Efficacy and cost-effectiveness of fecal immunochemical test versus colonoscopy in colorectal cancer screening

Post written by Guo-Chao Zhong, PhD, from the Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. The fecal immunochemical test and colonoscopy are the most commonly used strategies for colorectal cancer screening worldwide. Colonoscopy is regarded as the most sensitive test for the early detection of colorectal neoplasia. However, …

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Improvement in colonoscopy quality metrics in clinical practice

Post written by Simon C. Mathews, MD, from the Johns Hopkins University School of Medicine, Department of Medicine, Division of Gastroenterology and Hepatology, and the Johns Hopkins Medicine Armst.rong Institute for Patient Safety and Quality, Baltimore, Maryland, USA. Our basic aim was to determine whether metrics for colonoscopy quality have improved over time. Research, education, …

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Quality assurance of computer-aided detection and diagnosis in colonoscopy

Post written by Daniela Guerrero Vinsard, MD, and Yuichi Mori, MD, PhD, from the Showa University International Center for Endoscopy and Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan, and the Division of Internal Medicine, University of Connecticut Health Center, Farmington, Connecticut, USA. Artificial Intelligence (AI) in gastrointestinal endoscopy entails the construction of …

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Performance indicators in colonoscopy after certification for independent practice

Post written by Keith Siau, MBChB, MRCP, and Paul Dunckley, MBChB, FRCP, DPhil, from the Joint Advisory Group, Royal College of Physicians, London, the Department of Gastroenterology, Dudley Group Hospitals NHSFT, Dudley, and the Department of Gastroenterology, Gloucestershire Royal Hospital, Gloucester, United Kingdom. This prospective UK-wide observational study focused on the following: Quality of colonoscopy …

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Minimal water exchange colonoscopy

Post written by Jen-Hao Yeh, MD, and Hsi-Yuan Chien, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, E-DA Hospital/I-shou University, Kaohsiung, and the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taiwan Adventist Hospital, Taipei, Taiwan. Water colonoscopy is very useful to reduce pain and facilitate intubation for difficult colons. …

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Index colonoscopy-related risk factors for postcolonoscopy colorectal cancers

Post written by Theodore A. Tollivoro, MD, from the Division of Research, Kaiser Permanente Northern California, Oakland, California, USA. Over the last 20 years, we have realized the importance of quality metrics as they apply to colonoscopic exam. We track physician adenoma detection rates, cecal intubation rates, and ensure our patients undergo exams with optimal …

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Impact of water exchange colonoscopy on endoscopy room efficiency

Post written by Sergio Cadoni, MD, from the Digestive Endoscopy Unit, CTO Hospital, Iglesias, Italy. Water exchange colonoscopy (WE) has been consistently shown to be the least painful insertion technique, decreasing the need for sedation and significantly increasing colon cleanliness and lesion detection. However, the wide adoption of WE has been hindered by the misconception …

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New-generation full-spectrum endoscopy versus standard forward-viewing colonoscopy

Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Although colonoscopy is the gold standard for detection of colorectal adenomas, some adenomas are missed. Full-spectrum endoscopy (FUSE) allows for observation with a 330° angle of view, which is expected to decrease the miss rate. However, …

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Use of diphenhydramine as an adjunctive sedative for colonoscopy

Post written by Salman Nusrat, MD, from the University of Oklahoma Health Sciences Center and the Veterans Affairs Medical Center, Oklahoma City, Oklahoma, USA. The primary aim of our study was to evaluate if the addition of diphenhydramine to routinely used sedatives will decrease the amount of fentanyl and midazolam used during colonoscopy in patients …

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Impact of fellowship training level on colonoscopy quality and efficiency metrics

Post written by Hussein Bitar, MD, from the Section of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. Our study highlighted newly defined colonoscopy performance measures–the adenoma and polyp management efficiency indices. We retrospectively evaluated the performance of these indices at each level of training in assessing colonoscopy skill …

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