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What Surgeons Want - November 2016 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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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 1 1 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?

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