Search results for "Colonoscopy"
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
Early colonoscopy did not improve outcomes in those hospitalized for lower GI bleeding
A meta-analysis included four randomized trials comparing outcomes of colonoscopy within 24 hours versus later elective colonoscopy and/or other diagnostic tests in patients with lower gastrointestinal (GI) bleeding.
https://gastroenterology.acponline.org/archives/2019/12/27/3.htm
27 Dec 2019
New meta-analysis quantifies risks of colonoscopy
The risk of perforation during colonoscopy is 5.8 per 10,000, while bleeding occurs in 2.4 per 1,000 colonoscopies, according to a committee report from the American Society for Gastrointestinal Endoscopy.
https://gastroenterology.acponline.org/archives/2019/10/25/3.htm
25 Oct 2019
Mobile app increased screening rates, colonoscopy decreased mortality risk, studies find
One recent study used an iPad app to incorporate a decision aid for colorectal cancer screening, while another study looked at colonoscopy among U.S. veterans.
https://gastroenterology.acponline.org/archives/2018/03/23/7.htm
23 Mar 2018
Interval cancer after screening colonoscopy more common in black patients than in white patients
Adjusting for the physicians' detection rate did not alter the differences in risk associated with race/ethnicity, the study noted.
https://gastroenterology.acponline.org/archives/2017/05/26/8.htm
26 May 2017
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
Transportation, patient education among factors affecting colonoscopy rates after abnormal FIT, survey finds
Primary care physicians and staff were asked to identify patients' barriers to completing colonoscopy after an abnormal fecal immunochemical test (FIT) result, as well as factors that made completion more likely.
https://gastroenterology.acponline.org/archives/2021/08/27/2.htm
27 Aug 2021
Failure to undergo colonoscopy after positive FIT may double risk for death from colorectal cancer
A retrospective cohort study in Italy compared 10-year cumulative incidence and mortality among patients with a positive result on a fecal immunochemical test (FIT) who completed a diagnostic colonoscopy versus those who did not.
https://gastroenterology.acponline.org/archives/2021/04/23/3.htm
23 Apr 2021
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
MKSAP quiz: Timing of surveillance colonoscopy
This month's quiz asks readers to determine when surveillance colonoscopy should take place in a 63-year-old woman who had right hemicolectomy for colon cancer one year prior.
https://gastroenterology.acponline.org/archives/2019/01/25/3.htm
25 Jan 2019