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
colonoscopy
colonoscopy
Is There an Environmental Impact From Inappropriate Endoscopy?
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
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
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
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
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
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
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
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
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
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,
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
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
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)
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
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
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
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
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
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
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
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
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