Can colonoscopy at peripheral day hospitals meet internationally accepted quality and safety standards?

CONCLUSION: The colonoscopy service at CCH was safe and complied with the accepted quality indicators. Our data suggest that delivery of high-quality colonoscopy services might be possible in similar peripheral and day hospitals around New Zealand. Increasing colonoscopy services in such centres would reduce the excessive workload of larger public hospitals and reduce the level of unmet need for colonoscopy services. PMID: 30359353 [PubMed - in process]
Source: New Zealand Medical Journal - Category: General Medicine Tags: N Z Med J Source Type: research

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We present a case of a patient with a lower rectal adenoma extending above the dentate line, which underwent combined ESD and transanal minimally invasive surgery (TAMIS) to achieve accurate excision and prevent complications. Patient concerns: A 68-year-old man with a history of blood in stool over 2 to 3 years underwent colonoscopy, which revealed an adenoma measuring 3 cm in size in the lower rectum extending above the dentate line. The part extending above the dentate line was a type Is lesion and that of oral side was a type IIa lesion. Histopathologically, the lesion was diagnosed as a low-grade intramucosal tub...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
ConclusionAcute lower gastrointestinal bleeding is common among elderly patients and the commonest cause is diverticular disease. Colonoscopy plays an important role in the diagnosis. Most patients respond to conservative therapy.
Source: Arab Journal of Gastroenterology - Category: Gastroenterology Source Type: research
Abstract AIMS: Evaluation of the role and impact of introducing a dedicated coloproctology procedure clinic in tertiary referral colorectal unit. METHODS: A retrospective analysis of 126 consecutive patients managed in the coloproctology clinic between March2015 and September 2016 was carried out. All patients were preselected for attendance based on symptom-based protocol. RESULTS: Based on the information available in GP referrals, 126 patients with bleeding per rectum with low risk of cancer were re-triaged from the general outpatient to dedicated coloproctology procedure clinic. Those patients accoun...
Source: Anal Sci - Category: Chemistry Authors: Tags: Ir J Med Sci Source Type: research
AbstractAimsEvaluation of the role and impact of introducing a dedicated coloproctology procedure clinic in tertiary referral colorectal unit.MethodsA retrospective analysis of 126 consecutive patients managed in the coloproctology clinic between March2015 and September 2016 was carried out. All patients were preselected for attendance based on symptom-based protocol.ResultsBased on the information available in GP referrals, 126 patients with bleeding per rectum with low risk of cancer were re-triaged from the general outpatient to dedicated coloproctology procedure clinic. Those patients accounted for 14% of waiting list....
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
ConclusionWorkup of rectal bleeding was inconsistent, incomplete and discordant with guidelines in one‐quarter of cases. Research and improvements strategies are needed to understand and manage practice and provider variation.
Source: Journal of Evaluation in Clinical Practice - Category: Journals (General) Authors: Tags: Original Article Source Type: research
Question: A 71-year-old man presented to the emergency department with episodic bright red blood per rectum. He reported that these episodes occur for 15-20 minutes per day for 1- to 2-week periods and usually resolve spontaneously, but that when he bleeds, he has to wear pads or toilet paper to avoid soiling his clothing with blood. These episodes have been occurring for months. He denies any alleviating or exacerbating factors, and denies any pain associated with his bleeding. His past medical history includes diagnoses of rheumatoid arthritis, external hemorrhoids, tubular adenomatous polyps, permanent atrial fibrillati...
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Electronic Clinical Challenges and Images in GI Source Type: research
CONCLUSIONS: The colonoscopy had little value in patients with hematochezia because the most pathologic lesions were located below sigmoid colon. The first choice of diagnosis in patients with hematochezia is sigmoidoscopy. PMID: 26907484 [PubMed - in process]
Source: Korean J Gastroenter... - Category: Gastroenterology Authors: Tags: Korean J Gastroenterol Source Type: research
Conclusion. Colonoscopy utilization is low, and the quality of practice is suboptimal; although limited resources could partly explain this, however it is not clear if the low rate of polyp detection is due to missed lesions or low population incidence. PMID: 23533321 [PubMed]
Source: Diagnostic and Therapeutic Endoscopy - Category: Surgery Tags: Diagn Ther Endosc Source Type: research
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