W
e caught up with a few of the nation's top gastroen-
terologists to get their takes on the latest GI trends.
They tackled ways to improve adenoma detection
rates and the promise of new options in treating
gastroesophageal reflux disease (GERD). We lead
off, though, with an advance in bowel preps that would eliminate the
2 things patients hate most: fasting and drinking oral preps.
A better bowel prep?
Inadequate bowel preparation is a huge problem, but this sound-
ed too good to be true. Instead of fasting and drinking oral purgatives
the night before screenings, colonoscopy patients could undergo a 45-
minute warm water colonic irrigation on the day of their colonoscopy
exams. When David
Johnson, MD, FACG, first
heard about this same-day
bowel prep alternative, he
thought it was a gimmick,
but he wanted to find out for
himself. The professor of
medicine and chief of gas-
troenterology at the Eastern
Virginia School of Medicine
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N O V E M B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 8 7
3 GI Trends
Worth Watching
A new way to prep
(make that cleanse),
better adenoma detection and advances in the treatment
of reflux disease.
Daniel Cook | Executive Editor
• PRE-PROCEDURE CLEANSE Could colon hydrotherapy
improve the quality of colonoscopy screenings?