Search results for "Colonoscopy"
Higher fecal hemoglobin concentration on FIT may support shorter screening interval
Patients with a hemoglobin concentration on fecal immunochemical testing (FIT) in the range directly below the positive result cutoff had significantly increased risk of adenoma on follow-up screening compared to those with lower results, a new analysis from Germany found.
https://gastroenterology.acponline.org/archives/2023/11/17/6.htm
17 Nov 2023
Colonoscopy outreach increased CRC screening more than FIT outreach; both were better than usual care
Those choosing screening tests may need to start considering the feasibility of achieving all related downstream actions as well as sensitivity, false-positive rates, safety, and cost, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2018/01/26/7.htm
26 Jan 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
Fecal transplants by pill noninferior to colonoscopy delivery
The primary outcome of the unblinded, randomized trial was the proportion of patients without recurrent Clostridium difficile infection 12 weeks after fecal transplant.
https://gastroenterology.acponline.org/archives/2017/12/22/1.htm
22 Dec 2017
Lack of follow-up common for rectal bleeding in primary care
A retrospective cohort study found that 22.3% of patients didn't get timely workup for rectal bleeding; among that cohort, 36% had no follow-up procedure ordered and 44% had one ordered but not scheduled or scheduled but not completed.
https://gastroenterology.acponline.org/archives/2023/11/17/1.htm
17 Nov 2023
Start screening for colorectal cancer at age 50 years, ACP suggests
An update of ACP's 2019 guidance statement on the topic suggests that clinicians start screening for colorectal cancer in asymptomatic average-risk adults at age 50 years and consider not screening those between the ages of 45 and 49 years.
https://gastroenterology.acponline.org/archives/2023/08/25/6.htm
25 Aug 2023
New Beyond the Guidelines on recurrent diverticulitis
Two gastroenterologists with expertise in acute diverticulitis debated CT scanning for diagnosis, antibiotics for treatment, colonoscopy to screen for underlying malignancy, and elective surgery to prevent recurrent disease.
https://gastroenterology.acponline.org/archives/2023/06/23/8.htm
23 Jun 2023
MKSAP Quiz: Recurrence of ulcerative colitis symptoms
This month's quiz asks readers to determine the most appropriate treatment for a 32-year-old man with recurrent symptoms of ulcerative colitis on tapering of glucocorticoids.
https://gastroenterology.acponline.org/archives/2023/06/23/4.htm
23 Jun 2023
MKSAP Quiz: Follow-up after colon cancer
A 37-year-old man is evaluated during a follow-up appointment after resection of a well-differentiated adenocarcinoma of the ascending colon. His family history is significant for endometrial cancer in his mother and colon cancer in his maternal grandfather. What is the most appropriate next step in management?
https://gastroenterology.acponline.org/archives/2020/05/22/4.htm
22 May 2020
Any of 4 screening options suggested for screen-naive adults 59 to 70 y with ≥ 3% 15-y risk for colorectal cancer
To balance shared decision making and population health in colorectal cancer screening, as called for in a recent guideline, a viable strategy could include universal, opt-out fecal immunochemical testing starting at age 50 years, a commentary in ACP Journal Club noted.
https://gastroenterology.acponline.org/archives/2020/03/27/11.htm
27 Mar 2020