Su1732 RISK FACTORS FOR METACHRONOUS ADVANCED ADENOMA AFTER SCREENING OR DIAGNOSTIC COLONOSCOPY: EIGHT YEARS ’ FOLLOW-UP STUDY USING ASIAN POPULATION
Risk factors for post-colonoscopy colonic neoplasm have been reported to be the history of colonic neoplasm at the index colonoscopy and family history of colorectal cancer (CRC) in first degree relatives (1stDR). Advanced adenoma (adenoma more than 10mm or high-grade dysplasia (HGD) or villous adenoma) has been used as surrogate marker for risk evaluation of colorectal adenocarcinoma. The aim of this study was to determine risk factors for post-colonoscopy advanced adenoma (PCAA) to validate U.
Conclusions: The finding of advanced colonic neoplasia in follow-up colonoscopy after an acute episode of CT-proven diverticulitis is equivalent to, or less than, that of the population colorectal cancer screening program. Routine colonoscopy is not necessary unless there are other concerning symptoms/CT findings.
ConclusionsA focused training intervention was associated with a strong trend toward increased ADRs among certified endoscopists. While the described training interventions definitely show promise, further efforts around continuing professional developments activities are needed to more consistently improve ADRS among certified endoscopists.
AbstractBackgroundFactors associated with interval colorectal cancer (CRC) development in the inflammatory bowel disease (IBD) population remain unclear.AimsAmong a cohort of patients with interval CRC, we aimed to evaluate IBD characteristics, colonoscopy quality indicators, and surveillance guideline adherence.MethodsWe performed a retrospective review of IBD- and non-IBD-associated interval CRCs diagnosed between January 2007 and December 2014 within a large US healthcare system. We evaluated risk factors for CRC among patients with IBD. We assessed adherence to surveillance guidelines according to the American Society ...
Authors: Florescu-Ţenea RM, Kamal AM, Mitruţ P, Mitruţ R, Ilie DS, Nicolaescu AC, Marinescu SA Abstract Although in developed countries the incidence of colorectal cancer is decreasing through the introduction of well-designed screening systems, the worrying worldwide increase of the mortality rate by colorectal neoplasm indicates the need for a thorough characterization of this pathology. Clinical, endoscopic, histopathological and immunohistochemical data provide important information for creating categories of patients that can benefit from intensive screening methods and for establishing the prognosis based ...
The goal of screening and surveillance endoscopy in patients with Barrett ’s esophagus (BE) is to reduce the rising incidence of esophageal adenocarcinoma (EAC) and ultimately mortality from this lethal cancer.1 However, despite all advances in the field of screening, surveillance, and treatment of BE, we have not made a significant dent in the incidence of this cancer. One potential explanation is the quality gap in the care of patients with BE and dysplasia. Unlike for the management of colonoscopy and colorectal cancer, there are no uniformly agreed-upon quality metrics for the care of BE patients.
CONCLUSIONS: The limits of agreement (–2.0 and 1.6 cm) in identifying the height of rectal cancers from the anal verge are sufficiently small to support the view that flexible colonoscopy provides similar tumor locations to those measured by rigid proctoscopy, although the discrepancy occasionally exceeded 2 cm for tumors>5 cm above the anal verge. See Video Abstract at http://links.lww.com/DCR/A405.
Conclusions Focal uptake in the colon of 18F-FDG PET/CT has clinical relevance, especially when it is associated with morphological lesions on CT. As it may be a second tumor or a pre-malignant lesion, it is recommended that all focal uptake of the colon with or without abnormal CT be evaluated with endoscopy.
Conclusions: We found the detection rate of CRC varied in terms of sex and decade. The CRC cases in the youth group exhibited a high malignant degree. The most common anatomic site was rectum, so we should focus more on digital rectal examination.
Conclusion There is a significant difference between the location of colorectal cancers reported by gastroenterologists during endoscopy and the actual anatomical location noted on operative or pathology reports after colon surgery. Endoscopic tattooing should be used when faced with any luminal lesions of interest. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | open access Full text
Endosc Int Open 2017; 05: E675-E682 DOI: 10.1055/s-0043-110568 Background and study aims Adenoma detection rate (ADR) is an important measure of colonoscopy quality, as are polyp, advanced ADR, and adenocarcinoma detection rates. We investigated whether performance report cards improved these outcome measures. Patients and methods Endoscopists were given report cards comparing their detection rates to the institutional mean on an annual basis. Detection rates were evaluated at baseline, 1 year after report cards (Year 1), and 2 years after report cards (Year 2). Endoscopists were unaware of the study and re...