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Sept. 24, 2016

Sep 24, 2016


The standard treatment for uncontrolled uterine bleeding has been emergency care where a woman undergoes transfusion dilatation curettage and then a hysterectomy. This is a severe procedure with a long recovery time and long-lasting complications. Over the past few years, a lot of women have been treated with endometrialhydrothermal ablation, a much less invasive procedure with a much quicker healing time.

The current hydrothermal technique (HTA Boston Scientific, Natick, MA), consists of saline being placed inside the endometrial cavity, and computer control is used to guard against any fluid leakage. The fluid is then heated to 90°C and monitored for 10 minutes to remove the fibroids and smooth the surface of the endometrium. This procedure has lowered the emergency procedures needed and has had a real impact on quality of life in hundreds of women.

Now there is research showing that it may be possible to treat diabetes in a similar manner. Duodenal mucosal resurfacing (DMR) is a novel, minimally invasive, catheter-based upper endoscopic procedure consisting of hydrothermal ablation of the duodenal mucosa that seems to have a positive effect on glucose levels and diabetes. Check out our news item #4 by Pablo A. Marrero-Núñez,  Doctor of Pharmacy Candidate, University of South Florida College of Pharmacy, and learn about the procedure that may work as well as bypass surgery for controlling diabetes.

We can make a difference!


Dave Joffe, Editor-in-chief