colonoscopy

ASGE Journal ScanEndoskopie Allgemein

Is There an Environmental Impact From Inappropriate Endoscopy?

Is There an Environmental Impact From Inappropriate Endoscopy?

Endoscopy plays a significant role in a gastroenterologist’s practice. Unindicated or inappropriate endoscopies increase costs, take away resources from other patients, and may have a

ASGE Journal ScanKolon

Behavioral Interventions Have a Large Impact on Colonoscopy Uptake

Behavioral Interventions Have a Large Impact on Colonoscopy Uptake

Twenty-five studies with 30 interventions were analyzed for this study on the effect of behavioral interventions on colonoscopy uptake. Of the interventions evaluated by the

ASGE Journal ScanKolon

ChatGPT Provides Good Answers to Patient Questions About Colonoscopy

ChatGPT Provides Good Answers to Patient Questions About Colonoscopy

This study examined the quality of answers provided by ChatGPT (OpenAI, San Francisco, Calif) to 8 common questions about colonoscopy, compared with answers to the

ASGE Journal ScanKolon

Offering a Blood Test Increases CRC Screening in Patients Who Had Declined Colonoscopy and FIT

Offering a Blood Test Increases CRC Screening in Patients Who Had Declined Colonoscopy and FIT

This was a randomized controlled trial in 359 veterans aged 50 to 75 years who had declined colonoscopy and a fecal immunochemical test (FIT) in

ASGE Journal ScanKolon

Single U.S. Center Reports High Rates of Screening Colonoscopy in Older Patients With Low Life Expectancy: Low Yield and Very High Complication Rates

Single U.S. Center Reports High Rates of Screening Colonoscopy in Older Patients With Low Life Expectancy: Low Yield and Very High Complication Rates

The U.S. Preventive Services Task Force recommends that the decision regarding whether to screen persons aged 75 to 85 years for colorectal cancer be individualized

ASGE Journal ScanKolon

What Should You Photograph During Colonoscopy?

What Should You Photograph During Colonoscopy?

An expert colonoscopist recommends the following for photography during colonoscopy:  Cecal landmarks Terminal ileum, if intubated Bowel preparation quality Large lesions before and after endoscopic

ASGE Journal ScanKolon

Surveillance Colonoscopy Recommended Too Often in Older Patients With Limited Life Expectancy

Surveillance Colonoscopy Recommended Too Often in Older Patients With Limited Life Expectancy

Colonoscopists are advised to consider age, comorbidities, and colonoscopy findings before recommending surveillance. In a study of the New Hampshire Colonoscopy Registry, 9831 adults older

ASGE Journal ScanKolon

The Strongest Predictor of Colonoscopy Completion After a Positive Stool Test Is a Multitarget Stool DNA Test

The Strongest Predictor of Colonoscopy Completion After a Positive Stool Test Is a Multitarget Stool DNA Test

It is well known that the rates of follow-up colonoscopy after a positive fecal screening test are suboptimal, and delays in colonoscopy versus prompt colonoscopy

ASGE Journal ScanKolon

Trainees Often Look at Polyps and Don’t Recognize Them

Trainees Often Look at Polyps and Don’t Recognize Them

This study used eye tracking of 7 endoscopy trainees to determine whether missed polyps had not been seen versus seen but not recognized.  Trainees identified

ASGE Journal ScanKolon

More on Withdrawal Time in Colonoscopy

More on Withdrawal Time in Colonoscopy

Current recommendations are that minimum withdrawal times in screening colonoscopy that are negative should average at least 6 minutes.  In an analysis of a previously

ASGE Journal ScanKolon

Review Indicates Colorectal Cancer Screening Guidelines Have Inadequate Reporting and Discussion of Screening Harms

Review Indicates Colorectal Cancer Screening Guidelines Have Inadequate Reporting and Discussion of Screening Harms

Cancer screening can lead to patient-level harms from screening tests, diagnostic follow-up, and cancer treatment. This review examined U.S. screening guidelines on breast, cervical, colorectal,

ASGE Journal ScanKolon

The Impact of Different Bowel Preparation Approaches on Nocturnal Awakenings, Sleep Loss, and Travel Interruption

The Impact of Different Bowel Preparation Approaches on Nocturnal Awakenings, Sleep Loss, and Travel Interruption

This is a subinvestigation of a randomized bowel preparation trial in 10 Canadian centers. Patients were divided into 2 groups and underwent colonoscopy either in

ASGE Journal ScanKolon

Postcolonoscopy Symptoms Are Related to Gender, Mood, Prior Somatic Symptoms

Postcolonoscopy Symptoms Are Related to Gender, Mood, Prior Somatic Symptoms

There are few prospective, detailed studies on factors such as time lost from work and symptoms after colonoscopy. This study prospectively measured postcolonoscopy symptoms in

ASGE Journal ScanKolon

Artificial Intelligence Increased Fraction of Colonoscopy Patients Needing 3-Year Surveillance: Relative Increase of 35% and Absolute Increase of 2.9%

Artificial Intelligence Increased Fraction of Colonoscopy Patients Needing 3-Year Surveillance: Relative Increase of 35% and Absolute Increase of 2.9%

This study examined the fraction of patients undergoing colonoscopy with versus without artificial intelligence (AI) in 9 randomized controlled trials (6 parallel and 3 tandem)

ASGE Journal ScanKolon

Observational Study Indicates Early Colonoscopy, Within 24 Hours of Admission, Benefits Patients With Shock Index ≥1, Performance Status ≥3

Observational Study Indicates Early Colonoscopy, Within 24 Hours of Admission, Benefits Patients With Shock Index ≥1, Performance Status ≥3

Randomized controlled trials of early versus late colonoscopy in acute lower GI bleeding suggest no or limited benefit from early colonoscopy, but some of these

ASGE Journal ScanKolon

American College of Physicians Issues Guideline on Colonoscopy and Interventions to Prevent Recurrence After Acute Left-sided Diverticulitis

American College of Physicians Issues Guideline on Colonoscopy and Interventions to Prevent Recurrence After Acute Left-sided Diverticulitis

This guideline from the American College of Physicians appears with a summary of the supporting literature review and has 3 recommendations: Colonoscopy should be performed

ASGE Journal ScanKolon

Impact of Colonoscopy on Patients’ Work Productivity

Impact of Colonoscopy on Patients’ Work Productivity

The impact of colonoscopy on work productivity was assessed prospectively in 1137 employed patients in 10 Italian centers, utilizing a diary for 7 days after

ASGE Journal ScanKolon

Current Rates of Colorectal Cancer in Average-Risk Screening Are About 1 in 500

Current Rates of Colorectal Cancer in Average-Risk Screening Are About 1 in 500

Older studies have suggested that the prevalence of cancer detected with average-risk screening colonoscopy is 0.5% to 1% or about 1 cancer per 100 to

ASGE Journal ScanKolon

New Expert Review From the American Gastroenterological Association on Managing Colonic Diverticulitis

New Expert Review From the American Gastroenterological Association on Managing Colonic Diverticulitis

The American Gastroenterological Association has issued a clinical practice update on the management of colonic diverticulitis. The recommendations are as follows: Physicians should order a

ASGE Journal ScanKolon

Anesthesia and Pathology Charges Lead to Surprise Billing in Commercially Insured Colonoscopy

Anesthesia and Pathology Charges Lead to Surprise Billing in Commercially Insured Colonoscopy

This study reviewed colonoscopies identified in a claims database from a large national insurer in the United States. The database was queried for commercially insured

ASGE Journal ScanKolon

New Clinical Model Predicts Need for Screening Colonoscopy

New Clinical Model Predicts Need for Screening Colonoscopy

A risk-stratified approach to colorectal cancer screening within the average-risk population is seldom used. In this approach, patients whose prescreening predicted prevalence of advanced neoplasia

ASGE Journal ScanKolon

More Evidence That Negative Screening Colonoscopy Can Be Followed by Intervals of More Than 10 Years

More Evidence That Negative Screening Colonoscopy Can Be Followed by Intervals of More Than 10 Years

This study compared the incidence of advanced neoplasms in 2456 German screening colonoscopy patients who had a previous colonoscopy without polyps to the results from

ASGE Journal ScanKolon

Ontario Physicians More Likely to Get Colonoscopy Than Their Patients

Ontario Physicians More Likely to Get Colonoscopy Than Their Patients

This study evaluated administrative health care data from Ontario, Canada, to determine colorectal cancer screening rates among physicians, aged 52 to 74 years, and their