Author: Abhay Panchal

DescriptionThe purpose of this AGA Institute Clinical Practice Update is to review the available evidence supporting and examine opportunities for future research in endoscopic ultrasound–guided vascular investigation and therapies. MethodsThis Clinical Practice Update was commissioned and approved by the AGA Institute Clinical Practice Updates Committee and the AGA Governing Board to provide timely guidance on a topic of high clinical importance to the AGA membership, and underwent internal peer review by the Clinical Practice Updates Committee and external peer review through standard procedures of Clinical Gastroenterology and Hepatology. This expert commentary incorporates important as well as recently published studies in…

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Noting that the term “nonalcoholic fatty liver disease” (NAFLD) is stigmatizing, an international group of medical organizations proposed a name change to “metabolic dysfunction-associated steatotic liver disease” (MASLD). This new name, formulated by 236 experts from 54 countries, was recently announced in a consensus statement in the journal Hepatology opens in a new tab or window, after 74% of panelists agreed that the current name was “sufficiently flawed.” “The consensus was the result of a transparent and fair process that engaged the global community and the patient community,” said panelist Meena B. Bansal, MD, of the Icahn School of Medicine…

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Fee-for-service payments encourage high-volume services rather than high-quality care. Alternative payment models (APMs) aim to realign financing to support high-value services. The 2 main components of gastroenterologic care, procedures and chronic care management, call for a range of APMs. The first step for gastroenterologists is to identify the most important conditions and opportunities to improve care and reduce waste that do not require financial support. We describe examples of delivery reforms and emerging APMs to accomplish these care improvements. A bundled payment for an episode of care, in which a provider is given a lump sum payment to cover the…

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The article discusses the guidelines and considerations for determining when and how to stop surveillance colonoscopy in patients with a history of colorectal neoplasia. Surveillance colonoscopy is a commonly used procedure to monitor patients who have previously undergone treatment for colorectal cancer or its precursors. However, the optimal timing and cessation of surveillance colonoscopy remain unclear.

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July 5, 2023 — In the mid-1980s, Louis Aronne strolled into a lab at Rockefeller University where a colleague was breeding mice. “I will never forget what he showed me,” said Aronne, now the director of obesity research and treatment at Weill Cornell Medicine in New York City. “He had a cage with 10 mice, one severely obese and the others normal weight. He took blood from one of the thin mice and gave it to the fat mouse.” When Aronne returned 3 days later, that obese mouse had turned thin. It was proof of something Aronne already suspected: Obesity…

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The article discusses the launch of Telebelly Health, a virtual care gastroenterology clinic founded by Dr. Russ Arjal in 2021. Dr. Arjal, a gastroenterologist with years of experience, co-founded Telebelly Health along with Sheri Rudberg, Alex Brown, and Nakort Valles. The clinic aims to transform the delivery of GI healthcare services by offering virtual care to patients throughout the United States.

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While gastroenterologists focus on providing care to patients, many have several other tasks at their practices daily, including improving coworker morale and enhancing the patient experience. Monina Pascua, MD, a gastroenterologist and clinical medical director at the Oregon Clinic in Tualatin and chair of the TOC Quality Committee, told Becker’s that one of the best parts of her job is driving passion in those around her.

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SOUTH JERSEY (KYW Newsradio) — Gastroenterology doctors at Virtua Health are getting an A.I. assist with colonoscopy exams. Doctors at all five Virtua hospitals are already using the GI Genius endoscopy module to better identify polyps during a colonoscopy. “I like to use the analogy, it’s similar to a backup camera or camera sensors in a car,” said Dr. Gregory Seltzer, Virtua’s medical director for Gastroenterology and Digestive Health.

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