The Organic Gallery Pop Up Art Show and Fundraiser will take place on Sunday, April 29, 2018 at The White Butterfly Cafe in Jackson, New Jersey.
The show will feature local art and photography talent. 25% of all art sales will benefit The Salgi Esophageal Cancer Research Foundation in support of esophageal cancer awareness and research.
There will also be live acoustic music and refreshments will be served. Please come out and support local artists and this charity! For more information, please visit the event page on Facebook and please share!
Esophageal cancer is the fastest growing cancer in the United States, United Kingdom and other western countries. With no routine or standard screenings, esophageal cancer is also one of the deadliest cancers.
While raising awareness and research funding for esophageal cancer is something that The Salgi Esophageal Cancer Research Foundation is devoted to accomplishing ALL year, April is a special time to make a BIG impact together.
Here Are Four Simple, Yet Effective Ways You Can Help:
SHOP: Get ready for April by shopping on our online Esophageal Cancer Awareness Store! When you shop at our store, you’re not only raising awareness, but research funding, too, as a portion of all sales from our items goes directly to The Salgi Esophageal Cancer Research Foundation.
DONATE: The Salgi Esophageal Cancer Research Foundation is able to achieve this life-saving mission entirely through the generosity of our supporters. As a 501(c)(3) nonprofit, all donations are 100% tax-deductible and can be made one-time or recurring.
FUNDRAISE: Create your own custom fundraising page. This is a great way to help raise awareness and generate funding for this life-saving mission. Create a page in memory of or as a tribute to a loved one and include photos and your personal story. All donations support The Salgi Esophageal Cancer Research Foundation.
AWARENESS: Follow The Salgi Esophageal Cancer Research Foundation online and share our social media pages to help us spread the word! Use the hashtag: #AllPeriwinkleEverything™ and tag us in your posts! Need ideas? Click the link below:
Did you know that you can shop online to support The Salgi Esophageal Cancer Research Foundation’s mission to raise awareness, encourage early detection and to fund research of esophageal cancer? Visit the links below to get started! Please don’t forget to share this post!
Shop AmazonSmile using our custom link & Amazon will donate a percentage of sales to The Salgi Esophageal Cancer Research Foundation! It’s an easy way to support this mission, without extra effort or cost.
Show your support for esophageal cancer awareness and research with a periwinkle bracelet/wristband AND benefit The Salgi Esophageal Cancer Research Foundation’s mission: awareness, early detection & research.
The word “Agita” in Italian, means heartburn. What better way to let everyone know the dangers of chronic heartburn than to display it on an ornament, year-round PLUS you’ll be raising funds for esophageal cancer awareness & research!
Shop our “Esophageal Cancer” store on Zazzle to start spreading awareness of esophageal cancer while raising funding for this mission! A portion of all sales go directly towards The Salgi Esophageal Cancer Research Foundation.
“Long-term maintenance therapy with proton-pump inhibitors (PPIs) was shown to be associated with an increased risk for esophageal cancer, even in patients taking PPIs for indications not previously associated with this cancer risk, according to results from a new study from Sweden.
The authors call for “a more restrictive attitude towards maintenance use of PPIs.”
However, this “surprising” observation comes from a single cohort study that lacks the evidence to demonstrate a causal relationship, warn experts approached for comment. They say that clinicians shouldn’t stop prescribing PPIs as recommended by current guidelines.
The new study was published online February 22 in Cancer Epidemiology by a team led by Nele Brusselaers, MD, PhD, associate professor of clinical epidemiology at the Karolinska Institutet and the Karolinska University Hospital in Stockholm.
In the study, data from four national registers in Sweden were used to identify 796,492 patients without a history of cancer who were exposed to maintenance PPI therapy between 2005 and 2014. Most were female (58.5%), and 34.0% were age 70 years or older.
The indications for PPI use included maintenance therapy with aspirin (34.8%), nonsteroidal anti-inflammatory drugs (NSAIDs) (30.4%), gastroesophageal reflux disease (GERD) (25.3%), gastroduodenitis (13.2%), and peptic ulcer disease (10.0%). Less than 10% of participants were taking PPIs for other indications.
The team compared this cohort of nearly 800,000 patients taking PPIs to adults in the general population matched for sex and age over the same period.
They found that the overall standardized incidence ratio (SIR) for esophageal adenocarcinoma (EAC) in PPI users was 3.93, and the overall SIR for esophageal squamous cell carcinoma (SCC) was 2.77.
The study also showed that in patients without GERD who were taking PPI maintenance therapy with NSAIDs or aspirin, the SIR for EAC was 2.74 and 2.06, respectively.
To evaluate confounding by indication, stratified analyses were performed for each indication not associated with an increased risk for EAC. This separate analysis was one of the study’s chief strengths because it minimized the risk for confounding by indication that has limited previous research, Brusselaers and colleagues say. However, they were unable to identify the indication for PPI therapy in 25% of the cohort.
Increase in Cancer Not Seen With H2-Antagonists
A comparative analysis in 20,177 patients taking only histamine-2 receptor (H2) antagonists (such as ranitidine) found no increased risk for EAC (SIR, 0.39) or SCC (SIR, 0.50).
This finding “lends support to the hypothesis that this association may be due to PPI medication per se, and not related to other factors that predispose to using anti-acidic medications,” the study authors say.
“To assess generalizability and validity of these results, further investigations in other settings with other distributions of risk factors for oesophageal cancer is necessary,” they write. “Yet, we believe that a more restrictive attitude towards maintenance use of PPIs may be indicated…. Long term use of PPIs should be addressed with caution.”
Assuming that 10.7% of Swedish adults are taking PPI maintenance therapy, 5.4% of all esophageal cancer cases seen in that country’s population during the study period could be conservatively estimated to be attributable to PPI use, they suggest. The population of Sweden was 9.03 million in 2005 and had increased to 9.519 million by 2012.
This is not the first time that long-term PPI therapy has been implicated in increased cancer risk. Most recently, Medscape Medical News reported a Hong Kong study showing that long-term PPI therapy doubled gastric cancer risk after Helicobacter pylori eradication.
Dramatic Increase in Esophageal Cancer
When approached for comment, David A Johnson, MD, professor of medicine and chief of gastroenterology at Eastern Virginia Medical School in Norfolk, said this study “potentially does more harm than good.” A discussion with patients about whether PPI therapy is necessary “is always appropriate,” but clinicians shouldn’t stop prescribing PPIs as recommended, he emphasized.
“These findings are surprising because of the lack of evidence that goes with this observation. The allegation of harm should always start with a hypothesis as to why a reported association may be causal. None is suggested in this report,” Johnson told Medscape Medical News.
Since the introduction of PPIs, the incidence of SCC of the esophagus has increased dramatically, Johnson acknowledged. The incidence of EAC in industrialized countries has also increased.”
“Long-term PPI Use and Increased Esophageal CA Risk” – MedScape– Mar 05, 2018.
Cancer Epidemiol. Published online February 22, 2018.Abstract
Editor Note: Content may be edited.
This post contains information from an article regarding a recently published abstract and reflects the content of those abstracts. It does not necessarily reflect the views or opinions of The Salgi Esophageal Cancer Research Foundation who cannot be held responsible for the accuracy of the data.
Evolution describes how all living forms cope with challenges in their environment, as they struggle to persevere against formidable odds. Mutation and selective pressure—cornerstones of Darwin’s theory—are the means by which organisms gain an advantageous foothold or pass into oblivion.
In a new study, researchers at Arizona State University’s Biodesign Institute led an international team to explore how evolutionary processes guide the pathways of cells. Their results, which appear in the advanced online edition of the journal Nature Communications, point to influences leading some cells to remain stable over time while driving others to become cancerous and expand without limit.
The new research focuses on a condition known as Barrett’s Esophagus (BE). The disease, which affects over three million Americans, causes cells lining the [esophagus] to change shape from their normal form (known as squamous epithelia) to a pathological cell type (known as columnar epithelia).
A small number of BE patients—just .2 percent per year—will go on to develop a highly lethal, treatment-resistant cancer, known as Esophageal Adenocarcinoma (EAC). Despite advances in therapy, prospects for EAC patients remain bleak—fewer than 15 percent survive beyond 5 years. (While the incidence of EAC in the United States has remained low, it has risen alarmingly in recent years.)
Understanding why most BE patients avoid this fate and some don’t has been a challenge for the medical community. Evolutionary oncologists like Carlo Maley, a researcher at the Biodesign Center for Personalized Diagnostics and a senior author of the new study, believe a better understanding of the evolutionary dynamics of this process may hold the key. The study examines these dynamics over at least 6 years of surveillance. Of the 8 BE patients examined, 4 remain stable and 4 progress to cancer.
“By taking a host of minute samples across the surface of the esophagus, and across many years while these patients were under surveillance to detect cancer, we had an unprecedented view of the dynamics of carcinogenesis,” Maley says.
Sensing the threat
BE presents a conundrum for clinicians. The condition is a risk factor for developing a deadly, highly intractable cancer but only a tiny proportion of BE patients will progress to cancer. Because no reliable means exist at present to distinguish progressors from non-progressors, the only cautionary measures available involve repeated surveillance of BE esophageal cells through endoscopy and biopsy to try to catch EAC-linked abnormalities at an early stage, or methods to burn away the lining of the esophagus.
Such invasive, expensive and often unnecessary screening and interventions result in over-diagnosis and over treatment, while surveillance of esophageal cells on a population-wide basis is impractical. Clearly, a more reliable approach is needed—one that can ferret out those BE patients most likely to advance to EAC.
As the authors note, better predictions will rely in part on testing BE samples at multiple points in time, and an examination of cells extracted from different locations in the esophageal tissue. One positive consequence of aggressive BE cell surveillance is that it has provided researchers with a rich library of data that can be mined using new methods in order to tease out critical factors governing progression vs non-progression to cancer.
Barrett’s Esophagus can develop over time when digestive acid backs up from the stomach into the esophagus, causing damage and growth of precancerous cells. To accurately assess the evolutionary dynamics involved in progression to cancer, researchers need more fine-grained analyses of BE cells, to tease out details that may not be detectable in whole biopsies containing millions of cells.
In BE, the columnar architecture of the epithelium is similar to that of the intestine. Here, well-like structures in the tissue known as crypts appear. At the base of those crypts are stem cells, which replenish the epithelium as older cells migrate up the sides of the crypts and then die off. The study represents the first genome-wide analysis of the evolutionary dynamics in BE at the level of individual crypts. (While crypts may contain more than a single stem cell, these cells tend to be genetically uniform. For this reason, crypt sampling is closely analogous to sampling single BE cells.)
Researchers would like to know why most cases of BE appear to be evolutionarily static over time. Either genetic alterations tend to be rare or, if they are common, cells carrying those alterations do not expand to levels detectable through conventional biopsy. The new study examines the genomes of single crypts in BE to take a closer look at when and where genetic variants arise and how the evolutionary process plays out.
Carlo Maley is a researcher in the Biodesign Institute’s Virginia G. Piper Center for Personalized Diagnostics and an assistant professor in ASU’s School of Life Sciences Image: biodesign.asu.edu
Advancement from BE to EAC is a process characterized by mounting genomic instability. Over time, BE patients can accumulate mutations in their esophageal lesions, altering the genetic makeup of these cells. Such genetic variation is regarded as a valuable predictor of progression to cancer, though the highly complex dynamics of this process are still being worked out.
The study focused on losses and gains of large regions of chromosomes in the BE cells. Aberrations in the chromosomes are high in those who go on to develop EAC, even 4 years before progression and remain low in non-progressors, pointing to the value of chromosomal diversity as a diagnostic indicator.
The study also examined a phenomenon known as genome doubling. This results from faulty cell division, which creates a cell with twice the normal number of chromosomes. Those likely to progress to EAC were also more likely to experience genome doubling, which is presaged by an increasing rate of accumulation of chromosomal aberrations.
The study examines genetic variation in BE crypts, comparing these with the variation found through examination of biopsies. Multiple biopsies and crypt samples were examined from 8 BE patients at two different time points. Four of these patients progressed to EAC and 4 did not.
Results comparing biopsy and single crypt information show that genetic alterations are indeed rare, even at the crypt level, and that Barrett’s lesions tend to arise from a single ancestral cell gone awry. Further, the study selects cells from different regions of the esophagus and finds that genetic alterations were more common in samples taken near the base of the esophagus, known as the gastro-esophageal junction.
The study addresses five previously unanswered questions concerning BE. As the authors stress, the results offer new insights into the general process of cell progression to cancer, which may be applicable across many, if not all forms of the disease.
Results indicate that
a) BE tissue in most cases arises from a single altered ancestral cell
b) expansion of cancerous clones (identical cells of common ancestry) is rare
c) cells sampled near the gastro-esophageal junction accumulate more genomic alterations than those found in other regions of the esophagus, making them better targets for diagnosis
d) there are dramatic changes in mutation rate during progression and these may occur early in the process of cancer progression and
e) genetic diversity as measured through biopsy in Barrett’s patients is comparable to that observes in individual crypts, indicating that biopsy analysis is adequate for assessing the evolutionary characteristics of BE cells and their likelihood of progression.
Continued work in this area promises to untangle the complex network of evolutionary factors at play when cells are directed away from their normal course and toward the fateful path of cancer.
Esophageal cancer is one of the fastest growing and deadliest cancers in the United States. There are no routine screenings to detect esophageal cancer in earlier stages and symptoms (such as difficulty swallowing, choking sensation, etc…) often occur once the cancer spreads and becomes more difficult (if not impossible) to treat. There is a misconception that esophageal cancer “typically” affects older males. However, due to the fact that esophageal cancer is rapidly increasing, it is also rapidly affecting both men and women of all ages.
When we received a donation and the story that we are about to share with you, we were heartbroken. There are truly no words to express how horrific esophageal cancer is and each time we receive donations in memory of loved ones, our hearts break. However, as we told her beloved friends, with Karen, an Ironman triathlete, who was diagnosed just six weeks before she passed away, it seems that not even esophageal cancer could dim her spirit and it will most certainly not touch her legacy.
The Salgi Esophageal Cancer Research Foundation is honored to carry out this mission in memory of Karen and we are very appreciative to her family and friends for donating in her name.
Photo via: Kate Z.
The story of our Karen is a story of adventure, love, passion, inspiration and courage. (by Katie M.)
Diagnosed at thanksgiving (2017) and passed about 6 weeks later, (January 2018.)
In a cramped, plain waiting room in UM hospital, a crowd grows steadily from morning ‘til night. These are the close friends, closer friends, family, crazy swimmers, drinking buddies and running buddies of a woman who has lived a full and intense life, a woman who made everyone she met feel important and accomplished, included.
Karen is only 49, but has crammed at least 100 years of living into that time. She often seems both more youthful than her age and also wiser than her years. And so, the people who fill the waiting room and share their favorite memories of Karen on this private Facebook group come from a range of decades, backgrounds and locales. But we are equally enamored of her for her spirit, kindness, energy, forgiveness, optimism and endless passion.
Karen is an Ironman triathlete (yes, she’s qualified and raced Kona, we say when we brag about her) and a multiple-time Boston Marathon qualifier and finisher. She really is cool. This past year, she has cared tirelessly and lovingly for her mother. She always talks adoringly to anyone who will listen about her amazing, brilliant, successful brother and sister; they are royalty. It is clear from listening to her talk, that she has found a kind companion in Pat. She is devoted to that running dog, Buddy. In fact, Karen only knows amazing people and animals, rock stars; this is because, by knowing Karen, you are thereby elevated. To know Karen is to be instantly inspired and mesmerized. It is also to be loved. She would drive hours for a short visit, a long run, to be supportive, to cheer on a friend’s athletic endeavor, to try a new lake or join in on a fun race. Karen is passion, strength and love incarnate. She doesn’t do small.
So it shouldn’t have surprised her loved ones (aka: admirers, aka: us), the hundreds of people wanting to make the pilgrimage to UM hospital, the friends on each coast and multiple continents, that she would also finish dramatically. We were all able to Google esophageal cancer and see what the prognosis is. But this is Karen, she never does things the average way. She is strong and amazing. She baffles people routinely with her astounding feats. I can’t be the only one who really believed she would pull off a miracle. But I really did believe it.
Photo via: Kate Z.
Our Karen is a big personality in a strong and wiry little frame. A bundle of energy, like a hummingbird and a cheetah all at once, with a whole lot of lovey dog for good measure. She is full of and surrounded by love. A soul with the amazing gift of taking in the fuel of love from others and multiplying and reflecting it out tenfold. Even as she is suffering the cruel effects and pain of this disease, she is easing the discomfort and pain of others, making US feel better.
She finished Ironman Maryland strong, healthy and passionate on Oct. 7. She started a new job she was excited to throw herself into with the same passion soon after. She doesn’t do small, even with cancer. She is bigger than life and that fed the disease too fast. Her courage, passion and energy once again serving as incredible fuel, but this time for her undoing.
Now the 100s, probably thousands of us made to feel part of the elite who know her, stream (physically and virtually) into Ann Arbor for another hug, kiss, cry, laugh, story. We all desire one more chance to love her up, one more chance to tell her how important she is in our lives, one more fix of Karen, who makes everyone a star when they reflect her brilliance.
Bring your family, friends, co-workers and dogs, too! E.P. “Tom” Sawyer Park is pet friendly!
Children 12 and under are admitted FREE!*
Censusdata at en.wikipedia
About the event:
The 1st Annual Walk for Doc- Supporting Esophageal Cancer Research will benefit The Salgi Esophageal Cancer Research Foundation, a 501(c)(3) nonprofit charity working to raise awareness, encourage early detection and fund research of esophageal cancer…in hopes of a cure.™
The path at Tom Sawyer Park is approximately 3.5 miles and guests are encouraged to walk at their own pace.
Guests are asked to park in the big parking in between the play- ground and the indoor/outdoor pool. The event starts at 11:30 AM.
Meryl Levine is the lead coordinator of this event and lost her father to esophageal cancer.
Photo via: Meryl Levine
“Esophageal Cancer is a preventable, treatable disease if caught early. My dad was a physician, tasked with taking care of people’s feet. He was strong, generous, and smart….a force to be reckoned with before cancer brought him and us to our knees. I won’t go into how my brother had to clean the blood off the bathroom floor, as he lay in a hospital bed. I won’t tell you how difficult it was to see my once proud father have trouble just getting out of bed. I also won’t tell you how it wasn’t cancer that killed my dad…it was the treatment that, in the end, got him. We need to find a better way of treating and battling cancer. Chemo is toxic and kills not only cancer cells but healthy cells as well. Through research, we may one day win this fight. If I can help prevent one family from having to experience the pain and degradation my family went through, then my father’s fight to live was worthwhile. And the fight that was his is now mine. I gladly accept this challenge.”
In 2015, The Salgi Esophageal Cancer Research Foundation awarded esophageal cancer research funding for the very first time! Since then over 20 requests have been made for esophageal cancer research funding. With your support and generosity, the charity hopes to again fund research again. The Salgi Esophageal Cancer Research Foundation also raised national AND international awareness. Your continued support directly impacts and sustains this mission!
Ready to make an even bigger impact?
When you register for the event, you will be asked if you’d like to create your own fundraising page. This is a great way to help raise more awareness of esophageal cancer and funding for this life-saving mission.
Registration is NOT required to make a custom fundraising page. To learn more and get started, click here.
Can’t make it? Here are other ways to get involved:
If you are unable to attend the event, there are many other ways in which you can make a difference and support this mission!
Donate: Support a team or individual fundraiser, click here.
Fundraise: Create your own custom fundraising page, click here.
-As one of the deadliest cancers, esophageal cancer has an overall 5 year survival rate of only 18.8%.
-There are no routine or standard screenings to improve early detection of esophageal cancer.
-Symptoms often arise late, once the cancer is considered advanced or “distant” (spread to lymph nodes and other organs.)
-Stage IV esophageal cancer has a survival rate of only 4.6%.
-Despite these facts, esophageal cancer research is extremely underfunded.
Make a difference!
Join The Salgi Esophageal Cancer Research Foundation to help make a difference against esophageal cancer. Whether you walk, volunteer, sponsor or donate, your involvement will directly support this life-saving mission. Thank you!
The Salgi Esophageal Cancer Research Foundation is a 501(c)(3) nonprofit organization as recognized by the Internal Revenue Service. salgi.org Mailing address: PO Box 1912, East Greenwich, RI, 02818.
The Salgi Esophageal Cancer Research Foundation is a 501 (c) (3) non profit organization as recognized by the Internal Revenue Service.
Content found on Salgi.org is for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.