The SFGI Blog

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San Francisco Gastroenterology is proud to announce that Dr. Frank Farrell has been named a Fellow of the American Gastroenterological Association (AGA).  The AGA is the nation’s oldest medical society devoted to disorders of the gastrointestinal tract. What is an AGA Fellowship? An AGA Fellowship is awarded to physicians that exhibit superior professional achievement in […]
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March is ‘Colon Cancer Awareness’ month. Colorectal cancer is the second leading cause of cancer-related deaths among women and men combined, second only to lung cancer.  We thought it was fitting to describe the current guidelines for colorectal cancer (CRC) screening and surveillance.  Screening refers to a routine screening test in an asymptomatic patient.  In […]
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In the U.S., colorectal cancer (CRC) is the third leading cause of cancer death in women, following lung and breast cancer. Studies have shown that CRC incidence and mortality are slightly lower in women than in men. There is evidence that women have a relatively low risk of CRC until they enter menopause, likely due to the protective role that estrogens have in the prevention of polyp formation. Women are also protected against CRC through their lifestyle and diet because compared to men they generally smoke less tobacco, drink less alcohol, and eat a diet that is higher in fiber and lower in fat and red meat. There may also be a gender difference in the location of CRC within the colon. One study demonstrated that women had more neoplastic lesions in the proximal colon which would have been missed if only a flexible sigmoidoscopy had been performed (N Engl J Med 2005;352:2061-8). This suggests that colonoscopy may be the preferred method of screening for CRC in women.
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Patients with hepatic iron overload who undergo orthotopic liver transplantation (OLT) have a worse 1-year survival than those who undergo transplantation for other indications; the long-term outcome in this population is unknown. The purpose of this study is to report long-term follow-up after OLT in a cohort of patients with hepatic iron overload. Five liver […]
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Diabetes mellitus is a disorder of glucose metabolism that affects 12 million people in the United States. 48 Diabetes primarily affects the liver and biliary system through its metabolic effects. Patients with either type I or type II diabetes of sufficient duration, including patients with secondary etiologies of diabetes such as chronic pancreatitis and hemochromatosis […]
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Diabetic gastroparesis is a common, underrecognized disorder affecting both type I and type II diabetics usually in the setting of other diabetic complications. The pathogenesis of diabetic gastroparesis is poorly understood, but autonomic neuropathy appears to play a major role. The symptoms of gastroparesis are nonspecific, and complications such as hypoglycemia and bezoar formation due […]