Search results for "Colonoscopy"
MKSAP Quiz: Follow-up of fundic gland polyps
A 55-year-old man is evaluated for follow-up of fundic gland polyps. After endoscopy and biopsy showing no dysplasia, when should a follow-up upper endoscopy be performed?
https://gastroenterology.acponline.org/archives/2024/04/26/4.htm
26 Apr 2024
In the Clinic, 2023 summary highlight gastroenterology topics
Colorectal cancer screening was the focus of the latest In the Clinic article, while an article in a supplement to Annals reviewed clinically important developments in gastroenterology and hepatology in 2023.
https://gastroenterology.acponline.org/archives/2024/04/26/5.htm
26 Apr 2024
Noninvasive methods show promise for CRC screening
A DNA blood-based test had approximately 83% sensitivity for colorectal cancer (CRC) and 13% sensitivity for advanced precancerous lesions in one industry-funded study, while a next-generation multitarget stool DNA test showed higher sensitivity but lower specificity for CRC and advanced precancerous lesions than fecal immunochemical testing in another.
https://gastroenterology.acponline.org/archives/2024/03/22/1.htm
22 Mar 2024
In persons aged ≥45 y, the mt-sRNA test had 94% sensitivity for colorectal cancer and 46% for advanced adenomas
The results of the industry-funded study support the use of the multitarget stool RNA (mt-sRNA) test for screening, but better adherence will be needed, and it is unclear whether the new test offers any advantages over current stool DNA testing, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2024/02/23/6.htm
23 Feb 2024
MKSAP quiz: Managing a serous cystadenoma
A 65-year-old woman is evaluated at a follow-up visit. She presented to the emergency department 2 weeks ago with a 2-day history of left-lower-quadrant abdominal pain. The radiology report shows a pancreatic cyst with all the imaging features of a serous cystadenoma. What is the most appropriate management?
https://gastroenterology.acponline.org/archives/2024/02/23/4.htm
23 Feb 2024
Endoscopic strategies for large colonic adenomas compared
Endoscopic submucosal dissection reduces recurrence but carries more adverse event risk than endoscopic mucosal resection, a multicenter French trial found.
https://gastroenterology.acponline.org/archives/2023/12/22/7.htm
22 Dec 2023
MKSAP Quiz: 6-month history of constipation
A 52-year-old man is evaluated for a 6-month history of constipation. He has bowel movements once every 5 days, low back pain after 2 days without a bowel movement, and straining during defecation. He reports no abdominal pain. After a physical exam and lab tests, what is the most appropriate management?
https://gastroenterology.acponline.org/archives/2023/11/17/4.htm
17 Nov 2023
Higher fecal hemoglobin concentration on FIT may support shorter screening interval
Patients with a hemoglobin concentration on fecal immunochemical testing (FIT) in the range directly below the positive result cutoff had significantly increased risk of adenoma on follow-up screening compared to those with lower results, a new analysis from Germany found.
https://gastroenterology.acponline.org/archives/2023/11/17/6.htm
17 Nov 2023
Lack of follow-up common for rectal bleeding in primary care
A retrospective cohort study found that 22.3% of patients didn't get timely workup for rectal bleeding; among that cohort, 36% had no follow-up procedure ordered and 44% had one ordered but not scheduled or scheduled but not completed.
https://gastroenterology.acponline.org/archives/2023/11/17/1.htm
17 Nov 2023
GLP-1 receptor agonists may affect colonoscopy bowel prep
A retrospective cohort study found that patients taking glucagon-like peptide-1 (GLP-1) receptor agonists for diabetes or obesity had lower-quality bowel prep for colonoscopy and were more likely to be called back for a repeat test.
https://gastroenterology.acponline.org/archives/2023/10/27/3.htm
27 Oct 2023