Search results for "Colonoscopy"
Pandemic may have led to later presentation of colorectal, breast cancers
A single-center study in California found that more patients presented with stage I disease and fewer presented with stage IV disease in 2019 versus 2020, but the changes were statistically significant only for breast cancer.
https://gastroenterology.acponline.org/archives/2022/02/25/3.htm
25 Feb 2022
Invitation to a single FS screening vs. usual care reduced colorectal cancer mortality and incidence at >15 y
The SCORE trial demonstrated the long-term protective effect from flexible sigmoidoscopy (FS) screening for colorectal cancer at ages 55 to 64 years, supporting the safety of using it as a single intervention, an ACP Journal Club commentary noted.
https://gastroenterology.acponline.org/archives/2022/03/25/7.htm
25 Mar 2022
MKSAP Quiz: Watery, nonbloody diarrhea and abdominal pain
This month's quiz asks readers to determine the most appropriate diagnostic test to perform in a 25-year-old patient with watery, nonbloody diarrhea of 9 months' duration, usually accompanied by abdominal pain in the periumbilical area or left lower quadrant.
https://gastroenterology.acponline.org/archives/2022/04/22/4.htm
22 Apr 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
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
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
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: 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