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Quality colonoscopy

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https://www.readbyqxmd.com/read/29756019/size-of-colorectal-polyps-determines-time-taken-to-remove-them-endoscopically
#1
Heechan Kang, Mo Hameed Thoufeeq
Background an study aims:  Polypectomy and endoscopic mucosal resection (EMR) are effective and safe ways of removing polyps from the colon at endoscopy. Guidelines exist for advising the time allocation for diagnostic endoscopy but not for polypectomy and EMR. The aim of this study was to identify if time allocated for polypectomy and EMR at planned therapeutic lists in our endoscopy unit is sufficient for procedures to be carried out. We also wanted to identify factors that might be associated with procedures taking longer than the allocated time and to identify factors that might predict duration of these procedures...
May 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29743843/prospective-analysis-of-factors-associated-with-inadequate-bowel-preparation-for-colonoscopy-in-actual-clinical-practice
#2
Dae Hyung Woo, Kyeong Ok Kim, Da Eun Jeong, Yoon Jeong Nam, Si Hyung Lee, Byung Ik Jang, Tae Nyeun Kim
Background/Aims: Inadequate bowel preparation can result in prolonged procedure time and increased missed lesion and complication rates. This prospective study aimed to evaluate bowel preparation quality and identify the predictive factors for inadequate bowel preparation in actual clinical practice. Methods: We included 399 patients who underwent colonoscopy between June 2015 and July 2016. Using the Aronchick bowel preparation scale, we defined a score ≤2 as adequate preparation and a score >2 as inadequate preparation...
April 2018: Intestinal Research
https://www.readbyqxmd.com/read/29738352/the-effect-of-obesity-on-the-quality-of-bowel-preparation-for-colonoscopy-results-from-a-large-observational-study
#3
Ava B Anklesaria, Elena A Ivanina, Kenechukwu O Chudy-Onwugaje, Kevin Tin, Chaya M Levine, Peter Homel, Mary Rojas, Ira E Mayer, Rabin Rahmani
BACKGROUND: Obesity has been linked to suboptimal bowel preparation but this association has not been conclusively investigated in prospective studies. GOALS: Our objective was to determine whether any relationship exists between obesity as measured by body mass index (BMI) and quality of bowel preparation. STUDY: Adult patients who presented for outpatient colonoscopy at a single urban ambulatory surgery center within a 6-month period and fulfilled inclusion criteria were prospectively enrolled for the study...
May 5, 2018: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/29736830/comparison-of-small-versus-large-volume-split-dose-preparation-for-colonoscopy-a-study-of-colonoscopy-outcomes
#4
Hassan Siddiki, Sreya Ravi, Mohanad T Al-Qaisi, Ayman R Fath, Francisco Ramirez, Michael D Crowell, Rahul Pannala, Douglas O Faigel, Suryakanth R Gurudu
BACKGROUND: Split dose bowel preparations (SDP) have superior outcomes for colonoscopy as compared to evening before regimens. However, the association of the actual volume of the SDP to colonoscopy outcome measures has not been well studied. AIMS: Compare adenoma detection rate (ADR), sessile serrated polyp detection rate (SDR), mean bowel cleanse score, and predictors of inadequate exams between small volume SDP and large volume SDP. METHODS: We have conducted a retrospective study in patients undergoing colonoscopy with small volume SDP versus large volume SDP between July 2014 and December 2014...
May 7, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29719796/use-of-high-flow-nasal-cannula-in-obese-patients-receiving-colonoscopy-under-intravenous-propofol-sedation-a-case-series
#5
Chi Chan Lee, Osman Perez, Faryal I Farooqi, Trupti Akella, Sameer Shaharyar, Melissa Elizee
Intravenous sedation during colonoscopy has become the standard practice in the United States given its higher patient satisfaction and procedural quality. This practice is not free of side effects as a significant proportion of patients undergoing this procedure tend to have respiratory depression and desaturation events. Obesity, as it relates to higher levels of body mass index (BMI) has a positive correlation with the incidence of hypoxemia. During colonoscopy High flow nasal cannula (HFNC) may potentially improve oxygen performance in patients receiving colonoscopy under intravenous sedation...
2018: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/29703007/comparative-efficacy-of-combination-of-1-l-polyethylene-glycol-castor-oil-and-ascorbic-acid-versus-2-l-polyethylene-glycol-plus-castor-oil-versus-3-l-polyethylene-glycol-for-colon-cleansing-before-colonoscopy-study-protocol-of-a-randomized-double-blind-single
#6
Xu Tian, Wei-Qing Chen, Xiao-Ling Liu, Hui Chen, Bang-Lun Liu, Yuan-Ping Pi
Colonoscopy has been regarded as an important method of early diagnosing and treating gastrointestinal lesions; however adequate bowel preparation is critical one of many factors needed for successful colonoscopy. Although several modified or novel regimes have been developed, desired quality of bowel preparation has not yet been generated. Scattered evidences revealed that castor oil may have potential of effectively cleansing colon. It is noted that, however, prospective trial of exploring the value of castor oil in preparing bowel before colonoscopy is lacking...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29698990/effect-of-endocuff-assisted-colonoscopy-on-adenoma-detection-rate-meta-analysis-of-randomized-controlled-trials
#7
Nicolas Williet, Quentin Tournier, Chloé Vernet, Olivier Dumas, Leslie Rinaldi, Xavier Roblin, Jean-Marc Phelip, Mathieu Pioche
BACKGROUND: Yield of Endocuff-assisted colonoscopy (EAC) compared with standard colonoscopy is conflicting in terms of adenoma detection rate (ADR). A meta-analysis of randomized controlled trials (RCTs) appears necessary. METHODS: PubMed and Google Scholar were searched in December 2017. Abstracts from Digestive Disease Week and United European Gastroenterology Week meetings were also searched to 2017. All RCTs comparing EAC with standard colonoscopy were included...
April 26, 2018: Endoscopy
https://www.readbyqxmd.com/read/29696479/natural-language-processing-accurately-calculates-adenoma-and-sessile-serrated-polyp-detection-rates
#8
Jennifer Nayor, Lawrence F Borges, Sergey Goryachev, Vivian S Gainer, John R Saltzman
BACKGROUND: ADR is a widely used colonoscopy quality indicator. Calculation of ADR is labor-intensive and cumbersome using current electronic medical databases. Natural language processing (NLP) is a method used to extract meaning from unstructured or free text data. AIMS: (1) To develop and validate an accurate automated process for calculation of adenoma detection rate (ADR) and serrated polyp detection rate (SDR) on data stored in widely used electronic health record systems, specifically Epic electronic health record system, Provation® endoscopy reporting system, and Sunquest PowerPath pathology reporting system...
April 26, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29689571/endoscopist-factors-that-influence-serrated-polyp-detection-a-multicenter-study
#9
Seth D Crockett, Rebecca A Gourevitch, Michele Morris, David S Carrell, Sherri Rose, Zhuo Shi, Julia B Greer, Robert E Schoen, Ateev Mehrotra
BACKGROUND:  Serrated polyps are important colorectal cancer precursors that are variably detected during colonoscopy. We measured serrated polyp detection rate (SPDR) in a large, multicenter, cross-sectional study of colonoscopy quality to identify drivers of SPDR variation. METHODS:  Colonoscopy and pathology reports were collected for a 2-year period (10/2013-9/2015) from four sites across the United States. Data from reports, including size, location, and histology of polyps, were abstracted using a validated natural language processing algorithm...
April 24, 2018: Endoscopy
https://www.readbyqxmd.com/read/29689257/use-of-diphenhydramine-as-an-adjunctive-sedative-for-colonoscopy-in-patients-on-chronic-opioid-therapy-a-randomized-controlled-trial
#10
Salman Nusrat, Mohammed F Madhoun, William M Tierney
BACKGROUND AND AIMS: Chronic opioid use increases tolerance to sedatives. Diphenhydramine is recommended for difficult-to-sedate patients during endoscopic procedures. We hypothesized that the addition of diphenhydramine to midazolam and fentanyl would improve objective and subjective measures of procedural sedation. METHODS: This randomized, double-blind, placebo-controlled trial included patients on chronic opioids undergoing colonoscopy. Patients were randomized to receive intravenous 50 mg of diphenhydramine (N=61) or placebo (N=58), in addition to fentanyl and midazolam...
April 21, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29682626/adenoma-detection-rate-the-perfect-colonoscopy-quality-measure-or-is-there-more
#11
EDITORIAL
Brian Liem, Neil Gupta
No abstract text is available yet for this article.
2018: Translational Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29679692/impact-of-fellowship-training-level-on-colonoscopy-quality-and-efficiency-metrics
#12
Hussein Bitar, Hassaan Zia, Muhammad Bashir, Pratyusha Parava, Muhammad Hanafi, William Tierney, Mohammad Madhoun
BACKGROUND & AIMS: Previous studies have described variable effects of fellow involvement on the adenoma detection rate (ADR), but few have stratified this effect by level of training. We aimed to evaluate the "fellow effect" on multiple procedural metrics including a newly defined adenoma management efficiency index, which may have a role in documenting colonoscopy proficiency for trainees. We also describe the impact of level of training on moderate sedation use. METHODS: We performed a retrospective review of 2024 patients (mean age 60...
April 18, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29664311/feasibility-of-colon-cancer-screening-by-fecal-immunochemical-test-in-iran
#13
Hamideh Salimzadeh, Faraz Bishehsari, Catherine Sauvaget, Mohammad Amani, Gholamreza Hamzehloo, Ali Nikfarjam, Shahin Merat, Alireza Delavari, Reza Malekzadeh
BACKGROUND: Colorectal cancer (CRC) is the third most common cancer in Iran, where there is no mass screening for the disease yet. We aimed to measure the feasibility of a pilot CRC screening program based on fecal immunochemical test (FIT) in Iranian population and the implications for scaling-up at the national level. METHODS: A single quantitative FIT was offered by health navigators to individuals aged between 45 and 75 years in primary health centers in rural and urban areas in Tehran...
December 1, 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/29658767/quality-indicators-in-colonoscopy-the-colonoscopy-procedure
#14
Antonio Sánchez Del Río, Shirley Pérez Romero, Julio López-Picazo, Fernando Alberca de Las Parras, Javier Júdez, Joaquín León Molina
The aim of the project this paper is part of was to propose quality and safety procedures and indicators to facilitate quality improvement in digestive endoscopy units. In this second issue, procedures and indicators are suggested regarding colonoscopy. First, a diagram charting the previous and subsequent steps of colonoscopy was designed. A group of experts in health care quality and/or endoscopy, under the auspices of the Sociedad Española de Patología Digestiva (SEPD), performed a qualitative review of the literature regarding colonoscopy-related quality indicators...
April 16, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29643961/cecal-intubation-rates-in-different-eras-of-endoscopic-technological-development
#15
Maciej Matyja, Artur Pasternak, Mirosław Szura, Michał Pędziwiatr, Piotr Major, Kazimierz Rembiasz
Introduction: Colonoscopy plays a critical role in colorectal cancer (CRC) screening and has been widely regarded as the gold standard. Cecal intubation rate (CIR) is one of the well-defined quality indicators used to assess colonoscopy. Aim: To assess the impact of new technologies on the quality of colonoscopy by assessing completion rates. Material and methods: This was a dual-center study at the 2nd Department of Surgery at Jagiellonian University Medical College and at the Specialist Center "Medicina" in Krakow, Poland...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29642974/colonoscopy-in-rural-general-surgery-practice-challenges-outcomes-and-quality-measures
#16
Ramesh Kumar, Namrata Choudhary
No abstract text is available yet for this article.
January 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29616237/the-impact-of-endocuff-assisted-colonoscopy-on-adenoma-detection-in-an-organized-screening-program
#17
Lucas G Cavallaro, Cesare Hassan, Pierenrico Lecis, Ermenegildo Galliani, Elisabetta Dal Pont, Paolo Iuzzolino, Claudia Roldo, Fabio Soppelsa, Bastianello Germanà
Background and study aims:  Colorectal cancer (CRC) screening with biennial fecal occult blood test has been shown to reduce CRC mortality. For the effectiveness of the CRC screening program is crucial that a high-quality colonoscopy with a high adenoma detection rate (ADR) be performed. To improve ADR, various endoscopic devices have been developed. Endocuff, an endoscopic cap with finger-like projections, has been shown to improve ADR. The aim of this study was to compare in an organized CRC screening program ADR, advanced adenoma detection rate (AADR) and mean number of adenomas per patient (MAP) using standard colonoscopy (SC) and Endocuff-assisted colonoscopy (EAC)...
April 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29615078/a-multicenter-randomized-controlled-trial-comparing-the-identification-rate-of-stigmata-of-recent-hemorrhage-and-rebleeding-rate-between-early-and-elective-colonoscopy-in-outpatient-onset-acute-lower-gastrointestinal-bleeding-study-protocol-for-a-randomized
#18
Ryota Niikura, Naoyoshi Nagata, Atsuo Yamada, Hisashi Doyama, Yasutoshi Shiratori, Tsutomu Nishida, Shu Kiyotoki, Tomoyuki Yada, Tomoki Fujita, Tetsuya Sumiyoshi, Kenkei Hasatani, Tatsuya Mikami, Tetsuro Honda, Katsuhiro Mabe, Kazuo Hara, Katsumi Yamamoto, Mariko Takeda, Munenori Takata, Mototsugu Tanaka, Tomohiro Shinozaki, Mitsuhiro Fujishiro, Kazuhiko Koike
BACKGROUND: The clinical benefit of early colonoscopy within 24 h of arrival in patients with severe acute lower gastrointestinal bleeding (ALGIB) remains controversial. This trial will compare early colonoscopy (performed within 24 h) versus elective colonoscopy (performed between 24 and 96 h) to examine the identification rate of stigmata of recent hemorrhage (SRH) in ALGIB patients. We hypothesize that, compared with elective colonoscopy, early colonoscopy increases the identification of SRH and subsequently improves clinical outcomes...
April 3, 2018: Trials
https://www.readbyqxmd.com/read/29611360/the-conundrum-of-quality-in-colonoscopy
#19
Timothy J Chittleborough, Andrew Luck, Alex Boussioutas, Satish Warrier, Alexander G Heriot
No abstract text is available yet for this article.
April 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29605976/clinical-practice-guidelines-for-irritable-bowel-syndrome-in-korea-2017-revised-edition
#20
REVIEW
Kyung Ho Song, Hye-Kyung Jung, Hyun Jin Kim, Hoon Sup Koo, Yong Hwan Kwon, Hyun Duk Shin, Hyun Chul Lim, Jeong Eun Shin, Sung Eun Kim, Dae Hyeon Cho, Jeong Hwan Kim, Hyun Jung Kim
In 2011, the Korean Society of Neurogastroenterology and Motility (KSNM) published clinical practice guidelines on the management of irritable bowel syndrome (IBS) based on a systematic review of the literature. The KSNM planned to update the clinical practice guidelines to support primary physicians, reduce the socioeconomic burden of IBS, and reflect advances in the pathophysiology and management of IBS. The present revised version of the guidelines is in continuity with the previous version and targets adults diagnosed with, or suspected to have, IBS...
April 30, 2018: Journal of Neurogastroenterology and Motility
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