gastroendonews.com
The Independent Monthly Newspaper for Gastroenterologists
Volume 63, Number 12 • December 2012 40th ANNIVERSARY 1972–2012
ACG 2012
Vedolizumab Safe, Promising for UC
Colonoscopy Surveillance Guideline Solidifies Established tablished ablished Evidence By Rosemary Frei, MSc
By Monica J. Smith Las Vegas—Vedolizumab appears to be safe and effective in maintaining clinical remission in patients with moderate to severe ulcerative colitis (UC) who have see Vedolizumab for UC, page 16
Prolonged Intubation Compromises Adenoma Detection By Monica J. Smith Las Vegas—The minimum withdrawal time of seven minutes suggested by the U.S. Multisociety Task Force on Colorectal Cancer as a quality measure for colonoscopy does not appear to result in improved adenoma detection rates (ADRs), possibly because it does not see Intubation Time, page 24
The U.S. Multisociety Task Force on n Colorectal Cancer recently released a new guideline for colonoscopy surveillance that bolsters the evidence foor many common practices in the field. Published in September 2012, the guideline supports previously published recommendations that endorse surveillance intervals of 10 years foor a negative colonoscopy or when onlyy one or two small tubular adenomaas are found, and an interval of five to 100 years when three to 10 tubular adenomas are found (Lieberman DA et al. Gastroenterologyy 2012;143:844-857). The task force included repreeseentatives from the American Gastroenterological Association, the American Society for Gastrointestinal Endoscopy and the American College of Gastroenterology. “The principles of the guidelines have not really changed, but the evidence for some of the
recommendations is much stronger now,” said David Lieberman, MD, professor of medicine and chief, Division of Gastroenterology and Hepatology, Oregon Health & Science University, in Portland, and lead see Colonoscopy Guideline, page 24
SPECIAL COVERAGE
I N S I D E
Hurricane Sandy Hits Hard Doctors, Staff Improvise To Keep Medical Centers Afloat
EXPERTS’ PICKS Best of the American College of Gastroenterology: Part 1 Experts share their favorite abstracts from the 2012 ACG Annual Scientific Meeting .............................page 17
By Monica J. Smith
Photo: Cynthia Gordon
Decimated boardwalk in Rockaway Beach, Queens
New York City—By y the time Hurricane Sandy, the largest Atlantic hurricane ever recorded, was over, the storm had claimed an estimated 200 lives in seven countries, cost tens of billions of dollars through direct damages and business
Brian Bosworth, MD
Filippo Cremonini, MD, PhD, MSc
see Hurricane Sandy, page 40
Advances in Stent Technology for Esophageal Cancer see page 19
Timothy Gardner, MD