Abstract Background The health care industry alone contributes to approximately 5% of annual carbon emissions and gastroenterology represent a more resource intensive subspecialty so much that multiple societies have begun initiatives with aims reduce the environmental impact practice. After COVID-19 there was large adoption telehealth across many disciplines including gastroenterology. This had benefit reducing viral transmission but also significantly reduced travel related for routine...

We estimated and compared the travel related carbon emissions of annual meeting Canadian Association Gastroenterology between two most common geographical locations meeting.We modelled car, train flight journey each registrant to meetings. One was held in Toronto, close where majority Gastroenterogists live, other Banff west country. used validated emission outputs per kilometer travel.The average capita distance travelled Toronto 2845 km, resulting 0.540 tonnes (t) CO2equivalent (CO2e)...

The aim of this study was to describe the incidence inflammatory bowel disease (IBD) and changes in demographic phenotypic presentation Otago, New Zealand.This conducted at Dunedin Hospital period 1996-2013. Otago residents diagnosed with IBD were identified retrospectively from hospital lists using ICD-10 codes. Diagnosis, place date diagnosis, confirmed medical notes histology reports. Demographic, clinical diagnostic data recorded. Age-standardised rates estimated trends over time...

This article summarizes clinically important gastroenterology developments from 2023 for internal medicine specialists. In colorectal cancer screening, a new RNA fecal screening test is on the horizon, as well analysis benefits of using artificial intelligence in colonoscopy to detect more polyps. There evidence management gastrointestinal bleeding, drug treatment recurrent small-intestinal angiodysplasia, and endoscopic method patients with tumor bleeding. The authors feature randomized...

Non-alcoholic fatty liver disease (NAFLD) is common with widely ranging severity. Non-invasive risk scores for stratification are recommended but misclassify a significant proportion of patients. In situations where non-invasive do not provide guidance, referral typically made to Hepatologist transient elastography or biopsy. Serum ferritin elevated in many patients NAFLD related dysmetabolic and inflammatory hyperferritinemia. Ferritin available part standard workup chronic disease.To...

Abstract Background With the rates of non-alcoholic fatty liver disease (NAFLD) on rise, necessity identifying patients at risk cirrhosis and its complications is becoming ever more important. Liver biopsy remains gold standard for assessing fibrosis, although costs, risks, availability prohibit widespread use at-risk patients. Fibroscan has proven to be a non-invasive accurate way this modality often limited in primary care setting. The Fibrosis-4 (FIB-4) Non-Alcoholic Fatty Disease...

With the rate of non-alcoholic fatty liver disease (NAFLD) on rise, necessity identifying patients at risk cirrhosis and its complications is becoming ever more important. Liver biopsy remains gold standard for assessing fibrosis, although costs, risks, availability prohibit widespread use with at-risk patients. Transient elastography has proven to be a non-invasive accurate way this modality often limited in primary care settings. The Fibrosis-4 (FIB-4) Non-Alcoholic Fatty Disease Fibrosis...

Abstract Background Telemedicine is increasingly common in gastroenterology and may represent an opportunity for improving sustainability medical care. The purpose of this study was to determine the carbon emissions related travel in-person clinic appointments. Methods We conducted a cross-sectional analysis evaluating associated with appointments over 2-week period. determined average number per day used patient’s postal codes estimate distances. estimated based on these distances completed...

Abstract Background There is now significant data supporting virtual care (telehealth or telephone) as a means to provide IBD patients with equivalent outcomes in-person care. Many studies assessing lack control group and suffer from recall bias. Further, there of understanding individual patient appointment style preferences the reasons for these preferences. Aims We aimed determine patient’s preferred styles inform by demographic factors other related (e.g. cost, time required,...

Non-alcoholic fatty liver disease (NAFLD) is more prevalent in certain ethnicities due to a combination of genetic, environmental, and metabolic factors. North American Filipino populations may have lifestyle risk factors for NAFLD; however, the prevalence NAFLD this group unknown. We sought determine whether patients are over-represented multi-ethnic cohort describe their clinical presentation, primarily compared other same geographical region secondarily Manila-based patients.A...

ABSTRACTCanada has been a sanctuary for refugees many generations and is currently involved in welcoming new cohort of Syrian refu­gees. Refugees represent vulnerable population Canada who require support order to establish themselves prevent the onset mental illness. This article briefly describes Canada’s experience with then explores issues faced by incoming Syrians focusing specifically on factors contributing refugee health. It evident that face incredible difficulties their journey but...

Introduction: COVID-19 spurred a dramatic shift from in-person patient visits toward virtual care. To date, there are no prospective studies randomizing patients to different styles of appointment and assessing their perspectives on the type visit. We aimed identify preferred appointments across various factors inform decisions regarding optimal style for patients. Methods: randomized Inflammatory Bowel Disease (IBD) patients’ follow-up either in-person, video-assisted virtual, or via...

Abstract Background Sessile colorectal lesions which do not elevate with submucosal injection — “non-lifting” are considered poor candidates for EMR due to concerns of possible invasive cancer and increased procedural risk. However, a non-lifting sign is an unreliable predictor malignancy, relegating many benign surgical resection. Underwater (UEMR), obviates injection, effective sessile polyps but has been evaluated specifically lesions. Aims The aim this study was assess the efficacy UEMR...