Search results for "Colonoscopy"
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
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
Spotlight on colorectal cancer survival
One study found that colorectal cancer diagnosed six to 60 months after colonoscopy leads to a shorter life expectancy, while two others found increased risks of mental illness and chronic opioid use among colorectal cancer survivors.
https://gastroenterology.acponline.org/archives/2019/03/22/5.htm
22 Mar 2019
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
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
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 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: 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
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
New guideline encourages less colorectal cancer screening for low-risk patients
The guideline, developed by the BMJ Rapid Recommendations project, suggested no screening for individuals ages 50 to 79 years with an estimated 15-year colorectal cancer risk below 3%.
https://gastroenterology.acponline.org/archives/2019/10/25/2.htm
25 Oct 2019