Adverse Events After Inpatient Colonoscopy in Octogenarians: Patient Selection Key for Colonoscopies

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Source: Journal of Clinical Gastroenterology - Category: Gastroenterology Tags: LETTER TO THE EDITOR Source Type: research

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This article reviews alternative colorectal cancer (CRC) screening tests, including flexible sigmoidoscopy (FS), computed tomography (CT) colonography, and colon capsule endoscopy. FS has abundant and convincing evidence supporting its use for CRC screening and is a commonly used CRC test worldwide. CT colonography has demonstrated convincing results for CRC screening, but concerns regarding cost, accuracy for flat or sessile neoplasia, reproducibility, extracolonic findings, and lack of coverage have limited its use and development. Colon capsule endoscopy has demonstrated encouraging results for polyp detection in averag...
Source: Clinical Colorectal Cancer - Category: Cancer & Oncology Authors: Tags: Gastrointest Endosc Clin N Am Source Type: research
Abstract After 2 screen-setting studies showing high sensitivity for colorectal cancer and advanced precancerous lesions, multitarget stool DNA testing was endorsed by the US Preventative Services Task Force as a first-line colorectal cancer screening test. Uptake has increased exponentially since approval by the US Food and Drug Administration and Centers for Medicare and Medicaid Services. Adherence to testing is approximately 70%. Patients with positive results have high diagnostic colonoscopy completion rates in single-center studies. The positive predictive value for colorectal neoplasia in postapproval studi...
Source: Clinical Colorectal Cancer - Category: Cancer & Oncology Authors: Tags: Gastrointest Endosc Clin N Am Source Type: research
Abstract The goal of colorectal cancer (CRC) screening with colonoscopy is to minimize CRC with minimal risk and cost. In order to continuously improve the quality of colonoscopy, different outcomes must be measured. For this topic, the priority indicators to be measured are (1) frequency of scheduling colonoscopy at appropriate interval based on current guidelines; (2) frequency of identifying adenomas in average-risk individuals undergoing their first screening colonoscopy; and, (3) providing guideline-consistent recommendations for repeat colonoscopy after the procedure. PMID: 32439087 [PubMed - in process]
Source: Clinical Colorectal Cancer - Category: Cancer & Oncology Authors: Tags: Gastrointest Endosc Clin N Am Source Type: research
Abstract Most colorectal cancer screening in the United States occurs in the opportunistic setting, where screening is initiated by a patient-provider interaction. Colonoscopy provides the longest-interval protection, and high-quality colonoscopy is ideally suited to the opportunistic setting. Both detection and colonoscopic resection have improved as a result of intense scientific investigation. Further improvements in detection are expected with the introduction of artificial intelligence programs into colonoscopy platforms. We may expect recommended intervals or colonoscopy after negative examinations performed...
Source: Clinical Colorectal Cancer - Category: Cancer & Oncology Authors: Tags: Gastrointest Endosc Clin N Am Source Type: research
The coronavirus pandemic has caused market turmoil that has had a negative impact on medical device companies of all sizes. While the large, established medical device players like Medtronic have the balance sheets and product pipelines to  emerge from the pandemic stronger than ever, the real concern is in how younger companies will survive. The secret may lie in a business model that's more often found in the biopharma world than in medtech. "What we're doing at Orchestra BioMed is applying what have been fairly long-established and proven business strategies from the biopharma si...
Source: MDDI - Category: Medical Devices Authors: Tags: Business COVID-19 Source Type: news
Source: Gastroenterology - Category: Gastroenterology Authors: Source Type: research
Conditions:   Adenoma Detection Rate;   Colonoscopy Intervention:   Sponsor:   The First Affiliated Hospital of Zhejiang Chinese Medical University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
The aim of this study was to determine the effect of precolonoscopy information with the guidance of an education booklet on anxiety and bowel preparation adequacy in patients undergoing colonoscopy.
Source: Journal of PeriAnesthesia Nursing - Category: Nursing Authors: Tags: Research Source Type: research
Conditions:   Adenoma Detection Rate;   Colonoscopy Intervention:   Sponsor:   The First Affiliated Hospital of Zhejiang Chinese Medical University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Authors: He L, Guo L, Hu C Abstract Data regarding Computed Tomography colonography, standard optical colonoscopy, and enhanced colonoscopy/histopathology at 1-year after surgery and at 6-month intervals for the next 2 years of 345 patients who faced curative surgery for colorectal cancer were included in the analysis. Computed Tomography colonography and standard optical colonoscopy both detected 298 polyps as suspicious. With reference to enhanced colonoscopy/histopathology, sensitivities for the detection of any polyps for Computed Tomography colonography and standard optical colonoscopy were 0.952 and 0.906. Wh...
Source: Cancer Investigation - Category: Cancer & Oncology Tags: Cancer Invest Source Type: research
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