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, …
Continue reading New-generation full-spectrum endoscopy versus standard forward-viewing 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 …
Continue reading Use of diphenhydramine as an adjunctive sedative for colonoscopy
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 …
Continue reading Impact of fellowship training level on colonoscopy quality and efficiency metrics
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 …
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 …
Continue reading Impact of experience on self-assessment accuracy of clinical colonoscopy competence
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 …
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 …
Continue reading Missed adenomas with behind-folds visualizing colonoscopy technologies
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 …
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 …
Continue reading Impact of gum chewing on the quality of bowel preparation
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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