Post written by Melissa Martinez, MD, MBA, FASGE, from Carle Foundation Hospital, Urbana, Illinois, USA. This Best of Series article focuses on the most impactful publication topics regarding colonoscopy, periprocedural management, and resection of colonic neoplasia. This year, many great publications continue to contribute to the wealth of knowledge and evolvement of colonoscopy. Some of these were …
Tag: colonoscopy
Revisiting the starting age of colorectal cancer screening for the average-risk Asian population: a cost-effectiveness analysis
Post written by Martin C.S. Wong, MD, and Junjie Huang, PhD, from The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong. The incidence and mortality of early-onset colorectal cancer (CRC) have been increasing in many parts of the world. The American Cancer Society and the U.S. …
Randomized crossover trial comparing through-the-scope balloon enteroscopy via colonoscope with standard colonoscopy on depth of ileal insertion
Post written by M. Ammar Kalas, MD, from Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA. This study aimed to assess the effect of a through-the-scope balloon attachment on depth of maximal ileal insertion (DMI) during retrograde enteroscopy. We adopted a crossover trial design in which each patient in the study …
Surveillance findings in high-risk patients after baseline computer-assisted detection colonoscopy: a propensity score matching analysis
Post written by Wai Keung Leung, MD, from the Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, China. This study aimed to determine long-term colonoscopy outcomes in patients after computer-assisted detection (CADe) colonoscopy at baseline. Although CADe colonoscopy has been consistently demonstrated to increase the colorectal adenoma or polyp detection rate, …
Creating a standardized tool for the evaluation and comparison of artificial intelligence–based computer-aided detection programs in colonoscopy: a modified Delphi approach
Post written by Sanjay Gadi, MD, and Jeremy Glissen Brown, MD, from Duke University Medical Center, Durham, North Carolina, USA. Artificial intelligence—based computer-aided detection (CADe) software may improve colorectal cancer outcomes by increasing adenoma detection while reducing miss rates during colonoscopy. CADe has had promising results in controlled environments but mixed results when evaluated in …
Pilot randomized trial of efficacy and safety of yogic technique versus polyethylene glycol solution for bowel preparation in colonoscopy
Post written by Manas Kumar Panigrahi, MD, DM, FRCP (Edin), from the Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, India. The focus of our study was to improve on existing methods of bowel preparation in colonoscopy. Bowel preparation is the most important determinant of a proper colonoscopy. Inadequate bowel preparation often leads to missed …
Comparison of quality performance metrics in screening and surveillance colonoscopy: a single-center experience
Post written by James Love, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA. Our study focused on comparing quality performance metrics between screening and surveillance colonoscopies. Although screening colonoscopies have well-established benchmarks, particularly for adenoma detection rate (ADR), surveillance procedures lack such validated metrics. This …
Optimal visual gaze pattern of endoscopists for improving adenoma detection during colonoscopy (with video)
Post written by Fumiaki Ishibashi, MD, PhD, from the International University of Health and Welfare Ichikawa Hospital, Chiba, Japan. Specific visual gaze pattern (VGP) during colonoscopy is assumed to be related to high colorectal adenoma detection. This randomized controlled trial (RCT) evaluated the optimal VGP that enabled the highest adenoma detection. We developed an eye-tracking and feedback …
Boosting efficiency in the endoscopy suite: integrating team workflows improves productivity and minimizes cost
Post written by Zoë Post, MD, MSc, and Neal A. Mehta, MD, from Rush University Medical Center, Chicago, Illinois, USA. The main purpose of our study was to improve turnover time in the endoscopy unit. We first defined the various components of the turnover process and identified the teams that are involved, such as anesthesiologists, nurses, technicians, and gastroenterologists. We then …
Top tips for the management of iatrogenic colon perforations
Post written by Mark Benson, MD, from the University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. Colonoscopy is one of the most common endoscopic procedures completed throughout the world. Although rare, procedure-related perforations are one of the most feared adverse events of colonoscopy because of the potential for unfavorable patient outcomes. The focus …
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