Risk Factors Associated With Incomplete Colonoscopy Based on the Analysis of Computed Tomographic Colonography Findings
This study aimed to identify the computed tomographic colonography (CTC) findings of incomplete colonoscopy compared with those of complete colonoscopy. Methods The clinical data and CTC imaging data from January 2004 to December 2012 were retrospectively obtained at 2 different institutions and reviewed by the central review system. A total of 71 patients who underwent both videocolonoscopy and CTC were included in this study. The CTC findings and clinical data were evaluated for the completeness of colonoscopy. Results In the CTC analysis, differences in total colon length, abdominal circumference, and sigmoid colon diameter were statistically significant between both groups (P
Abstract The development of colorectal cancer (CRC) is a multistep process initiated by a benign polyp that has the potential to evolve into in situ carcinoma through the interactions between environmental and genetic factors. CRC incidence rates are constantly increased for young adult patients presenting an advanced tumor stage. The majority of CRCs arise from colonic adenomas originating from aberrant cell proliferation of colon epithelium. Endoscopic polypectomy represents a tool for early detection and removal of polyps, although the occurrence of cancers after negative colonoscopy shows a significant inciden...
Endoscopy DOI: 10.1055/a-1140-3017The following recommendations should only be applied after a thorough diagnostic evaluation including a contrast-enhanced computed tomography (CT) scan. 1 ESGE recommends colonic stenting to be reserved for patients with clinical symptoms and radiological signs of malignant large-bowel obstruction, without signs of perforation. ESGE does not recommend prophylactic stent placement.Strong recommendation, low quality evidence. 2 ESGE recommends stenting as a bridge to surgery to be discussed, within a shared decision-making process, as a treatment option in patients with potentially cur...
Condition: Colonic Polyp Intervention: Device: AI-assisted colonoscopy Sponsor: Wuerzburg University Hospital Not yet recruiting
A 77-year-old woman presented with positive fecal occult blood test. Her medical history included non-insulin dependent diabetes mellitus, hypertension, and spinal cord injury with myelopathy. Physical examination revealed no abdominal distention, local tenderness, or rebounding pain. Patient's cell blood count showed neither leukocytosis nor anemia. Colonoscopy revealed multiple variably sized submucosal cysts from the descending to the ascending colon (Fig. 1A). When they were biopsied after having filled the colon with water, air bubbles leaked through the biopsy orifice (Fig.
Management of delayed (within 30 days) post-polypectomy bleeding (DPPB) has not been standardized. Patients often undergo colonoscopies that do not provide any benefit. We aimed to identify factors associated with therapeutic intervention and active bleeding after DPPB.
A 43-year-old man presented with a two-week history of abdominal distention. Laboratory testing showed marked leukocytosis (28,000/ µL). Computed tomography (CT) revealed massive ascites (Fig. 1A, coronal image) and abdominal paracentesis showed atypical lymphocytes (Fig. 1B). Positron emission tomography-CT revealed a focal area of increased fluorodeoxyglucose uptake (Fig. 1C, coronal image, arrow) in the descending colon t hat corresponded to a circumferential submucosal lesion, as confirmed by colonoscopy (Fig. 1D).
CONCLUSIONS: Our findings support the protective effect a normal weight against advanced adenomas. Reduction of BMI value should be pursued in healthy programs. PMID: 32233893 [PubMed - as supplied by publisher]
Conclusion: EATL with brain metastasis is a very rare occurrence with dismal prognosis. PMID: 32233276 [PubMed - in process]
Authors: Dano H, Baldin P, Demetter P, Driessen A, Hoorens A, Sagaert X, Van Huysse J, Verset L, Jouret-Mourin A Abstract Colorectal cancer (CRC) has become the most common malignancy in our country. Routine screening colonoscopy is on the rise. With the recent advances in endoscopic treatment, many T1 colorectal carcinomas are now found and their percentage amenable to endoscopic resection has increased. Endoscopists and pathologists dealing with the steadily increasing number of excised colorectal polyps have to collaborate closely to optimize patient care. Therapeutic management of patients after endoscopic rese...