Gastroenterology

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This recent comment from a patient during an exam led Dr. Pullen to reflect on the many things that physicians do during an office visit that may seem odd to patients.

Researchers at the University of California, San Diego, School of Medicine have discovered that common intestinal bacteria may promote tumor growth, but that introduction an inhibiting protein enzyme can prevent this promotion.

There's a concept in healthcare insurance where all risks in a community of interest, a market, are pooled - community rating; and then there's experience rating where the healthy are advantaged in more ways then one and the sick are marginalized, paying disproportionately more into the pool just to have a seat at the table.

Splenic artery aneurysm is the most common form of visceral artery aneurysm. Most present asymptomatically with incidental findings on CT or ultrasound which are diagnostic, although about 20% present with vague left upper quadrant abdominal pain. Treatment should be aimed at preserving splenic function whenever possible and endovascular treatments offer a less invasive option to patients than open surgical ligation or resection.

With gluten-free diets very challenging to stick to, Rush University Medical Center (RUMC) gastroenterologists are studying the use of mind/body techniques to help patients stick to the strict diet.