Search results for "Colonoscopy"
Studies show mixed results for artificial intelligence during colonoscopies
One study found a higher adenoma detection rate in patients who underwent computer-aided detection compared to standard colonoscopy, while another found that artificial intelligence did not improve identification of advanced colorectal neoplasias.
https://gastroenterology.acponline.org/archives/2023/09/22/6.htm
22 Sep 2023
Start screening for colorectal cancer at age 50 years, ACP suggests
An update of ACP's 2019 guidance statement on the topic suggests that clinicians start screening for colorectal cancer in asymptomatic average-risk adults at age 50 years and consider not screening those between the ages of 45 and 49 years.
https://gastroenterology.acponline.org/archives/2023/08/25/6.htm
25 Aug 2023
New Beyond the Guidelines on recurrent diverticulitis
Two gastroenterologists with expertise in acute diverticulitis debated CT scanning for diagnosis, antibiotics for treatment, colonoscopy to screen for underlying malignancy, and elective surgery to prevent recurrent disease.
https://gastroenterology.acponline.org/archives/2023/06/23/8.htm
23 Jun 2023
MKSAP Quiz: Recurrence of ulcerative colitis symptoms
This month's quiz asks readers to determine the most appropriate treatment for a 32-year-old man with recurrent symptoms of ulcerative colitis on tapering of glucocorticoids.
https://gastroenterology.acponline.org/archives/2023/06/23/4.htm
23 Jun 2023
First oral treatment approved for moderate to severe Crohn's disease
Upadacitinib (Rinvoq) is now approved to treat adult patients with moderately to severely active Crohn's disease who have had an inadequate response or intolerance to one or more tumor necrosis factor blockers.
https://gastroenterology.acponline.org/archives/2023/05/26/9.htm
26 May 2023
Colonoscopy common, riskier in those with life expectancy of less than 10 years
A study of patients undergoing screening colonoscopy after age 75 years found that relatively few cancers were found and treated and that the risk of adverse events requiring hospitalization was high and rose with age.
https://gastroenterology.acponline.org/archives/2023/04/21/1.htm
21 Apr 2023
Risk for CRC with young-onset adenomas may vary by stage
A cohort study in U.S. veterans younger than age 50 years found that those with advanced adenomas had an eightfold increased risk for incident colorectal cancer (CRC) versus those with normal results, whereas cumulative CRC incidence and mortality at 10 years were relatively low overall.
https://gastroenterology.acponline.org/archives/2023/04/21/3.htm
21 Apr 2023
Colonoscopies often recommended to patients with limited life expectancy
A study of patients ages 65 years and older found that 58.1% of those with life expectancy of less than five years and no polyps or only small hyperplastic polyps were told to return for future surveillance, as were 74.8% of those with life expectancy of five to 10 years.
https://gastroenterology.acponline.org/archives/2023/03/24/7.htm
24 Mar 2023
ACG updates its guideline on acute lower GI bleeding
The American College of Gastroenterology (ACG) now recommends risk stratification to identify patients who can be discharged early and advises on the use of anticoagulant reversal agents, among other changes.
https://gastroenterology.acponline.org/archives/2023/03/24/2.htm
24 Mar 2023
Adenoma detection rate inversely associated with postcolonoscopy colorectal cancer after FIT screening
A study of an Italian fecal immunochemical test (FIT)-based screening program found a 2.35-fold risk increase in postcolonoscopy colorectal cancer among patients treated by endoscopists with the lowest versus highest adenoma detection rate.
https://gastroenterology.acponline.org/archives/2023/02/24/10.htm
24 Feb 2023