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https://www.readbyqxmd.com/read/29332407/nutritional-deficiency-during-colonoscopy-preparation-the-forgotten-iatrogeny
#1
Gonçalo Nunes, Ana Teresa Barata, Carla Adriana Santos, Marta Patita, Jorge Fonseca
BACKGROUND AND AIMS: Bowel preparation for colonoscopy induces a semi-fasting state, with a potential negative impact on fragile patients. The present study aims to quantify nutritional deficiency during colonoscopy preparation. METHODS: This was an observational and cross-sectional study. A convenience sample was obtained that included adults that underwent colonoscopy after bowel preparation with Klean-Prep® according to the center protocol. Anthropometric evaluation was performed and nutritional deficiency was calculated via the quantification of energy and protein intake during the 48 hours prior to the examination which was compared with the individuals' needs...
January 15, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29317271/temporal-trends-in-postcolonoscopy-colorectal-cancer-rates-in-screen-eligible-persons-a-population-based-study
#2
Sanjay K Murthy, Eric I Benchimol, Jill Tinmouth, Paul D James, Robin Ducharme, Alaa Rostom, Catherine Dubé
BACKGROUND AND AIMS: Colorectal cancers (CRCs) diagnosed between 6 and 36 months after colonoscopy, termed postcolonoscopy CRCs (PCCRCs), arise primarily due to missed or inadequately treated neoplasms during colonoscopy. Quality indicators and technological advances have been introduced to colonoscopy practice that should have reduced the PCCRC rate over time. We assessed temporal trends in the population rate of PCCRC as a measure of changing colonoscopy quality. METHODS: We conducted a population-based retrospective cohort study of 50- to 74-year-old people without major risk factors for CRC who underwent complete colonoscopy in Ontario, Canada between 1996 and 2010...
January 6, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29302876/improving-the-quality-of-inpatient-bowel-preparation-for-colonoscopies
#3
Sarah K Argyropoulos, S Kashif Mahmood, Emily J Campbell, James M Richter
BACKGROUND: Hospitalized patients completing bowel preparation for colonoscopy typically have preparations of poorer quality when compared to outpatient populations. AIMS: Our study aimed to evaluate the effectiveness of a performance improvement program in improving colonoscopy preparation for an inpatient population. METHODS: We identified a cohort of adult patients (n = 641) undergoing an inpatient colonoscopy during a 12-month period at an academic medical center and compared a multifactor intervention group to a historical baseline group...
January 4, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29288474/association-between-investigator-measured-body-mass-index-and-colorectal-adenoma-a-systematic-review-and-meta-analysis-of-168-201-subjects
#4
Martin Chi-Sang Wong, Chun-Hei Chan, Wilson Cheung, Din-Hei Fung, Miaoyin Liang, Jason Li-Wen Huang, Yan-Hong Wang, Johnny Yu Jiang, Chun-Pong Yu, Harry Haoxiang Wang, Justin Che-Yuen Wu, Francis Ka-Leung Chan, Joseph Jao-Yiu Sung
The objective of this meta-analysis is to evaluate the odds of colorectal adenoma (CRA) in colorectal cancer screening participants with different body mass index (BMI) levels, and examine if this association was different according to gender and ethnicity. The EMBASE and MEDLINE were searched to enroll high quality observational studies that examined the association between investigator-measured BMI and colonoscopy-diagnosed CRA. Data were independently extracted by two reviewers. A random-effects meta-analysis was conducted to estimate the summary odds ratio (SOR) for the association between BMI and CRA...
December 29, 2017: European Journal of Epidemiology
https://www.readbyqxmd.com/read/29249913/new-strategies-to-improve-polypectomy-during-colonoscopy
#5
Michael B Wallace
In the United States, colorectal cancer (CRC) is the second-leading cause of cancer-related deaths. The most effective strategy for prevention of CRC is to screen for and remove precancerous polyps. There are various ways to screen for CRC. In the United States, the most common method is colonoscopy. Polyps are classified primarily through pathology. Size is the primary risk factor for malignancy. In general, the bigger the polyp, the greater the risk for malignancy. There are 3 basic options for removal: standard polypectomy; advanced resection techniques, known as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD); and surgical removal...
October 2017: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29243102/split-dose-bowel-preparation-reduces-the-need-for-early-repeat-colonoscopy-without-improving-adenoma-detection-rate
#6
Li Wang, Brandon S Sprung, Arthur J DeCross, Danielle Marino
BACKGROUND AND AIMS: Split-dose bowel preparation is associated with improved mucosal visualization and patient tolerance, becoming a standard of care. However, quality measures data associated with this preparation are limited. At our academic tertiary-care facility, we aim to study the effect of changing from single- to split-dose preparation on colonoscopy quality measures. METHODS: A retrospective cohort study with quality indicators was conducted using electronic medical record data...
December 14, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29237201/implementation-of-a-checklist-before-colonoscopy-a-quality-improvement-initiative
#7
Omar Kherad, Sophie Restellini, Charles Ménard, Myriam Martel, Alan Barkun
Background and study aims Checklists can prevent errors and have a positive impact on patient morbidity and mortality in different surgical settings, and possibly also in gastrointestinal endoscopy. The aims of this study were to reinforce commitment in safety culture and better communication among team members in endoscopy, and to prove the feasibility of successful checklist adoption before colonoscopy. Patients and methods The study involved a pre - post quality improvement intervention involving all consecutive patients undergoing a colonoscopy at a single academic endoscopy unit...
December 13, 2017: Endoscopy
https://www.readbyqxmd.com/read/29235584/erratum-a-short-telephone-call-reminder-improves-bowel-preparation-quality-indicators-and-patient-satisfaction-with-first-colonoscopy
#8
Marisol Gálvez, Angel Mario Zarate, Hector Espino, Fátima Higuera-de la Tijera, Richard Alexander Awad, Santiago Camacho
[This corrects the article DOI: 10.1055/s-0043-117954.].
December 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29230115/interval-colorectal-cancers-at-ochsner-medical-center-where-do-we-stand
#9
Felicia Humphrey, Mariella Gastañaduy, James Smith, Charles B Whitlow
Background: An interval colorectal cancer is a cancer diagnosed prior to the recommended follow-up time from a previously negative colonoscopy. These cancers are thought to arise from a rapidly growing cancer, missed cancer, or incompletely resected adenomas. Our study aimed to identify interval cancers diagnosed during a 4-year period and to identify any potential risk factors associated with these cancers. Secondly, we compared our interval colorectal cancer rate with other published rates...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/29218318/patient-comfort-scores-do-not-affect-endoscopist-behavior-during-colonoscopy-while-trainee-involvement-has-negative-effects-on-patient-comfort
#10
Brian P H Chan, Amanda Hussey, Natalie Rubinger, Lawrence C Hookey
Introduction : Patient comfort is an important part of endoscopy and reflects procedure quality and endoscopist technique. Using the validated, Nurse Assisted Patient Comfort Score (NAPCOMS), this study aimed to determine whether the introduction of NAPCOMS would affect sedation use by endoscopists. Patients and methods : The study was conducted over 3 phases. Phase One and Two consisted of 8 weeks of endoscopist blinded and aware data collection, respectively...
December 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29212310/quality-metrics-of-a-fecal-immunochemical-test-based-colorectal-cancer-screening-program-in-korea
#11
Dae Ho Kim, Jae Myung Cha, Min Seob Kwak, Jin Young Yoon, Young-Hak Cho, Jung Won Jeon, Hyun Phil Shin, Kwang Ro Joo, Joung Il Lee
Background/Aims: Knowledge regarding the quality metrics of fecal immunochemical test (FIT)-based colorectal cancer screening programs is limited. The aim of this study was to investigate the performance and quality metrics of a FIT-based screening program. Methods: In our screening program, asymptomatic subjects aged ≥50 years underwent an annual FIT, and subjects with positive FIT results underwent a subsequent colonoscopy. The performance of the FIT and colonoscopy was analyzed in individuals with a positive FIT who completed the program between 2009 and 2015 at a university hospital...
December 8, 2017: Gut and Liver
https://www.readbyqxmd.com/read/29210813/effect-of-low-volume-split-dose-purgative-on-the-quality-of-bowel-prep-for-colonoscopy-on-the-hospitalized-patient
#12
Judy A Corliss
Although colon cancer is preventable, it is still the second leading cause of cancer death in both men and women in the United States (). Colonoscopy is as yet the gold standard for colon cancer prevention (). The success of colonoscopy is dependent upon the quality of the bowel prep. The problem addressed in this study was the impact of hospitalization on bowel prep quality. The participants in this study were 54 consecutive inpatients older than 18 years and 52 consecutive outpatients older than 18 years who were scheduled for colonoscopy in the Endoscopy Lab at Santa Barbara Cottage Hospital...
November 2017: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/29202001/validating-bowel-preparation-scales
#13
Valérie Heron, Robin Parmar, Charles Ménard, Myriam Martel, Alan N Barkun
Background and study aim:  Few scales assessing bowel preparation quality have been validated, and direct between-scale comparisons remain scarce. The aim of the study was to compare inter- and intra-rater reliability, predictive abilities for clinical outcomes, and ease of use for each scale. Methods:  Colonoscopy video recordings highlighting five colonic segments after washing were viewed independently by three physicians, and cleanliness was evaluated using the Boston Bowel Preparation Scale (BBPS), the Chicago Bowel Preparation Scale (CBPS), and the Harefield Cleansing Scale (HCS) in randomized order...
December 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29202000/a-short-telephone-call-reminder-improves-bowel-preparation-quality-indicators-and-patient-satisfaction-with-first-colonoscopy
#14
Marisol Gálvez, Angel Mario Zarate, Hector Espino, Fátima Higuera-de la Tijera, Richard Alexander Awad, Santiago Camacho
Background and study aims:  Addition of a reminder program to conventional indications improves colonoscopy. The aim of this study was to evaluate the effectiveness of a short telephone call reminder (STCR) on a patient's first colonoscopy. Patients and methods:  One day before colonoscopy, we made a STCR of < 10 minutes to 141 randomly selected patients of 258 recruited. The STCRs informed patients about the procedure date, indications for taking laxatives, and dietetic requirements...
December 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29200350/value-of-waiving-coinsurance-for-colorectal-cancer-screening-in-medicare-beneficiaries
#15
Elisabeth F P Peterse, Reinier G S Meester, Andrea Gini, Chyke A Doubeni, Daniel S Anderson, Franklin G Berger, Ann G Zauber, Iris Lansdorp-Vogelaar
Financial barriers to colorectal cancer screening persist despite the Affordable Care Act (ACA). Medicare beneficiaries may face 20 percent coinsurance for a screening colonoscopy when the procedure includes the removal of polyps or follows a positive fecal screening test. Using an established microsimulation model, we estimated that waiving this coinsurance would result in 1.7 fewer colorectal cancer deaths (a decrease of 13 percent) and $17,000 higher colorectal cancer-related costs (an increase of 0.6 percent) for the Centers for Medicare and Medicaid Services per 1,000 sixty-five-year-olds, assuming a 10-percentage-point increase in the rates of first colonoscopy screening, follow-up, and surveillance...
December 2017: Health Affairs
https://www.readbyqxmd.com/read/29190999/animal-models-for-studying-inflammatory-bowel-diseases-ibd-a-meta-analysis-on-modalities-for-imaging-inflammatory-lesions
#16
Sveva Auletta, Rita Bonfiglio, Andreas Wunder, Michela Varani, Filippo Galli, Filippo Borri, Manuel Scimeca, Heiko G Niessen, Tanja Schönberger, Elena Bonanno
Inflammatory bowel diseases are lifelong disorders affecting the gastrointestinal tract characterized by intermittent disease flares and periods of remission with a progressive and destructive nature. Unfortunately, the exact etiology is still not completely known, therefore a causal therapy to cure the disease is not yet available. Current treatment options mainly encompass the use of non-specific anti- inflammatory agents and immunosuppressive drugs that cause significant side effects that often have a negative impact on patients' quality of life...
November 30, 2017: Quarterly Journal of Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/29185241/quality-indicators-of-colorectal-cancer-care-in-southern-switzerland-results-from-a-population-based-study
#17
Alessandra Spitale, Laura Ortelli, Luca Mazzucchelli, Andrea Bordoni
AIM OF THE STUDY: Assessing the quality of cancer care (QoCC) has become increasingly relevant to providers, regulators and purchasers of healthcare worldwide. The aim of this study was to assess adherence to validated quality indicators (QIs) for colorectal cancer (CRC) in a population-based setting, and to compare results with the available literature. METHODS: All colorectal cancers diagnosed between 1 January 2011 and 31 December 2012 were identified from the files of the population-based Ticino Cancer Registry, southern Switzerland...
November 29, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29184430/evaluation-of-a-fecal-immunochemistry-test-prior-to-colonoscopy-for-outpatients-with-various-indications
#18
Andrew Szilagyi, Xiaoqing Xue
Background: Stool tests can predict advanced neoplasms prior to colonoscopy. Results of immunochemical stool tests to predict findings at colonoscopy for various indications are less often reported. We compared pre-colonoscopy stool tests with findings in patients undergoing colonoscopy for different indications. Patients and methods: Charts of patients undergoing elective or semi-urgent colonoscopy were reviewed. Comparison of adenoma detection rates and pathological findings was made between prescreened and non-prescreened, and between stool-positive and stool-negative cases...
2017: Clinical and Experimental Gastroenterology
https://www.readbyqxmd.com/read/29183074/effect-of-oral-capsule-vs-colonoscopy-delivered-fecal-microbiota-transplantation-on-recurrent-clostridium-difficile-infection-a-randomized-clinical-trial
#19
RANDOMIZED CONTROLLED TRIAL
Dina Kao, Brandi Roach, Marisela Silva, Paul Beck, Kevin Rioux, Gilaad G Kaplan, Hsiu-Ju Chang, Stephanie Coward, Karen J Goodman, Huiping Xu, Karen Madsen, Andrew Mason, Gane Ka-Shu Wong, Juan Jovel, Jordan Patterson, Thomas Louie
Importance: Fecal microbiota transplantation (FMT) is effective in preventing recurrent Clostridium difficile infection (RCDI). However, it is not known whether clinical efficacy differs by route of delivery. Objective: To determine whether FMT by oral capsule is noninferior to colonoscopy delivery in efficacy. Design, Setting, and Participants: Noninferiority, unblinded, randomized trial conducted in 3 academic centers in Alberta, Canada...
November 28, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29178125/laparoscopic-versus-open-resection-for-sigmoid-diverticulitis
#20
REVIEW
Iosief Abraha, Gian A Binda, Alessandro Montedori, Alberto Arezzo, Roberto Cirocchi
BACKGROUND: Diverticular disease is a common condition in Western industrialised countries. Most individuals remain asymptomatic throughout life; however, 25% experience acute diverticulitis. The standard treatment for acute diverticulitis is open surgery. Laparoscopic surgery - a minimal-access procedure - offers an alternative approach to open surgery, as it is characterised by reduced operative stress that may translate into shorter hospitalisation and more rapid recovery, as well as improved quality of life...
November 25, 2017: Cochrane Database of Systematic Reviews
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