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Here is an article about the flat polyps.  We look for these polyps during every colonoscopy and remove them if present.   Blogged by:  Steven Pletcher, MD

 From Reuters Health Information

Serrated Colorectal Lesions Hard to Spot on Colonoscopy

NEW YORK (Reuters Health)

Jun 28 - Serrated lesions of the colorectum, once thought benign, may in fact give rise to a third of all colorectal cancers  -- but they are more difficult to detect than conventional adenomatous lesions, according to a new consensus report.


Am J Gastroenterol 2012.


Screening colonoscopy rates are lower than they should be.  Colonoscopy when performed with modern training and techniques is a comfortable experience with no pain or embarrassment. 
Come in to discuss any concerns and to find the best colon prep for you.  We have multiple preps to choose from and will design preps to suit your style if you don't like the options.   Blogged by: Dr. Pletcher
Dec 27, 2012
The U.S. government's "Healthy People 2010" national disease prevention initiative sets goals of getting a percentage of the eligible population to get screened for cancer, based on guidelines from the independent panel of medical advisors to the government, the U.S. Preventive Services Task Force. . .   It found the general public did not meet government screening recommendations for any cancer types over the past decade except colorectal cancer.  About 54 percent of the general public underwent colorectal screenings, the study showed, exceeding the 50 percent goal of the initiative. 57561015/cancer-screening-rates-fall-in-u.s-over-last-decade-study-finds/


The CDC now recommends that all baby boomers have a simple blood test for Hepatitis C as part of a one time screening.  Blogged by:  Dr. Steven Pletcher

January 14, 2013


Nurse had no idea her symptoms were a sign of hepatitis C (click for full article)

Many baby boomers are like mental health nurse Nancy Turner, who never suspected hepatitis C when she saw her physician for persistent but nonspecific symptoms. She also cannot pinpoint how she acquired the infection, something she has in common with about one-third of hepatitis C patients.
Tattoos carry an increased risk of Hepatitis C.  This study is consistent with our findings at SEI Gastro.  If you have a tattoo or have used injectable drugs you have an increased risk of Hepatitis C.     Blogged by:  Dr. Pletcher
Hepatology 2013; Advance online publication

Hepatitis C virus (HCV) infection is more common in people who have had a tattoo, research shows.

Significantly, this relationship held true in patients without other risk factors for infection, such as a history of blood transfusion or injection drug use.

"These findings have important implications for screening non-injection drug users in the United States, particularly since the prevalence of tattooing is on the rise and intravenous drug use is on the decline," say Fritz Francois (New York University, USA) and colleagues.

The study included 1930 patients with chronic HCV infection and 1941 HCV-negative controls.

Injection drug use (64.9 vs 17.8%) and blood transfusion prior to 1992 (22.3 vs 11.1%) were both significantly more common in HCV-positive patients than HCV-negative patients, as expected.

Replacing four ingredients with other kitchen staples will make a big impact on the fat, sugar and preservatives your liver must process.


By Nicole Cutler, L.Ac.


Sometimes the most delicious looking and sounding recipes are on the losing end of the liver health spectrum. Because liver health suffers from excessive quantities of fat, sugar and preservatives, finding decent substitutes in our recipes can go a long way in supporting the liver’s well-being.


The four suggestions listed below have been repeatedly touted as tasty alternatives. It just might take a little bit of time for your taste buds to get used to your new and improved liver-friendly culinary creation.