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What are the risks from surgery when removing colorectal polyps?

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Sat, 01/23/2021 - 20:24

 

Surgery to remove colorectal polyps is often unnecessary according to recent research, which has found it can lead to adverse postoperative events and increased rates of hospital readmissions.

To support GIs on how to best approach polyp removal, the American Gastroenterological Association has launched a new on-demand course, “Appropriate Referral for Endoscopic Polyp Removal.” The program guides you with three interactive modules and a decision-support tool on the best course of action with education on how to differentiate between a simple and complex polyp and when or if to refer patients for surgery.

Endoscopic resection of polyps can eliminate the need for surgery more than 90% of the time. In fact, surgery almost doubles the risk of an adverse event. In the second module of the program, learn about risk factors related to surgery. Other modules focus on how to distinguish between lesions suitable for endoscopic mucosal resection, lesions that should be referred for surgery, and the benefits of endoscopic resection of tumors. Take the course and earn 0.75 American Medical Association PRA Category 1 credit ™ on completion.

www.gastro.org/Polypectomy
 

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Surgery to remove colorectal polyps is often unnecessary according to recent research, which has found it can lead to adverse postoperative events and increased rates of hospital readmissions.

To support GIs on how to best approach polyp removal, the American Gastroenterological Association has launched a new on-demand course, “Appropriate Referral for Endoscopic Polyp Removal.” The program guides you with three interactive modules and a decision-support tool on the best course of action with education on how to differentiate between a simple and complex polyp and when or if to refer patients for surgery.

Endoscopic resection of polyps can eliminate the need for surgery more than 90% of the time. In fact, surgery almost doubles the risk of an adverse event. In the second module of the program, learn about risk factors related to surgery. Other modules focus on how to distinguish between lesions suitable for endoscopic mucosal resection, lesions that should be referred for surgery, and the benefits of endoscopic resection of tumors. Take the course and earn 0.75 American Medical Association PRA Category 1 credit ™ on completion.

www.gastro.org/Polypectomy
 

 

Surgery to remove colorectal polyps is often unnecessary according to recent research, which has found it can lead to adverse postoperative events and increased rates of hospital readmissions.

To support GIs on how to best approach polyp removal, the American Gastroenterological Association has launched a new on-demand course, “Appropriate Referral for Endoscopic Polyp Removal.” The program guides you with three interactive modules and a decision-support tool on the best course of action with education on how to differentiate between a simple and complex polyp and when or if to refer patients for surgery.

Endoscopic resection of polyps can eliminate the need for surgery more than 90% of the time. In fact, surgery almost doubles the risk of an adverse event. In the second module of the program, learn about risk factors related to surgery. Other modules focus on how to distinguish between lesions suitable for endoscopic mucosal resection, lesions that should be referred for surgery, and the benefits of endoscopic resection of tumors. Take the course and earn 0.75 American Medical Association PRA Category 1 credit ™ on completion.

www.gastro.org/Polypectomy
 

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What your patients need to know about biologics and biosimilars

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Thu, 12/24/2020 - 14:34

The AGA GI Patient Center has released a new brochure entitled “Biologic and biosimilar medicines: What you need to know.” The new brochure includes interactive elements like quizzes, medication sheets, symptom tracker, and the option of audibly listening to the pages.

The brochure provides patients with:

• An overview of the immune system.

• Background on immune-mediated conditions.

• Biologics and biosimilars: What are they?

• Information on biosimilars and generics.

• Cost of biologics and biosimilars.

• The importance of adhering to their treatment plan.

• Tips to start the conversation with their provider.

• Safety of biologics and biosimilars.

Share this new resource with your patients by printing, linking from your practice website, or emailing the link to your patients. Visit the AGA GI Patient Center page dedicated to biosimilars for more at gastro.org/biosimilars.

AGA members will also receive print copies of the new brochure this month. Order additional copies for your practice at http://www.agaresources.com/order_biosimilars.php. The brochure was reviewed by Jami Kinnucan, MD, and Rajeev Jain, MD, AGAF, AGA Patient Education Adviser.

View the interactive brochure at https://bit.ly/2JYE5tI.This brochure was funded by an independent medical education grant from Pfizer Inc.

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The AGA GI Patient Center has released a new brochure entitled “Biologic and biosimilar medicines: What you need to know.” The new brochure includes interactive elements like quizzes, medication sheets, symptom tracker, and the option of audibly listening to the pages.

The brochure provides patients with:

• An overview of the immune system.

• Background on immune-mediated conditions.

• Biologics and biosimilars: What are they?

• Information on biosimilars and generics.

• Cost of biologics and biosimilars.

• The importance of adhering to their treatment plan.

• Tips to start the conversation with their provider.

• Safety of biologics and biosimilars.

Share this new resource with your patients by printing, linking from your practice website, or emailing the link to your patients. Visit the AGA GI Patient Center page dedicated to biosimilars for more at gastro.org/biosimilars.

AGA members will also receive print copies of the new brochure this month. Order additional copies for your practice at http://www.agaresources.com/order_biosimilars.php. The brochure was reviewed by Jami Kinnucan, MD, and Rajeev Jain, MD, AGAF, AGA Patient Education Adviser.

View the interactive brochure at https://bit.ly/2JYE5tI.This brochure was funded by an independent medical education grant from Pfizer Inc.

The AGA GI Patient Center has released a new brochure entitled “Biologic and biosimilar medicines: What you need to know.” The new brochure includes interactive elements like quizzes, medication sheets, symptom tracker, and the option of audibly listening to the pages.

The brochure provides patients with:

• An overview of the immune system.

• Background on immune-mediated conditions.

• Biologics and biosimilars: What are they?

• Information on biosimilars and generics.

• Cost of biologics and biosimilars.

• The importance of adhering to their treatment plan.

• Tips to start the conversation with their provider.

• Safety of biologics and biosimilars.

Share this new resource with your patients by printing, linking from your practice website, or emailing the link to your patients. Visit the AGA GI Patient Center page dedicated to biosimilars for more at gastro.org/biosimilars.

AGA members will also receive print copies of the new brochure this month. Order additional copies for your practice at http://www.agaresources.com/order_biosimilars.php. The brochure was reviewed by Jami Kinnucan, MD, and Rajeev Jain, MD, AGAF, AGA Patient Education Adviser.

View the interactive brochure at https://bit.ly/2JYE5tI.This brochure was funded by an independent medical education grant from Pfizer Inc.

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Your patients with C. difficile now have a new resource

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Thu, 12/24/2020 - 14:14
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Your patients with C. difficile now have a new resource

The AGA GI Patient Center has released a new resource to support patients infected with C. difficile. The resource includes “Understanding C. diff infection” video and a patient brochure entitled “Navigating Your C. diff Diagnosis.”

C. diff, a bacterium known to cause bad GI symptoms like nausea and watery diarrhea, infects nearly 500,000 Americans every year and often calls for hospitalization. The AGA GI Patient Center has curated a new patient education page to assist and to share directly with your patients to prepare them for their visit. The article includes C. difficile-specific guidance on:

• Symptoms.

• Risk factors.

• Getting tested.

• Treatment.

• Complications.

Share this new resource with your patients by printing, linking from your practice website, or emailing the link to your patients. Visit gastro.org/cdiff to view the new video and brochure.

The “Navigating Your C. diff Diagnosis” brochure was reviewed by Rajeev Jain, MD, AGAF, AGA Patient Education Advisor, Texas Digestive Disease Consultants, Dallas, and Alexander Khoruts, MD, AGA Center for Gut Microbiome Research and Education Scientific Advisory Board, University of Minnesota, Minneapolis. AGA members will also receive print copies of the new brochure this month.

This program was supported by an independent educational grant from Ferring Pharmaceuticals, Inc.

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The AGA GI Patient Center has released a new resource to support patients infected with C. difficile. The resource includes “Understanding C. diff infection” video and a patient brochure entitled “Navigating Your C. diff Diagnosis.”

C. diff, a bacterium known to cause bad GI symptoms like nausea and watery diarrhea, infects nearly 500,000 Americans every year and often calls for hospitalization. The AGA GI Patient Center has curated a new patient education page to assist and to share directly with your patients to prepare them for their visit. The article includes C. difficile-specific guidance on:

• Symptoms.

• Risk factors.

• Getting tested.

• Treatment.

• Complications.

Share this new resource with your patients by printing, linking from your practice website, or emailing the link to your patients. Visit gastro.org/cdiff to view the new video and brochure.

The “Navigating Your C. diff Diagnosis” brochure was reviewed by Rajeev Jain, MD, AGAF, AGA Patient Education Advisor, Texas Digestive Disease Consultants, Dallas, and Alexander Khoruts, MD, AGA Center for Gut Microbiome Research and Education Scientific Advisory Board, University of Minnesota, Minneapolis. AGA members will also receive print copies of the new brochure this month.

This program was supported by an independent educational grant from Ferring Pharmaceuticals, Inc.

The AGA GI Patient Center has released a new resource to support patients infected with C. difficile. The resource includes “Understanding C. diff infection” video and a patient brochure entitled “Navigating Your C. diff Diagnosis.”

C. diff, a bacterium known to cause bad GI symptoms like nausea and watery diarrhea, infects nearly 500,000 Americans every year and often calls for hospitalization. The AGA GI Patient Center has curated a new patient education page to assist and to share directly with your patients to prepare them for their visit. The article includes C. difficile-specific guidance on:

• Symptoms.

• Risk factors.

• Getting tested.

• Treatment.

• Complications.

Share this new resource with your patients by printing, linking from your practice website, or emailing the link to your patients. Visit gastro.org/cdiff to view the new video and brochure.

The “Navigating Your C. diff Diagnosis” brochure was reviewed by Rajeev Jain, MD, AGAF, AGA Patient Education Advisor, Texas Digestive Disease Consultants, Dallas, and Alexander Khoruts, MD, AGA Center for Gut Microbiome Research and Education Scientific Advisory Board, University of Minnesota, Minneapolis. AGA members will also receive print copies of the new brochure this month.

This program was supported by an independent educational grant from Ferring Pharmaceuticals, Inc.

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New year, new gift ideas

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Thu, 12/24/2020 - 13:57

As the new year begins, we hope you’ll consider including a gift to the AGA Research Foundation in your will or living trust.

It’s simple – just a few sentences in your will or trust are all that is needed. The official bequest language for the AGA Research Foundation is: “I, [name], of [city, state, ZIP], give, devise and bequeath to the AGA Research Foundation [written amount or percentage of the estate or description of property] for its unrestricted use and purpose.”

Including the AGA Research Foundation in your will is a popular gift to give because it is:

  • Affordable. The actual giving of your gift occurs after your lifetime, so your current income is not affected.
  • Flexible. Until your will goes into effect, you are free to alter your plans or change your mind.
  • Versatile. You can give a specific item, a set amount of money, or a percentage of your estate. You can also make your gift contingent upon certain events.

Want to learn more about including a gift to the AGA Research Foundation in your future plans? Visit our website.

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As the new year begins, we hope you’ll consider including a gift to the AGA Research Foundation in your will or living trust.

It’s simple – just a few sentences in your will or trust are all that is needed. The official bequest language for the AGA Research Foundation is: “I, [name], of [city, state, ZIP], give, devise and bequeath to the AGA Research Foundation [written amount or percentage of the estate or description of property] for its unrestricted use and purpose.”

Including the AGA Research Foundation in your will is a popular gift to give because it is:

  • Affordable. The actual giving of your gift occurs after your lifetime, so your current income is not affected.
  • Flexible. Until your will goes into effect, you are free to alter your plans or change your mind.
  • Versatile. You can give a specific item, a set amount of money, or a percentage of your estate. You can also make your gift contingent upon certain events.

Want to learn more about including a gift to the AGA Research Foundation in your future plans? Visit our website.

As the new year begins, we hope you’ll consider including a gift to the AGA Research Foundation in your will or living trust.

It’s simple – just a few sentences in your will or trust are all that is needed. The official bequest language for the AGA Research Foundation is: “I, [name], of [city, state, ZIP], give, devise and bequeath to the AGA Research Foundation [written amount or percentage of the estate or description of property] for its unrestricted use and purpose.”

Including the AGA Research Foundation in your will is a popular gift to give because it is:

  • Affordable. The actual giving of your gift occurs after your lifetime, so your current income is not affected.
  • Flexible. Until your will goes into effect, you are free to alter your plans or change your mind.
  • Versatile. You can give a specific item, a set amount of money, or a percentage of your estate. You can also make your gift contingent upon certain events.

Want to learn more about including a gift to the AGA Research Foundation in your future plans? Visit our website.

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Top AGA Community patient cases

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Thu, 12/24/2020 - 12:54


Physicians with difficult patient scenarios regularly bring their questions to the AGA Community to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. The upgraded networking platform now features a newsfeed for difficult patient scenarios and regularly scheduled Roundtable discussions with experts in the field.

In case you missed it, here are some clinical discussions and Roundtables in the newsfeed this month:

Which of the following patients needs a liver biopsy and why? (https://community.gastro.org/posts/23108)

Next steps for a Crohn’s patient (https://community.gastro.org/posts/23000)

Fecal calprotectin versus histology (https://community.gastro.org/posts/22969)

Collecting and sending specimen for disaccharidase assay (https://community.gastro.org/posts/23092)

Roundtables (https://community.gastro.org/discussions)
Q&A with CRC task force: Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps

View all upcoming Roundtables in the community at https://community.gastro.org/discussions.

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Physicians with difficult patient scenarios regularly bring their questions to the AGA Community to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. The upgraded networking platform now features a newsfeed for difficult patient scenarios and regularly scheduled Roundtable discussions with experts in the field.

In case you missed it, here are some clinical discussions and Roundtables in the newsfeed this month:

Which of the following patients needs a liver biopsy and why? (https://community.gastro.org/posts/23108)

Next steps for a Crohn’s patient (https://community.gastro.org/posts/23000)

Fecal calprotectin versus histology (https://community.gastro.org/posts/22969)

Collecting and sending specimen for disaccharidase assay (https://community.gastro.org/posts/23092)

Roundtables (https://community.gastro.org/discussions)
Q&A with CRC task force: Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps

View all upcoming Roundtables in the community at https://community.gastro.org/discussions.


Physicians with difficult patient scenarios regularly bring their questions to the AGA Community to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. The upgraded networking platform now features a newsfeed for difficult patient scenarios and regularly scheduled Roundtable discussions with experts in the field.

In case you missed it, here are some clinical discussions and Roundtables in the newsfeed this month:

Which of the following patients needs a liver biopsy and why? (https://community.gastro.org/posts/23108)

Next steps for a Crohn’s patient (https://community.gastro.org/posts/23000)

Fecal calprotectin versus histology (https://community.gastro.org/posts/22969)

Collecting and sending specimen for disaccharidase assay (https://community.gastro.org/posts/23092)

Roundtables (https://community.gastro.org/discussions)
Q&A with CRC task force: Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps

View all upcoming Roundtables in the community at https://community.gastro.org/discussions.

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AGA Giving Day: Our fight to eradicate disparities in digestive diseases

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Thu, 12/03/2020 - 08:35

On Dec. 3, AGA brought together the GI community in an effort to fund health disparity research with the goal of improving care for the patients who rely on us.

The patients we serve face racial health disparities daily. It’s our responsibility to take action. With money raised through this campaign, the AGA Research Foundation will fund research projects that help understand health disparities and create strategies for overcoming them.

AGA Giving Day was the opportunity to do something about this important societal issue as it directly relates to our field. We all have a role to play in creating a just world free of health disparities in digestive diseases and free of inequities in access and effective health care delivery.

The AGA Research Foundation’s AGA Giving Day effort will help support state-of-the-art research that aligns with the realities of the current multicultural patient population and disease states to achieve health equity for all.

Learn more at gastro.org/agagivingday.

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On Dec. 3, AGA brought together the GI community in an effort to fund health disparity research with the goal of improving care for the patients who rely on us.

The patients we serve face racial health disparities daily. It’s our responsibility to take action. With money raised through this campaign, the AGA Research Foundation will fund research projects that help understand health disparities and create strategies for overcoming them.

AGA Giving Day was the opportunity to do something about this important societal issue as it directly relates to our field. We all have a role to play in creating a just world free of health disparities in digestive diseases and free of inequities in access and effective health care delivery.

The AGA Research Foundation’s AGA Giving Day effort will help support state-of-the-art research that aligns with the realities of the current multicultural patient population and disease states to achieve health equity for all.

Learn more at gastro.org/agagivingday.

On Dec. 3, AGA brought together the GI community in an effort to fund health disparity research with the goal of improving care for the patients who rely on us.

The patients we serve face racial health disparities daily. It’s our responsibility to take action. With money raised through this campaign, the AGA Research Foundation will fund research projects that help understand health disparities and create strategies for overcoming them.

AGA Giving Day was the opportunity to do something about this important societal issue as it directly relates to our field. We all have a role to play in creating a just world free of health disparities in digestive diseases and free of inequities in access and effective health care delivery.

The AGA Research Foundation’s AGA Giving Day effort will help support state-of-the-art research that aligns with the realities of the current multicultural patient population and disease states to achieve health equity for all.

Learn more at gastro.org/agagivingday.

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Top AGA Community patient cases

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Fri, 11/27/2020 - 17:48

 

Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. The upgraded networking platform now features a newsfeed for difficult patient scenarios and regularly scheduled Roundtable discussions with experts in the field.

In case you missed it, here are some clinical discussions and Roundtables in the newsfeed this month:

Practice update: Small intestinal bacteria overgrowth (SIBO) (https://community.gastro.org/posts/22838)

Case: Polypectomy with low neutrophils (https://community.gastro.org/posts/22844)

Case: Esophagus adenocarcinoma after sleeve gastrectomy (https://community.gastro.org/posts/22868)

Case: Restarting infliximab after shingles – when is it safe? (https://community.gastro.org/posts/22890)

Case: Flatulence in Colorado (https://community.gastro.org/posts/22901)

Case: Serrated epithelial change (SEC) in IBD (https://community.gastro.org/posts/22948)

Case: Multiloculated pancreatic cyst (https://community.gastro.org/posts/22935)

View all upcoming Roundtables in the community at https://community.gastro.org/discussions.

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Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. The upgraded networking platform now features a newsfeed for difficult patient scenarios and regularly scheduled Roundtable discussions with experts in the field.

In case you missed it, here are some clinical discussions and Roundtables in the newsfeed this month:

Practice update: Small intestinal bacteria overgrowth (SIBO) (https://community.gastro.org/posts/22838)

Case: Polypectomy with low neutrophils (https://community.gastro.org/posts/22844)

Case: Esophagus adenocarcinoma after sleeve gastrectomy (https://community.gastro.org/posts/22868)

Case: Restarting infliximab after shingles – when is it safe? (https://community.gastro.org/posts/22890)

Case: Flatulence in Colorado (https://community.gastro.org/posts/22901)

Case: Serrated epithelial change (SEC) in IBD (https://community.gastro.org/posts/22948)

Case: Multiloculated pancreatic cyst (https://community.gastro.org/posts/22935)

View all upcoming Roundtables in the community at https://community.gastro.org/discussions.

 

Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. The upgraded networking platform now features a newsfeed for difficult patient scenarios and regularly scheduled Roundtable discussions with experts in the field.

In case you missed it, here are some clinical discussions and Roundtables in the newsfeed this month:

Practice update: Small intestinal bacteria overgrowth (SIBO) (https://community.gastro.org/posts/22838)

Case: Polypectomy with low neutrophils (https://community.gastro.org/posts/22844)

Case: Esophagus adenocarcinoma after sleeve gastrectomy (https://community.gastro.org/posts/22868)

Case: Restarting infliximab after shingles – when is it safe? (https://community.gastro.org/posts/22890)

Case: Flatulence in Colorado (https://community.gastro.org/posts/22901)

Case: Serrated epithelial change (SEC) in IBD (https://community.gastro.org/posts/22948)

Case: Multiloculated pancreatic cyst (https://community.gastro.org/posts/22935)

View all upcoming Roundtables in the community at https://community.gastro.org/discussions.

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CGH releases its first GI cancer-themed issue

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Fri, 11/27/2020 - 16:03

Articles include guidance on cancer progression in Barrett’s esophagus patients, CRC surveillance, and HCC incidence and risk.

Clinical Gastroenterology and Hepatology (CGH) is proud to release its first themed issue on GI cancers. This “issue within an issue” includes a collection of articles, selected by editor-in-chief Dr. Fasiha Kanwal, that will provide you with practical research to help guide cancer prevention, surveillance and treatment decisions for your patients.

View the themed issue on CGH’s website. and access other curated collections on cghjournal.org.

How can we combat health disparities in GI?

Hear from Craig Munroe, MD, on why we all need to donate to AGA Giving Day, now through Dec. 3, in order to fund GI health disparities research.

“Health disparities exist and negatively impact patients every day across our country. Working to solve these inequities for the good of our patients and workforce is fundamental to our calling as physicians,” says Craig A. Munroe, MD, associate chief for clinical innovation, University of California, San Francisco, AGA Diversity Committee member, AGA Equity Project advisory board member. “Although we have made tremendous strides over the decades, there is still much more that needs to be done. Disparate systems of care and legacies of inequality continue to cause great harm.”

That is why AGA is bringing together the GI community to fund health disparity research with the goal of improving care for all patients. With contributions raised through AGA Giving Day campaign, the AGA Research Foundation will fund research projects that help us understand health disparities and create strategies for overcoming them.

“I’m donating to AGA Giving Day because I believe the work being done will have an immediate positive impact, and will continue to benefit future generations of patients, physicians, scientists, health providers, and trainees.”

Please join Dr. Munroe and your AGA colleagues in making a tax-deductible donation to the AGA Research Foundation to support AGA Giving Day today through Dec. 3. Contributors will be recognized as supporters of our fight to achieve equity and eradicate disparities in digestive diseases. www.Gastro.org/GivingDay
 

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Articles include guidance on cancer progression in Barrett’s esophagus patients, CRC surveillance, and HCC incidence and risk.

Clinical Gastroenterology and Hepatology (CGH) is proud to release its first themed issue on GI cancers. This “issue within an issue” includes a collection of articles, selected by editor-in-chief Dr. Fasiha Kanwal, that will provide you with practical research to help guide cancer prevention, surveillance and treatment decisions for your patients.

View the themed issue on CGH’s website. and access other curated collections on cghjournal.org.

How can we combat health disparities in GI?

Hear from Craig Munroe, MD, on why we all need to donate to AGA Giving Day, now through Dec. 3, in order to fund GI health disparities research.

“Health disparities exist and negatively impact patients every day across our country. Working to solve these inequities for the good of our patients and workforce is fundamental to our calling as physicians,” says Craig A. Munroe, MD, associate chief for clinical innovation, University of California, San Francisco, AGA Diversity Committee member, AGA Equity Project advisory board member. “Although we have made tremendous strides over the decades, there is still much more that needs to be done. Disparate systems of care and legacies of inequality continue to cause great harm.”

That is why AGA is bringing together the GI community to fund health disparity research with the goal of improving care for all patients. With contributions raised through AGA Giving Day campaign, the AGA Research Foundation will fund research projects that help us understand health disparities and create strategies for overcoming them.

“I’m donating to AGA Giving Day because I believe the work being done will have an immediate positive impact, and will continue to benefit future generations of patients, physicians, scientists, health providers, and trainees.”

Please join Dr. Munroe and your AGA colleagues in making a tax-deductible donation to the AGA Research Foundation to support AGA Giving Day today through Dec. 3. Contributors will be recognized as supporters of our fight to achieve equity and eradicate disparities in digestive diseases. www.Gastro.org/GivingDay
 

Articles include guidance on cancer progression in Barrett’s esophagus patients, CRC surveillance, and HCC incidence and risk.

Clinical Gastroenterology and Hepatology (CGH) is proud to release its first themed issue on GI cancers. This “issue within an issue” includes a collection of articles, selected by editor-in-chief Dr. Fasiha Kanwal, that will provide you with practical research to help guide cancer prevention, surveillance and treatment decisions for your patients.

View the themed issue on CGH’s website. and access other curated collections on cghjournal.org.

How can we combat health disparities in GI?

Hear from Craig Munroe, MD, on why we all need to donate to AGA Giving Day, now through Dec. 3, in order to fund GI health disparities research.

“Health disparities exist and negatively impact patients every day across our country. Working to solve these inequities for the good of our patients and workforce is fundamental to our calling as physicians,” says Craig A. Munroe, MD, associate chief for clinical innovation, University of California, San Francisco, AGA Diversity Committee member, AGA Equity Project advisory board member. “Although we have made tremendous strides over the decades, there is still much more that needs to be done. Disparate systems of care and legacies of inequality continue to cause great harm.”

That is why AGA is bringing together the GI community to fund health disparity research with the goal of improving care for all patients. With contributions raised through AGA Giving Day campaign, the AGA Research Foundation will fund research projects that help us understand health disparities and create strategies for overcoming them.

“I’m donating to AGA Giving Day because I believe the work being done will have an immediate positive impact, and will continue to benefit future generations of patients, physicians, scientists, health providers, and trainees.”

Please join Dr. Munroe and your AGA colleagues in making a tax-deductible donation to the AGA Research Foundation to support AGA Giving Day today through Dec. 3. Contributors will be recognized as supporters of our fight to achieve equity and eradicate disparities in digestive diseases. www.Gastro.org/GivingDay
 

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Congrats to these five AGA members

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We’re proud to share the news of two AGA members elected to the prestigious National Academy of Medicine and three honored with the 2020 Sherman Prize.

Congratulations to AGA members Judy H. Cho, MD, and B. Mark Evers, MD, who were recently elected to the National Academy of Medicine.

Judy H. Cho, MD, professor of medicine at Icahn School of Medicine at Mount Sinai, New York, for “establishing that uncommon, loss-of-function variants in the microbial-sensing domain of NOD2 confer risk for Crohn’s disease, and identifying a loss-of-function allele in the IL-23 receptor that protects against Crohn’s disease and ulcerative colitis, leading to new, approved therapies.”

B. Mark Evers, MD, physician in chief of oncology service at University of Kentucky Healthcare, for “his expertise on intestinal hormones and hormonal arcades in oncogenesis. His seminal insights defined the role of gut hormones on normal physiology and metabolism, pioneering innovative understanding of neuroendocrine cell biology and the role of neurohormonal pathways in the development and progression of neuroendocrine tumors.”

Being selected to the Academy is one of the highest honors in the fields of health and medicine and recognizes individuals who have demonstrated outstanding professional achievement and commitment to service.

In addition, the 2020 Sherman Prize was awarded to the following three AGA members:

David Rubin, MD, AGAF, chief, section of gastroenterology, hepatology and nutrition at University of Chicago Medicine, for his “renown in the IBD community as a brilliant clinician, creative researcher, tireless advocate, and trailblazing educator.”

Gary Wu, MD, professor of medicine at University of Pennsylvania, Perelman School of Medicine, for “pioneering the study of the gut microbiome in IBD, publishing seminal research on the relationship between diet and the microbiome — enabling multiple areas of research into dietary interventions for IBD.“

Jessica Allegretti, MD, MPH, director of clinical trials at Brigham and Women’s Hospital, as a “highly regarded expert in the field of fecal microbiota transplantation (FMT) and microbiome therapeutics, establishing the therapy as an effective treatment in IBD patients with recurrent C. difficile.”

Presented by the Bruce and Cynthia Sherman Charitable Foundation, the Sherman Prize is awarded to experts in the field of Crohn’s disease and ulcerative colitis who have exhibited their commitment to advancing inflammatory bowel disease care and have dedicated their careers to overcome these diseases.

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We’re proud to share the news of two AGA members elected to the prestigious National Academy of Medicine and three honored with the 2020 Sherman Prize.

Congratulations to AGA members Judy H. Cho, MD, and B. Mark Evers, MD, who were recently elected to the National Academy of Medicine.

Judy H. Cho, MD, professor of medicine at Icahn School of Medicine at Mount Sinai, New York, for “establishing that uncommon, loss-of-function variants in the microbial-sensing domain of NOD2 confer risk for Crohn’s disease, and identifying a loss-of-function allele in the IL-23 receptor that protects against Crohn’s disease and ulcerative colitis, leading to new, approved therapies.”

B. Mark Evers, MD, physician in chief of oncology service at University of Kentucky Healthcare, for “his expertise on intestinal hormones and hormonal arcades in oncogenesis. His seminal insights defined the role of gut hormones on normal physiology and metabolism, pioneering innovative understanding of neuroendocrine cell biology and the role of neurohormonal pathways in the development and progression of neuroendocrine tumors.”

Being selected to the Academy is one of the highest honors in the fields of health and medicine and recognizes individuals who have demonstrated outstanding professional achievement and commitment to service.

In addition, the 2020 Sherman Prize was awarded to the following three AGA members:

David Rubin, MD, AGAF, chief, section of gastroenterology, hepatology and nutrition at University of Chicago Medicine, for his “renown in the IBD community as a brilliant clinician, creative researcher, tireless advocate, and trailblazing educator.”

Gary Wu, MD, professor of medicine at University of Pennsylvania, Perelman School of Medicine, for “pioneering the study of the gut microbiome in IBD, publishing seminal research on the relationship between diet and the microbiome — enabling multiple areas of research into dietary interventions for IBD.“

Jessica Allegretti, MD, MPH, director of clinical trials at Brigham and Women’s Hospital, as a “highly regarded expert in the field of fecal microbiota transplantation (FMT) and microbiome therapeutics, establishing the therapy as an effective treatment in IBD patients with recurrent C. difficile.”

Presented by the Bruce and Cynthia Sherman Charitable Foundation, the Sherman Prize is awarded to experts in the field of Crohn’s disease and ulcerative colitis who have exhibited their commitment to advancing inflammatory bowel disease care and have dedicated their careers to overcome these diseases.

 

We’re proud to share the news of two AGA members elected to the prestigious National Academy of Medicine and three honored with the 2020 Sherman Prize.

Congratulations to AGA members Judy H. Cho, MD, and B. Mark Evers, MD, who were recently elected to the National Academy of Medicine.

Judy H. Cho, MD, professor of medicine at Icahn School of Medicine at Mount Sinai, New York, for “establishing that uncommon, loss-of-function variants in the microbial-sensing domain of NOD2 confer risk for Crohn’s disease, and identifying a loss-of-function allele in the IL-23 receptor that protects against Crohn’s disease and ulcerative colitis, leading to new, approved therapies.”

B. Mark Evers, MD, physician in chief of oncology service at University of Kentucky Healthcare, for “his expertise on intestinal hormones and hormonal arcades in oncogenesis. His seminal insights defined the role of gut hormones on normal physiology and metabolism, pioneering innovative understanding of neuroendocrine cell biology and the role of neurohormonal pathways in the development and progression of neuroendocrine tumors.”

Being selected to the Academy is one of the highest honors in the fields of health and medicine and recognizes individuals who have demonstrated outstanding professional achievement and commitment to service.

In addition, the 2020 Sherman Prize was awarded to the following three AGA members:

David Rubin, MD, AGAF, chief, section of gastroenterology, hepatology and nutrition at University of Chicago Medicine, for his “renown in the IBD community as a brilliant clinician, creative researcher, tireless advocate, and trailblazing educator.”

Gary Wu, MD, professor of medicine at University of Pennsylvania, Perelman School of Medicine, for “pioneering the study of the gut microbiome in IBD, publishing seminal research on the relationship between diet and the microbiome — enabling multiple areas of research into dietary interventions for IBD.“

Jessica Allegretti, MD, MPH, director of clinical trials at Brigham and Women’s Hospital, as a “highly regarded expert in the field of fecal microbiota transplantation (FMT) and microbiome therapeutics, establishing the therapy as an effective treatment in IBD patients with recurrent C. difficile.”

Presented by the Bruce and Cynthia Sherman Charitable Foundation, the Sherman Prize is awarded to experts in the field of Crohn’s disease and ulcerative colitis who have exhibited their commitment to advancing inflammatory bowel disease care and have dedicated their careers to overcome these diseases.

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Experts release new management strategies for malignant colorectal polyps

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Fri, 11/27/2020 - 15:01

 

Early identification and removal of cancerous colorectal polyps is critical to preventing the progression of colorectal cancer and improving survival rates. The U.S. Multisociety Task Force (U.S. MSTF) on Colorectal Cancer has released new guidance for endoscopists on how to assess colorectal lesions for features associated with cancer, discuss how these factors guide management and outline when to advise surgery after malignant polyp removal.

Key recommendations from the U.S. Multisociety Task Force on Colorectal Cancer, which is comprised of leading experts representing AGA, ACG and ASGE, include:

1. Management of malignant polyps must begin with a thorough and knowledgeable endoscopic assessment designed to identify features of deep submucosal invasion.

2. In nonpedunculated lesions with features of deep submucosal invasion, endoscopic biopsy and tattooing should be followed by surgical resection.

3. Nonpedunculated lesions with high risk of superficial submucosal invasion should be considered for en bloc resection and proper specimen handling.

4. When pathology reports cancer in a lesion that was completely resected endoscopically, the decision to recommend surgery is based on polyp shape, whether there was en bloc resection and adequate histologic assessment, the presence or absence of unfavorable histologic features, the patient’s risk for surgical mortality and morbidity, and patient preferences.

For more information, review the full publication: Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer. The U.S. MSTF recommendations are published jointly in Gastroenterology, The American Journal of Gastroenterology, and Gastrointestinal Endoscopy.

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Early identification and removal of cancerous colorectal polyps is critical to preventing the progression of colorectal cancer and improving survival rates. The U.S. Multisociety Task Force (U.S. MSTF) on Colorectal Cancer has released new guidance for endoscopists on how to assess colorectal lesions for features associated with cancer, discuss how these factors guide management and outline when to advise surgery after malignant polyp removal.

Key recommendations from the U.S. Multisociety Task Force on Colorectal Cancer, which is comprised of leading experts representing AGA, ACG and ASGE, include:

1. Management of malignant polyps must begin with a thorough and knowledgeable endoscopic assessment designed to identify features of deep submucosal invasion.

2. In nonpedunculated lesions with features of deep submucosal invasion, endoscopic biopsy and tattooing should be followed by surgical resection.

3. Nonpedunculated lesions with high risk of superficial submucosal invasion should be considered for en bloc resection and proper specimen handling.

4. When pathology reports cancer in a lesion that was completely resected endoscopically, the decision to recommend surgery is based on polyp shape, whether there was en bloc resection and adequate histologic assessment, the presence or absence of unfavorable histologic features, the patient’s risk for surgical mortality and morbidity, and patient preferences.

For more information, review the full publication: Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer. The U.S. MSTF recommendations are published jointly in Gastroenterology, The American Journal of Gastroenterology, and Gastrointestinal Endoscopy.

 

Early identification and removal of cancerous colorectal polyps is critical to preventing the progression of colorectal cancer and improving survival rates. The U.S. Multisociety Task Force (U.S. MSTF) on Colorectal Cancer has released new guidance for endoscopists on how to assess colorectal lesions for features associated with cancer, discuss how these factors guide management and outline when to advise surgery after malignant polyp removal.

Key recommendations from the U.S. Multisociety Task Force on Colorectal Cancer, which is comprised of leading experts representing AGA, ACG and ASGE, include:

1. Management of malignant polyps must begin with a thorough and knowledgeable endoscopic assessment designed to identify features of deep submucosal invasion.

2. In nonpedunculated lesions with features of deep submucosal invasion, endoscopic biopsy and tattooing should be followed by surgical resection.

3. Nonpedunculated lesions with high risk of superficial submucosal invasion should be considered for en bloc resection and proper specimen handling.

4. When pathology reports cancer in a lesion that was completely resected endoscopically, the decision to recommend surgery is based on polyp shape, whether there was en bloc resection and adequate histologic assessment, the presence or absence of unfavorable histologic features, the patient’s risk for surgical mortality and morbidity, and patient preferences.

For more information, review the full publication: Endoscopic Recognition and Management Strategies for Malignant Colorectal Polyps: Recommendations of the US Multi-Society Task Force on Colorectal Cancer. The U.S. MSTF recommendations are published jointly in Gastroenterology, The American Journal of Gastroenterology, and Gastrointestinal Endoscopy.

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