Primary goal of attending an international conference is to present a paper to the experts and influencers. It gives you a platform to exchange your interest-related thoughts, paving the way for possible future collaborations.
Use this platform to build connections with an elite group of wise men and women to enhance your intellect. Young entrepreneurs, this is a great platform to connect with your peers.
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In the last two decades, the field of gastroenterology has seen remarkable changes, with new drugs or therapeutic approaches being introduced, as well as novel modalities and minimally invasive options emerging at a rapid pace. The world and the GI space will look very different in next ten years. Those of us who can adapt and evolve accordingly will be the most successful.
GASTRO-HEPATO 2022 makes a perfect platform for global networking as it brings together gastroenterologists, hepatologists, colorectal surgeons, physician assistants and nurse practitioners, clinical researchers & scientists, public health professionals, pathologists, medical practitioners, professors, and students across the globe to a most exciting, exceptional, memorable scientific leading event to report and witness the latest scientific developments in gastroenterology and hepatolgy.
This two days program delivers plenary lectures, oral presentations, symposia, workshops, special sessions, poster sessions, and panel discussions reflecting state-of-the-art research in gastroenterology and hepatology.about GASTRO-HEPATO 2022 conference
Dear Friends and Colleagues,
It gives me immense pleasure to invite you to join us at the 3rd Edition of GLOBAL Congress on Advances in Gastroenterology and Hepatology to be held from 11 July to 12 July 2022 at Berlin, Germany.
The field of gastrointestinal medicine is quickly evolving, making it an exciting moment for doctors who treat patients with digestive diseases. Advances in sequencing technology, artificial intelligence, endo-robotics, and home testing are four innovations that have the potential to change GI during the next decade.
The theme of the 2022 Conference “Latest scientific advances in gastrointestinal research, treatment and clinical practice management” offers a unique platform for a constructive dialogue addressing some of the major challenges.
Gastro-Hepato 2022 will serve as a platform for the exchange of cutting-edge scientific and clinical information. The congress will bring together speakers who will bring a wealth of knowledge and experience from all over the world to present our attendees with cutting-edge research, scientific, and medical information of the highest calibre.
Surely, these professional outputs and acquirements in Gastro-Hepato 2022 will be leave a mark in your mind.
Have a great conference time in beautiful city Berlin.
Johns Hopkins University School of Medicine, USA
Spire Healthcare Trust, UK
Rutgers University- New Jersey Medical School, USA
BC Cancer Research Centre, Canada
Clinical Gastroenterology is a branch of medicine that focuses on the study of the digestive system and digestive diseases. Meticulously it is a research of normal function and disorders of the esophagus, stomach, bile duct, liver, small intestine, pancreas, colon, rectum, and gallbladder. This includes a thorough understanding of the normal action of the gastrointestinal organs, including the passage of material through the stomach and intestine, the digestion and absorption of nutrients into the body, the elimination of waste from the system, and the function of the liver as a digestive organ. It includes common and essential conditions such as hepatitis, gastroesophageal reflux, peptic ulcer disease, colon polyps, cancer, colitis, nutritional disorders, gallbladder, bile disease, Irritable bowel syndrome (IBS), and pancreatitis.
Gastroenterologists are called doctors who specialize in this area. Typically, they have completed about eight years of pre-medical and medical education, one year of internship, three years of residency in internal medicine, and three years of fellowship in gastroenterology.
Gastroenterologists carry out a range of diagnostic and healing procedures, including endoscopic retrograde cholangiopancreatography (ERCP), esophagogastroduodenoscopy (EGD), colonoscopy, liver biopsy, and endoscopic ultrasound (EUS). Studies have shown that gastroenterologists perform better quality colonoscopy tests and robust consultative services compared to other physicians.
The market for gastrointestinal treatments is expected to expand from $35.7 billion in 2015 to $48.4 billion by 2022, representing a compound annual growth rate of 4.45 percent.
One of the primary reasons driving the market's growth is the rising prevalence of GI disorders such as inflammatory bowel disease (IBD) and ulcerative colitis. Patients all around the world are experiencing an increased risk of disease recurrence as a result of shifting lifestyle patterns and bad eating habits. Furthermore, the market is being driven by the growing senior population, which is more sensitive to such disorders.
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Gastroenterologists are responsible for a variety of conditions affecting the GI system. This could include:
Acid reflux, Hepatitis C, Polyps, or Growths, Ulcers, IBS, Jaundice, Hemorrhoids, Pancreatitis, or a Rare disease, colon cancer
What procedures are conducted by gastroenterologists?
These experts conduct a variety of non-surgical procedures. This could include:
• Endoscopic ultrasound to view the upper and lower GI tract
• Colonoscopy to detect colon cancer
• Endoscopic retrograde cholangiopancreatography for the identification of gallstones, scar tissue, or tumors in the bile duct region
• Sigmoidoscopies to assess blood loss or abdominal discomfort
• Liver biopsies to test inflammation and fibrosis
• Endoscopies of the capsule to investigate the small intestine
• Double balloon enterostomy to view the small intestine
In 2015, the global market for therapeutics and diagnostics for gastrointestinal disorders reached $49.6 billion. From 2016 to 2021, this market is predicted to increase at a CAGR of 4.3 percent, from about $51.8 billion in 2016.
The main causes of gastrointestinal problems in many locations are a growing geriatric population and changing lifestyle.
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Flexible sigmoidoscopy is one of numerous screening modalities advocated through America Preventive Services Task Force for colorectal cancer (CRC) screening. However, sigmoidoscopy is much less effective in detecting lesions at the proper facet of the colon than the left facet, and right-sided lesions are greater not unusual in older ladies. A take a look at that pooled outcomes from 3 randomized trials evaluating screening with the aid of sigmoidoscopy without a screening determined that the occurrence of CRC at 10 to 12 years was reduced in men however in ladies, best in those younger than 60 years. Current screening pointers do no longer suggest gender-primarily based alternatives for screening options. Gallbladder and Biliary Disease.
According to our new research study titled "Gastrointestinal Drugs Market to 2027 – Global Analysis and Forecast – by Drug Class, Route of Administration, Application, and Distribution Channel," the Gastrointestinal Drugs Market Size was valued at US$ 49,043.38 million in 2019 and is expected to reach US$ 71,300.28 million by 2027, growing at a CAGR of 4.9% between 2020 and 2027. The significant increase of COVID-19 infection propels market expansion.
Market for Gastrointestinal Drugs: Competitive Landscape and Key Developments:
Among the major players in the gastrointestinal medications market are Sanofi, GlaxoSmithKline plc, Bausch Health, AstraZeneca, Johnson and Johnson Services, Inc., AbbVie Inc., Takeda Pharmaceutical Company Limited, Bayer AG, Celltrion Healthcare Co., Ltd., and Lexicon Pharmaceuticals, Inc.
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Biliary disease refers to diseases that affect the bile ducts, the gallbladder, and other structures that are involved in bile development and transport.
Bile is a liver-generated fluid that helps digestion. Bile drains from the liver to the first portion of the small intestine, or duodenum, via the bile ducts, and finally back to the bile ducts and liver. Several serious diseases can result if any duct in this complex system becomes diseased or blocked. Gallstones develop when the fragile balance of solubility of biliary lipids favors precipitation of cholesterol, unconjugated bilirubin, or bacterial degradation products of biliary lipids.
The risk of developing biliary disease can be increased by hereditary factors, growing age, obesity, a high-fat diet, certain gastrointestinal disorders, and certain prescription medications.
Although symptoms can vary among disorders of the bile duct, symptoms common to many of the disorders include:
Jaundice, Abdominal pain, Itching, Nausea or vomiting, Fever or chills, Loss of appetite, Light brown urine, and Greasy or clay-colored stools.
Detection and diagnosis
The tests carried out differ according to the alleged condition of the bile duct. However, tests typically conducted to diagnose certain disorders of the bile duct can include:
Blood tests, Endoscopic ultrasound, Liver function tests, Ultrasound, Computed tomography (CT) scan, Endoscopic retrograde cholangiopancreatography (ERCP), Magnetic Resonance Imaging (MRI), and Liver biopsy
Prevention of disease
Biliary disorders due to gallstones can be avoided by the surgical removal of the gallbladder. By eating a well-balanced diet, maintaining a healthy weight, and exercising regularly, the development of gallstones can also be avoided.
Medications / Antibiotics: Patients are treated with medicines to improve the flow of bile from the liver and antibiotics are used to treat the infection.
Hepatoportoenterostomy: Surgery to remove bile from the liver when bile ducts are blocked.
ERCP: This method can help to diagnose and extract gallstones from the bile duct.
Cholecystectomy: Removal of the gallbladder.
The Gallbladder Treatment Market is expected to be worth more than USD 33.7 billion by 2027, growing at a CAGR of more than 6% during the forecast period.
The following companies are major players in the Gallbladder Treatment Market:
• Boston Scientific Corporation
• Intuitive Surgical
• C. R. Bard, Inc.
• Dornier MedTech
• Koninklijke Philips N.V.
• B. Braun Melsungen AG
According to a recent study analysis, the Global Biliary Stents Market was worth around USD 900 million in 2019. The market is estimated to grow at a CAGR of 6.78%, surpassing USD 1,425 million by 2026. Boston Scientific Corporation, Abbott Laboratories, Cook Medical, B. Braun Melsungen AG, CONMED Corporation, and others are among the market's leading players.
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Gastrointestinal (GI) disorder additionally represents at some stage in being pregnant.Some girls have GI issues which might be unique to being pregnant.Other pregnant patients gift with continual GI disorders that require special care during being pregnant.Understanding the superiority of various GI disorders is vital to optimize care for these patients.Nausea, without or with vomiting, is common in early being pregnant, Other causes of nausea in pregnancy include urinary tract infections, gastroenteritis, peptic ulcer ailment, pancreatitis, biliary tract sickness,In later being pregnant, concerns also include hydramnios, preeclampsia, and onset of exertions.
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Gastrointestinal motility can be described by the movements of the digestive system, and the transit of the contents within it.Gastrointestinal Disorder is related to gastrointestinal tract namely the esophagus, stomach, small intestine, large intestine, rectum, and the accessory organs of digestion, the liver, gallbladder, and pancreas.Gastrointestinal disorders include such conditions as constipation, hemorrhoids, irritable bowel syndrome, anal fissures, perianal abscesses, anal fistulas, perianal infections, diverticular diseases, colon polyps, colitis and cancer.Many of these can be minimized by maintaining a healthy lifestyle, practicing good bowel habits, and submitting to cancer screening.Less than 1% of digestive disease research funding, through the National Institutes of Health (NIH), is allocated for functional disorders.
The global gastrointestinal medicines market is predicted to increase at a CAGR of 4.4% from $46.68 billion in 2020 to $48.74 billion in 2021. The gastrointestinal therapeutics market is anticipated to reach $62.19 billion by 2025, growing at a CAGR of 6%.
The global gastrointestinal medicines industry is fairly fragmented, with only a few major competitors. In 2020, the top 10 competitors in the market accounted for 51.88% of the total market. Takeda Pharmaceuticals, AbbVie, Johnson & Johnson, Bausch Health, and AstraZeneca Plc are among the market's major participants.
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Gastrointestinal pathology is the subspecialty of surgical pathology that deals with the diagnosis and classification of non-neoplastic and neoplastic diseases of the digestive tract and accessory organs, such as the liver and pancreas.
Every year, digestive diseases affect 1 in 5 Americans-at least 60 million individuals in the United States per year. Digestive Diseases account for About 50 million hospital visits, almost 25 million endoscopic tests, and more than 20 million gastrointestinal specimens directed to pathologists account-totaling $87 billion in direct medical costs due to gastrointestinal disease.
Approximately 8% of the 20 + million gastrointestinal biopsies currently performed each year are examined by pathologists with fellowship training in digestive health and disease, with 400 fellowship-trained gastrointestinal pathologists in operation in the United States. Highly trained general surgical pathologists, including those who have a particular interest in gastrointestinal pathology, study the remaining 90 to 92 percent of biopsies.
The global anatomic pathology market is expected to grow at a CAGR of 7.1 percent over the forecast period, from USD 33.3 billion in 2020 to USD 46.8 billion in 2025.
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Therapy of pediatric functional gastrointestinal disorders is best done within the context of a multidisciplinary biopsychosocial approach. Pharmacotherapy is often sought by patients and families who hope to find a “pill” that will lead to rapid symptom relief. Yet, there is only scant published evidence for the efficacy of a variety of medical interventions in childhood functional abdominal pain and irritable bowel syndrome. This article reviews the pediatric studies that have addressed pharmacotherapy in children with pain predominant functional gastrointestinal disorders.
Market analysts predict the global gastrointestinal medicines market will increase from $46.68 billion in 2020 to $48.74 billion in 2021, representing CAGR of 4.4% over the next five years. The market is estimated to reach $62.19 billion in 2025, growing at a CAGR of 6%.
North America dominated the worldwide gastrointestinal medicines market in 2020, accounting for 48% of the total. The second-largest region, Asia Pacific, accounted for 24% of the global gastrointestinal medicines market.
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Gastrointestinal cancer refers to malignant conditions of the GI tract and accessory organs of digestion including the esophagus, liver, biliary system, pancreas, small intestine, large intestine, rectum, and anus. Symptoms refer to the infected organ and can involve obstruction, irregular bleeding, or other complications related to it.
Diagnosis also includes endoscopy, followed by a biopsy of suspicious tissue. Treatment depends on the location of the tumor as well as the type of cancer cell and whether it has penetrated or spread to other tissues.
Various Types of GI Cancers
A. Upper digestive tract
1. Esophageal cancer | 2. Stomach cancer | 3. Pancreatic cancer | 4. Liver cancer | 5. Gallbladder cancer | 6. Other
B. Lower digestive tract
1. Colorectal cancer | 2. Anal cancer | 3. Gastrointestinal carcinoid tumour
Around 27,510 new cases of gastric cancer are diagnosed each year. The average age at diagnosis is 68 years and is more common in males than females. The occurrence of stomach cancer has declined significantly since the 1930s.
How is stomach cancer treated?
At present, all curative therapies for gastric cancer require surgery. In order to overcome this, radiation therapy and chemotherapy are prescribed for several patients.
3. Targeted therapies
The global stomach cancer/gastric cancer treatment market was valued at USD 2.61 billion in 2018 and is expected to grow at a CAGR of 15.3 percent to USD 8.20 billion by 2026, with a CAGR of 15.3%.
Stomach cancer is the world's fifth most prevalent cancer. Each year, 6,697 cases of stomach cancer are diagnosed, according to Cancer Research UK. There are three forms of stomach cancers. The most frequent type of stomach cancer is gastric adenocarcinoma, which accounts for 90% to 95% of stomach cancer occurrences.
According to the World Health Organization, the number of cases of stomach cancer would rise from 1.03 million in 2018 to 1.24 million in 2025.
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Upper gastrointestinal tract radiography, often known as upper GI, is an x-ray study of the esophagus, liver, and first section of the small intestine (also known as the duodenum). Images are created using a special type of x-ray called fluoroscopy and oral contrast content, such as barium.
An x-ray (radiograph) is a non-invasive diagnostic examination that helps doctors identify and treat medical conditions. Imaging using x-rays requires the exposure of a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. X-rays are the oldest and most widely used type of medical imaging.
What are some typical uses of this procedure?
The upper GI test helps to determine the digestive process and can detect:
Ulcers, Tumors, Inflammation of the esophagus, intestine, and duodenum, Hiatal hernia, Blocking, Abnormalities of the GI muscular wall
The technique is also used to help diagnose the causes of symptoms such as:
Difficult swallowing, Chest and stomach pain, Reflux, Unexplained vomiting, and Severe indigestion Blood in the stool
What are the advantages of this?
• Upper GI radiograph is an extremely effective, non-invasive technique
• The findings of the upper GI sequence normally lead to a correct assessment of the esophagus, stomach, and duodenum
• Since barium is not absorbed in the blood, allergic reactions are extremely rare
• There is no radiation left in the patient's body following an x-ray test.
• Typically, X-rays do not have any side effects in the usual diagnostic spectrum for this test
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Gastrointestinal surgery is a procedure for diseases of the areas of the body that are involved in digestion. This includes the esophagus, liver, small intestine, large intestine, and rectum. It involves the liver, gallbladder, and pancreas as well. Surgery can be used to remove cancerous or non-cancer growth or damaged parts of the body, such as the intestine.
Below are gastrointestinal disorders that can be treated with surgery:
Appendicitis, Colon cancers and other stomach cancers, Diverticular illness, Disease of the gallbladder, Gastroesophageal reflux disease (GERD) and hiatal hernia, Inflammatory intestinal disorder, Rectoral prolapse, and Loss of weight
A surgical technique called an endoscopy is used to screen and diagnose conditions in the digestive system. The doctor puts a long, thin tube with a tiny camera in the body to see inside.
Options for General Intestinal Surgery
• Endoscopic Surgery
• Laparoscopic Surgery
• Robotic surgery
Minimally Invasive GI Surgical Procedures
Listed below are some types of laparoscopic procedures that are done to treat GI conditions:
Adrenalectomy, Appendectomy, Bariatric Surgery, Cholecystectomy, Colon and Rectal Surgery, Foregut Surgery, Hiatal Hernia Repair, Nissen, Nephrectomy, Pancreatic Surgery, Retroperitoneum Surgery, and Splenectomy
Open GI Surgical Procedures
Abdominal Surgery, Adrenalectomy, Appendectomy, Nissen fundoplication, Roux-en-Y and Whipple Procedure
Recovery time will depend on the surgery and how invasive it is. With a few quick surgeries, including a colonoscopy, you can get back to your everyday activities right away. With more invasive surgery, you will need some time to recover, and some help with post-operative pain control.
In 2020, the global gastrointestinal stents market will be worth US$ 402.5 million. The market is expected to develop at a CAGR of 3.6% between 2021 and 2026, according to IMARC Group.
In 2025, the global market for robotic gastrointestinal surgery will reach $1.41 billion.
The global market for minimally invasive gastrointestinal surgical systems was valued at $5,021.8 million in 2020 and is expected to reach $10,441.0 million by 2031, rising at a CAGR of 6.8% from 2021 to 2031.
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Digestive diseases are disorders of the digestive tract, also referred to as the gastrointestinal (GI ) tract. Indigestion, food, and drink are broken down into small pieces (called nutrients) that the body can consume and use as energy and cell building blocks. The digestive tract consists of the esophagus, the throat, the large and small intestines, the liver, the pancreas, and the gallbladder.
The first indication of problems in the digestive tract frequently involves one or more of the following symptoms:
Bleeding, Bloating, Constipation, Diarrhea, Heartburn, Incontinence, Nausea and vomiting, pain in the belly, Swallowing problems, or Weight gain or loss
Other digestive diseases include:
• Gallstones, cholangitis, and cholecystitis
• Rectal problems: Anal fissure, hemorrhoids, proctitis, and rectal prolapse
• Esophagus problems: Stricture, achalasia, and esophagitis
• Stomach problems: Gastritis, and gastric ulcers
• Liver problems: Hepatitis B or hepatitis C, cirrhosis, and liver failure
• Pancreatitis and pancreatic pseudocyst
• Intestinal problems: Polyps and cancer, Crohn disease, infections, ulcerative colitis, celiac disease, diverticulitis, short bowel syndrome, malabsorption, and intestinal ischemia
• Gastroesophageal reflux disease (GERD), hiatal hernia, and peptic ulcer disease
Tests for digestive disorders can include colonoscopy, capsule endoscopy, endoscopic retrograde cholangiopancreatography (ERCP), upper GI endoscopy, and endoscopic ultrasound.
Many surgical operations are conducted in the digestive tract. That includes endoscopy, laparoscopy, and open surgical procedures. Organ transplantation can be performed on the liver, pancreas, and small intestine.
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Liver disease is a type of damage to or disease of the liver. The liver is a large organ in the upper right abdomen that helps absorb and removes waste products from the blood.
Liver disorder shall contain the following conditions:
• Cirrhosis, or scarring of the liver
• Inflammation (hepatitis) from infectious (hepatitis C, hepatitis B) or non-infectious (chemical or autoimmune) causes
• Liver cancer
• Metabolic disorder
Some of the signs and symptoms of liver disease are as follows:
• Thrombocytopenia and coagulopathy.
• Risk of bleeding symptoms, particularly in the gastrointestinal tract
• Ascites: Deposition of fluid in the abdominal cavity.
The liver can be called a factory, and its many functions include:
• Production of bile needed for the digestion of food, in particular, fats
• Storing the extra glucose or sugar as glycogen, and then converting it back to glucose when the body requires it for energy.
• Production of factors for blood clotting
• Production of amino acids, including those used to help combat infection
• Processing and storage of iron required for the development of red blood cells
• The manufacture of cholesterol and other chemicals needed for the transport of fat
• Conversion of waste materials to urea excreted in the urine
• Metabolising drugs into their active ingredient in the body
Factors that can increase the risk of liver disease include:
Heavy alcohol intake, Obesity, Diabetes of type 2, Tattoos or body piercing, Injection of medications using mutual needles, Exposure to other people's blood and body fluids, Unprotected sex, Exposure to certain chemicals or toxins, Family history of liver disease or Exposure to blood and bodily fluids of other individuals.
To prevent liver disease:
• Drink alcohol with moderation
• Get vaccinated
• Using drugs carefully
• Avoid contact with other people's blood and body fluids
• Keep food safe
• Be cautious with aerosol sprays
• Maintaining a healthy weight
Anti-viral drugs are available to treat infections such as hepatitis B. Other diseases can be treated by slowing down the progression of the disease, for example:
• By using steroid-based medications for autoimmune hepatitis.
• Hemochromatosis: Drains the volume of blood from the vein (venesection) in an iron overload condition.
• Wilson's disease, a disorder in which copper builds up in the body, can be regulated by drugs that bind copper, enabling it to pass through the body in the urine.
• In the case of cholestatic liver disease (cystic fibrosis) a medicine called ursodeoxycholic acid may be given.
Treatment for liver disease that causes or has contributed to liver failure may potentially require liver transplantation.
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A gastroenterologist is a medical specialist who specializes in disorders involving the digestive system's organs and structures.
Gastroenterologists diagnose, treat, and care for individuals with a variety of diseases associated with the gut. Long-term disorders, such as inflammatory bowel disease (IBD) and celiac disease.
Gastroenterology is a sub-study of internal medicine.
It relates to the study of the diseases and function of the GI tract and the digestive system.
Gastroenterology includes a full understanding of:
• the GI organs
• the passage of material through the intestines and stomach
• the digestion of the nutrients and absorption
• the waste removal from the body
• the liver
What is a gastroenterologist?
A gastroenterologist who specializes in illnesses that affect the digestive organs.
These parts of the body include the:
Esophagus, or food pipe, stomach, small intestine, colon, rectum, pancreas, gallbladder, bile ducts, or liver
A doctor must complete a 3-year internal medicine residency after medical school to become a gastroenterologist. They will undergo 2-3 years of intensive, advanced training, called a fellowship, following this residency.
Gastroenterologists also work closely with other healthcare specialists to provide treatment to a wide variety of individuals once they become certified.
A gastroenterologist may work with:
• Hepatologists, whose study in the liver
• Radiologists, whose study in imaging
• Oncologists, whose study in cancer
Gastroenterologists play a role in diagnosing, treating, and handling individuals with conditions such as:
Colon polyps, colon cancer, celiac disease, hepatitis, heartburn, or gastroesophageal reflux (GERD), gallbladder disease, irritable bowel syndrome (IBS), or pancreatitis
Gastroenterologists perform several methods to diagnose, treat, and manage conditions.
These procedures include:
• Colonoscopy and sigmoidoscopy
• Esophageal dilation
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Celiac disease is a chronic digestive condition evolving from an allergic response to gliadin, a protein found in wheat, barley, rye, and occasionally oats.
It causes inflammation and degradation of the inner lining of the small intestine and can contribute to malabsorption of minerals and nutrients.
Symptoms can include chronic diarrhea, weight loss, and tiredness. In certain cases, anemia is the only symptom.
Celiac disease affects approximately one in 141 Americans.
There is no remedy, and the only safe treatment is a gluten-free diet.
Quick facts about celiac disease:
Here are some of the key points concerning the celiac disease.
• Celiac disease is an autoimmune condition that causes people to become gluten-intolerant.
• Long term effects include anemia and malnutrition.
• A gluten-free diet is only recommended for those who have an allergy.
Some of the popular symptoms of celiac disease include:
• Gastrointestinal symptoms, such as diarrhea, gas, abdominal cramps, nausea and vomiting, and bloating.
• Foul-smelling stools with excess fat in them, bone and joint pain, depression, panic attacks and irritability, weakness and fatigue, easy bruising, nose bleeds, infertility, iron deficiency anemia, fluid retention, malnutrition and nutrition deficiencies, mouth sores and tooth discoloration, lack of vitamin B12, D, and K, migraine headaches, blood in the stools or in the urine, nerve damage or muscle cramps.
Many people with mild symptoms experience weakness and anemia, or maybe just vague abdominal pain, such as bloating, abdominal distention, and excess gas.
Variations in symptoms can depend on:
• The volume of gluten used
• The age at which a person begins to eat gluten
• The degree of damage to the small intestine
The doctor will examine the patient and ask for signs and symptoms, and some tests may be required.
Blood tests can detect the following:
• Antigliadin antibodies
• Endomysial antibodies
• Anti-tissue transglutaminase antibodies
• Blood is examined for antibodies to deamidated gliadin peptide (TTG) and occasionally antigliadine (AGA) and and andomysium (EmA) antibodies.
Small intestinal biopsy is known to be the most effective examination for celiac disease. The doctor uses endoscopy to take samples of the intestinal liner. Typically, multiple samples are collected to improve the precision of the diagnosis.
Conditions with similar symptoms to the celiac disease include:
• Pancreatic Insufficiencies
• Crohn's small intestine disorder
• Irritable intestinal syndrome
• Bacterial small intestinal overgrowth
• Sensitivity to gluten
At present, the only cure is to stop life-long gluten.
Items with or without gluten
A broad variety of gluten-free branded items are available. These include gluten-free bread, pasta, cookies, etc.
An individual who has a gluten-free diet should avoid the following:
• All foods made from wheat, bran, rye, bulgur and barley, enriched flour, including cereals, bread, croutons, pasta, rackers, cakes, and biscuits.
• Beer and other cereal-based beverages
A variety of processed foods contain gluten, including:
• Canned soup
• Salad sauce, ketchup, and mustard
• Soya sauce
• Ice cream bars and candy bars
• Canned and frozen meats and sausages
Foods that are healthy to eat
Cereals such as maize, millet, sorghum, teff, rice, and wild rice are healthy to eat.
Non-cereals such as amaranth, buckwheat, or quinoa are also harmless, such as bananas, potatoes, garbanzo beans and tapioca. They do not contain gluten and do not cause symptoms.
Scientists are studying medicines that function directly in the intestines, medications that impact the immune system, and vaccines to cure celiac disease.
However, there is no cure except for the avoidance of gluten.
If the person continues to eat gluten, this may affect their quality of life and may increase the risk of certain medical conditions.
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Hepatitis B is a liver disorder. This is caused by a virus. There is a vaccine to protect against it. If this occurs, it can cause organ scarring, liver failure, and cancer, and it can be life-threatening.
The signs and symptoms of hepatitis B vary from moderate to severe.
They usually occur around one to four months after you have been infected, but you could see them as early as two weeks after your infection.
Some individuals, usually young children, may have no symptoms at all.
Signs and symptoms of Hepatitis B can include:
Abdominal pain, Fever, Dark urine, Loss of appetite, Joint pain, Weakness and fatigue Nausea and vomiting, and Jaundice.
Hepatitis B infection is caused by the hepatitis B virus (HBV) virus. The virus is transmitted from person to person by blood, semen, or other body fluids. By sneezing or coughing, it does not spread.
Popular ways that HBV can spread is:
Sexual interaction: You could have hepatitis B if you have unprotected sex with someone who is sick. You may get the virus if the person's blood, saliva, semen, or vaginal secretions touch your body.
Sharing the needles: HBV spreads quickly by needles and syringes contaminated with contaminated blood. Sharing IV drug paraphernalia puts you at high risk for hepatitis B.
Mother to child: Pregnant women infected with HBV may be able to transmit the virus to their infants during childbirth. However, the infant must be vaccinated to prevent infection in almost all cases. Speak to your doctor about getting tested for hepatitis B if you are pregnant or want to become pregnant.
Hepatitis B spreads from an infected person by contact with blood, semen, or other body fluids. Your risk of infection with hepatitis B increases if you:
• Had unprotected sex with multiple sex partners or someone who is infected with HBV
• Share needles during the use of IV drugs
• Men having send with men
• Live with someone who has a chronic infection with HBV
• Is a child born to an infected mother
• Have a job which exposes you to human blood
Serious complications may result from chronic HBV, such as:
Cirrhosis: Inflammation associated with hepatitis B infection may lead to significant liver scarring (cirrhosis), which may affect the ability of the liver to function.
Liver cancer: People with chronic hepatitis B infection are at increased risk of developing liver cancer.
Liver failure: Acute liver failure is a disease in which the essential functions of the liver are shut down. When this happens, a liver transplant is required to support life.
People with chronic hepatitis B may develop kidney disease or inflammation of their blood vessels.
Hepatitis B vaccine is normally administered as three or four doses over a span of six months.
The vaccine for hepatitis B is suggested for:
• The newborn
• Children and teenagers who are not vaccinated at birth
• Health care staff, emergency workers
• Anyone with a sexually transmitted infection, like HIV
• People who are having sex with men
• People who have multiple sex partners
• Sexual partners of those with hepatitis B
• People who inject or share illicit drugs with needles and syringes
• People with chronic diseases of the liver
• People with end-stage renal disease
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Inflammatory bowel ailment (IBD) is a collection of inflammatory situations of the colon and small intestine.Crohn's disorder and ulcerative colitis are the important sorts of inflammatory bowel disease.It is mainly to notice that now not most effective the Crohn's ailment affect the gut; it can also affect the buccal hollow space, esophagus, stomach and the anuswhile ulcerative colitis mainly influences the colon and rectum.Inflammatory bowel diseases belongs to the elegance of autoimmune diseases, in which the frame’s very own immune machine assaults factors of the gastrointestinal device.
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Pediatric Gastroenterology is subjected with treating the GIT, liver and pancreas of children from infancy until adulthood.Testing is performed the usage of PH Probes, Liver Biopsies, Breath Test, Endoscopic Procedure.The important purpose of the take a look at of pediatric gastroenterology is to lower infant and toddler rate of deaths, manipulate the unfold of infectious ailment, and promote healthful.
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The pancreas is a gland which produces juices that help smash down food and hormones and help control blood sugar stages.There are two kinds of pancreatitis, that are differs in their causes and signs, and require exceptional remedy.Acute pancreatitis is a rapid-onset inflammation of the pancreas, maximum frequently due to alcoholism or gallstones.Chronic pancreatitis is an extended-standing irritation of the pancreas.This occurs while digestive enzymes begins digesting the pancreas itself.Pancreatic most cancers, Cystic fibrosis, a genetic sickness in which thick, sticky mucus can also block the tubes in pancreas.
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Bariatric surgical operation is a weight loss surgery consists of an expansion of tactics accomplished to the humans who have obesity. Weight loss is finished with the aid of lowering the scale of the stomach with a gastric band or thru elimination of a part of the stomach (sleeve gastrectomyor biliopancreatic diversion with duodenal transfer) or by means of resecting and re-routing the small gut to a small belly pouches (gastric skip surgery).
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Colorectal most cancers, also known as bowel cancer, colon most cancers, or rectal cancer, is any cancer that influences the colon and the rectum.It is the second main purpose of cancer dying in girls, and the 1/3 for men.However, because of advances in screening strategies and enhancements in remedies, the dying rate from colorectal cancer has been falling.Colorectal most cancers can be benign, or non-cancerous, or malignant.A malignant cancer can spread to different components of the body and harm them.
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Endoscopy is a method that permits a physician to view the internal of someone's body.Originally, endoscopy was most effective used inside the esophagus, belly, and colon.Now, doctors use endoscopy to diagnose illnesses of the ear, nose, throat, coronary heart, urinary tract, joints, and stomach.This technique can be used to analyze uncommon symptoms or treat a number situations.It also can be carried out to perform a biopsy, where a small tissue sample is taken for similarly analysis.
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Many people experience a burning sensation in their chest occasionally, caused by stomach acids refluxing into the esophagus, normally called heartburn.Extended exposure to heartburn may erode the lining of the esophagus, leading potentially to Barrett's esophagus which is associated with an increased risk of adenocarcinoma. Some people also experience a sensation known as globus esophagus, where it feels as if a ball is lodged in the lower part of the esophagus.
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The pancreas is a gland which produces juices that assist wreck down meals and hormones and assist manipulate blood sugar ranges.There are two types of pancreatitis, which are differs in their causes and symptoms, and require different remedy.Acute pancreatitis is a speedy-onset inflammation of the pancreas, most often as a result of alcoholism or gallstones. Chronic pancreatitis is a protracted-status irritation of the pancreas.This occurs when digestive enzymes starts digesting the pancreas itself.Pancreatic most cancers, Cystic fibrosis, a genetic disorder in which thick, sticky mucus may additionally block the tubes in pancreas.
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Gastro esophageal Reflux Malady or Gastro esophageal reflux sickness - GERD, is a digestive turmoil that influences the lower esophageal sphincter, the ring of muscle between the esophagus and belly.Many individuals experience the sick effects of indigestion or corrosive heartburn introduced on by way of GERD Reflux intends to circulation returned or return.Along those lines, gastro esophageal reflux is the arrival of the belly's substance pass down into the throat.Gastro esophageal reflux takes place whilst the LES is feeble or unwinds improperly, allowing the belly's substance to movement up into the esophagus.
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The gastrointestinal (GI) tract is the most effective organ whose function is controlled with the aid of its personal intrinsic enteric apprehensive gadget (ENS), however its miles moreover regulated.The GI nervous and immune systems are highly included of their commonplace intention that is to unite digestive capabilities with protection from ingested environmental threats.This evaluation discusses the physiological significance of enteric neuroimmune integration by way of summarizing the modern-day expertise of developmental pathways, cell agency, and molecular mechanisms of neuroimmune interactions inGut Immunology check verifies the immune response within the intestine by way of measuring two biomarkers, calprotectin and eosinophil protein X (EPX).The ordinary and inflammated gut includes many unique immune cells, including IgA-secreting plasma cells, CD4 and CD8 T cells, regulatory T cells and gdT cells.
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Gastroenterology Market Sizes
The scope of the comprehensive gastrointestinal therapeutics market is expected to reach USD 13.8 billion by 2020, hastening at a CAGR of 6.5% between 2015-2020. This growth in market size is attributed to numerous factors including increasing consumption of biologics, tentative approval of late stage molecules, development of novel therapies using innovative technologies, and improved diagnostic tools increasing the treatment-seeking population.
Additionally, a sudden increase in the number of gastric surgeries across the globe is directly impacting the growth of post-surgical gastro paresis cases across the globe, which will directly propel growth within the gastro paresis drugs market over the next few years. Due to this primary growth factor, the global gastro paresis drugs market will increase USD 940 million between 2016-2021, exceeding USD 7.1 billion in market size by the end of the forecast period. Other factors driving the growth of this market include unmet needs in the industry to increase the R&D in the field and the rising cases of diabetes fueling the prevalence of diabetic gastro paresis.
Gastroenterology Market Insights
The increasing consumption of biologics for inflammatory bowel diseases (IBD) will be one of the major factors that will have a positive impact on the growth of the gastrointestinal therapeutics market size in the coming years. The emergence of biosimilars and the adoption of biosimilars as they contain active pharmaceutical ingredients that are identical to their originator biologic compounds and are also less expensive than biologics will gain traction in this market.
The global gastroparesis drugs market will accelerate at a CAGR of 3% between 2017-2021. Fast track approvals and acquisitions to change the phase of the market and the introduction of novel ways for the treatment of gastroparesis symptoms are the emerging trends which will gain traction during the forecast period. These trends will positively impact the market's growth.
The growing preference for minimally invasive (MI) procedures will drive the growth prospects for the global gastrointestinal stents market during the forecast period. Generally, MI surgeries have low-risk complications and other benefits such as reduced costs, shorter hospital stay, faster recovery, lesser pain, fewer post-surgery infections, reduced incision marks, bleeding control, minimal complications, and heightened accuracy.
The average Gastroenterologist salary in United States is $362,787 per year, where as in UK its £92,000 per year, with many private clinicians earning as much as £200,000 a year. Salaries can vary widely depending on specialization, experience, type of healthcare establishment and geographical location
Gastroenterologists, Gastroenterology trainees, Primary care physicians, Nurses, Physician assistants, Nurse practitioners, Clinical researchers & Scientists, Deans, Students & Technicians, Medical health care Organizations & Associations, Hepatologists, Public Health Professionals, Pathologists, Doctors, Researchers & Scholars
List of Societies
American Gastroenterological Association / World Gastroenterology Organization / American Society for Gastrointestinal Endoscopy / Society of Gastroenterology Nurses and Associates / American College of Gastroenterology / Washington State Medical Association / Oregon Medical Association / California Medical Association / Nevada State Medical Association / Idaho Medical Association / Montana Medical Association / Arizona Medical Association / Wyoming Medical Society / Colorado Medical Society / New Mexico Medical Society / North Dakota Medical Association / South Dakota State Medical Association / Nebraska Medical Association / Kansas Medical Society / Missouri State Medical Association / Tennessee Medical Association / West Virginia State Medical Association / Georgia State Medical Association / Florida Medical Association / Medical Society of Virginia / Medical Society of the State of New York / Mississippi State Medical Society / Crohn's & Colitis Foundation of America / Gastroenterology Associates / Decatur Gastroenterology Associates / Canadian Association of Gastroenterology
United European Gastroenterology / British Society of Gastroenterology / Austrian Society of Gastroenterology & Hepatology / Byelorussian Gastroenterology Association / Society Royale Belge de Gastro-Entérologie / Bulgarian Society of Gastroenterology / Croatian Society of Gastroenterology / Czech Society of Gastroenterology / Hellenic Society of Gastroenterology / Hungarian Society of Gastroenterology / The Icelandic Gastroenterology Society / European Society of Gastrointestinal Endoscopy / Bulgarian Society of Gastroenterology / Croatian Society of Gastroenterology / Middlesex Gastroenterology Associates / Estonian Society of Gastroenterology / Finnish Society of Gastroenterology / The European Federation of Crohn's & Ulcerative Colitis Associations / Belgium society of Gastrointestinal Endoscopy / European Society for Pediatric Gastroenterology / Bulgarian Association of Surgeons and Gastroenterologists / Ukrainian Association of Endoscopy / British Society of Gastroenterology / European Helicobacter and Microbiota Study Group / European Society for Coloproctology / European Society of Digestive Oncology / European Society of Gastrointestinal and Abdominal Radiology / Endoscopy and Nutrition (EAGEN) / Serbian Association of Endoscopic Surgery
Asian Pacific Association of Gastroenterology / Indian Society of Gastroenterology / Korean Society of Gastroenterology / Korean Society of Gastrointestinal Endoscopy / Gastroenterological Society of Australia / Hong Kong Society of Gastroenterology / Philippine Society of Gastroenterology / Gastroenterological Association of Thailand / The Japanese Society of Gastroenterology / Endoscopy Section of the Netherlands Society of Gastroenterology / Asian Pacific Association for the Study of the Liver / The Japanese Society of Gastroenterology / Japan Gastroenterological Endoscopy Society / Indonesian Society of Gastroenterology / Taiwan Surgical Society Of Gastroenterology / Gastroenterological Society of Taiwan / Gastroenterology & Hepatology in Nigeria / Austrian Society of gastroenterology and Hepatology / Byelorussian association / Hellenic society of Gastroenterology / Hungarian society of Gastroenterology / Finnish society of Gastroenterology / Czech society of Gastroenterology / Estonian society of Gastroenterology
African Middle East Association of Gastroenterology / Azerbaijan Gastroenterologists and Hepatologists Society / Egyptian Association for Study of Liver and Gastrointestinal Diseases / Egyptian Society of Gastroenterology / Iranian Association of Gastroenterology and Hepatology / The Israeli Society of Gastroenterology and Liver Disease / Saudi Gastroenterology Association / Lebanese Society of Gastroenterology / Iraqi Society of Gastroenterology and Hepatology / Egyptian Network of Gastroenterology & Hepatology / Iranian Association of Gastroenterology and Hepatology / Islamabad Gastroenterology Associate / Afghanistan Gastroenterology and Endoscopy / Azerbaijan gastroenterologists and Hepatologists society / Congolese Association of Gastroenterology / Egyptian society of Gastroenterology / Ethiopian Gastroenterology Association / The Israeli society of Gastroenterology and Liver Diseases / Jordanian society of Gastroenterology
List of Hospitals
Mayo Clinic / Cleveland Clinic / Massachusetts General Hospital / UCLA Medical Center / Johns Hopkins Hospital Cedars-Sinai Medical Center / UPMC-University of Pittsburgh Medical Center / Mount Sinai Hospital / Houston Methodist Hospital / American Association of Gynecologic Laparoscopists / Huazhong University of Science and Technology / Stanford University Medical Center / Columbia University College of Physicians and Surgeons alumni / University of Canterbury alumni / Hospital of the University of Pennsylvania / Ronald Reagan UCLA Medical Center / New York-Presbyterian University Hospital of Columbia and Cornell / Cedars-Sinai Medical Center / Barnes-Jewish Hospital / Washington University / University of Michigan Hospitals and Health Centers / Clarian Health / University of California, San Francisco Medical Center / Brigham and Women's Hospital / Cleveland Clinic Florida / Duke University Hospital / Northwestern Memorial Hospital / Vanderbilt University Medical Center / Yale–New Haven Hospital / Froedtert Hospital / St. Luke's Episcopal Hospital / Greenville Memorial Hospital / Good Samaritan Hospital / Henry Ford Hospital
Medipol Mega University Hospital / American Hospital of Paris / Kardiolita Hospital / Heidelberg University Hospital / Vithas Xanit International Hospital / Centro Medico Quironsalud Teknon / Anadolu Medical Center / Heidelberg University Hospital / Centre Hospitalier University Vaudois / Huddinge University Hospital / Vall d’Hebron Hospital / Helsinki University Hospital / Homerton Hospital / Royal Free Hospital / Mid Trent Rotation / Nordwest Clinic (Krankenhaus) / Sachsenhausen Hospital / Bremen-mitte clinic / Asklepios Nord Clinic / Meoclinic Hospital / Medical center in Solingen / Helios Berlin Buch / Helios Krefeld Clinic / Bremen-ost Clinic / Gyncentrum Fertility Clinic / Carolin Medical Center / American Heart of Poland Hospital / John Paul Western Hospital / European Health Center Otwock / University Hospital Krakow
Asian Institute of Gastroenterology / Columbia Asia Hospitals / Apollo Hospitals / BLK Super Specialty Hospital / Indraprastha Apollo Hospital / Mani pal Hospital / Fortis Memorial Research Institute / Continental Hospital / Ruby Hall Hospital / Nanavati Hospital / Fortis Hospital / Max Super specialty Hospital / Wockhardt Hospitals / Parkway East Hospital / Mount Elizabeth Hospital / Mount Elizabeth Novena Hospital / Gleneagles Hospital / Thomson Medical Center / Aichi Cancer Center Hospital / Chita City Hospital / Ehime University Hospital / Sakadiku Hospital / Higashi Otaru Hospital / Self-Defense Forces Sasebo Hospital / China-Japan Friendship Hospital / OASIS International Hospital / Jerudong Park Medical Centre / Pantai Hospital Kuala Lumpur
List of Journals
Gastroenterology / Nature Reviews Gastroenterology and Hepatology / American Journal of Gastroenterology / Clinical Gastroenterology and Hepatology / Gastric Cancer / Journal of Gastroenterology / Clinical and Translational Gastroenterology / Gastrointestinal Endoscopy / American Journal of Physiology - Gastrointestinal and Liver Physiology / BMC Gastroenterology / European Journal of Gastroenterology & Hepatology / Journal of Clinical Gastroenterology / World Journal of Gastroenterology / United European Gastroenterology Journal / Journal of Gastrointestinal Surgery / Journal of Clinical Gastroenterology / BMJ Open Gastroenterology / Clinical and Experimental Gastroenterology / Journal of Gastrointestinal Oncology / Scandinavian Journal of Gastroenterology / Annals of Gastroenterology / Best Practice & Research Clinical Gastroenterology / Nature Reviews of Gastroenterology & Hepatology / Neurogastroenterology & Motility / Techniques in Gastrointestinal Endoscopy
List of Universities
American College of Gastroenterology / American Gastroenterological Association / American Society for Gastrointestinal Endoscopy / American Society of Colon and Rectal Surgeons / UC San Diego School of Medicine / University of Illinois College of Medicine / University of Virginia School of Medicine / University of Michigan / University of Chicago / BU School of Medicine Gastroenterology / Augusta University / Duke University / Vanderbilt University Medical Center / Stanford School of Medicine / University of Washington / Oregon Health & Science University / California Pacific Medical Center / Charles R. Drew University of Medicine and Science / Loma Linda University / University of Minnesota Medical School / University of Edinburgh / University of Michigan-Ann Arbor / New York University / Duke University / Washington University Medical School / University of Pennsylvania / Columbia University / Johns Hopkins University / Vanderbilt University / University of Pittsburgh / Northwestern University / Baylor College of Medicine / Mount Sinai School of Medicine / Emory University Medical School / Case Western Reserve University / University of Wisconsin-Madison / University of Rochester / University of Virginia / Oregon Health and Science University / Ohio State University / University of Alabama–Birmingham / Albert Einstein College of Medicine of Yeshiva University / Georgetown University / Yale University
Queen Mary University of London / University of Salford / University of Chester / University of Liverpool / The University of Nottingham / Paris Descartes University / PSL Research University / The American University of Paris / University of Amsterdam / University Medical Center Freiburg / Universities of South Wales / The University of Hull / University of Bradford / The Autonomous University of Barcelona / Universidad Santiago de Compostable / University of Alcala / University of Cordoba / University of Girona / University of Malaga / University of Murcia / University of Bialystok / Casmir the Great University / Jagiellonian University / Maria Curie-Skłodowska University / Opole University / Adam Mickiewicz University / University of Rzeszow / University of Silesia / Nicolaus Copernicus University / University of Warsaw / University of Zielona Góra / ETH Zurich / University of Edinburgh / Karolinska Institute / Heidelberg University / Leiden University / Erasmus University Rotterdam / University of Exeter / University of Hamburg / University of Geneva / University of Nottingham / Autonomous University of Barcelona / Bielefeld University / University of Bologna / Stockholm University / University of Antwerp / Aalborg University / École Normale Supérieure de Lyon University / University of Konstanz
The University of New Castle Australia / Asian Institute of Gastroenterology / Rawalpindi Medical University / University of Queensland / Flinders University / Monash University / University of Sydney / Australian National University / Macquarie University Hospital / National University of Singapore / Josai International University / Kaichi International University / Shumei University / Fukuoka College of Health Sciences / Daiichi College of Pharmaceutical Sciences / College of Healthcare Management / Singapore Management University / Nanyang Technological University / Singapore University of Social Sciences / National Sun Yat-sen University / National Quemoy University / Chung Hua University / China Medical University / Hsing Wu University / MingDao University / St. John's University / Tajen University / Taipei Medical University / Central Taiwan University of Science and Technology / Chia Nan University of Pharmacy and Science / Hsiuping University of Science and Technology / Hsiuping University of Science and Technology / Hsiuping University of Science and Technology / Taipei City University of Science and Technology / Tzu Chi University of Science and Technology / Yu Da University of Science and Technology / Shahjalal University of Science and Technology / National Yang-ming University / Asian Medical Institute, Kyrgyzstan / University of Science, Malaysia / Central university (India) / Bunka Gakuen University
Jordan University of Science and Technology / Mutah University / University of Jordan / King Faisal Specialist Hospital and Research Centre / Cleveland Clinic Lerner College of Medicine / Kuwait University / Dubai Medical College / Ain Shams University Faculty of Medicine / Benha Faculty of Medicine, Benha University / Minia Medical School / Medical University of Ilam / Gorgan University of Medical Sciences / Guilan University of Medical Sciences / Guilan University of Medical Sciences / College of Medicine, University of Bisha / University of Kalamoon / University of Sharjah / Gulf Medical University / Hadhramout University of Science & Technology / Al-Majmaah University, College of Medicine / Beirut Arab University / Sackler Faculty of Medicine, Tel Aviv University / Zabol University of Medical Sciences / sfahan University of Medical Sciences / Tanta Faculty of Medicine / Isfahan University of Medical Sciences
List of Companies
Boston Scientific / Covidien / EndoChoice / Frontier Healthcare / FUJIFILM Medical Systems / gMed / Olympus / Pentax Medical Company / Physicians Endoscopy / US Endoscopy Group / Biosense Webster / Carl Zeiss Meditech / ELum Technologies / Axcess Surgical / Autocam Medical / Edwards Life Sciences / Endologix / Integra Life Sciences / Lombard Medical / VitalMED / Auris Surgical Robotics / PlenSat / AngioCure / MicroCam / Pelvalon / Mizuho OSI / EndoStim / Coloplast / NorTech Life Sciences / Salix Pharmaceuticals / Synergy Pharmaceuticals / Motus GI / Johnson & Johnson / gMed, a Modernizing Medicine Co / Fujifilm Medical Systems USA / Exact Sciences Corp / Evoke Pharma / EndoGastric Solutions / EndoChoice / Cogentix Medical / Allergan Pharmaceuticals / Ambit Biosciences / Alimera Sciences / Agios Pharmaceuticals / Abraxis BioScience / Galena Biopharma / ImmunoGen / Quark Pharmaceuticals / ISTA Pharmaceuticals / Melinta Therapeutics / Sucampo Pharmaceuticals
Marquat / HCA International Limited / Olympus / Tillotts Pharma AG / Synmed.Co.Uk / Pennine Healthcare / AstraZeneca / Shire plc / Zealand Pharma / ProDigest / Biohit Healthcare / Norgine Pharmaceuticals / Norgine B.V / Albyn Medical / Salvat / Ferring Pharmaceuticals / GlaxoSmithKline / Roche Products / Eli Lilly and Company / Navartis Pharmaceuticals / Organon Laboratories / Boehringer Ingelheim / Servier R&D / PowderMed / Antisoma / Straumann / Janssen-Cilag / Hoffmann-La Roche / Ferring Pharmaceuticals / Debiopharm / Basilea Pharmaceutica / Fujirebio Europe / GlaxosmithKline / Novartis / Octopharma AG / Servier / Roche / Sanofi Pasteur SA / UCB Pharma / Uni-Pharma / Baxter / Alexion / Astra Zeneca / Boehringer Ingelheim / Chemnovatic / CSL Behring / Custom Pharmaceuticals / Eli Lilly / Galen Limited / Martindale Pharma / Beiersdorf / Biolitec / Hawgreen / Hybrand / IDIS World Medicines
Asia and Middle East
GI Dynamics / Coloplast / InCube Labs / Imorgon / Levita Magnetics / Coloplast / MicroPort / Paragon Medical / Lumenis / Biocomposites / MicroPort / Teleflex Medical / GE Healthcare / Toxikon / Cheng Fong Chemical / Fosun Pharmaceutical / Guangzhou Pharmaceuticals / Harbin Pharmaceutical Group / Huadong medicine / Sinopharm Group / Tiens Group / Yunnan Baiyo Group / Evalar / Microgen / Pharmastandard / protek / Solopharm / SynBio / Sun Pharmaceutical Industries Limited / Intas Pharmaceutical Limited / Glenmark Pharma limited / Nicholas Piramal Limited / Zydus Cadlia / Alkem Laboratories / Epygen Biotech / AryoGen Pharma / ATVIO Biotech / SciCann T herapeutics / Ferring Pharmaceuticals / Allium Medical / Entera Bio / Immunovative Therapies / Intec Pharma / KAHR Medical / Oramed Pharma ceuticals / Biond Biologicals / Opko Biologis / VBL Therapeutics
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