Does Surveillance Save Lives

Several studies now show the benefits of endoscopic surveillance for neoplasia in ulcerative colitis (UC). The cancers that develop in patients under surveillance are detected at an earlier stage than those in patients who are not under surveillance (Choi et al, 1993; Nugent et al, 1991). This earlier detection of cancer translates into improved 5-year survival rates—77% for those in surveillance versus 36% for those who are not. Do the benefits of surveillance outweigh the costs? Two decision analyses by Provenzale and colleagues (1995,1998) suggest that not only does surveillance increase life expectancy, it ultimately costs less than no surveillance (Provenzale et al, 1995; Provenzale et al, 1998).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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