“We need to be thinking as scientists as well as clinicians and to a phased approach to using this in the future,” David T. Rubin, MD, FACG, co-director, Inflammatory Bowel Disease Center, University of Chicago Medicine, said while delivering his portion of the American Journal of Gastroenterology Lecture during the American College of Gastroenterology Annual Scientific Meeting. Rubin was joined by Stephen M. Collins, MBBS, department of medicine, McMaster University in Hamilton, Ontario, in giving the lecture on the emerging role of the microbiome in the pathogenesis and management of inflammatory bowel disease. Healio (10/16)
Making sure to get that workout in could help lower your risk of developing esophageal cancer, according to a new study.
Mayo Clinic researchers found an association between physical activity and risk of the cancer, with physically active people having a 32 percent lower risk of developing one of the two forms of esophageal cancer, called esophageal adenocarcinoma. Huffington Post (10/14)
When clinicians detect a gastric polyp during endoscopy, they are faced with many questions: does the polyp need to be excised, or can a biopsy sample be collected and analyzed? Which polyps should be biopsied? Should patients then be followed, and how? In the November issue of Clinical Gastroenterology and Hepatology, Yasser H. Shaib et al. attempt to provide some practical answers to these questions.
A gastric polyp is an abnormal growth from the gastric mucosal membrane. Detection of stomach polyps prompts concerns about histology, cause, progression, and possible treatment.
The overall incidence of gastric polyps has increased in North America, and there has been a shift in the proportions of types detected—clinically inconsequential fundic gland polyps have become the most prevalent, whereas those associated Helicobacter pylori-induced gastritis (hyperplastic and adenomatous polyps) have become less common. In contrast, in East Asia, Latin America, and possibly Africa, where H. pylori infection and chronic gastritis are still common, and larger proportions of gastric polyps are either hyperplastic or neoplastic.
In their Perspective article, Shaib et al. discuss the features, diagnostic criteria, and management strategies for different types of gastric polyps.
For example, fundic gland polyps (see below figure), which are usually multiple, small (less than 1 cm), and smooth, should be biopsied upon detection, but large polyps (>1 cm in diameter) should be removed.
Fundic gland polyps are often detected in patients who have taken proton pump inhibitors for prolonged time periods. Shaib et al. propose that when more than 20 polyps are present, or their size is larger than 1 cm, patients should be asked to stop taking these drugs, to see if the polyps regress.
The authors also provide advice for diagnosis and management of hyperplastic gastric polyps, gastric adenomas, gastrointestinal stromal tumors, inflammatory fibroid polyps, gastric neuroendocrine tumors.
Shaib et al. remind us that no polyp is an island unto itself—after polyps are removed or sampled, the non-affected gastric mucosa should be inspected and biopsy samples should be collected and examined.
Few data are available on short- or long-term outcomes of gastric polyps, so no evidence-based guidelines exist. Shaib et al. suggest that patients undergo surveillance endoscopy within 1 year of detection of non-fundic gland polyps, to check for recurrence. Patients with high-grade dysplasia or early-stage cancer should be followed for at least 2–3 years, at short intervals (6 months). Gastric carcinoids managed endoscopically (usually type 1) should be followed via endoscopy, every 1–2 years.
Get Yourself Checked Out
Acid reflux or GERD, if unchecked, can cause some serious health problems, so why risk it? Here are two major medical conditions you may experience if you never get your symptoms looked at by a doctor.
A condition that occurs if the lining of the esophagus is changed to a state similar to the linings of small intestines. Although not everyone who is diagnosed with Barrett’s esophagus suffer from the acid reflux, those with acid reflux have a greater chance of getting this condition. Those suffering from this condition have high chances of getting terminal cancer. Men are more affected with this condition than women. The average age of the diagnosis of the esophagus condition is 60 years old.
Barrett’s esophagus is a difficult problem to diagnose. It cannot be diagnosed accurately since it has no symptoms and blood tests and physical examinations cannot accurately determine if this condition is present. The only proven way to diagnose it is a biopsy and upper gastrointestinal endoscopy.
This is the other risk faced by those suffering from the acid reflux condition. It occurs if the acid from the stomach will back up into the esophagus and irritate it. It is very common in those who are suffering from acid reflux. Those suffering from this condition experience several symptoms such as trouble with swallowing, oral lesions, and a burning sensation in throat.
In order to detect it, the doctors perform a barium swallow or endoscopy. Barium is a chemical and it helps the x-ray to see inside of you. If untreated, it may cause intense discomfort and malnutrition as well as dehydration.
Contact us to get acid reflux help in Dallas today if you’re experiencing any discomfort. Now is always better than later.
GERD (Gastroesophageal Reflux Disease), also known as acid reflux, is a condition where the contents in the stomach normally end up chronically back in the oesophagus. This causes burping, heartburn, nausea, sore throat, coughing, chest pains and vomiting.
But, you’re on this website so you already know all this. What you want to know is what can you do to make things better right now.
Below are some vitamins that can help to prevent acid reflux, or at least slow it down.
Also known as S-Methylmethionine but commonly referred to as vitamin u. Its use was uncovered when M.D. Garnett Cheney was experimenting with it in the form of fresh cabbage juice and found that it could be used to heal peptic ulcers.
Insufficiency of Thiamine (Vitamin B1) normally causes beriberi that normally results in vomiting and weak muscles. Taking B1 vitamin aids the esophagus sphincter and also relives most of the stomach acid that had backed up.
Also known as pantothenic acid, the vitamin is vital for healthy muscles and skin. It helps out with the condition as it works on the muscular valve which controls the esophagus sphincter and in turn it prevents the acid from going back to the throat.
Vitamin B12 deficiency is one of the symptoms of acid reflux. Taking the vitamin is important as it helps the digestive system since it aids in the breaking down proteins.
Also known as pyridoxine, this is a vitamin that helps in the metabolism of proteins, fats and carbohydrates. It is also vital for the growth of new cells. It is important for the replacement of the cells that are destroyed by the condition to ensure that they continue working the way they are supposed to without ant complications.
Most doctors after studying the condition for a long time through treating several patients agree that acid reflux is one of the ways that the body states that there is something off with a person’s general health. This is because most patients with the reflux normally have a deficiency of various vitamins especially the B complex. For this reason, it is therefore recommended that the patients are put on a daily regimen of taking vitamins that will help people with their insufficiencies.
Ultimately, GERD surgery will stop your discomfort, but taking vitamins for acid reflux is still a smart option.