Tag: colonoscopy

Impact of fellowship training level on colonoscopy quality and efficiency metrics

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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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A prospective comparison of live and video-based assessments of colonoscopy performance

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Post written by Michael A. Scaffidi, BSc(Hon), MEd, and Catharine M. Walsh, MD, MEd, PhD, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment is a critical process to determine endoscopic competence. Real-time, or “live” assessment, involves an …

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Impact of experience on self-assessment accuracy of clinical colonoscopy competence

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Post written by Michael A. Scaffidi, BSc(Hon) MEd, and Catharine M. Walsh, MD, MEd, PhD, FRCPC, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment of gastrointestinal endoscopy competence is integral to delivering high-quality patient care. Endoscopic competence …

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The SAFE-T assessment tool

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Post written by Navin L. Kumar, MD and John R. Saltzman, MD, from Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, and Harvard Medical School, Boston, Massachusetts, USA. The focus of our study was to develop and validate a concise assessment tool to evaluate real-time fellow performance in colonoscopy via a web-based application …

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Missed adenomas with behind-folds visualizing colonoscopy technologies

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Post written by Eelco C. Brand from the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, the Netherlands. The efficacy of screening and surveillance colonoscopy is reduced by the occurrence of interval-/post-colonoscopy colorectal cancer. One of the factors associated with the occurrence of interval-/post-colonoscopy colorectal cancer is the fact that polyps and adenomas …

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Editor’s Choice: The colonoscopist’s guide to the vocabulary of colorectal neoplasia

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Associate Editor, Dr. Lisa Strate, highlights this article from the August issue “The colonoscopist's guide to the vocabulary of colorectal neoplasia: histology, morphology, and management” by Douglas K. Rex, MD, Cesare Hassan, MD, and Michael J. Bourke, MD This is a wonderfully comprehensive yet concise guide to the vocabulary regarding colonoscopy with polypectomy and its …

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Impact of gum chewing on the quality of bowel preparation

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Post written by Yu Bai, MD, PhD, from the Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. Polyethylene glycol (PEG) is widely used for bowel preparation; however, it is reported that up to 20 to 25% of patients have inadequate bowel preparation, so the methods to improve the quality of bowel preparation …

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Overbooking and recruitment increases uptake of appointments among African American patients

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Post written by Folasade P. May, MD, PhD, from the Greater Los Angeles Veterans Affairs Network and UCLA Vatche and Tamar Manoukian Division of Digestive Diseases. African Americans see several disparities in healthcare utilization and healthcare outcomes. These disparities also occur in utilization of common gastroenterological procedures. African Americans are less likely than white Americans …

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Tip-in EMR for R0 resection

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Post written by Hsiyuan Chien,¹ MD, and Kenichiro Imai,² MD ¹Division of Gastroenterology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan ²Division of Endoscopy, Shizuoka Cancer Center, Shizuoka Japan In this video case, colonoscopy in a 42-year-old-female showed a lateral spreading tumor granular homogeneous type, 30mm in diameter at the ascending …

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Editor’s Choice: Presence of small SSPs increases rate of advanced neoplasia

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Associate Editor, Dr. Lisa Strate, highlights this article from the August issue "Presence of small sessile serrated polyps increases rate of advanced neoplasia upon surveillance compared with isolated low-risk tubular adenomas" by Joshua Melson, MD, Karen Ma, MD, Saba Arshad, MBBS, et al. Large sessile serrated adenomas are associated with an increased risk of synchronous …

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