Author: Praveen Suthrum

During the past decades, many automated image analysis methods have been developed for colonoscopy. Real-time implementation of the most promising methods during colonoscopy has been tested in clinical trials, including several recent multi-center studies. All trials have shown results that may contribute to prevention of colorectal cancer. We summarize the past and present development of colonoscopy video analysis methods, focusing on two categories of artificial intelligence (AI) technologies used in clinical trials.

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Two gastroenterologists spoke with Becker’s to discuss research challenges, advice for early-career physicians and more. The physicians participated in a study published in The New England Journal of Medicine, showing the potential oral microbiome therapy SER-109 could have to fight recurrent C. diff. Paul Feuerstadt, MD, is a practicing gastroenterologist at the PACT-Gastroenterology Center in Hamden, Conn. Louis Korman, MD, is co-director of Chevy Chase Clinical Research at Capital Digestive Care in Silver Spring, Md.

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New practice guidelines from the American College of Gastroenterology and Canadian Association of Gastroenterology (ACG-CAG) offer evidence-based recommendations to manage patients on antithrombotics experiencing acute gastrointestinal (GI) bleeding or who are undergoing elective endoscopy. Published in the American Journal of Gastroenterology, the guideline focuses on four key aspects in common emergent and elective settings: Temporary interruption of anticoagulants and antiplateletsReversal of anticoagulants and antiplateletsPeriprocedural heparin bridgingPostprocedural resumption of anticoagulants and antiplatelets

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Last month, global technology and e-commerce giant Amazon and telemedicine company Teladoc announced a landmark new initiative: providing virtual care through Amazon Alexa devices. The announcement indicates that “Customers in the U.S. will now be able to connect with a Teladoc care provider 24/7 from supported Echo devices for general medical needs. Teladoc on Alexa will initially launch via audio with video visits coming soon.”

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Traditionally seen as an older person’s disease, colon cancer is skewing younger. Today, more than 10% of cases occur in people under age 50. In response, the U.S. Preventative Services Task Force, experts in evidence-based medicine, now recommends that colon cancer screening start at age 45(link is external and opens in a new window), instead of 50. “The increasing numbers of young people with colon cancer is a troubling trend, but screening at younger ages should save lives,” says gastroenterologist Joel Gabre, MD, instructor of medicine at Columbia University Vagelos College of Physicians and Surgeons. Gabre also is a researcher on a multidisciplinary…

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During HIMSS22, Philips gave its top predictions for the future of healthcare systems over the next three years based on labor market trends and the expansion of hospital-at-home services. Roy Jakobs, chief business leader of Connected Care at Philips, offered the following predictions: Over the next three years, 40% of providers will shift 20% of hospital beds to the home.By 2025, a common marketplace will connect all consumers, payers and providers.By 2025, 10 major national employers will go to direct contracting.Three-quarters of health systems will suffer from cybersecurity risks.

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Dr. Michael Weinstein of Capital Digestive Care talks to Erin Peterson of the Colon Cancer Coalition and Dr. Milena Gould Suarez of Baylor College of Medicine about the Faces of Blue campaign and the patients, physicians, and family members who share their experiences with colorectal cancer. By highlighting the personal stories of patients and survivors, the campaign seeks to encourage preventive colorectal cancer screening.

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The United States has been facing a growing physician shortage for many years. Many predict this will be worsened by the COVID-19 pandemic. The gastroenterologist shortage is expected to exceed 1,600 by 2025.1 Nurse practitioners (NPs) and physician assistants (PAs), collectively known as advanced practice providers (APPs), play a vital role in the delivery of team-based care. Although APPs cannot replace physicians, they help increase access to care and can facilitate several nonendoscopic aspects of clinical care in gastroenterology. Optimizing practice models to use APPs effectively will help bridge the gap between healthcare demand and physician shortages.

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