How To Tell Grandpa He Is Too Old For Another Colonoscopy
When helping patients avoid the harms of unnecessary testing, physicians should also use language that avoids hurting their patients'feelings. Recent research suggests ways to improve doctor-patient communication when discussing these tricky topics.
Condition: Colon Adenoma Intervention: Procedure: Back to back colonoscopy Sponsor: Soonchunhyang University Hospital Recruiting
One thing that gastroenterologists know about is stool. But, I ’m not referring to that kind of stool in this post. Follow along. When we do a colonoscopy, for example, we are relying upon stool, or more accurately a stool, as in a three-legged stool. This metaphor illustrates that the three legs must be equally strong […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
ConclusionsThis study found that patients with Medicaid were less likely than those with commercial insurance to complete follow-up colonoscopy after a positive fecal immunochemical test and had longer average times to follow-up. With the future of coverage mechanisms uncertain, it is important and timely to assess influences of health insurance coverage on likelihood of follow-up colonoscopy and identify potential disparities in screening completion.
ConclusionA submucosal cavity filled with acellular matter, which were probably disintegrated epithelioid structures, and calcifications were found in the ascending colon, while no intestinal cell atypia or dysplasia was found. The case cannot be classified under any previously presented diagnosis.
ConclusionCombined intraperitoneal and extraperitoneal colonic perforation are rare presentations following diagnostic colonoscopy and often difficult to diagnose based on the clinical manifestation only. Understanding the manifestation of extraperitoneal perforation will help to properly identify the condition and preventing morbidity and mortality in these patients.
Cardiovascular diseases, anxiety, and depression are among the most frequent clinical conditions in the Western world, often in comorbidity. Evidence regarding a shared pathophysiology suggests a mediating role by chronic systemic inflammation. The aims of this study were to measure the association between anxiety and depressive symptoms, cardiovascular risk factors, and inflammatory markers. Outpatients aged 40 years or more undergoing colonoscopy after positive fecal occult blood test were enrolled; the following data were collected: body mass index, blood pressure, blood glucose, lipid profile, C-reactive protein (CRP) ...
(Cleveland Clinic) Previous research has suggested that specific factors about the doctor performing colonoscopy -- for example, a gastroenterologist versus a surgeon, female versus male -- were associated with different rates of detection of precancerous polyps. However, a Cleveland Clinic-led research team found that those previously described differences among endoscopists are not true.
This study was carried out in accordance with the recommendations of the Case Western Reserve University IACUC committee. The protocol was approved by the Case Western Reserve University IACUC committee. Author Contributions LRD and DW helped design research studies, analyze data and write the manuscript. ZL, RL, and ND conducted experiments, acquired and analyzed data, and assisted with manuscript preparation. LDM conducted experiments and analyzed data. FC assisted with research design. Funding This work was supported by the NIH P30CA043703, K1CA113838, and R01DK081395. Conflict of Interest Statement The authors de...
(CNN) — People who regularly use cannabis may need two times the level of sedation required by nonusers when undergoing medical procedures, a small-scale study finds. Fentanyl, midazolam and propofol, three sedation drugs commonly used during endoscopic procedures, were compared in the research. With “continued increase in legalization and use of cannabis, the field of anesthesia and sedation needs further studies with greater depth,” wrote the authors of the study, published Monday in The Journal of the American Osteopathic Association. Wider use follows legalization Marijuana has gained popularity aroun...
CT colonography (CTC) nearly matched the predictive accuracy of colonoscopy...Read more on AuntMinnie.comRelated Reading: Why are CT colonography use rates trending downward? Can CTC improve staging for high-risk colon cancer? Calcium scores on CT colonography predict cardiac events Study confirms low rate of incidental findings on CTC CT colonography finds more cancer in seniors