Search results for "Colonoscopy"
Guideline recommends colorectal cancer screening starting at age 45
Adults should be screened with either a high-sensitivity stool-based test or a structural (visual) examination, depending on patient preference and test availability, the guideline said.
https://gastroenterology.acponline.org/archives/2018/06/22/8.htm
22 Jun 2018
MKSAP quiz: ED visit for lower abdominal discomfort
This month's quiz asks readers to determine appropriate management for a 58-year-old woman who presents to the ED with findings consistent with acute diverticulitis.
https://gastroenterology.acponline.org/archives/2018/07/27/4.htm
27 Jul 2018
Colonoscopy with computer-aided diagnosis may allow better assessment of diminutive polyps
The study aimed to determine whether computer-aided diagnosis had a negative predictive value of 90% or more for identifying diminutive rectosigmoid adenomas.
https://gastroenterology.acponline.org/archives/2018/08/24/6.htm
24 Aug 2018
Mailing fecal immunochemical tests to patients due for colorectal cancer screening increased screening uptake
Compared with usual care clinics, intervention clinics had a significantly higher adjusted clinic-level proportion of participants who completed a mailed fecal immunochemical test and more participants who completed any colorectal cancer screening.
https://gastroenterology.acponline.org/archives/2018/08/24/8.htm
24 Aug 2018
Tailored thresholds for FIT may increase colorectal cancer detection
Rates of cancer detection and the number of positive test results per cancer case detected varied significantly by age and sex, which suggests that modifying positivity thresholds by subgroups might optimize screening program performance.
https://gastroenterology.acponline.org/archives/2018/09/28/6.htm
28 Sep 2018
After surgery for stage II or III colorectal cancer, more vs less frequent follow-up did not differ for 5-year mortality
The findings help clarify the ideal process for surveillance of clinical recurrence of colorectal cancer, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2018/10/26/7.htm
26 Oct 2018
FIT screening may not be the best method to find right-sided cancers, study indicates
An accompanying editorial noted that fecal immunochemical testing (FIT) may be less effective in the right colon in part because lesions grow more rapidly and bleed less.
https://gastroenterology.acponline.org/archives/2018/10/26/6.htm
26 Oct 2018
Spotlight on follow-up colonoscopy
One recent study identified four barriers to follow-up colonoscopy after a positive fecal-based test result, while another found that a delay of six months or more between a positive result and follow-up colonoscopy was associated with an increased risk of colorectal cancer.
https://gastroenterology.acponline.org/archives/2018/11/27/5.htm
27 Nov 2018
Spotlight on postpolypectomy care
One recent study compared postpolypectomy surveillance with colonoscopy versus fecal immunochemical testing, while another assessed the rate of postpolypectomy complications in patients prescribed antithrombotic agents.
https://gastroenterology.acponline.org/archives/2018/12/28/5.htm
28 Dec 2018
MKSAP quiz: Persistent constipation for 2 years
This month's quiz asks readers to determine the most appropriate treatment for persistent constipation in a 60-year-old woman taking chronic opioid analgesic therapy for reflex sympathetic dystrophy syndrome.
https://gastroenterology.acponline.org/archives/2018/12/28/4.htm
28 Dec 2018