David A. Johnson, MD, shares eight top areas of interest from the American College of Gastroenterology 2013 annual meeting, according to a Medscape report.
1. Fecal occult blood testing. A 30-year follow-up study of the fecal occult blood test trial found a 32 percent reduction in colon cancer risk with annual FOBT and a 22 percent reduction with annual FOBT.
2. Prevalence of hepatitis E. Data from the 1990s found the prevalence of hepatitis E to be 22 percent, but current data from the Mayo Rochester Group has defined the seroprevalence of the disease as 5.6 percent.
3. IBS marker. A new serologic test uses anti-vinculin antibodies to search for irritable bowel syndrome. The antibodies develop due to acute exposure to gastroenteritis. The study is the first to suggest a serologic profile for IBS.
4. FMT for C. diff infections. A new study has found that fecal microbiota transplantation is safe for C. difficile infection treatment, including in immunocompromised patients.
5. FUSE colonoscope. A study examines the adenoma miss-rate of the FUSE scope in comparison to a traditional scope. The results suggest more data is needed before physicians adopt the FUSE scope as a regular part of practice.
6. Surveillance colonoscopy. Patients 79 years or older begin to have an increased rate of complication and readmission due to colonoscopy. The end age for surveillance colonoscopy should take into consideration patient age and comorbidities.
7. POEM and achalasia. Peroral endoscopic myotomy has shown promise as an effective, enduring treatment for achalasia.
8. EndoStim and reflux. Long-term data suggests that electrical stimulation therapy from EndoStim for the treatment of mild to moderate reflux disease may have a waning effect. The treatment's endurance may need further study.
Dr. Johnson is a professor of medicine and chief of gastroenterology at Eastern Virginia Medical School in Norfolk.
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1. Fecal occult blood testing. A 30-year follow-up study of the fecal occult blood test trial found a 32 percent reduction in colon cancer risk with annual FOBT and a 22 percent reduction with annual FOBT.
2. Prevalence of hepatitis E. Data from the 1990s found the prevalence of hepatitis E to be 22 percent, but current data from the Mayo Rochester Group has defined the seroprevalence of the disease as 5.6 percent.
3. IBS marker. A new serologic test uses anti-vinculin antibodies to search for irritable bowel syndrome. The antibodies develop due to acute exposure to gastroenteritis. The study is the first to suggest a serologic profile for IBS.
4. FMT for C. diff infections. A new study has found that fecal microbiota transplantation is safe for C. difficile infection treatment, including in immunocompromised patients.
5. FUSE colonoscope. A study examines the adenoma miss-rate of the FUSE scope in comparison to a traditional scope. The results suggest more data is needed before physicians adopt the FUSE scope as a regular part of practice.
6. Surveillance colonoscopy. Patients 79 years or older begin to have an increased rate of complication and readmission due to colonoscopy. The end age for surveillance colonoscopy should take into consideration patient age and comorbidities.
7. POEM and achalasia. Peroral endoscopic myotomy has shown promise as an effective, enduring treatment for achalasia.
8. EndoStim and reflux. Long-term data suggests that electrical stimulation therapy from EndoStim for the treatment of mild to moderate reflux disease may have a waning effect. The treatment's endurance may need further study.
Dr. Johnson is a professor of medicine and chief of gastroenterology at Eastern Virginia Medical School in Norfolk.
More Articles on Gastroenterology:
Physicians Performing Higher Volume of Complex Endoscopic Procedures Report Better Outcomes
Dr. R. Adam Noel Receives American Academy of Pediatrics Outstanding Achievement Award
5 Key Trends in GI/Endoscopy