Author: Abhay Panchal

Limaca Medical has introduced Precision-GI™, an automated motorized endoscopic ultrasound (EUS) biopsy device, to the U.S. market following FDA clearance, clinical trial success, and CMS Transitional Pass-Through (TPT) Payment approval. Designed to improve biopsy accuracy for GI tract and adjacent organ cancers, Precision-GI™ delivers higher-quality tissue samples with less blood content in a single pass, enhancing histopathologic and molecular analysis.

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Biomerica’s inFoods® IBS blood test is transforming Irritable Bowel Syndrome (IBS) management by identifying personalized dietary triggers, significantly reducing abdominal pain and bloating. A placebo-controlled trial of 238 IBS patients found that 59.6% of patients eliminating their specific trigger foods experienced pain relief, compared to 42.2% in the control group. Results were most pronounced in IBS-C (67.1%) and IBS-M (66%) patients.

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A proposed rule could dramatically expand Medicare and Medicaid coverage for GLP-1 receptor agonists like Wegovy and Zepbound, making these costly weight loss drugs more accessible. If finalized, the rule could grant 3.4 million Medicare and 4 million Medicaid recipients access to obesity medications, pressuring private insurers to follow suit—just as they did after Medicare covered bariatric surgery in 2006.

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The definition and significance of tumor deposits (TDs) have evolved over the years. An estimated 20% of patients with colon cancer have TDs,1 and previous studies have established the presence of TDs as a poor prognostic factor, particularly among patients with stage III colon cancer.2,3 However, in the current American Joint Committee on Cancer (AJCC)/tumor, node, metastasis (TNM) staging system, the presence of TDs only impacts staging if no lymph nodes (LNs) are positive, and then, there is only 1 designation: N1c. When LN metastases are present, TDs are not acknowledged within the classification system at all.

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The American Gastroenterological Association (AGA) has released an expert review highlighting immune-mediated and infectious causes of esophageal dysfunction, which extend far beyond GERD. Published in Clinical Gastroenterology and Hepatology, the clinical practice update provides 10 best practice advice statements to help clinicians identify and treat conditions like eosinophilic esophagitis (EoE), systemic sclerosis (SSc), Crohn’s disease, and esophageal infections (Candida, HSV, CMV).

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Despite CMS’s goal for full Medicare and most Medicaid participation in accountable care by 2030, less than half of primary care physicians are joining value-based payment models. Financial constraints, workforce shortages, and excessive documentation remain significant barriers. Fee-for-service still dominates, and small practices lack resources to transition. Physicians support the concept but struggle with implementation, citing unpredictable reimbursement, limited institutional support, and overwhelming quality metrics.

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Gastrointestinal endoscopy is advancing with probe-based confocal laser endomicroscopy (pCLE), achieving 100% sensitivity in adenocarcinoma detection (Quantitative Imaging in Medicine and Surgery). Enhanced Recovery After Surgery (ERAS) protocols cut hospital stays by 30% and boost patient satisfaction to 90% (Journal of Colorectal Surgery). To combat hypoxemia in sedated procedures, nasal clips with nasal cannulas have reduced cases from 25% to 17.7% (BMC Anesthesiology). These innovations are setting new standards in diagnostics, recovery, and patient safety—reshaping GI care.

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In an innovative push to break the stigma around colorectal cancer and encourage early detection, Fondation Digestive and LG2 have launched the ‘Scanitary Paper’ campaign—a toilet paper embedded with a QR code that directs users to Clic Santé to book a stool screening test. This clever initiative, timed for National Colorectal Cancer Awareness Month (March 2025), targets people in the most relevant setting: the bathroom. With 90% of colorectal cancers being curable if detected early, this simple yet effective call to action could save lives.

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