GI Public Health

Question 1

Name some GI disease that increase in prevalence with obesity.

Answer 1

GERD symptoms
esophageal, gall bladder, colon and liver cancers
gallbladder stones
NASH, cirrosis
pancreatitis

Question 2

What are the leading GI symptoms prepping outpatient clinic visits in 2009.

Answer 2

1. abdominal pain
2. diarrhea
3. constipation
4. vomitting
5. nausea

have not significantly change between 2000 and 2009

Question 3

What are the leading physician diagnoses for GI disorder in out patient clinic visits in 2009

Answer 3

1. GERD
2. Abdominal pain (not otherwise specified)
3. gastroenteritis and dyspepsia
4. constipation
5. abdominal wall hernia

Question 4

What are the top indications for upper endoscopy?

Answer 4

dyspepsia/abdominal pain
reflux/ heartburn
dysphagia
bleeding
abdominal pain/bloating

** the number one finding for upper endoscopy is a normal exam

Question 5

What are the top 5 indication for colonoscopies?

Answer 5

suspected bleeding
screening of those at risk for CRC
IBS symptoms
surveillance of adenomatous polyps
screening people with FH of CRC

Question 6

Which cause of GI inpatient disease is risen the most in the last 10yrs?

Answer 6

C. diff, infections have doubled in the last 10 yr, morbid obesity is also rising as a cause of disease requiring hospitalization

Question 7

Mortality for GI diseases has essentially remained the same over the past decade (minus C. diff) and the top cause of death from GI disease is ________?

Answer 7

colorectal/ anal cancer

followed by pancreatic cancer and cancer of the biliary tree