Monthly Archives: August 2017

Methylation of specific microRNAs (miRNAs) often occurs in an age-dependent manner, as a field defect in some instances, and may be an early event in colitis-associated carcinogenesis. We aimed to determine whether specific mRNA signature patterns (MIR… Continue reading →

There is controversy over how to best manage patients with inflammatory bowel disease (IBD) and flat low-grade dysplasia (fLGD) in the colon. We performed a retrospective analysis of formalin-fixed paraffin-embedded colon tissues with fLGD from 37 pati… Continue reading →

Use of monitored anesthesia care (MAC) for gastrointestinal endoscopy has increased in the Veterans Health Administration (VHA), as in fee-for-service environments, despite the absence of financial incentives. We investigated factors associated with us… Continue reading →

There is controversy over how to best manage patients with inflammatory bowel disease (IBD) and flat low-grade dysplasia (fLGD) in the colon. We performed a retrospective analysis of formalin-fixed paraffin-embedded colon tissues with fLGD from 37 pati… Continue reading →

Use of monitored anesthesia care (MAC) for gastrointestinal endoscopy has increased in the Veterans Health Administration (VHA), as in fee-for-service environments, despite the absence of financial incentives. We investigated factors associated with us… Continue reading →

Data on the quality of consent for colonoscopy and its effect on patient views are scant. We performed a preliminary analysis that showed substantial variability in physician consent practices. Therefore, we first sought to standardize and improve the … Continue reading →

Little is known about physician and patient opinions and physician practices with regard to the content of consent for colonoscopy. We sought to measure these using 3 instruments: a survey of gastroenterologists (GIs), a survey of patients, and observa… Continue reading →

A significant proportion of patients with Crohn’s disease (CD) will develop complications requiring surgery. However, surgery is not a cure for CD, and a majority will develop disease recurrence. Multiple studies have shown that infliximab and adalimum… Continue reading →

The Veterans Health Administration (VHA) Gastroenterology Program aims to provide high-quality colonoscopies and timely communication of the procedure results. At our VA medical center, the previous colonoscopy pathology letters were brief and potentia… Continue reading →

Guidelines recommend endoscopy with 24 hours of admission for patients who present with suspected upper gastrointestinal bleeding (GIB). Endoscopy units often operate only during weekdays, however, resulting in logistical barriers to performing endosco… Continue reading →