Search results for "Colonoscopy"
Low-volume bowel prep appears as effective as high-volume for colonoscopy
No significant between-group differences were seen for low-volume versus high-volume split-dose regimens in adequacy of bowel cleansing, while low-volume regimens had higher odds of patient adherence or completion, tolerability, and willingness to repeat.
https://gastroenterology.acponline.org/archives/2019/11/22/1.htm
22 Nov 2019
Colonoscopy surveillance every 3 years may be sufficient after polypectomy
A multicenter randomized trial in Japan found that a single surveillance colonoscopy three years postpolypectomy and two surveillance colonoscopies at one and three years were similarly accurate for detecting clinically important neoplastic lesions.
https://gastroenterology.acponline.org/archives/2020/11/20/2.htm
20 Nov 2020
About 1 in 8 commercially insured patients received potential surprise bill for colonoscopy
Of more than 1 million elective colonoscopies in commercially insured U.S. patients, about 12% involved out-of-network claims at a median cost of $418 per potential surprise bill, a study found.
https://gastroenterology.acponline.org/archives/2020/10/23/9.htm
23 Oct 2020
For colonoscopy prep, low-volume, same-day dosing appears as effective as split dosing
A randomized trial of three polyethylene glycol regimens found that more patients tolerated and were willing to repeat low-volume same-day or split-dose prep compared to high-volume split-dose regimens.
https://gastroenterology.acponline.org/archives/2020/08/28/3.htm
28 Aug 2020
Older adults have greater risk for complications after colonoscopy, study finds
The results suggest that clinicians should carefully consider the decision to perform colonoscopy in patients ages 75 years and older, particularly in the presence of comorbidities, study authors said.
https://gastroenterology.acponline.org/archives/2020/07/24/6.htm
24 Jul 2020
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
Single high-quality colonoscopy may provide mortality benefits for more than 10 years
Patients who received a high-quality colonoscopy had profound and stable reductions in colorectal cancer incidence and mortality throughout study follow-up, compared to the general population and to those who received low-quality colonoscopy, a Polish study found.
https://gastroenterology.acponline.org/archives/2020/06/26/6.htm
26 Jun 2020
In CVD, continuing vs interrupting clopidogrel before colonoscopy did not differ for delayed postpolypectomy bleeding
The results of this randomized trial do not support current guidelines, which recommend withholding antiplatelet drugs to reduce risk for postpolypectomy bleeding, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2019/07/26/9.htm
26 Jul 2019
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
MKSAP quiz: Colonoscopy after a sessile serrated polyp
This month's quiz asks readers to determine the appropriate interval for repeating colonoscopy in a 57-year-old woman whose most recent screening colonoscopy disclosed a 12-mm sessile serrated polyp in the ascending colon.
https://gastroenterology.acponline.org/archives/2017/04/28/4.htm
28 Apr 2017