The American Society of Gastrointestinal Endoscopy Quality Training

American Society of Gastrointestinal Endoscopy pic
American Society of Gastrointestinal Endoscopy
Image: asge.org

Soloman Shah, MD, has served as a physician with Gastrointestinal Medical Associates in Reston, Virginia, since 1999. After completing his residency in 1996, Dr. Soloman Shah undertook a three-year fellowship in the department of gastroenterology at University of Maryland Hospital. He is a member of the American Society of Gastrointestinal Endoscopy (ASGE).

The ASGE provides its members with clinical practice and management guidelines, as well as various educational programs. One such program is the ASGE Quality Course, entitled Improving Quality and Safety in Your Endoscopy Unit, which teaches physicians and other medical personnel in the field of gastrointestinal endoscopy how to ensure exemplary care and treatment in their practice.

Offered every few months at locations around the country, the program covers four topics during the one- or two-day course. Students enrolled in the program are taught to quantify the quality of their current endoscopy practices and learn specific procedures that can improve this identified measurement. The course also establishes and explains the official quality guidelines laid out by ASGE and the Centers for Disease Control and Prevention.

The ASGE Quality Course is designed to benefit endoscopists and surgeons, medical directors, nursing staff, and other interested health care professionals. Certification for the course is accepted as foundational training for the ASGE Endoscopy Unit Recognition Program.

Factors That Cause Liver Disorders

 Liver Disorders pic
Liver Disorders
Image: webmd.com

A doctor with more than 22 years of medical experience, Soloman Shah, MD, is a certified gastroenterologist and internal medicine physician who has worked with Gastrointestinal Medical Associates in Reston, Virginia, for 17 years. Dr. Soloman Shah specializes in liver disorders.

There are many different liver disorders, which may be caused by a range of factors, including infection, an abnormal immune system, genetics, or cancer. The following gives examples of liver disorders that may stem from each of these influences.

Infection – Hepatitis C is caused by a virus that transfers through blood and bodily fluids. About three-quarters of people infected with hepatitis C develop a chronic form of the illness, which can lead to other liver-related diseases such as cirrhosis and cancer.

Immune system – Primary biliary cirrhosis (PBC) gradually destroys the bile ducts in the liver, interrupting the body’s ability to digest food and remove toxins. An autoimmune disease, PBC is thought to be caused by a combination of genetics and environment. There is no cure for PBC, but if the disorder is caught early, medication can slow its progress and ease symptoms.

Genetics – Hemochromatosis is a disorder that forces the body to absorb too much iron. The excess mineral is stored in organs such as the liver and heart, and this overabundance can lead to various diseases. Though hemochromatosis is genetic, most people with the relevant genetic factors never develop serious problems. For those who do, the most common treatment is phlebotomy, regular removal of iron-rich blood from the body.

Cancer – Cancer of the liver often develops due to the presence of cancer elsewhere in the body. The liver filters blood from all over the body, which gives cancerous cells the opportunity to attach and spread in the organ. Tumors that develop in the liver may be benign or malignant.