays esophageal contractility patterns in real time on a touch screen display, the Ireland-based company said. “This clearance represents a significant milestone for our organization as we can now offer physicians an additional tool that can be used during endoscopy, along with other diagnostic methods, to evaluate patients wi...
Source: Mass Device - May 5, 2017 Category: Medical Equipment Authors: Fink Densford Tags: 510(k) Endoscopic / Arthroscopic Food & Drug Administration (FDA) Imaging Regulatory/Compliance Crospon Source Type: news

Endoscopy for Upper GI Bleeding: Where Are We in 2017? Endoscopy for Upper GI Bleeding: Where Are We in 2017?
What are the latest recommendations on endoscopic management of acute upper gastrointestinal bleeding?Frontline Gastroenterology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 13, 2017 Category: Consumer Health News Tags: Gastroenterology Journal Article Source Type: news

Parasite Wonders: What's that in the scope?
This week's case?involves a young man with a two-week history of epigastric pain and vomiting. Physical examination was normal, and a complete blood count showed only mild anemia. An ultrasound of the abdomen was normal, so an upper gastrointestinal endoscopy was performed. What is it? https://www.youtube.com/watch?v=Z8LVZtLdkmM Every week, Mayo Clinic microbiologist Dr. Bobbi Pritt?posts a [...] (Source: News from Mayo Clinic)
Source: News from Mayo Clinic - March 6, 2017 Category: Databases & Libraries Source Type: news

Doppler Probe-guided Hemostasis Improves Outcomes in Nonvariceal Upper GI Bleeding Doppler Probe-guided Hemostasis Improves Outcomes in Nonvariceal Upper GI Bleeding
Using a Doppler probe to guide endoscopic hemostasis improves outcomes of patients with severe nonvariceal upper gastrointestinal (UGI) bleeding, researchers report.Reuters Health Information (Source: Medscape Radiology Headlines)
Source: Medscape Radiology Headlines - February 27, 2017 Category: Radiology Tags: Gastroenterology News Source Type: news

Upper Endoscopy Screening in Koreans Reduces Risk of Gastric Cancer Death Upper Endoscopy Screening in Koreans Reduces Risk of Gastric Cancer Death
Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - February 21, 2017 Category: Consumer Health News Tags: Medscape Today News Source Type: news

Breath Test for Early Diagnosis of Upper GI Cancer Breath Test for Early Diagnosis of Upper GI Cancer
An exhaled breath test that measures just five chemicals could offer an inexpensive alternative to endoscopy in the diagnosis of esophageal and gastric cancers.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 31, 2017 Category: Consumer Health News Tags: Hematology-Oncology News Source Type: news

Breath test shows potential for detecting cancer
Conclusion This study aimed to see whether a breath test could be used to detect stomach and oesophageal cancers. The researchers found that the breath test was fairly accurate in distinguishing between those with and without cancer. The lead researcher, Dr Markar, said: "Because cancer cells are different to healthy ones, they produce a different mixture of chemicals. This study suggests that we may be able detect these differences and use a breath test to indicate which patients are likely to have cancer of the oesophagus and stomach, and which do not." However he went on to say that the findings of this study ...
Source: NHS News Feed - January 30, 2017 Category: Consumer Health News Tags: Cancer Source Type: news

This GI test could help patients avoid a hospital stay
(American Society for Gastrointestinal Endoscopy) Symptoms of possible upper GI bleeding are a leading cause of hospital admissions through emergency departments. But according to a new study, use of capsule endoscopy can avoid many unnecessary hospital admissions in patients with these symptoms. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - December 16, 2016 Category: Global & Universal Source Type: news

FDA releases June 2016 510(k) clearances
510(K) SUMMARIES OR 510(K) STATEMENTS FOR FINAL DECISIONS RENDERED DURING THE PERIOD June 2016 TOTAL 510(k)s THIS PERIOD 258 TOTAL WITH SUMMARIES 235 TOTAL WITH STATEMENTS 23 DEVICE: ORAL BOND STEINER LABORATORIES 510(k) NO: K142130(Traditional) ATTN: GREGORY G STEINER PHONE NO : 866 3171348 1051 Olsen Street, Building 3611 SE DECISION MADE: 06-JUN-16 Henderson NV 89011 510(k) SUMMARY AVAILABLE FROM FDA DEVICE: QiF Blood and Fluid Warmer Quality in Flow Ltd. 510(k) NO: K150404(Traditional) ATTN: Neta Sherman PHONE NO : 972 54 6600146 3A Bazel St. POB 10159 SE DECISION MA...
Source: Mass Device - August 31, 2016 Category: Medical Equipment Authors: Brad Perriello Tags: Food & Drug Administration (FDA) Regulatory/Compliance Source Type: news

All bleeding stops — but does idarucizumab (Praxbind) make it stop faster?
3.5 out of 5 stars Persistent life-threatening hemorrhage after administration of idarucizumab. Alhashem HM et al. Am J Emerg Med 2016 June 30 [Epub ahead of print] Reference Dabigatran (Pradaxa) is a direct thrombin inhibitor approved for stroke and embolism prophylaxis in patients with non-valve-related atrial fibrillation. When it was first released in 2008, a major disincentive to widespread use was the lack of a reliable reversal agent to treat major bleeds, or to administer before necessary invasive procedures. In October 2015, the U.S. Food and Drug Administration approved idarucizumab (Praxbind), a monocl...
Source: The Poison Review - July 27, 2016 Category: Toxicology Authors: Leon Gussow Tags: Medical anticoagulant hemorrhage idarucizumab pradaxa praxbind reversal agent Source Type: news

Caustics injuries in the upper gastrointestinal tract: clinical and endoscopic features - Rodríguez Vargas BO, Monge Salgado E, Montes Teves P, Salazar Ventura S, Guzmán Calderón E.
OBJECTIVE: To describe the clinical and endoscopic features of caustics injuries in the upper gastrointestinal tract in patients of the National Hospital Daniel Alcides Carrión. MATERIALS AND METHODS: A descriptive study was conducted; the study p... (Source: SafetyLit)
Source: SafetyLit - July 16, 2016 Category: Global & Universal Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news

Outpatient Surgery Centers
Source: center representatives. Rank Name / prior (* not ranked) / URL Number of outpatient surgeries performed in 2015 Type(s) of surgeries performed Number of physicians Employees Operating rooms Top local executive, title/ 1 Cypress Surgery Center, 9300 E. 29th St. N, Ste. 100, Wichita, KS 67226, 316-634-0404, cypresssurgerywichita.com 10227 Gynecology; orthopedic; otolaryngology; ophthalmology; dental, oral and maxillofacial; plastic and reconstructive; urology; general; GI endoscopy; pain… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - June 24, 2016 Category: Biotechnology Source Type: news

FDA releases April 2016 510(k) clearances
510(K) SUMMARIES OR 510(K) STATEMENTS FOR FINAL DECISIONS RENDERED DURING THE PERIOD April 2016 TOTAL 510(k)s THIS PERIOD 239 TOTAL WITH SUMMARIES 224 TOTAL WITH STATEMENTS 15 DEVICE: Applanation Tonometer SHANGHAI MEDIWORKS PRECISION INSTR510(k) NO: K142263(Traditional) ATTN: Weida Zhan PHONE NO : 8621 542 60421 Zone A, 2nd Floor, No. 69, Lane 19SE DECISION MADE: 15-APR-16 SHANGHAI CN 200237 510(k) STATEMENT DEVICE: Surearly Pregnancy Test Strip, Surearly Digital Pregnancy Test Sugentech, Inc. 510(k) NO: K142754(Traditional) ATTN: Mijin Sohn PHONE NO : 82 42 3645001 Daejeon Bioventure Town, 1662, YusSE DECISION MADE: 07-A...
Source: Mass Device - May 9, 2016 Category: Medical Equipment Authors: Brad Perriello Tags: Food & Drug Administration (FDA) Regulatory/Compliance Source Type: news

200 Upper GI Endoscopies ‘Appropriate’ Requirement for Competency200 Upper GI Endoscopies ‘Appropriate’ Requirement for Competency
The requirement of 200 esophago-gastro-duodenoscopies (EGDs) to achieve competency, as defined by the unassisted ability to pass the endoscope into the second part of the duodenum, seems reasonable, according to an analysis of the U.K. national training database. Reuters Health Information (Source: Medscape Radiology Headlines)
Source: Medscape Radiology Headlines - April 11, 2016 Category: Radiology Tags: Gastroenterology News Source Type: news

Don't Trust the Conventional Wisdom in Health Care -- Part 1
While he may not have been the first to say it, Steven D. Levitt, co-author of Freakonomics: A Rogue Economist Explores the Hidden Side of Everything (2005) is credited with the quotation: "The conventional wisdom is often wrong." Levitt bundles this concept with a distinction between positive and normative analysis. In the purest sense, positive economics is objective and fact based, while normative economics is subjective and value based. However, this clear distinction can become muddied. As Investopedia reminds us, "Positive economic statements do not have to be correct, but they must be able to be teste...
Source: Healthy Living - The Huffington Post - April 11, 2016 Category: Consumer Health News Source Type: news

FDA releases February 2016 510(k) clearances
February 2016 510(k) Clearances 510(k) summaries or 510(k) statements for final decisions rendered during the period February 2016. TOTAL 510(k)s THIS PERIOD 224 TOTAL WITH SUMMARIES 213 TOTAL WITH STATEMENTS 11 February 2016 510(k) Clearances 510(K) SUMMARIES OR 510(K) STATEMENTS FOR FINAL DECISIONS RENDERED DURING THE PERIOD February 2016 DEVICE: ANI Monitor MDOLORIS MEDICAL SYSTEMS SAS 510(k) NO: K142969(Traditional) ATTN: MATHILDE COLLET PHONE NO : 011 333 62092081 6, RUE DU PR LAGUESSE SE DECISION MADE: 23-FEB-16 LILLE FR 59037 510(k) SUMMARY AVAILABLE FROM FDA DEVICE: DBSWIN and VistaEasy Imaging Software Durr Dental...
Source: Mass Device - April 5, 2016 Category: Medical Equipment Authors: MassDevice Tags: 510(k) Food & Drug Administration (FDA) Regulatory/Compliance Source Type: news

Solving the 5,000-Year-Old Murder of Otzi the Iceman
In 1991, the mummified body of a 5,000-year-old murder victim was discovered in melting ice at a rock-gully crime scene high in the Italian Otzal Alps. Nicknamed "Otzi", the estimated 45-year-old man and his possessions were incredibly well preserved. His skin, hair, bones, and organs were cryopreserved in time, allowing archeological researchers a phenomenal insight into human life in the Copper Age. The frozen corpse also gave modern science the opportunity to forensically investigate and positively determine how Otzi the Iceman was killed. The story began on a sunny September day, when two hikers were traversi...
Source: Science - The Huffington Post - February 11, 2016 Category: Science Source Type: news

What Are Risk Factors for Cholelithiasis?
Discussion Bile is produced by the liver to aid absorption of fat soluble vitamins and lipids from the gastrointestinal tract and to transport bilirubin, cholesterol and other substances to the gastrointestinal tract. Bile is the main form of cholesterol excretion. Gallstones or cholelithiasis form when the balance of substances within the hepatobiliary tract favors supersaturation with crystal formation and gallstone formation. It is a dynamic state of affairs as gallstones can form and also have a high rate of resorption of up to 50%. Gallstones 3 mm are called gallstones. Gallstones, while not as common as adult popula...
Source: PediatricEducation.org - January 4, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

MassDevice.com +3 | The top 3 medtech stories for September 29, 2015
Say hello to MassDevice +3, a bite-sized view of the top three medtech stories of the day. This feature of MassDevice.com’s coverage highlights our 3 biggest and most influential stories from the day’s news to make sure you’re up to date on the headlines that continue to shape the medical device industry.   3. House advances reconciliation bill to dismantle Obamacare The U.S. House of Representatives Committee on Ways and Means said yesterday it is advancing legislation targeting the Affordable Care Act with a provision to repeal the medical device tax. The legislation will operate through a budget ...
Source: Mass Device - September 29, 2015 Category: Medical Equipment Authors: MassDevice Tags: News Well Plus 3 Source Type: news

Boston Scientific launches Captivator EMR device
Boston Scientific (NYSE:BSX) said today it launched the Captivator endoscopic mucosal resection device designed as a minimally-invasive alternative to esophagectomy procedures. The Captivator allows for staging and removal of precancerous tissue and early esophageal cancer in the upper gastrointestinal tract, the Marlborough, Mass.-based company said. The device gives operating physicians a 360 degree view of the esophagus and can be used with accessory devices that can be used to “manage potential complications quickly,” the company said. “The Captivator EMR Device provides improved e...
Source: Mass Device - September 29, 2015 Category: Medical Equipment Authors: Fink Densford Tags: Endoscopic / Arthroscopic Otolaryngology Ear, Nose & Throat Surgical Boston Scientific Source Type: news

Boston Scientific Launches The Captivator EMR Device To Treat Diseases Of The Upper GI Tract
Boston Scientific Corporation has announced the launch of the Captivator EMR Device for Endoscopic Mucosal Resection (EMR), a minimally invasive alternative to an esophagectomy, a surgical procedure that removes part of the esophagus in upper gastrointestinal (GI) tract cases. (Source: Medical Design Online News)
Source: Medical Design Online News - September 29, 2015 Category: Medical Equipment Source Type: news

Upper GI Endoscopy: Greatly Overused? (CME/CE)
(MedPage Today) -- One-third of procedures deviated from guidelines, one center finds. (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - July 20, 2015 Category: Primary Care Source Type: news

Lower-cost procedure for children with digestive tract problems
Physicians have published research that suggests a safe and lower-cost way to diagnose and treat problems in the upper gastrointestinal tract of children. The researchers assessed the effectiveness of unsedated transnasal endoscopy (TNE) in evaluating pediatric patients with potentially chronic problems in their esophagus, which is the tube that connects the patient's mouth to the stomach. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - July 15, 2015 Category: Science Source Type: news

Illustrated case report of phenol exposure
Phenol 3.5 out of 5 stars Phenol Toxicity Following Cutaneous Exposure to Creolin®:A Case Report. Vearrier D et al. J Med Toxicol 2015 Jun;11:227-231. Abstract This paper is worth looking at for the excellent color photographs of the partial thickness skin burns induced by exposure to Creolin®, which contains carbolic acid (phenol), sodium hydroxide, and isopropanol. A 9-year-old girl was brought to the emergency department because of respiratory distress and unresponsiveness. Symptoms came on quickly and started within 4 minutes of the mother pouring 8 oz Creolin® over the patients hair in an attempt to g...
Source: The Poison Review - June 18, 2015 Category: Toxicology Authors: Leon Tags: Medical coagulative necrosis creolin phenol surface burn Source Type: news

Computer-assisted sedation reduces patient recovery time by almost 20 percent
(Digestive Disease Week) Use of computer-assisted propofol sedation for routine upper endoscopy and colonoscopy reduced recovery room time by almost 20 percent, according to a study released today at Digestive Disease Week® 2015. The study, conducted by researchers at Virginia Mason Medical Center, Seattle, Wash., showed the process yielded a better recovery experience than the commonly used combination of midazolam and fentanyl. (Source: EurekAlert! - Cancer)
Source: EurekAlert! - Cancer - May 19, 2015 Category: Cancer & Oncology Source Type: news

Three Things You Should Know Before Your Endoscopy
The recent news story about patients at UCLA medical center developing a life-threatening infection has been shocking. Two of seven infected patients died from the nightmare bacteria carbapenem-resistant Enterobacteriaceae (CRE) after an ordinary medical device was used to inspect their digestive system. In this specific case, a type of endoscope called a duodenoscope was used to perform the procedure. Although the design of the duodenoscope largely carried the blame, the medical community should now be looking to make all types of upper endoscopy safer, because many of them have been implicated in other outbreaks of dange...
Source: Forbes.com Healthcare News - February 27, 2015 Category: Pharmaceuticals Authors: Steve Brozak Source Type: news

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2.5 out of 5 stars Evaluation of Residual Toxic Substances in the Stomach Using Upper Gastrointestinal Endoscopy for Management of Patients With Oral Drug Overdose on Admission. Miyauchi M et al. Medicine 2015 Jan;94:e463 Abstract Despite many flaws, this paper has some interesting data that the authors use to come to exactly the wrong conclusion. The authors studied patients presenting with oral non-liquid drug overdose. Using endoscopy they classified the contents of the stomach as: 1) tablet/food phase; 2) soluble/fluid phase; and 3) reticular/empty phase.(I’m not clear on the precise meaning of a “tabl...
Source: The Poison Review - February 24, 2015 Category: Toxicology Authors: Leon Tags: Medical gastric empyting gastric lavage gastrointestinal decontamination Source Type: news

Manhattan Clinic That Treated Joan Rivers Will Lose Federal Funding
Yorkville Endoscopy has failed to correct the deficiencies implicated in Ms. Rivers’s death, according to a letter from the Centers for Medicare and Medicaid Services. (Source: NYT Health)
Source: NYT Health - January 12, 2015 Category: Consumer Health News Authors: By ANEMONA HARTOCOLLIS Tags: Medicare Cohen, Lawrence B Rivers, Joan Health Insurance and Managed Care Yorkville Endoscopy Upper East Side (Manhattan, NY) Centers for Medicare and Medicaid Services Source Type: news

New Research Study by the Mayo Clinic Finds Sedation-Free TNE With EndoSheath(R) Technology May Provide an Effective Alternative to Standard Upper Endoscopy Procedures
(Source: Medical News (via PRIMEZONE))
Source: Medical News (via PRIMEZONE) - December 29, 2014 Category: Pharmaceuticals Source Type: news

SEDASYS Computer-Assisted Propofol Sedation System Rolling Out in U.S.
SEDASYS, a division of Ethicon, itself part of J&J, is releasing the SEDASYS Computer-Assisted Personalized Sedation (CAPS) System in the U.S. market. The device is intended for delivery of propofol (1% (10 mg/mL) injectable emulsion) by non-anesthesiologist clinicians when performing colonoscopy and esophagogastroduodenoscopy procedures. The technology allows administration of minimal to moderate amounts of propofol during upper and lower GI endoscopies and for monitoring of patient sedation. According to the company, only adult ASA class I and II patients are eligible to receive propofol via SEDASYS. The SEDASYS...
Source: Medgadget Anesthesiology - October 14, 2014 Category: Anesthesiology Authors: Editors Tags: Anesthesiology GI Source Type: news

Do pediatric patients require endoscopy after ingesting a laundry pod?
3 out of 5 stars Laundry Detergent Pod Ingestions: Is There a Need for Endoscopy? Smith E et al. J Med Toxicol 2014 Sep;10(3):286-91 Abstract The authors never answer their title question definitively, but you wouldn’t expect that they’d be able to on the basis of this small case series and the limited data published to date. Ingestion of laundry detergent pod (LDP) ingredients can present with manifestations affecting a number of systems: Gastrointestinal Pulmonary Neurological Metabolic The paper presents 3 cases of pediatric LDP ingestion in patients ages 13 months to 3 years. Presenting sig...
Source: The Poison Review - September 8, 2014 Category: Toxicology Authors: Leon Tags: Medical caustic ingestion esophageal stricture laundry pod detergent Source Type: news

Olympus Launches First HD Single-Channel Therapeutic Gastroscope For Advanced Diagnosis And Treatment Of GI Tract
Olympus, a global technology leader in delivering innovative diagnostic and therapeutic solutions for medical and surgical procedures, among other core businesses, announced today the commercial availability of its 510(k) cleared, next-generation GIF-1TH190 gastrointestinal videoscope for endoscopy or endoscopic surgery use within the upper digestive tract. (Source: Medical Design Online News)
Source: Medical Design Online News - May 30, 2014 Category: Medical Equipment Source Type: news

Are Gastroenterologists Scoping For Dollars On Medicare Patients?
Sometimes people flat out need cameras shoved down into their stomachs.  A long history of reflux disease, for example, could prompt a gastroenterologist to perform an “upper endoscopy”—to run a thin tube down the patient’s throat in order to view their esophagus and stomach and look for signs of serious illness.  Medicare has correctly decided that such upper endoscopies are valuable medical tests, and reimburse physicians relatively generously for performing them.  But what should Medicare do when gastroenterologists unnecessarily repeat these tests in patients who do not show signs...
Source: Forbes.com Healthcare News - May 22, 2014 Category: Pharmaceuticals Authors: Peter Ubel Source Type: news

Inappropriate Medicare Incentives Lead To Unnecessary Subspecialty Procedures
Sometimes people flat out need cameras shoved down into their stomachs.  A long history of reflux disease, for example, could prompt a gastroenterologist to perform an “upper endoscopy”—to run a thin tube down the patient’s throat in order to view their esophagus and stomach and look for signs of serious illness.  Medicare has correctly decided that such upper endoscopies are valuable medical tests, and reimburse physicians relatively generously for performing them.  But what should Medicare do when gastroenterologists unnecessarily repeat these tests in patients who do not show signs...
Source: Forbes.com Healthcare News - May 22, 2014 Category: Pharmaceuticals Authors: Peter Ubel Source Type: news

The Basics of Peptic Ulcers
Peptic ulcers can cause a variety of symptoms, and these vary from patient to patient. Some patients with ulcers have minimal, unusual, or even no symptoms at all. Others may have every symptom. This is why it is very important to consult your doctor if you have any concerns. It is important to understand the causes of peptic ulcers. In the past, it was believed stress and diet caused peptic ulcers. Later, researchers stated stomach acids (hydrochloric acid and pepsin) contributed to the majority of ulcer formation. Today, however, research shows that most ulcers develop as a result of infection with a bacterium called ...
Source: About Heartburn / Acid Reflux - May 19, 2014 Category: Consumer Health News Source Type: news

The Basics of Hiatal Hernias
A hiatal hernia occurs when the upper part of the stomach pushes through an opening in the diaphragm, and up into the chest. This opening is called a esophageal hiatus or diaphragmatic hiatus. Approximately 50 percent of hiatal hernia patients don't experience any symptoms. For the other 50 percent of patients, the these hiatal hernia symptoms may occur. There are a number of contributing factors that can cause hiatal hernias. While some patients with a hernia hernia may also have GERD, GERD doesn't cause a hiatal hernia. Various tests can be used to diagnose a hiatal hernia, though the tests most often used are the bar...
Source: About Heartburn / Acid Reflux - May 19, 2014 Category: Consumer Health News Source Type: news

Nasogastric Tube May Be Obsolete for GI Bleeds
CHICAGO (MedPage Today) -- Placement of a nasogastric tube for determining treatment of patients with upper gastrointestinal bleeding may be unnecessary since almost all these patients will eventually undergo an endoscopic procedure, researchers argued here. (Source: MedPage Today Gastroenterology)
Source: MedPage Today Gastroenterology - May 8, 2014 Category: Gastroenterology Source Type: news

Meta-Analysis on Lower-GI Endoscopy Offers Reassurance, But Not Resolution (FREE)
By Joe Elia Evidence that screening with either sigmoidoscopy or colonoscopy greatly reduces overall risks for colorectal cancer is "compelling and consistent," according to a BMJ meta-analysis. However, choosing between … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - April 14, 2014 Category: Primary Care Source Type: news

The Basics of Hiatal Hernias
A hiatal hernia occurs when the upper part of the stomach pushes through an opening in the diaphragm, and up into the chest. This opening is called a esophageal hiatus or diaphragmatic hiatus. Approximately 50 percent of hiatal hernia patients don't experience any symptoms. For the other 50 percent of patients, the these hiatal hernia symptoms may occur. There are a number of contributing factors that can cause hiatal hernias. While some patients with a hernia hernia may also have GERD, GERD doesn't cause a hiatal hernia. Various tests can be used to diagnose a hiatal hernia, though the tests most often used are the bar...
Source: About Heartburn / Acid Reflux - February 26, 2014 Category: Consumer Health News Source Type: news

The Basics of Peptic Ulcers
Peptic ulcers can cause a variety of symptoms, and these vary from patient to patient. Some patients with ulcers have minimal, unusual, or even no symptoms at all. Others may have every symptom. This is why it is very important to consult your doctor if you have any concerns. It is important to understand the causes of peptic ulcers. In the past, it was believed stress and diet caused peptic ulcers. Later, researchers stated stomach acids (hydrochloric acid and pepsin) contributed to the majority of ulcer formation. Today, however, research shows that most ulcers develop as a result of infection with a bacterium called ...
Source: About Heartburn / Acid Reflux - February 26, 2014 Category: Consumer Health News Source Type: news

Mauna Kea Technologies Announces Centers for Medicare and Medicaid Services Set New Physician Payments for Upper GI Endoscopy with Cellvizio(R) Optical Endomicroscopy
Physicians in the United States to be paid for procedures involving Cellvizio based on published rates included in 2014 National Average Physician Fees ATLANTA, Ga.--(Healthcare Sales & Marketing Network)--The U.S. Centers for Medicare & Medicaid Servic... Devices, Gastroenterology, ReimbursementMauna Kea Technologies, Cellvizio, Optical Endomicroscopy, Endoscopy (Source: HSMN NewsFeed)
Source: HSMN NewsFeed - January 13, 2014 Category: Pharmaceuticals Source Type: news

Numbing No Help for Kids Having Nasendoscopy (CME/CE)
(MedPage Today) -- Adding a topical local anesthetic to a decongestant did not reduce discomfort among children undergoing flexible endoscopy of the upper airway, a randomized trial found. (Source: MedPage Today Pediatrics)
Source: MedPage Today Pediatrics - October 24, 2013 Category: Pediatrics Source Type: news

First case of cyclic hyperemesis associated with synthetic cannabinoids
3.5 out of 5 stars A Case of Cannabinoid Hyperemesis Syndrome Caused by Synthetic Cannabinoids. Hopkins CY et al. J Emerg Med 2013 Oct;45:544-546. Abstract This very well-done paper describes the first case report of cannabinoid hyperemesis syndrome (CHS) associated with use of a synthetic cannabinoid product. A 30-year-old man came to the emergency room because of an episode of abdominal pain, nausea and vomiting. He had been having similar episodes in cyclic fashion for several years, undergoing multiple diagnosis tests including “more abdominal CT scans than he could remember”, several ultrasounds and e...
Source: The Poison Review - October 12, 2013 Category: Toxicology Authors: Leon Tags: Medical cannabinoid hyperemesis syndrome cyclic vomiting K2 marijuana scooby snax spice synthetic cannabinoid THC Source Type: news

Tight belts are unlikely to give you throat cancer
Conclusion This was a small, short-term, and highly technical study which measured certain changes in the junction of the oesophagus and stomach in volunteers, half of whom were obese. It found that wearing a weight-lifter’s belt and a greater waist circumference was associated with changes in the lining of the oesophagus at the junction between the oesophagus and the stomach. These changes are associated with an increased risk of cancer, but the researchers did not set out to find if belts or obesity caused cancer. The researchers also found that volunteers wearing a waist belt had more signs of acid reflux in thi...
Source: NHS News Feed - October 2, 2013 Category: Consumer Health News Tags: Cancer Source Type: news