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Gastroenterology

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Recommendations have been developed for colorectal cancer screening in primary care. The guidelines were published online Feb. 22 in CMAJ

Recommendations Developed for CRC Screening in Primary Care

Screening with gFOBT or flexible sigmoidoscopy reduces incidence of late-stage CRC, mortality
Chewing gum relieves discomfort associated with ingestion of the polyethylene glycol solution for colonoscopy preparation

Chewing Gum Improves Colonoscopy Preparation

Gum chewing minimizes discomfort and improves adherence to solution ingestion
Birth defects are not significantly more prevalent among women receiving anti-tumor necrosis factor agents during pregnancy

Birth Defects Not Up Significantly With Anti-TNFs in Pregnancy

Based on data from health registers, risk of birth defects up slightly, but not significantly
Gastrointestinal bowel obstruction is associated with worse prognosis for patients with acute ischemic stroke

ASA: Certain Factors Up Odds of Post-Stroke Bowel Obstruction

Post-acute ischemic stroke GI bowel obstruction predicts in-hospital complications, disability, death
Geriatric events are common among elderly patients who undergo major surgery for cancer

Geriatric Events in Cancer Surgery Common in Elderly

Particularly among those who undergo major abdominal surgery
Patients with Ebola virus disease who received care in the United States and Europe show mortality of 18.5 percent

Mortality 18.5 Percent for Ebola Management in U.S., Europe

Most patients received IV fluids and electrolyte supplementation, antibiotics, investigational tx
Most medical schools need to post

Many Med Schools Appear Unwelcoming Regarding Disability

Only one-third of medical schools have technical standards supporting accommodating disabilities
For obese patients with type 2 diabetes mellitus

NAFLD Linked to Unfavorable Metabolic Profile in T2DM

More severe hyperinsulinemia, dyslipidemia, and adipose tissue/hepatic insulin resistance with NAFLD
For patients with Crohn's disease

Risk of Reoperation Up With Perianal Lesions in Crohn’s

Increased risk of reoperation and abdominal reoperation with perianal lesions
The rate of missed adenomas larger than 5 mm is similarly low for men with Boston Bowel Prep Scale scores of 2 or 3

Rate of Missed Adenomas >5 mm Similarly Low for BBPS 2, 3

Significantly higher rate of missed adenomas in colon segments with Boston Bowel Prep Scale score of 1