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Crohn’s & Colitis Take Steps Walk

Join us Saturday, June 1st at the Louisville Slugger Field for the Crohn’s and Colitis Take Steps Walk!

Registration starts at 10am and the take steps walk will begin at 11am. This event is put on by the Crohn’s & Colitis Foundation, an organization whose mission it is to provide support and resources for those suffering from Inflammatory Bowel Disease.

The nationwide walk will help fund patient services, education, advocacy and research. Through better treatment methods and cures, we can ultimately improve the quality of life for those affected by IBD.

What is Inflammatory Bowel Disease (IBD)?

IBD is a term used to describe disorders involving chronic inflammation of the digestive tract. Crohn’s Disease and Ulcerative Colitis are two of the most common types of IBD. Crohn’s Disease affects the lining of the entire digestive tract. However, Ulcerative Colitis specifically inflames only the lining of the colon and rectum.

While the causes for Crohn’s Disease and Ulcerative Colitis are currently unknown, combined they affect nearly 3.1 million Americans. Patients tend to be diagnosed between the ages of 15 and 35. The fast growing segment of patients are children under the age of 18. 

How to Get Involved:

The Crohn’s and Colitis Take Steps Walk is a great opportunity for patients, families, healthcare providers and organizations to come together as a community and offer lasting support to one another. For those interested in registering as a walker, donating, volunteering or creating a team of walkers, visit crohnscolitisfoundation.org for more information. Each team and individual is able to set their own fundraising goal. The Crohn’s & Colitis Foundation’s goal for this event is $65,000.

The Gastroenterology Health Partners proudly sponsors this event. To schedule an appointment and get screened, contact us today! Additionally, the GHP clinicians have a passion for seeking out and refining new treatments and advanced solutions for those suffering from disorders of the digestive system.  If you believe you may be a candidate for one of our studies, please contact our Research Manager, Deborah Walker via email at dwalker@ghpartners.net or by phone at 812-206-1702.

take steps walk

Dr. John Horlander Explains a Colonoscopy

A Gastro Health Partner physician, Dr. John Horlander is Board Certified in Internal Medicine and is a member of the American College of Gastroenterology and the American Society of Gastrointestinal Endoscopy. He has authored various articles relating to gastroenterology and has been involved in research pertaining to the study of gastroenterology.

In this episode of WHAS’s Great Day Live, Dr. Horlander sits down with Rachel Platt and Terry Meiners to explain the ins and outs of a colonoscopy. Colorectal cancer is the 2nd leading cancer killer both in Kentucky and the United States.  A colonoscopy can help screen for both colorectal and colon cancer by detecting and removing polyps. Polyps are abnormal growths within the colon lining. While it can take years for polyps to become cancerous, having them preemptively removed is a good preventative measure.

A colonoscopy is an outpatient procedure that requires a cleansing routine the day prior to the procedure. This cleansing routine in the most important part of the procedure. A colonoscopy usually only takes 20 to 30 minutes from start to finish and no discomfort is felt as patients are sedated. To schedule a colonoscopy, contact the Gastro Health Partners location nearest you today. 

Watch the full episode of Dr. John Horlander on WHAS Great Day Live here: 

Dr. John Horlander received his undergraduate degree at the University of Notre Dame and earned his Medical degree at the University of Louisville School of Medicine. He completed his clinical training at Indiana University Medical Center where he completed an Internship and Residency in Internal Medicine followed by a dual Fellowship in Gastroenterology & Hepatology.

How Kentucky’s Lifestyle and Genetics Are Contributing To High Colon Cancer Rates

Dr. Whitney Jones was recently featured in a Bowling Green Daily News article about how Kentucky’s lifestyle and genetics are contributing to high colon cancer rates.

The article highlights some alarming statistics. According to the Centers for Disease Control and Prevention, Kentucky has the highest rate of colorectal cancer in the nation, and it is the third leading cause of cancer death in women and men.

Lifestyle Causes of Colorectal Cancer Include

  • Lack of exercise
  • Diet high in processed red meat and low in fruits and vegetables
  • Obesity
  • Excessive alcohol consumption
  • Tobacco use

The Centers for Disease Control and Prevention ranks Kentucky as the second highest state in the nation for tobacco use. What’s more, over two-thirds of adults in Kentucky are overweight, less than a tenth eat enough fruits and vegetables, and more than a third do not exercise regularly.

In addition to harmful lifestyle habits, a family history of colorectal cancer puts patients at a higher risk for developing the disease themselves.

Dr. Whitney Jones, a gastroenterologist with Gastroenterology Health Partners in Louisville is a national expert and frequent speaker on early-age onset colorectal cancer prevention, as well as genetic GI cancer syndrome testing, risk management and communication strategies for population-based cancer prevention.

Founder of the Colon Cancer Prevention Project, an organization dedicated to colon cancer prevention, Dr. Jones is an advocate for utilizing genetic testing to improve patient outcomes and lower cancer-related societal outcomes. The article notes a bill recently passed by Kentucky legislators that requires health insurance to cover genetic tests for cancer when recommended by licensed medical professionals.

DNA testing can help expose those with genetic risks for colorectal cancer and determine the appropriate age for them to begin screening. In his work, Dr. Jones recognizes a correlation between low screening rates and high incidences of colon cancer and mortality rates. “Only one in 10 people get genetic testing before developing cancer. If you know you were going to have a car wreck next Thursday, what would you do?”

Read the full article here:

 

Dr. Whitney Jones Discusses Colorectal Cancer

Dr. Whitney Jones is a national expert and frequent speaker on early-age onset colorectal cancer prevention, genetic GI cancer syndrome testing and risk management, and communication strategies for population-based cancer prevention.

On this episode of KET’s Kentucky Health, Dr. Jones explains how we can decrease incidents and mortality rates of colorectal cancer.

Colorectal cancer is the second cause of death due to cancer in the United States. Prior to 2004, Kentucky had one of the highest death rates from colon cancer. One major factor was a lack of screenings. However, now the mortality rate has decreased by more than 20% and we have gone from being 49th in the U.S. for people being screened for colon cancer to a current ranking of 20th.

This is due in large part to the development in 2003 of the Colon Cancer Prevention Project by Dr. Whitney Jones; an organization dedicated to spreading the message of colon cancer.

While the rates are decreasing for those over the age of 55, for reasons unknown, rates of colorectal cancer, specifically rectal cancer, have increased in those under the age of 55. Genetics and lifestyle habits could be prominent factors in this increase. Early screening is an important preventive tool as these rates are projected to continue to rise. 

Causes of Colorectal Cancer

  • Obesity
  • Tobacco use
  • Diets high in red processed meat and low in fresh fruits or veggies
  • Lack of exercise 
  • A family history
  • Excessive or ongoing alcohol use

Symptoms of Colorectal Cancer

  • Rectal bleeding
  • Change in bowel habits
  • Weight loss
  • Unexplained abdominal pain

However, the most common symptom of colon cancer is no symptom at all. It is known as the silent killer and early onset colon cancer has an average 6 month delay from the time a person has symptoms until they see a doctor. 

Screenings

Those with a family history should start screening a decade before their family history indicates, even as early as one’s twenties. 20% of those with a family history of colorectal cancer are at more of a risk themselves. 

If no warning signs or family history exist, screenings should being at the age of 45.

All colonoscopy screenings are covered in the state of Kentucky due to the Affordable Care Act. For those who don’t want a colonoscopy,  there are other options available. However, colonoscopies are still the gold standard of screenings as they remove polyps and the removal of polyps help prevent cancer from developing.

Knowing Your Family History

Genetic medical grade testing is an important proactive tool in diagnosing colorectal cancer. It is now more affordable and accessible than ever before.

Lynch syndrome for example is the most common genetic trait for colorectal cancer. Polyps in the colon develop into cancer faster for persons with Lynch syndrome than those with other genetic predispositions. Those who have it are also at an increased risk of ovarian cancer, endometrial cancer, and pancreatic cancer, among several others. 

Other Preventative Measures

  • Increase the amount of veggies in your diet.
  • Aspirin has been known to reduce the formation of polyps, but has it’s side effects.
  • If you have had polyps in the past, keep up with your follow up surveillance.

Watch the full episode of Dr. Whitney Jones on Kentucky Health here: 


Dr. Whitney Jones is a practicing Gastroenterologist, former therapeutic endoscopist and Clinical Professor at the University of Louisville from 1994 until 2017. He joined GHP in 2017 cofounding its new east Louisville division, Gastroenterology & Endoscopy Associates, PLLC, alongside Drs. Ashok Kapur and Laszlo Makk.

Irritable Bowel Syndrome – Signs and Symptoms

Irritable Bowel Syndrome (IBS) is a gut disorder affecting the large intestine. Though the exact cause is not known, this chronic condition is thought to be the result of hormonal or bacterial changes in the gut, as well as the disruption in communication between one’s gut and brain; as together they are tasked with controlling digestion.

While the syndrome afflicts mostly those under the age of 50, women are twice as likely than men to suffer from IBS. The following are the most common signs and symptoms of IBS, most of which can be relieved with the passing of a bowel movement.

Signs & Symptoms

  • Cramping & Abdominal Pain
  • Bloating & Gas
  • Diarrhea and or Constipation

Pain is usually felt as the muscles in the lower abdomen contract and excessive gas from bacteria can leave the stomach feeling full and protruding.

The three main types of IBS are:

  • Diarrhea-Predominant (D-IBS)
  • Constipation-Predominate (C-IBS)
  • Alternating Constipation and Diarrhea (A-IBS)

Both diarrhea and constipation are key symptoms of IBS. This is because the condition causes the muscles to contract in an abnormal way. As a result, they either speed up or slow down one’s bowel movements. Blood or mucus in the stool is another sign for concern as well.

While there is no cure for IBS, one’s diet, lifestyle and stress levels can play an important role in managing the symptoms.

Diet

Removing specific carbohydrates form one’s diet may help prevent flare ups. Food allergies, a lactose intolerance and celiac disease for example tend to cause inflammation and irritation in the gut.

Lifestyle

Exercise and proper sleep have been effective in stimulating normal contractions in the intestines. Additionally, proper hydration, high fiber foods and natural or probiotic supplements can help regulate bowel movements.

Stress

As the nervous system controls the gut, IBS is also thought to be linked to one’s mental health. Effectively treating anxiety, depression and stress therefore could help reduce psychological events that may be triggering IBS.

As one’s sensitivity varies from person to person, a gastroenterologist can help best identify IBS triggers. A gastroenterologist can also and discuss options for managing symptoms with or without medication. More serious signs of IBS including weight loss, pain that isn’t relieved by gas or a bowel movement, fever, vomiting, and iron deficiency. These symptoms might be indicative of colon cancer. Those with a family history of IBS and or mental health issues are at more of a risk for suffering from the condition. In order to get an accurate diagnosis and treatment regiment, it is recommended that you see a specialist in digestive diseases

If you are experiencing some of the signs and symptoms of IBS contact Gastroenterology Health Partners today. Our clinical team of 21 fellowship-trained Gastroenterologists and 13 advanced practice clinicians have been providing care to patients suffering from disorders of the digestive system since 2013. Each of our five locations in the Louisville, Lexington and Southern Indiana area offer expert specialization in gastrointestinal care. Just visit our website to schedule an appointment at the location most convenient to you.

Dr. William Evans Discusses Pancreatitis

Dr. William Evans offers diagnostic and therapeutic care for conditions involving the GI tract, pancreas, and liver.  He provides his patients with comprehensive care that has been honed through years of specialized training and experience.

On this episode of KET’s Kentucky Health, Dr. Evans thoroughly discusses the pancreas as well as pancreatitis.

What is the Pancreas?

The pancreas is an organ that aids in the digestion of food. Located behind the stomach and deep in the abdomen, inflammation of the pancreas can affect all the important organs that surround it and even cause paralysis of the intestines. The two main functions of the pancreas are to regulate blood sugar and to make a enzyme fluid that helps digest any proteins or fats that are consumed. Pancreatitis is a disease that occurs when the pancreas becomes inflamed.

Causes of Pancreatitis 

  • Excessive Alcohol Abuse
  • Certain Medications
  • High Cholesterol
  • Gallstones or Gallbladder Disease (The most common cause.)
  • Virus or Traumatic Injury: (While not very common, viruses or traumatic injuries can result in pediatric cases of pancreatitis.) 
  • Distended Belly or Bloating (Present in more significant cases due to inflammation.)

Symptoms of Pancreatitis 

  • Abdominal Pain (Severe and focused on one’s back, especially triggered when eating.)
  • Nausea or Vomiting

Acute Vs. Chronic Pancreatitis 

Anyone can have acute pancreatitis. The most common cause of acute pancreatitis is trapped gallstones blocking the flow of pancreatic juice. In acute pancreatitis, inflammation can be so profound that the organ digests itself. Long term complications include a severe episode where one must be admitted to a hospital and kept for a few days, the death of the pancreas itself, a build up fluid that can become infected, as well as an impact on multiple other organs.

Chronic pancreatitis is most commonly associated with risk factors such as regular alcohol or tobacco use. Chronic pancreatitis can take months to develop and is often asymptomatic. In chronic pancreatitis cases, scar tissue builds up in the pancreas surrounding the nerves and causing pain. Overtime, one can lose function of the gland as well as the ability to digest food, and are at an increased risk for diabetes as well as pancreatic cancer. 

Pancreatic cancer is the 4th leading cause of cancer related deaths in the United States affecting those 45 or older. Signs of pancreatitis cancer include unexplained weight loss, a history of smoking, no obvious cause of pancreatitis, and a family history of the disease.   

Diagnosing & Treating Pancreatitis

Diagnosing pancreatitis often involves a basic exam, medical history, lab work and imaging. A CT scan of the abdomen can show if a stone is causing blockage or if a tumor is present. If a gallstone is a factor, an endoscopy may be required. With little if any food intake, pancreatitis usually takes 3-5  days to resolve, and an additional 6 weeks for the pancreas itself to normalize.

In order to avoid pancreatitis, abstaining from smoking and drinking is recommended. Educating one’s self on gallstones is also a helpful resource in preventative care, as one can have them removed if they become problematic.

Watch the full episode of Dr. William Evans on Kentucky Health here: 


Dr. William Evans earned his Medical degree from St. George’s University School of Medicine in Grenada, West Indies.  He completed his clinical training at the University of Louisville, where he completed an Internship, a Residency in Internal Medicine, and Fellowship in Gastroenterology.  During his fellowship training, Dr. Evans also earned a Masters in Science & Clinical Investigation at the University of Louisville School of Public Health & Information Sciences.  Dr. Evans went on to complete a second Fellowship in Therapeutic Endoscopy at the University of Florida College of Medicine in Gainesville, Florida.

 

Prevent Colorectal Cancer: Get Screened

Colorectal cancer is the second leading cause of cancer death in the United States. It’s expected to kill more than 50,000 Americans this year alone. The good news? If caught early, the survival rate is very high.

Colorectal Cancer in the U.S.

That’s why screening for colorectal cancer is so important. Screening is generally recommended for all average-risk patients aged 50-75.

People who have a family member with colorectal cancer or polyps are at increased risk and might need to start screening before age 50.

High-risk factors include a personal history of polyps, inflammatory bowel disease, chronic ulcerative colitis, or a family history of colorectal cancer or polyps.

What are the Options for Screening?

There are four main ways to screen for colorectal cancer:

Colonoscopy: Colonoscopy uses a flexible, lighted tool called a colonoscope to view the entire colon and remove cancerous and precancerous growths called polyps if they are detected.
Fecal immunochemical test (FIT): This test checks the stool for tiny amounts of blood given off by polyps or colorectal cancer.
CT colonography: This involves a CT scanner and computer programs to create a three-dimensional view of the inside of the colon and rectum that can be used to identify polyps or cancer.
Cologuard: This tests the stool for tiny amounts of blood and identifies altered DNA from cancer or polyps that end up in the stool.

Colonoscopy is The Best Colorectal Screening Method

Which Screening Option is Best?

Preventing cancer should always be the first goal. Most colorectal cancers begin as polyps. Finding, quantifying, localizing, and removing polyps through screening colonoscopy is the most effective strategy for preventing colorectal cancer. That’s why colonoscopy remains the gold standard for colon cancer screening.

The Multi-Society Task Force on Colorectal Cancer recommends that physicians should offer colonoscopy first. For patients who decline to have a colonoscopy, the FIT test should be offered next, followed by second-tier tests such as Cologuard and CT colonography for patients who decline both first-line options.

A 2014 study published in the New England Journal of Medicine of 10,000 patients found that screening colonoscopy was better at finding cancer than both Cologuard and the FIT test. FIT and Cologuard were also not as good as colonoscopy at finding pre-cancerous polyps – and unlike colonoscopy, FIT and Cologuard can’t remove polyps.

Cologuard missed 1 in 13 people who had colorectal cancer detected by screening colonoscopy. Cologuard also missed more than 30 percent of polyps that will soon be cancer and almost 60 percent of polyps that may become cancer.

The FIT test missed almost 1 in 4 people who had colorectal cancer detected by screening colonoscopy. FIT also missed more than 50 percent of polyps that will soon be cancer and more than 75 percent of polyps that may become cancer.

Which Colorectal Screen Test is Most Effective

Check with Your Insurance Provider

Patients may also have insurance considerations when choosing a test. A follow-up colonoscopy is recommended for positive FIT and Cologuard tests. Individuals with a positive FIT test or Cologuard test who are covered by Medicare may face a costly co-insurance bill after the recommended follow-up colonoscopy.

While insurance covers 100 percent of the preventive screening test, a follow-up colonoscopy for a positive FIT or Cologuard is considered a diagnostic or therapeutic service and may not be fully covered.

Almost one in six people who use the Cologuard test will have a positive result that suggests the presence of colorectal cancer. For almost half of those patients (45 percent), the colonoscopy will show their result from the Cologuard test was a false positive.

Check with your insurance provider before you are screened. Ask how much you should expect to pay if you need a follow-up colonoscopy for a positive FIT or Cologuard test result. This can help you avoid surprise costs.

Insurance Coverage for Colorectal Screening

Talk with Your Doctor

There are several ways to be screened. Remember, Colonoscopy is the gold standard, but if you’re unable to be screened by colonoscopy there are other appropriate options. Talk with your primary care physician about which screening test is best for you and do research about the available options to ensure you’re choosing the best test according to science.