Search results for "Colonoscopy"
Spotlight on CRC screening and follow-up
Several recent studies focused on screening and follow-up for colorectal cancer (CRC), including one that found differences in decision making between primary care physicians and gastroenterologists on surveillance colonoscopies in older adults.
https://gastroenterology.acponline.org/archives/2023/01/27/5.htm
27 Jan 2023
MKSAP Quiz: Loose, bloody stools and rectal inflammation
This month's quiz asks readers to determine the most appropriate treatment for a 20-year-old patient with loose, bloody stools up to three times daily and moderate inflammatory mucosal changes involving the rectum.
https://gastroenterology.acponline.org/archives/2022/12/23/4.htm
23 Dec 2022
MKSAP Quiz: Follow-up after a diagnosis of primary sclerosing cholangitis
This month's quiz asks readers to determine the most appropriate management of a 34-year-old patient who presents to follow-up after receiving a diagnosis of primary sclerosing cholangitis.
https://gastroenterology.acponline.org/archives/2022/11/18/4.htm
18 Nov 2022
Patient-facing web platform helped identify those with higher colorectal cancer risk
A program that asked patients to enter their family health history identified more high-risk patients but didn't change rates of colorectal cancer screening or genetic counseling, a trial of U.S. veterans found.
https://gastroenterology.acponline.org/archives/2022/11/18/1.htm
18 Nov 2022
European trial finds reduction in cancers but not deaths with invitation to colonoscopy screening
Healthy patients in Poland, Norway, and Sweden were randomized to usual care or an invitation to screening colonoscopy; only 42% of invited patients responded. The invited group had an 18% lower risk of colorectal cancer at 10 years compared to the usual care group.
https://gastroenterology.acponline.org/archives/2022/10/28/7.htm
28 Oct 2022
Single sigmoidoscopy significantly reduced long-term CRC incidence
A pooled analysis of four large randomized trials of sigmoidoscopy screening found a significant and sustained effect of a single performance of the test on colorectal cancer (CRC) incidence and mortality over 15 years of follow-up.
https://gastroenterology.acponline.org/archives/2022/10/28/3.htm
28 Oct 2022
Adenoma detection rate after positive FIT associated with interval cancer risk
A Dutch study of fecal immunochemical testing (FIT)-based colonoscopies found that for every 1,000 patients, the expected number of cancers after five years would be about 2 for endoscopists with adenoma detection rates (ADRs) of 70%, compared with more than 4.5 with an ADR of 55%.
https://gastroenterology.acponline.org/archives/2022/10/28/9.htm
28 Oct 2022
MKSAP Quiz: CRC surveillance after polyp removal
This month's quiz asks readers to determine the most appropriate colorectal cancer (CRC) surveillance interval in a 60-year-old patient following removal of a 7-mm sessile serrated polyp.
https://gastroenterology.acponline.org/archives/2022/09/23/4.htm
23 Sep 2022
MKSAP Quiz: Sudden-onset abdominal pain followed by bright red rectal bleeding
This month's quiz asks readers to determine the most likely diagnosis for a 68-year-old woman evaluated in the ED for sudden-onset, crampy, left-lower-quadrant abdominal pain followed several hours later by passage of bright red blood per rectum.
https://gastroenterology.acponline.org/archives/2022/07/22/4.htm
22 Jul 2022
AGA issues guidance on drug treatment for patients with IBS
Two new clinical practice guidelines from the American Gastroenterological Association (AGA) provide recommendations on the use of medications to treat irritable bowel syndrome (IBS) with constipation and IBS with diarrhea.
https://gastroenterology.acponline.org/archives/2022/06/24/1.htm
24 Jun 2022