MedWorm: Colonoscopy

Obama opts for virtual colonoscopy; CMS covers traditional only

American Medical News - GOVERNMENT — Thu, 18 Mar 2010 13:39:57 +0100

It's time Medicare started covering CT colonography, radiologists say. (Source: American Medical News - GOVERNMENT)

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Colonoscopy Not Needed for Most With Irritable Bowel Syndrome

MedicineNet Cancer General — Thu, 18 Mar 2010 07:00:00 +0100

Title: Colonoscopy Not Needed for Most With Irritable Bowel SyndromeCategory: Health NewsCreated: 3/17/2010 2:10:00 PMLast Editorial Review: 3/18/2010 (Source: MedicineNet Cancer General)

Colonoscopy Not Needed for Most With Irritable Bowel Syndrome

MedicineNet Crohn's Disease General — Thu, 18 Mar 2010 07:00:00 +0100

Title: Colonoscopy Not Needed for Most With Irritable Bowel SyndromeCategory: Health NewsCreated: 3/17/2010 2:10:00 PMLast Editorial Review: 3/18/2010 (Source: MedicineNet Crohn's Disease General)

Colonoscopy Not Needed for Most With Irritable Bowel Syndrome

MedicineNet Senior Health General — Thu, 18 Mar 2010 07:00:00 +0100

Title: Colonoscopy Not Needed for Most With Irritable Bowel SyndromeCategory: Health NewsCreated: 3/17/2010 2:10:00 PMLast Editorial Review: 3/18/2010 (Source: MedicineNet Senior Health General)

Studies examine Third Eye Retroscope during colonoscopy

EurekAlert! - Medicine and Health — Thu, 18 Mar 2010 04:00:00 +0100

(American Society for Gastrointestinal Endoscopy) Two new studies show an increase in polyp detection rates using the Third Eye Retroscope (TER), a retrograde viewing device, during colonoscopy. The first study found that TER added to standard colonoscopy detected 13.2 percent more polyps than colonoscopy alone, including 11 percent additional adenomas (precancerous polyps). A second study examined endoscopist experience using TER and its impact on polyp detection rates, concluding that polyp detection rates improved significantly with TER. (Source: EurekAlert! - Medicine and Health)

Patients With Irritable Bowel Syndrome Not More Likely To Develop Polyps Or Colon Cancer, U-M Study Says

Cancercompass News: Colorectal Cancer — Thu, 18 Mar 2010 00:00:00 +0100

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Colonoscopy Not Needed for Most with Irritable Bowel Syndrome

MedlinePlus Health News — Wed, 17 Mar 2010 18:00:00 +0100

Typical symptoms not an indicator of more serious disease, study finds Source: HealthDay Related MedlinePlus Pages: Colonoscopy, Irritable Bowel Syndrome (Source: MedlinePlus Health News)

The Colonoscopy Song - March is National Colorectal Cancer Awareness Month

Clinical Cases and Images — Wed, 17 Mar 2010 14:36:00 +0100

Peter Yarrow of the musical group Peter, Paul and Mary appeared on the CBS Early Show to sing a song he composed about his own colonoscopy:In the video below, Dr. Paul Limburg, a Mayo Clinic Gastroenterologist, provides background on colorectal cancer and the screening methods: Posted at Clinical Cases and Images. Stay updated and subscribe, follow on Twitter and Buzz, and connect on Facebook. (Source: Clinical Cases and Images)

Diphyllobothrium latum during Colonoscopy

New England Journal of Medicine — Wed, 17 Mar 2010 00:00:00 +0100

A 46-year-old woman presented with a history of 3 days of pruritus in the anal area and 1 day of excretion of tapelike materials. During the year before presentation, she ... (Source: New England Journal of Medicine)

Identification of Unknown Primary Tumors in Patients With Neuroendocrine Liver Metastases [Original Article]

Archives of Surgery — Mon, 15 Mar 2010 19:50:50 +0100

Conclusion For patients with NET liver metastases and unknown primary tumor, surgical exploration effectively identifies and resects occult primary tumors that are often located in the small intestine. Primary tumors are usually small and multifocal, so careful palpation of the small intestine is essential. Before patients are considered for surgery, a multidisciplinary team assessment and evaluation consisting of computed tomography, somatostatin receptor scintigraphy, and upper and lower endoscopy should be done. (Source: Archives of Surgery)

Non-Constipated IBS Patients Not at High Risk for Colonoscopy Abnormalities

Medscape Gastroenterology Headlines — Mon, 15 Mar 2010 18:56:35 +0100

Patients with non-constipated irritable bowel syndrome (IBS) have the same risk as healthy controls for structural abnormalities on colonoscopy, researchers report in The American Journal of Gastroenterology published online February 23rd. Reuters Health Information (Source: Medscape Gastroenterology Headlines)

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Colon Cancer Awareness Month Brings New Resources

About.com Colon Cancer — Sat, 13 Mar 2010 00:00:00 +0100

March is Colorectal Cancer Awareness month. To recognize this important public health event, the American College of Gastroenterology (ACG) has created several terrific resources about colon and rectal cancer: Audio Q & A on Colorectal Cancer Screening, in which ACG experts answer common questions about: Colorectal cancer Colorectal cancer screening options Colonoscopy screening How to prepare for a colon cancer screening test African American risk factors for colorectal cancer And much more Colon Cancer Resource Page with information and tools for patients and doctors. The What to Expect During a Colonoscopy video, where patients can learn about the colonoscopy test. The video follows a patient who undergoes the potentially lifesaving exam. It is documentary-style ...

Video: Importance of Colonoscopies

Health News: CBSNews.com — Thu, 11 Mar 2010 15:19:04 +0100

Dr. Jennifer Ashton discussed Harry Smith's televised colonoscopy, as well as who should get the screening and why. And David Letterman joked about it. (Source: Health News: CBSNews.com)

Thyroid cancer is the most common cancer associated with acromegaly

Pituitary — Wed, 10 Mar 2010 18:28:48 +0100

Abstract The aim of the study was to screen the malignancy in an acromegalic patient group and to determine whether there was any increased risk and the incidence of malignancy and its association with disease characteristics such as duration of disease, latency in diagnosis, and GH and IGF-1 levels. One hundred-five (65 female, 40 male) patients with acromegaly followed and treated at Cerrahpasa Medical School, Endocrinology and Metabolism outpatient clinic between 1983 and 2007 were included in this study. The patients were screened with colonoscopy, mammography, and thyroid and prostate ultrasonography (US). Malignancy was detected in 16 (15%) patients. Thyroid cancer was found in 5 patients (4.7%), breast cancer in 3 (2.8%), colon cancer in 2 (1.9%), lung cancer in 2 (...

Bowel Preparation for Colonoscopy

Clinics in Colon and Rectal Surgery — Wed, 10 Mar 2010 17:13:26 +0100

Clinics in Colon and Rectal Surgery 2010; 23: 010-013DOI: 10.1055/s-0030-1247851ABSTRACTColonoscopy is the premier method for colonic evaluation and its diagnostic accuracy and therapeutic safety depends on the quality of the colonic cleansing. Bowel cleansing with polyethylene glycol and sodium phosphate provides cleansing with high-quality preparations with an acceptably low morbidity rate and a high degree of patient satisfaction in a cost-effective manner. Modifications have reduced the volume of the polyethylene glycol preparations. Sodium phosphate has been associated with electrolyte and osmolarity imbalances and nephrocalcinosis; therefore, its clinical use has been questioned. Polyethylene glycol may be safer in patients with a history of significant renal, heart, or liver disease...

Current Status of Chromoendoscopy and Narrow Band Imaging in Colonoscopy

Clinics in Colon and Rectal Surgery — Wed, 10 Mar 2010 17:13:26 +0100

Clinics in Colon and Rectal Surgery 2010; 23: 021-030DOI: 10.1055/s-0030-1247853ABSTRACTColonoscopy, the preferred procedure for colon cancer screening, has well-documented limitations. To improve colonoscopy's effectiveness, augmented endoscopy techniques, such as chromoendoscopy and narrow band imaging (NBI) have been evaluated. Both techniques are inexpensive, safe, and relatively easy to perform. Chromoendoscopy has an increasingly important role in surveillance of IBD, but significant work is needed to determine the optimal staining techniques and mucosal surface pattern analysis before this technique can be incorporated into routine clinical practice. NBI is a much newer technology with far less data. Well-designed prospective randomized controlled trials have failed to identify a be...

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Endoscopic Treatment for Lower Gastrointestinal Bleeding

Clinics in Colon and Rectal Surgery — Wed, 10 Mar 2010 17:13:26 +0100

Clinics in Colon and Rectal Surgery 2010; 23: 031-036DOI: 10.1055/s-0030-1247855ABSTRACTLower gastrointestinal bleeding is common and can result from several colonic causes including diverticulosis, arteriovenous malformations, ischemia, inflammatory bowel disease, infectious colitis, neoplasm, postpolypectomy, and anastomotic and radiation proctitis. Following resuscitation and evaluation, colonoscopy can be used for diagnosis and treatment. Most physicians prescribe a bowel preparation for their patients. Therapeutic options include injection, coagulation (monopolar or bipolar cautery, argon plasma coagulator), and mechanical (clips, bands, detachable loops) devices.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Clinics in Col...

Video: First Ever Live TV Anchor Colonoscopy

Health News: CBSNews.com — Wed, 10 Mar 2010 16:22:01 +0100

In Full: CBS Evening News anchor Katie Couric guided The Early Show anchor Harry Smith through a colonoscopy on live TV. Couric is an advocate of colorectal cancer prevention. (Source: Health News: CBSNews.com)

Delayed presentation of a splenic injury after colonoscopy: a diagnostic challenge

International Journal of Colorectal Disease — Wed, 10 Mar 2010 15:33:46 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00384-010-0918-5Authors John Theodoropoulos, Drexel University College of Medicine and Hahnemann University Hospital Department of Surgery Philadelphia PA 19102 USAPiotr Krecioch, Drexel University College of Medicine and Hahnemann University Hospital Department of Surgery Philadelphia PA 19102 USASteven Myrick, Bryn Mawr Hospital Department of Surgery Bryn Mawr PA 19010 USARobert Atkins, Bryn Mawr Hospital Department of Gastroenterology Bryn Mawr PA 19010 USA Journal International Journal of Colorectal DiseaseOnline ISSN 1432-1262Print ISSN 0179-1958 (Source: International Journal of Colorectal Disease)

Phenotypic diversity in patients with multiple serrated polyps: a genetics clinic study

International Journal of Colorectal Disease — Wed, 10 Mar 2010 15:33:45 +0100

Conclusion Multiple serrated polyps were associated with an increased personal risk of CRC. A subset of patients with the highest polyp numbers was more likely to be male and to have no family history of CRC. This result suggests heterogeneous modes of inheritance and has implications for studies investigating the genetic basis of multiple serrated polyps. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-010-0907-8Authors Daniel D. Buchanan, QIMR Familial Cancer Laboratory Herston, Brisbane Q 4006 AustraliaKevin Sweet, Ohio State University Division of Human Genetics Columbus OH 43221 USAMusa Drini, The Royal Melbourne Hospital Department of Colorectal Medicine and Genetics Parkville, Melbourne VIC 3050 AustraliaMark A. Jenkins, University of ...

A Look Inside Harry's Colonoscopy

Health News: CBSNews.com — Wed, 10 Mar 2010 15:25:01 +0100

"Early Show" Co-Anchor Says Hello to His Liver, Finds Peace of Mind From Results (Source: Health News: CBSNews.com)

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Video: First Ever Live TV Colonoscopy

Health News: CBSNews.com — Wed, 10 Mar 2010 15:22:17 +0100

Video: Harry Smith's Colonoscopy Results

Health News: CBSNews.com — Wed, 10 Mar 2010 14:18:49 +0100

Dr. Mark Pochapin gave Harry Smith a good bill of health after his live televised colonoscopy. (Source: Health News: CBSNews.com)

Harry Smith Gets Colonoscopy Live On 'Early Show'

Wed, 10 Mar 2010 14:04:13 +0100

"Early Show" co-anchor Harry Smith underwent a colonoscopy Wednesday - and the show broadcast live reports as he underwent the procedure. Viewers also learned what Smith had to do to prepare for it. (Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire)

Video: Colonoscopy Fact vs. Fiction

Health News: CBSNews.com — Wed, 10 Mar 2010 14:03:35 +0100

Harry Smith gets the scoop of a lifetime before his live on-camera colonoscopy from Dr. Mark Pochapin, director of the The Jay Monahan Ctr. for Gastrointestinal Health. (Source: Health News: CBSNews.com)

Video: Harry Smith's Live Colonoscopy

Health News: CBSNews.com — Wed, 10 Mar 2010 13:52:03 +0100

Harry Smith underwent a colonoscopy by Dr. Mark Pochapin live during The Early Show as Katie Couric oversaw the procedure. (Source: Health News: CBSNews.com)

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Inside Colonoscopy Screenings

Health News: CBSNews.com — Wed, 10 Mar 2010 13:37:34 +0100

Dr. Mark Pochapin Explains How Doctors Perform This Important Test for Colon Cancer (Source: Health News: CBSNews.com)

Harry Smith's On-Air Colonoscopy

Health News: CBSNews.com — Wed, 10 Mar 2010 13:33:18 +0100

"Early Show" Co-Anchor Gets Support from "CBS Evening News" Anchor Katie Couric Before Live Screening (Source: Health News: CBSNews.com)

Video: Colonoscopy Prep for Harry Smith

Health News: CBSNews.com — Wed, 10 Mar 2010 12:57:14 +0100

Katie Couric helps Harry Smith get ready for his colonoscopy and explains why the procedure is so important for men and women. (Source: Health News: CBSNews.com)

Harry Smith Preps for On-Air Colonoscopy

Health News: CBSNews.com — Wed, 10 Mar 2010 12:19:33 +0100

"Early Show" Co-Anchor Gets Support from "CBS Evening News" Anchor Katie Couric Before Live Screening (Source: Health News: CBSNews.com)

Harry Smith To Get Colonoscopy On 'Early Show'

Wed, 10 Mar 2010 12:04:12 +0100

"Early Show" co-anchor Harry Smith is scheduled to have a colonoscopy Wednesday - and the show plans live reports as he undergoes the procedure. Viewers will also learn what Smith had to do to prepare for it. (Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire)

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Irritable Bowel Syndrome Patients Not More Likely To Get Colon Cancer

Health News from Medical News Today — Wed, 10 Mar 2010 09:00:00 +0100

Patients with irritable bowel syndrome are at no greater risk of having polyps, colon cancer or inflammatory bowel diseases than healthy people undergoing colonoscopies, according to new research published in the American Journal of Gastroenterology. "Patients and doctors get nervous about the symptoms of irritable bowel syndrome (IBS)," says William D. Chey, M.D., professor of Internal Medicine at the University of Michigan Medical School. "They think the symptoms represent something more sinister... (Source: Health News from Medical News Today)

Irritable Bowel Syndrome Patients Not More Likely To Get Colon Cancer

GastroIntestinal News From Medical News Today — Wed, 10 Mar 2010 09:00:00 +0100

Patients with irritable bowel syndrome are at no greater risk of having polyps, colon cancer or inflammatory bowel diseases than healthy people undergoing colonoscopies, according to new research published in the American Journal of Gastroenterology. "Patients and doctors get nervous about the symptoms of irritable bowel syndrome (IBS)," says William D. Chey, M.D... (Source: GastroIntestinal News From Medical News Today)

VC CAD: Projection-based features reduce false positives

AuntMinnie.com Headlines — Wed, 10 Mar 2010 07:00:00 +0100

An advanced visualization method for virtual colonoscopy could help computer-aided (more) (Source: AuntMinnie.com Headlines)

Harry Smith colonoscopy to air on `Early Show'

Wash Post Health — Tue, 09 Mar 2010 15:06:54 +0100

"The Early Show" co-anchor Harry Smith is scheduled to have a colonoscopy Wednesday, with live reports planned as he undergoes the procedure at a New York hospital. (Source: Wash Post Health)

Harry Smith colonoscopy to air on `Early Show'

washingtonpost.com - Health — Tue, 09 Mar 2010 15:06:54 +0100

"The Early Show" co-anchor Harry Smith is scheduled to have a colonoscopy Wednesday, with live reports planned as he undergoes the procedure at a New York hospital. (Source: washingtonpost.com - Health)

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Video: The Colonoscopy Song

Health News: CBSNews.com — Tue, 09 Mar 2010 14:44:30 +0100

Singer Peter Yarrow sang a song he wrote after a doctor discovered a polyp during his colonoscopy. (Source: Health News: CBSNews.com)

Computed image modification for enhancement of small-bowel surface structures at video capsule endoscopy

Endoscopy — Tue, 09 Mar 2010 14:34:38 +0100

EndoscopyDOI: 10.1055/s-0029-1243994Computed virtual chromoendoscopy with the Fujinon intelligent color-enhancement (FICE) system was reported to improve visualization of neoplastic and non-neoplastic lesions at gastroscopy and colonoscopy. The technique is based on narrowing the bandwidth of the conventional endoscopic image arithmetically by a spectral estimation technology. Implementation of the FICE software in the video capsule workstation might also allow for contrast-enhanced assessment of nature and extent of small-bowel mucosal lesions. Here we propose this novel technique and report on 10 consecutive patients who underwent small-bowel video capsule endoscopy that was evaluated with FICE-enhanced imaging.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of co...

Patients with Irritable Bowel Syndrome not more likely to develop polyps, colon cancer

EurekAlert! - Medicine and Health — Tue, 09 Mar 2010 05:00:00 +0100

(University of Michigan Health System) Patients with irritable bowel syndrome are at no greater risk of having polyps, colon cancer or inflammatory bowel diseases than healthy people undergoing colonoscopies. (Source: EurekAlert! - Medicine and Health)

Acromegaly Is Associated with an Increased Prevalence of Colonic Diverticula: A Case-Control Study.

The Journal of Clinical Endocrinology and Metabolism — Tue, 09 Mar 2010 00:00:00 +0100

Conclusions: Acromegaly is associated with an increased prevalence of colonic diverticula. In addition to the known irreversible effect of GH excess on collagen of joints and cardiac valves, this observation indicates an irreversible effect of GH and/or IGF-I on the collagen in the colon. PMID: 20215398 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)

For Best Colon Cancer Screening, Know Your Options

About.com Colon Cancer — Mon, 08 Mar 2010 00:00:00 +0100

Colon cancer screening options run the gamut in terms of accuracy, scientific evidence for effectiveness, amount of the colon examined, the need for sedation, and more. New research shows that having a full understanding of all of the aspects of each type of colon cancer screening method can help people better determine which test meets their needs. Which Tests, Which Outcomes Researchers wanted to find out how people felt about different colon cancer screening methods before and after being educated about thirteen aspects of each test. The colon cancer screening methods studied were: Fecal occult blood testing Flexible sigmoidoscopy Colonoscopy Double-contrast barium enema The aspects of each test that study participants learned about were: Accuracy: How well does the...

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One-day bowel prep eases VC for patients, providers

AuntMinnie.com Headlines — Sun, 07 Mar 2010 19:40:57 +0100

VIENNA - A one-day bowel prep and virtual colonoscopy exam regimen offers sufficiently (more) (Source: AuntMinnie.com Headlines)

Colonoscopy in Hong Kong Chinese children.

World Journal of Gastroenterology : WJG — Sun, 07 Mar 2010 00:00:00 +0100

CONCLUSION: Colonoscopy is a safe procedure in our Chinese children. The increasing diagnosis of IBD in recent decades may reflect a rising incidence of the disease in our children. PMID: 20205284 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)

Those Who Have Colonoscopy Performed By GIs Less Likely To Develop Colorectal Cancer

Cancercompass News: Colorectal Cancer — Sat, 06 Mar 2010 00:00:00 +0100

Following a negative complete colonoscopy, those who had their colonoscopies at a hospital and had their procedures performed by a non- gastroenterologist may be at a significantly increased risk of developing subsequent colorectal cancer (CRC), according to a new study in Clinical Gastroenterology and Hepatology, the official journal of the American Gastroenterological Association (AGA) Institute. (Source: Cancercompass News: Colorectal Cancer)

Virtual colonoscopy versus optical colonoscopy

Expert Opinion: Expert Opinion on Medical Diagnostics — Fri, 05 Mar 2010 10:51:38 +0100

Expert Opinion on Medical Diagnostics , March 2010, Vol. 4, No. 2, Pages 159-169. (Source: Expert Opinion: Expert Opinion on Medical Diagnostics)

Gastroenterologists bash CT colonoscopy in letter to President Obama

Cancer Network — Thu, 04 Mar 2010 13:30:01 +0100

News that President Obama received a clean bill of health from a virtual colonoscopy several days ago rubbed influential gastroenterologists the wrong way. (Source: Cancer Network)

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Virtual colonoscopy: good enough for the president but not the American public?

Diagnostic Imaging — Wed, 03 Mar 2010 15:30:02 +0100

On Feb. 28 President Obama was screened for colorectal cancer using CT colonography. The results from this exam, also called virtual colonoscopy, along with those from the rest of the president’s annual physical, which was done at the National Naval Medical Center in Bethesda, described the president as “fit for duty.” (Source: Diagnostic Imaging)

Obama Gets Virtual Colonoscopy But Coverage Denied to Seniors

Disabled World — Wed, 03 Mar 2010 14:23:42 +0100

President Obama Gets Virtual Colonoscopy (CT Colonography) But Medicare Denies CTC Coverage to Seniors - Medicare Should Cover Screening CT Colonography for Older Americans Who Want It. (Source: Disabled World)

Virtual colonoscopy: good enough for the president but not the American public?

Cancer Network — Wed, 03 Mar 2010 13:30:01 +0100

The Right Colorectal Cancer Test For The Right Patient

Public Health News From Medical News Today — Wed, 03 Mar 2010 12:00:00 +0100

The Right Colorectal Cancer Test For The Right Patient

Health News from Medical News Today — Wed, 03 Mar 2010 12:00:00 +0100

Recent reports of President Obama's CT colonography, or virtual colonoscopy, as a screening test for colorectal cancer and coverage by the Associated Press of an NIH State-of-the-Science conference heralding stool blood tests as an inexpensive alternative to colonoscopy may leave many consumers wondering which colorectal cancer test is best for them. Physician experts from the American College of Gastroenterology are available to comment and help provide perspective on the many options for colorectal cancer screening during March Colorectal Cancer Awareness Month... (Source: Health News from Medical News Today)

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Gastroenterologists bash CT colonoscopy in letter to Obama

Diagnostic Imaging — Wed, 03 Mar 2010 12:00:00 +0100

News that President Obama received a clean bill of health from a virtual colonoscopy several days ago rubbed influential gastroenterologists the wrong way. (Source: Diagnostic Imaging)

The Right Colorectal Cancer Test For The Right Patient

Health News from Medical News Today — Wed, 03 Mar 2010 09:00:00 +0100

The Right Colorectal Cancer Test For The Right Patient

Cancer / Oncology News From Medical News Today — Wed, 03 Mar 2010 09:00:00 +0100

Dress in Blue Day Aims To Raise Colon Cancer Awareness

About.com Colon Cancer — Wed, 03 Mar 2010 00:00:00 +0100

On Friday, March 5, 2010, the Colon Cancer Alliance (CCA) is asking local communities, corporations and the general public to support awareness of colorectal cancer by Dressing in Blue. The CCA hopes Dress in Blue Day will help start a conversation about colon cancer. The goal is to spread awareness about colon cancer screening, which can reduce the risk of this disease. Why Blue? Dress in Blue Day is designed to be similar to breast cancer's pink ribbon approach. Just like the pink ribbon campaign to raise breast cancer awareness, the blue star symbol will serves as a year-round reminder of the battle against colon cancer. Why is Dress in Blue Day So Important? Colon Cancer is a highly preventable, but rarely discussed disease. Colon cancer claims the lives of nearly 50,000 Americans ever...

[Benign anastomotic strictures after oncologic rectal cancer surgery. Results of treatment with hydrostatic dilation.]

Cirugia eEspanola — Wed, 03 Mar 2010 00:00:00 +0100

CONCLUSIONS: Benign anastomotic strictures after rectal cancer surgery are frequent (7.05%), develop symptoms (52.9%) and can be successfully treated by hydrostatic dilation in more than 88% patients. PMID: 20206341 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)

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Fecal Occult Blood Test in Patients on Low-Dose Aspirin, Warfarin, Clopidogrel, or Non-steroidal Anti-inflammatory Drugs

Digestive Diseases and Sciences — Tue, 02 Mar 2010 10:06:11 +0100

Conclusion Anticoagulants and antiplatelet medications lower the positive-predictive-value of FOBT for advance colonic neoplasia and should be stopped if clinically feasible prior to stool collection. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10620-010-1150-4Authors Mandeep S. Sawhney, Minneapolis Veterans Affairs Medical Center Division of Gastroenterology Minneapolis MN USAHeather McDougall, Minneapolis Veterans Affairs Medical Center Division of Gastroenterology Minneapolis MN USADouglas B. Nelson, Minneapolis Veterans Affairs Medical Center Division of Gastroenterology Minneapolis MN USAJohn H. Bond, Minneapolis Veterans Affairs Medical Center Division of Gastroenterology Minneapolis MN USA Journal Digestive Diseases and SciencesOnl...

Obama gets virtual colonoscopy, keeps presidential powers

AuntMinnie.com Headlines — Tue, 02 Mar 2010 00:35:57 +0100

As part of his first annual comprehensive physical exam as chief executive, (more) (Source: AuntMinnie.com Headlines)

March 2010 News Tips

UT Southwestern Medical Center News — Mon, 01 Mar 2010 19:15:00 +0100

UT Southwestern's clinical experts discuss virtual colonoscopies, new technologies for poor eyesight, gluten sensitivity and helping children overcome nervousness. (Source: UT Southwestern Medical Center News)

A Beat-by-Beat Cardiovascular Index, CARDEAN: A Prospective Randomized Assessment of Its Utility for the Reduction of Movement During Colonoscopy.

Anesthesia and Analgesia — Mon, 01 Mar 2010 00:00:00 +0100

CONCLUSION: With BIS <60, CARDEAN-guided opioid administration is associated with a reduction of 51% of clinically unpredictable movements in unparalyzed patients undergoing colonoscopy. More studies are required to refine the role of CARDEAN in surgical settings. PMID: 20185655 [PubMed - in process] (Source: Anesthesia and Analgesia)

A lexicon for endoscopic adverse events: report of an ASGE workshop

Gastrointestinal Endoscopy — Mon, 01 Mar 2010 00:00:00 +0100

Patients and practitioners expect that their endoscopy procedures will go smoothly and according to plan. There are several reasons why they may be disappointed. The procedure may fail technically (eg, incomplete colonoscopy, failed biliary cannulation). It may seem to be successful technically but turn out to be clinically unhelpful (eg, a diagnosis missed, an unsuccessful treatment), or there may be an early relapse (eg, stent dysfunction). In addition, some patients and relatives may be disappointed by a lack of courtesy and poor communication, even when everything otherwise works well. (Source: Gastrointestinal Endoscopy)

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Impact of experience with a retrograde-viewing device on adenoma detection rates and withdrawal times during colonoscopy: the Third Eye Retroscope study group

Gastrointestinal Endoscopy — Mon, 01 Mar 2010 00:00:00 +0100

Conclusions: Polyp detection rates improved significantly with the TER, especially after 15 procedures, when the mean additional detection rate for adenomas was 25.0%. Additional detection rates with the TER for medium-size and large adenomas were greater than for smaller lesions. These results suggest that, compared with a colonoscope alone, a retrograde-viewing device can increase detection rates for clinically significant adenomas without detriment to procedure time or procedure complications. (Clinical trial registration number: NCT00969124.) (Source: Gastrointestinal Endoscopy)

One-day bowel preparation with polyethylene glycol 3350: an effective regimen for colonoscopy in children

Gastrointestinal Endoscopy — Mon, 01 Mar 2010 00:00:00 +0100

Conclusion: The 1-day PEG 3350 bowel preparation regimen is safe and effective and should be considered for use as preparation for colonoscopy in children. (Source: Gastrointestinal Endoscopy)

Multiple liver metastases from a rectal carcinoid tumor

Gastrointestinal Endoscopy — Mon, 01 Mar 2010 00:00:00 +0100

A 52-year-old man was referred to our hospital for evaluation of a positive fecal occult blood test. He had a 3-month history of right upper abdominal discomfort. On physical examination, there was a palm-sized, palpably hard liver below the right costal margin. Colonoscopy showed a lobulated polypoid lesion in the rectum, 6 cm from the anal verge, with multiple erosions and shallow ulcers covering the mucosal surface of the tumor (A). EUS revealed a hypoechoic, submucosal mass, which was 3.0 cm in diameter, protruding into the lumen and invading the serosa (B). (Source: Gastrointestinal Endoscopy)

Rectal perforation caused by colonoscopic retroflexion

Gastrointestinal Endoscopy — Mon, 01 Mar 2010 00:00:00 +0100

To the Editor: We read with interest the article by Quallick and Brown on rectal perforation during colonoscopic retroflexion. Because of the limited amount of data, we present our experience with 1 analogous case among 18,000 colonoscopies performed in our department. (Source: Gastrointestinal Endoscopy)

Colonic Complications of Obesity

Gastroenterology Clinics of North America — Mon, 01 Mar 2010 00:00:00 +0100

Obesity is a risk factor for colorectal cancer and adenomatous polyps. The increased prevalence of neoplasia coupled with the observation that obesity may be associated with a suboptimal bowel preparation may diminish the adequate detection of adenomas for obese who undergo colonoscopy. The colonic complications of obesity are reviewed in this article. (Source: Gastroenterology Clinics of North America)

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Automated Detection and Segmentation of Large Lesions in CT Colonography

IEEE Transactions on Biomedical Engineering — Mon, 01 Mar 2010 00:00:00 +0100

Computerized tomographic colonography is a minimally invasive technique for the detection of colorectal polyps and carcinoma. Computer-aided diagnosis (CAD) schemes are designed to help radiologists locating colorectal lesions in an efficient and accurate manner. Large lesions are often initially detected as multiple small objects, due to which such lesions may be missed or misclassified by CAD systems. We propose a novel method for automated detection and segmentation of all large lesions, i.e., large polyps as well as carcinoma. Our detection algorithm is incorporated in a classical CAD system. Candidate detection comprises preselection based on a local measure for protrusion and clustering based on geodesic distance. The generated clusters are further segmented and analyzed. The segment...

Detection of Quality Visualization of Appendiceal Orifices Using Local Edge Cross-Section Profile Features and Near Pause Detection

IEEE Transactions on Biomedical Engineering — Mon, 01 Mar 2010 00:00:00 +0100

Colonoscopy is an endoscopic technique that allows a physician to inspect the inside of the human colon. The appearance of the appendiceal orifice during colonoscopy indicates a complete traversal of the colon, which is an important quality indicator of the colon examination. In this paper, we present two new algorithms. The first algorithm determines whether an image shows the clearly seen appendiceal orifice. This algorithm uses our new local features based on geometric shape, illumination difference, and intensity changes along the norm direction (cross section) of an edge. The second algorithm determines whether the video is an appendix video (the video showing at least 3 s of the appendiceal orifice inspection). Such a video indicates good visualization of the appendiceal orifice. Thi...

Factors associated with refusal of colonoscopy.

Famly Medicine — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Prunuske JP, Crookston BT, Alder SC, Magill MK, Mervis AS, Burt RW PMID: 20204886 [PubMed - in process] (Source: Famly Medicine)

Colon Ca Rates Lower After Specialist Screening

Internal Medicine News — Mon, 01 Mar 2010 00:00:00 +0100

Patients whose previous negative colonoscopies were performed by gastroenterologists are less likely to have subsequent colorectal cancer than are patients whose screens were done by other specialists, including general surgeons, Dr. Linda Rabeneck and her colleagues reported. (Source: Internal Medicine News)

Advanced Neoplasms Rare After Prior Negative Colonoscopy

Internal Medicine News — Mon, 01 Mar 2010 00:00:00 +0100

Even in patients whose last negative colonoscopy was more than 10 years before, advanced adenomas were rare, Dr. Hermann Brenner and his colleagues reported. The finding suggests that “extension of screening intervals, which could strongly enhance acceptance and cost-effectiveness of endoscopy-based screening and reduce its discomfort, might be achieved while maintaining high levels of safety,” they wrote (Gastroenterology 2010 March [doi:10.1053/j.gastro.2009.10.054]). (Source: Internal Medicine News)

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Bowel Prep Affects Interval To Next Colonoscopy

Internal Medicine News — Mon, 01 Mar 2010 00:00:00 +0100

SAN DIEGO — Poor bowel preparation before colonoscopy influenced physicians to recommend follow-up colonoscopies 17 months sooner than they suggested for patients with adequate bowel preparation in a retrospective cohort study of 788 patients. (Source: Internal Medicine News)

Informed Decision Making Changes Test Preferences for Colorectal Cancer Screening in a Diverse Population.

Annals of Family Medicine — Mon, 01 Mar 2010 00:00:00 +0100

CONCLUSION: Participants were clear about the attributes that they prefer, but no single test has those attributes. Preferences were varied across participants and were not predictable; clinicians should discuss the full range of recommended tests for colorectal cancer with all patients. PMID: 20212301 [PubMed - as supplied by publisher] (Source: Annals of Family Medicine)

Necessity for improvement in endoscopy training during surgical residency

American Journal of Surgery — Mon, 01 Mar 2010 00:00:00 +0100

Conclusions: Future endoscopy training for surgical residents needs to be improved to comply with the new requirements. This would include provision of an endoscopic skills laboratory, dedicated endoscopic rotations, and increasing the number of staff surgeons who perform endoscopic procedures. (Source: American Journal of Surgery)

Colon Ca Rates Lower After Specialist Screen

Family Practice News — Mon, 01 Mar 2010 00:00:00 +0100

Canadian patients whose previous negative colonoscopies were performed by gastroenterologists are less likely to have subsequent colorectal cancer than are patients whose screens were done by other specialists, including general surgeons, Dr. Linda Rabeneck and her colleagues reported. (Source: Family Practice News)

Advanced Neoplasms Rare After Negative Screen

Family Practice News — Mon, 01 Mar 2010 00:00:00 +0100

Even in patients whose last negative colonoscopy was more than 10 years before, advanced adenomas were rare, Dr. Hermann Brenner and colleagues reported. The finding suggests that “extension of screening intervals, which could strongly enhance acceptance and cost-effectiveness of endoscopy-based screening and reduce its discomfort, might be achieved while maintaining high levels of safety,” they wrote (Gastroenterology [doi:10.1053/j.gastro.2009.10.054]). (Source: Family Practice News)

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What's the most effective way to screen patients with a family history of colon cancer?

The Journal of Family Practice — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Wiltz SA, Nelson RM The best approach for screening patients hinges on the number, degree, and age of relatives diagnosed with colorectal cancer (CRC) or adenomatous polyps (AP). Screening should begin at 40 years of age for patients with a family history of CRC or AP in at least 1 first-degree relative or CRC in at least 2 second-degree relatives. Patients at highest risk-who have 1 first-degree relative diagnosed with CRC or AP before 60 years of age or multiple first-degree relatives diagnosed at any age-should begin screening with colonoscopy at 40 years of age or 10 years younger than the earliest affected relative and undergo a repeat colonoscopy every 5 years. Patients who have a first-degree relative diagnosed with CRC or AP after 60 years of age or 2 or more second-de...

[Intra- and interfamilial phenotype variation in Birt-Hogg-Dubé syndrome: Consequences for therapy.]

Annales de Dermatologie et de Cenereologie — Mon, 01 Mar 2010 00:00:00 +0100

We report cases involving a new mutation in three unrelated families. MATERIALS AND METHODS: Blood samples of three probands were submitted for a molecular diagnosis of BHDS. Following DNA extraction, FLCN gene sequencing was performed. The identified mutations were confirmed on a second sample. A cancer genetics consultation was organized and specific tests (dermatological examination, CT scan of chest and abdomen and colonoscopy) were proposed for each BHDS patient. RESULTS: FLCN gene-sequencing analysis revealed an identical complex harmful mutation in all three families. The first proband showed fibrofolliculomas (FF), a history of pneumothorax and colonic adenoma. The mutation was found in a brother and two sisters, who were asymptomatic, and in a niece with FF. The second proband sho...

[Appendicular cystadenocarcinoma with cutaneous fistula.]

Annales de Dermatologie et de Cenereologie — Mon, 01 Mar 2010 00:00:00 +0100

We report a case of fistular lesions of the buttocks revealing a mixed tumour of the appendix involving mucinous cystadenocarcinoma and carcinoid tumour. CASE REPORT: A 67-year-old woman was admitted for four skin fistulae of the right buttock present for 6 years. Histological examination of skin biopsy specimens identified infiltration of the dermis by metastatic mucinous adenocarcinoma while colonoscopy showed a caecal tumour measuring 4cm. Surgical excision was performed involving right hemicolectomy, evacuation of retroperitoneal mucin collection and excision of fistulae. Histopathological examination of surgical specimen confirmed mixed tumour consisting of perforated mucinous cystadenocarcinoma and carcinoid tumour of the appendix. Recurrence of the fistular lesions was seen. The pat...

Extensive Work-Up for IBS Rarely Needed

Clinical Psychiatry News — Mon, 01 Mar 2010 00:00:00 +0100

LAKE BUENA VISTA, FLA. — An extensive work-up that includes tests such as colonoscopy should generally be avoided for patients suspected of having irritable bowel syndrome. Only when there are atypical or alarming symptoms such as fever, anemia, hematochezia, or a family history of colon cancer should an extensive diagnostic work-up including colonoscopy or barium enema be undertaken, according to Dr. Georgine M. Lamvu. (Source: Clinical Psychiatry News)

[Spleen ruptures after screening colonoscopy.]

Der Chirurg — Sat, 27 Feb 2010 00:00:00 +0100

Authors: Stauch P, Dietrich P, Bernhard M, Jaspersen D, Gries A, Hellinger A Splenic injury during colonoscopy is a rare but potentially life-threatening complication. The case of an 82-year-old male patient with a ruptured spleen after screening colonoscopy is reported. The predisposing risk factors for a laceration of the spleen during colonoscopy are discussed as well as the diagnostic and therapeutic approaches. PMID: 20186378 [PubMed - as supplied by publisher] (Source: Der Chirurg)

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Atorvastatin Induces Apoptosis In Vitro and Slows Growth of Tumor Xenografts but Not Polyp Formation in Min Mice

Digestive Diseases and Sciences — Fri, 26 Feb 2010 06:46:27 +0100

Conclusions Atorvastatin can induce apoptosis in vitro, through mevalonate and prenylation pathways. Atorvastatin, while not effective in preventing polyp formation in the min mouse model, was very effective in slowing tumor growth in a nude mouse model. Consistent with in vitro findings, increased apoptosis accounted for decreased tumor growth. Statins may have benefit in cancer by slowing tumor growth, rather than preventing tumor initiation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10620-010-1157-xAuthors Emina H. Huang, University of Florida Department of Surgery Gainesville FL USALaura A. Johnson, University of Michigan Department of Internal Medicine Ann Arbor MI USAKathryn Eaton, University of Michigan Department of Comparative Patho...

Study Results Provide New Insights Into Predicting The Site Of Colon Cancer

Cancercompass News: Colorectal Cancer — Fri, 26 Feb 2010 00:00:00 +0100

Our objective was to determine the value of gastrointestinal symptoms and signs in predicting the site of colorectal cancer (CRC). These symptoms can subsequently be used in determining first-line investigation with either sigmoidoscopy or colonoscopy, scientists writing in the journal Colorectal Disease report. (Source: Cancercompass News: Colorectal Cancer)

Computed tomographic colonography: Hope or hype?

World Journal of Gastroenterology : WJG — Thu, 25 Feb 2010 17:41:42 +0100

Authors: Lin OS Computed tomographic colonography (CTC) is a promising emerging technology for imaging of the colon. This concise review discusses the currently available data on CTC technique, test characteristics, acceptance, safety, cost-effectiveness, follow-up strategy, and extracolonic findings. In summary, CTC technique is still evolving, and further research is needed to clarify the role of automated colonic insufflation, smooth-muscle relaxants, intravenous and oral contrast, software rendering, and patient positioning. Currently, full bowel preparation is still required to achieve optimal results. The sensitivity for detecting large polyps (> 1 cm) can be as high as 85%, with specificity of up to 97%. These test characteristics are almost comparable to those of conventiona...

Chromocolonoscopy Not Helpful for Routine Colon Cancer Screening

Medscape Gastroenterology Headlines — Thu, 25 Feb 2010 16:58:46 +0100

Although high-definition chromocolonoscopy may detect some adenomas missed with standard high-definition colonoscopy, it should not be used for routine colon cancer screening in average-risk patients, new research suggests. Reuters Health Information (Source: Medscape Gastroenterology Headlines)

Bowel preparation affects the amplitude and spatiotemporal organization of colonic propagating sequences

Neurogastroenterology and Motility — Thu, 25 Feb 2010 00:00:00 +0100

Conclusions & Inferences The overall frequency of PSs, the colonic responses to physiological stimuli such a meal and morning waking and nocturnal suppression, are not influenced by prior bowel preparation. However, investigators wishing to study HAPS frequency, or the more complex spatiotemporal relationships among consecutive PSs, should control for bowel preparation when making comparisons among study groups. (Source: Neurogastroenterology and Motility)

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Annual Colonoscopy Helpful for High-Risk Cancer Group

Modern Medicine — Thu, 25 Feb 2010 00:00:00 +0100

Annual colonoscopies can provide timely detection of early-stage colorectal cancer in the high-risk group of people with the genetic condition known as hereditary nonpolyposis colorectal cancer, according to a study in the February issue of Clinical Gastroenterology and Hepatology. (Source: Modern Medicine)

Genetic testing may yield personalized health treatments

USATODAY.com Health — Wed, 24 Feb 2010 23:04:19 +0100

Soon, sequencing a person's genome will drop below $1,000 (less than a colonoscopy), which could help predict a patient's response ... (Source: USATODAY.com Health)

Those Who Have Colonoscopy Performed By GIs Less Likely To Develop Colorectal Cancer

Health News from Medical News Today — Wed, 24 Feb 2010 08:00:00 +0100

Following a negative complete colonoscopy, those who had their colonoscopies at a hospital and had their procedures performed by a non-gastroenterologist may be at a significantly increased risk of developing subsequent colorectal cancer (CRC), according to a new study in Clinical Gastroenterology and Hepatology, the official journal of the American Gastroenterological Association (AGA) Institute. "The overall incidence of colorectal cancer is reduced for at least 10 years following a negative colonoscopy, compared with the general population... (Source: Health News from Medical News Today)

Those Who Have Colonoscopy Performed By GIs Less Likely To Develop Colorectal Cancer

GastroIntestinal News From Medical News Today — Wed, 24 Feb 2010 08:00:00 +0100

Following a negative complete colonoscopy, those who had their colonoscopies at a hospital and had their procedures performed by a non-gastroenterologist may be at a significantly increased risk of developing subsequent colorectal cancer (CRC), according to a new study in Clinical Gastroenterology and Hepatology, the official journal of the American Gastroenterological Association (AGA) Institute... (Source: GastroIntestinal News From Medical News Today)

VC obviates need for colonoscopy even in symptomatic patients

AuntMinnie.com Headlines — Wed, 24 Feb 2010 07:00:00 +0100

Even among individuals with symptoms suggesting a higher risk of colorectal (more) (Source: AuntMinnie.com Headlines)

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Cleveland Medical Malpractice Attorney Obtains Settlement in Wrongful Death Case

PRWeb: Medical Pharmaceuticals — Tue, 23 Feb 2010 15:26:37 +0100

NASA engineer dies after instructions to stop taking Plavix® and Aspirin for elective colonoscopy. Cleveland medical malpractice attorney (http://medical-malpractice.spanglaw.com/) nets settlement for widow. (PRWeb Feb 23, 2010) Read the full story at http://www.prweb.com/releases/top-medical-malpractice/attorneys-cleveland-ohio/prweb3611524.htm (Source: PRWeb: Medical Pharmaceuticals)

Diapers' Contents Could Change Way Of Finding Intestinal Disease

Genetics News From Medical News Today — Tue, 23 Feb 2010 13:00:00 +0100

A medical test initially researched for aging adults also could be helpful for premature babies, according to scientists with Texas AgriLife Research. The procedure, which uses fecal samples rather than the oft-dreaded colonoscopy, was developed by Dr. Robert Chapkin and his colleagues, who have been studying the noninvasive technique at the genetic level for more than a decade... (Source: Genetics News From Medical News Today)

Diapers' Contents Could Change Way Of Finding Intestinal Disease

Health News from Medical News Today — Tue, 23 Feb 2010 13:00:00 +0100

Feasibility of end-to-anterior wall anastomosis in conversion of the double-stapling technique during laparoscopically assisted surgery

Surgical Endoscopy — Tue, 23 Feb 2010 07:08:48 +0100

Conclusion Our experience indicates that though several technical points should be noted, an end to anterior wall anastomosis procedure is easy and safe. This method is a useful alternative way when end-to-end DST anastomosis is not performed smoothly in laparoscopic surgery. Content Type Journal ArticleDOI 10.1007/s00464-010-0921-5Authors Hirofumi Yamamoto, Osaka University Department of Surgery, Gastroenterological Surgery, Graduate School of Medicine Osaka 565-0871 JapanMitsugu Sekimoto, Osaka University Department of Surgery, Gastroenterological Surgery, Graduate School of Medicine Osaka 565-0871 JapanMamoru Uemura, Osaka University Department of Surgery, Gastroenterological Surgery, Graduate School of Medicine Osaka 565-0871 JapanNorikatsu Miyoshi, Osaka Univer...

Sentinel node procedure of the sigmoid using indocyanine green: feasibility study in a goat model

Surgical Endoscopy — Tue, 23 Feb 2010 07:08:02 +0100

Conclusion The SLN procedure for the sigmoid using near-infrared laparoscopy in the goat is a very promising technique. Achievements described in this report justify a clinical trial on the feasibility of ICG-guided SLN detection in humans. Content Type Journal ArticleDOI 10.1007/s00464-010-0923-3Authors M. H. G. M. van der Pas, VU University Medical Center Department of Surgery Post bus 7057 1007 MB Amsterdam The NetherlandsG. A. M. S. van Dongen, VU University Medical Center Department of Otolaryngology, Head and Neck Surgery Post bus 7057 1007 MB Amsterdam The NetherlandsF. Cailler, Institut de Recherche en Cancérologie de Montpellier Montpellier Cedex FranceA. Pèlegrin, Institut de Recherche en Cancérologie de Montpellier Montpellier Cedex FranceW. J. H. J. Me...

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Those who have colonoscopy performed by GIs less likely to develop colorectal cancer

EurekAlert! - Medicine and Health — Tue, 23 Feb 2010 05:00:00 +0100

(American Gastroenterological Association) Following a negative complete colonoscopy, those who had their colonoscopies at a hospital and had their procedures performed by a non-gastroenterologist may be at a significantly increased risk of developing subsequent colorectal cancer. (Source: EurekAlert! - Medicine and Health)

Clinical significance of lymphoid hyperplasia of the lower gastrointestinal tract

Endoscopy — Tue, 23 Feb 2010 03:18:21 +0100

This study was undertaken to analyze the number and topographical distribution of the lymphoid follicles. A total of 302 adult consecutive patients were enrolled when they underwent elective colonoscopy. Standardized pictures from terminal ileum and colon were taken using video colonoscopes. In each picture, the number, size, and mucosal elevation of lymphoid follicles were analyzed in relation to histological and immunological findings and medical history. Lymphoid hyperplasia was found to be most extensive in the terminal ileum and cecum. Patients with untreated gastrointestinally mediated allergy (GMA) showed the highest number of lymphoid follicles per visible field in the terminal ileum ( < 0.001) and cecum ( = 0.003) vs. the control group. Patients with inf...

When should ulcerative colitis patients undergo colectomy for dysplasia? Mismatch between patient preferences and physician recommendations

Inflammatory Bowel Diseases — Tue, 23 Feb 2010 00:00:00 +0100

The objective was to learn if UC patients' perceptions of their colon cancer risk and if their preferences for elective colectomy match with physicians' recommendations if dysplasia was found.A self-administered written survey included 199 patients with UC for at least 8 years (mean age 49 years, 52% female) who were recruited from Dartmouth-Hitchcock (n = 104) and the University of Chicago (n = 95). The main outcome was the proportion of patients who disagree with physicians' recommendations for colectomy because of dysplasia.Almost all respondents recognized that UC raised their chance of getting colon cancer. In all, 74% thought it was "unlikely" or "very unlikely" to get colon cancer within the next 10 years and they quantified this risk to be 23%; 60% of patients would refuse a physic...

The impact of constructive feedback on training in gastrointestinal endoscopy using high-fidelity virtual-reality simulation: a randomised controlled trial

Gut — Mon, 22 Feb 2010 10:58:23 +0100

Conclusion Concurrent feedback given by supervisor concur an advantage in acquisition of basic colonoscopy skills and achieving of proficiency level as compared to independent training. (Source: Gut)

Diapers' contents could change way of finding intestinal disease

EurekAlert! - Social and Behavioral Science — Mon, 22 Feb 2010 05:00:00 +0100

(Texas A&M AgriLife Communications) A medical test initially researched for aging adults also could be helpful for premature babies, according to scientists with Texas AgriLife Research.The procedure, which uses fecal samples rather than the oft-dreaded colonoscopy, was developed by Dr. Robert Chapkin and his colleagues, who have been studying the noninvasive technique at the genetic level for more than a decade. (Source: EurekAlert! - Social and Behavioral Science)

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Diapers' contents could change way of finding intestinal disease

ScienceDaily Headlines — Mon, 22 Feb 2010 05:00:00 +0100

A medical test initially researched for aging adults also could be helpful for premature babies, according to scientists. The procedure, which uses fecal samples rather than the oft-dreaded colonoscopy, was developed by doctors, who have been studying the noninvasive technique at the genetic level. (Source: ScienceDaily Headlines)

Cumulative evaluation of a quantitative immunochemical fecal occult blood test to determine its optimal clinical use

Cancer — Mon, 22 Feb 2010 00:00:00 +0100

The objective was to evaluate sensitivity and specificity for CRC and advanced adenomatous polyps (APs) by the fecal Hb threshold used to determine a positive test and the number of IFOBTs prepared per test, so as to determine the least number of colonoscopies required to detect a neoplasm.Cumulative data were analyzed from a prospective cross-sectional double-blind study of 1682 consecutive, ambulatory, nonbleeding colonoscopy patients who volunteered for IFOBTs, most of above average risk, from 3 ambulatory-endoscopy centers. Fecal Hb was measured in 3 samples and analyzed by an automated instrument, and the highest result [ge]50 ng Hb/mL of buffer was related to findings.Colonoscopy identified CRC in 20 patients and advanced APs in 129. Sensitivity for either was best when any of 3 test...

A retrospective study of immunochemical fecal occult blood testing for colorectal cancer detection.

International Journal of Clinical Chemistry — Mon, 22 Feb 2010 00:00:00 +0100

CONCLUSIONS: Specific qualitative 2-day Auto iFOBT is an accurate tool for the detection of colorectal cancer and therefore provides the basis for a large-scale screening program. PMID: 20184867 [PubMed - as supplied by publisher] (Source: International Journal of Clinical Chemistry)

Diagnostic accuracy of translucency rendering to differentiate polyps from pseudopolyps at 3D endoluminal CT colonography: a feasibility study

La Radiologia Medica — Sat, 20 Feb 2010 06:56:55 +0100

Conclusions TR is an accurate tool that facilitates interpretation of images obtained with a primary 3D analysis, thus enabling easy differentiation of polyps from pseudopolyps. Content Type Journal ArticleCategory Abdominal Radiology/Radiologia AddominaleDOI 10.1007/s11547-010-0538-8Authors A. Guerrisi, University of Rome “Sapienza”, Policlinico Umberto I Department of Radiological Sciences Viale Regina Elena 324 00161 Rome ItalyD. Marin, University of Rome “Sapienza”, Policlinico Umberto I Department of Radiological Sciences Viale Regina Elena 324 00161 Rome ItalyA. Laghi, University of Rome “Sapienza” Ospedale ICOT Via Franco Faggiana 34 04100 Latina ItalyM. Di Martino, University of Rome “Sapienza”, Policlinico Umberto I Department of Radiological...

Imaging of cell trafficking in Crohn's disease

Journal of Cellular Physiology — Sat, 20 Feb 2010 00:00:00 +0100

Inflammatory bowel diseases are represented by ulcerative colitis and Crohn's disease, both consisting of a chronic, uncontrolled inflammation of the intestinal mucosa of any part of the gastrointestinal tract with patchy or continuous inflammation. Ileo-colonoscopy is considered the current gold standard imaging technique for the diagnosis. However, as the majority of patients need a long-term follow-up it would be ideal to rely on a non-invasive technique with good compliance. This review focuses on nuclear medicine imaging techniques in Crohn's disease. Different scintigraphic methods of imaging cells involved in the pathogenesis are described. The radiopharmaceuticals can be divided into non-specific radiopharmaceuticals for inflammation and specific radiopharmaceuticals that directly ...

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Value of CT Enteroclysis in Suspected Small-Bowel Carcinoid Tumors

American Journal of Roentgenology — Fri, 19 Feb 2010 21:02:50 +0100

CONCLUSION. CT enteroclysis should be considered an excellent tool for the diagnosis of the carcinoid tumor before any surgical procedures. (Source: American Journal of Roentgenology)

Recurrent cytomegalovirus colitis with megacolon in an immunocompetent elderly man

Journal of Medical Virology — Wed, 17 Feb 2010 00:00:00 +0100

Gastrointestinal infection with cytomegalovirus (CMV) is uncommon in immunocompetent hosts. The case of a 70-year-old male with CMV colitis, who has no history of chronic inflammatory bowel disease or immunodeficiency is described. Diagnosis was aided by the identification of inclusion bodies that reacted positively for CMV by immunohistochemical testing in biopsy specimens from the colonic mucosa. His hospital course was characterized by poor improvement of his symptoms after the CMV infection was treated with ganciclovir, and the occurrence of megacolon. A repeat colonoscopy with biopsy revealed a recurrence of the CMV infection. Although CMV colitis is common in immunocompromised patients, we believe this is the first case of CMV colitis with megacolon and recurrent CMV infection in an ...

Mesenteric panniculitis following colonoscopy, polypectomy, and epinephrine injection

Endoscopy — Tue, 16 Feb 2010 14:24:02 +0100

Endoscopy 2010; 42: E44-E45DOI: 10.1055/s-0029-1215259© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | FREE: Full text (Source: Endoscopy)

Diagnostic accuracy of immunochemical versus guaiac faecal occult blood tests for colorectal cancer screening

Journal of Gastroenterology — Tue, 16 Feb 2010 06:41:29 +0100

Conclusion A sensitive immunochemical test is markedly superior to the guaiac test for detecting significant colorectal neoplasia, and should be considered the first-choice FOBT for CRC screening in the average-risk population. Content Type Journal ArticleCategory Original Article—Alimentary TractDOI 10.1007/s00535-010-0214-8Authors Adolfo Parra-Blanco, Canary Islands Health System, University Hospital of Canary Islands Department of Gastroenterology Ofra s/n, La Laguna 38320 Santa Cruz de Tenerife SpainAntonio Z. Gimeno-García, Canary Islands Health System, University Hospital of Canary Islands Department of Gastroenterology Ofra s/n, La Laguna 38320 Santa Cruz de Tenerife SpainEnrique Quintero, Canary Islands Health System, University Hospital of Canary Islands ...

Wireless Capsule Colonoscopy Not Ready for Prime Time

Internal Medicine News — Mon, 15 Feb 2010 00:00:00 +0100

LONDON — In a French study of 545 patients, wireless capsule colonoscopy achieved an overall sensitivity of only 39% and a positive predictive value of just 46%, Dr. Jean Paul Galmiche reported at the 13th World Congress of Gastroenterology. (Source: Internal Medicine News)

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A Hemodialysis Patient With Muscle Cramps and Malaise After Virtual Colonoscopy

Nephrology Now — Sat, 13 Feb 2010 01:22:10 +0100

: Practical guidance for dialyzing a hemodialysis patient following acute brain injury. How Should Dialysis Fluid Be Individualized for the Chronic Hemodialysis Patient? – Sodium. Case Report, Hemodialysis: Atypical clinical presentation of H1N1 influenza in a dialysis patient © Nephrology Now editors for Nephrology Now, 2010. | Permalink | Add comment! | Add to del.icio.us Post tags: (Source: Nephrology Now)

Do Basic Psychomotor Skills Transfer Between Different Image-based Procedures?

World Journal of Surgery — Fri, 12 Feb 2010 07:07:48 +0100

Conclusions Overall, training in the basic colonoscopy tasks does not affect performance of basic laparoscopy tasks (and vice versa). However, to limited extent, training of basic psychomotor skills for colonoscopy do appear to contribute to the performance of angled laparoscope navigation tasks. Thus, training and assessment of IBP type-specific skills should focus on each type of tasks independently. Future research should further investigate the influence of psychometric abilities on the performance of IBP and the transfer of skills for physicians who are experienced in one IBP type and would like to become proficient in another type of IBP. Content Type Journal ArticleDOI 10.1007/s00268-010-0432-5Authors Sonja N. Buzink, Delft University of Technology Faculty o...

Bowel screening programme: clinical standards ~ February 2007

Gastroenterology and Liver Diseases Specialist Library - Colon and rectum — Tue, 09 Feb 2010 13:36:41 +0100

NHS Quality Improvement Scotland exists to improve the quality of healthcare in Scotland, by setting standards, monitoring performance and providing support to NHSScotland on effective clinical practice and service improvements. This document introduces the NHS Quality Improvement Scotland clinical standards for bowel screening. It comprises six standards: general call-recall the screening process the laboratory process pre-colonoscopy assessment colonoscopy and histopathology The standards can be found in section five. (Source: Gastroenterology and Liver Diseases Specialist Library - Colon and rectum)

Failure of Automated Telephone Outreach With Speech Recognition to Improve Colorectal Cancer Screening: A Randomized Controlled Trial [Original Investigation]

Archives of Internal Medicine — Mon, 08 Feb 2010 20:50:53 +0100

Conclusions This study showed that ATO-SR failed to improve rates of CRC screening. Future studies should examine approaches that combine efforts to target patients and their health care providers to overcome the barriers to CRC screening. Trial Registration clinicaltrials.gov Identifier: NCT00792285 (Source: Archives of Internal Medicine)

Bowel screening programme: clinical standards ~ February 2007

Gastroenterology and Liver Diseases Specialist Library - Prevention — Mon, 08 Feb 2010 13:55:48 +0100

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Universal Cancer Blood Tests May Soon Be A Reality

About.com Colon Cancer — Mon, 08 Feb 2010 11:21:56 +0100

The National Cancer Institute recently shared information about exciting new research that may lead to blood tests for many different types of cancer. This type of blood test would be a very important advance in the way cancers are detected. An easy, simple blood test to find cancer early would be so important in the fight against this disease. It would allow doctors to find cancers early, when they are most treatable. There are two big barriers to detecting cancer early, when it is more easily treatable: There is a lack of technology to detect certain cancers. As an example, ovarian cancer is difficult to detect, the symptoms are vague and easy to miss, and there are no good screening tests to catch this cancer early. Pancreatic cancer also is difficult to detect. No standard screening t...

Ability of integrated positron emission and computed tomography to detect significant colonic pathology

Cancer — Mon, 08 Feb 2010 00:00:00 +0100

The ability of integrated positron emission tomography and computed axial tomography (PET-CT) to detect colonic pathology is not fully defined. The purpose of this study was to assess the ability of PET-CT to detect colonic pathology and to determine the significance of (18F)2-fluoro-2-deoxyglucose (18F-FDG) activity noted incidentally in the colon on PET-CT.Records for all patients who underwent PET-CT and colonoscopy at our institution were reviewed. Patients with history of colonic malignancy or colon surgery were excluded.Fifty-eight patients had incidental colonic 18F-FDG activity on PET (Group A) and 272 had none (Group B). In Group A, 65% of patients had pathologic findings detected on colonoscopy that corresponded to the site of PET activity. Standardized uptake value (SUV) reading...

A new way for improving the quality of colonoscopy?

Digestive and Liver Disease — Mon, 08 Feb 2010 00:00:00 +0100

Colonoscopy is currently regarded as the “gold standard” for diagnosing diseases of colon and rectum; it also plays a key role in colorectal cancer screening, as either a primary approach in average-risk subjects or a second level test in asymptomatic individuals with positive faecal occult test or abnormal findings at CT colonography. (Source: Digestive and Liver Disease)

Endoscopic findings and clinicopathologic characteristics of colonic schistosomiasis: A report of 46 cases.

World Journal of Gastroenterology : WJG — Sun, 07 Feb 2010 00:26:41 +0100

CONCLUSION: Endoscopy contributes to the diagnosis of colonic schistosomiasis although it is nonspecific. A correct diagnosis of colonic schistosomiasis can be established by endoscopy in combination with its clinicopathologic characteristics. PMID: 20135720 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)

Risk of hemorrhagic gastropathy associated with colonoscopy bowel preparation using oral sodium phosphate solution

Endoscopy — Sat, 06 Feb 2010 14:26:02 +0100

Endoscopy 2010; 42: 109-113DOI: 10.1055/s-0029-1243797 Oral sodium phosphate (NaP) solution is widely used for colonoscopy bowel preparation and it may cause aphthous ulcers in the colon. Our aim was to evaluate whether oral NaP solution is associated with gastric mucosal lesions.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: Endoscopy)

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Patient Interest In Video Recording Of Colonoscopy

Health News from Medical News Today — Sat, 06 Feb 2010 08:00:00 +0100

Colonoscopy is operator-dependent and substantial numbers of pre-cancerous polyps are missed during colonoscopy. Colonoscopies are often poorly documented, with only a few still photographs taken of anatomic landmarks and abnormal findings. Video recording is rarely used in colonoscopy except for teaching purposes; therefore, the potential impact of systematic video recording on the quality of colonoscopy is unknown... (Source: Health News from Medical News Today)

Patient Interest In Video Recording Of Colonoscopy

IT / Internet / E-mail News From Medical News Today — Sat, 06 Feb 2010 08:00:00 +0100

Crypt abscess-associated microbiota in inflammatory bowel disease and acute self-limited colitis.

World Journal of Gastroenterology : WJG — Fri, 05 Feb 2010 04:10:44 +0100

CONCLUSION: These results do not support the hypothesis that crypt abscesses in IBD are the result of localized dysbiosis arising from persistence of living bacteria colonizing the crypts. PMID: 20128026 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)

CMV-Enterocolitis as a Cause for Repeated Intestinal Intussusceptions in an Adult Patient after Liver Transplantation?

Zeitschrift fur Gastroenterologie — Fri, 05 Feb 2010 00:00:00 +0100

Authors: Pischke S, Tutarel O, Greten TF, Heim A, Wedemeyer J, Herzog P, Saddekni N, Barg-Hock H, Strassburg C, Manns MP, Rifai K, Gebel M Intestinal intussusception in the adult is often idiopathic but also known to be associated with chronic inflammatory bowel disease, coeliac disease, tumours or previous abdominal operations. A 22-year-old women after liver transplantation due to Crigler Najar Syndrom suffered from repeated episodes of abdominal pain. The diagnosis of repeated self-limited intestinal intussusceptions was made by computed tomography and ultrasonography. A laparoscopy revealed no cause for the intussusceptions. During a new episode of abdominal pain caused again by an intussusception a colonoscopy was performed that showed aspects of a discreet colitis. In the biopsie...

Endoscopic Sedation and Monitoring Practice in Germany: Results from the First Nationwide Survey.

Zeitschrift fur Gastroenterologie — Fri, 05 Feb 2010 00:00:00 +0100

CONCLUSION: Besides the common administration of short-acting benzodiazepines, sedation with propofol is also gaining ground in Germany; it is applied mainly in low doses (up to 150 mg). German endoscopists are highly satisfied with these sedation regimens, with propofol significantly leading the score. Patient monitoring predominantly follows currently prevailing guidelines. PMID: 20140841 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gastroenterologie)

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Patient interest in video recording of colonoscopy

EurekAlert! - Medicine and Health — Thu, 04 Feb 2010 05:00:00 +0100

(World Journal of Gastroenterology) A research team from United States conducted a survey of outpatients presenting for colonoscopy regarding their interest in obtaining a video recording of their colonoscopy. Their results showed patients undergoing colonoscopy expressed substantial interest in obtaining a video recording of their procedure. Awareness of missing lesions during colonoscopy increased interest in having a video recording. (Source: EurekAlert! - Medicine and Health)

Virtual Colonoscopy An Effective Colorectal Cancer Screening Exam In Medicare Age Patients

Cancercompass News: Colorectal Cancer — Thu, 04 Feb 2010 00:00:00 +0100

Computed tomographic colonography (CTC), also known as virtual colonoscopy, remains effective in screening older patients for colorectal cancer (CRC), produces low referral for colonoscopy rates similar to other screening exams now covered by Medicare, and does not result in unreasonable levels of additional testing resulting from extracolonic findings, according to a study published in the February issue of Radiology. (Source: Cancercompass News: Colorectal Cancer)

Increased expression and cellular localization of spermine oxidase in ulcerative colitis and relationship to disease activity

Inflammatory Bowel Diseases — Wed, 03 Feb 2010 00:00:00 +0100

Polyamines are important in cell growth and wound repair, but have also been implicated in inflammation-induced carcinogenesis. Polyamine metabolism includes back-conversion of spermine to spermidine by the enzyme spermine oxidase (SMO), which produces hydrogen peroxide that causes oxidative stress. In ulcerative colitis (UC), levels of spermine are decreased compared to spermidine. Therefore, we sought to determine if SMO is involved in UC.Colon biopsies and clinical information from subjects undergoing colonoscopy for evaluation of UC or colorectal cancer screening were utilized from 16 normal controls and 53 UC cases. Histopathologic disease severity was graded and the Mayo Disease Activity Index (DAI) and endoscopy subscore assessed. SMO mRNA expression was measured in frozen biopsies ...

Hypokalemia Following Polyethylene Glycol-Based Bowel Preparation for Colonoscopy in Older Hospitalized Patients with Significant Comorbidities(March) (FREE).

The Annals of Pharmacotherapy — Tue, 02 Feb 2010 00:00:00 +0100

CONCLUSIONS: Among older patients, administration of PEGBP is commonly complicated by the development of hypokalemia, which is occasionally severe. Monitoring of electrolytes may be necessary following colonoscopy, particularly in patients with cardiac or renal disease. PMID: 20124467 [PubMed - as supplied by publisher] (Source: The Annals of Pharmacotherapy)

An endoscopic training model to improve accuracy of colonic polyp size measurement

International Journal of Colorectal Disease — Mon, 01 Feb 2010 18:02:22 +0100

Conclusions This training model could help endoscopists improve the accuracy of measurement of polyps on colonoscopy in a short period. The durability of learning effect needs further investigation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-010-0878-9Authors Chi-Yang Chang, I-Shou University Department of Internal Medicine, E-Da Hospital Kaohsiung TaiwanHan-Mo Chiu, National Taiwan University Hospital Department of Internal Medicine No. 7, Chung-Shan South Road Taipei TaiwanHsiu-Po Wang, National Taiwan University Hospital Department of Internal Medicine No. 7, Chung-Shan South Road Taipei TaiwanChing-Tai Lee, I-Shou University Department of Internal Medicine, E-Da Hospital Kaohsiung TaiwanJohn Jen Tai, National Taiwan University Division ...

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Virtual colonoscopy an effective colorectal cancer screening exam in Medicare age patients

ScienceDaily Headlines — Mon, 01 Feb 2010 07:00:00 +0100

Authors' response

American Journal of Orthodontics and Dentofacial Orthopedics — Mon, 01 Feb 2010 00:00:00 +0100

The interesting, legally crafted letter from Dr Burns elicits the following question. If you require a heart bypass operation, a hip replacement, or a colonoscopy (ugh!), would you prefer to have it done by a properly trained practitioner who performs it within the standard of care for that procedure? Malocclusion correction is not a life-threatening event. If it were, there would be accepted standards for all orthodontists that “guaranteed” the patient a good probability for a reasonable outcome. On a lighter note, even farmers must conform to a “standard” when worming cows. If the procedure is not done correctly, it has no value to the animal—or subsequently to the farmer! (Source: American Journal of Orthodontics and Dentofacial Orthopedics)

Graft-vs-host disease after small bowel transplantation in children

Journal of Pediatric Surgery — Mon, 01 Feb 2010 00:00:00 +0100

Conclusion: Graft-vs-host disease is a devastating complication of SBTx, with high mortality probably associated with severe immunologic dysregulation. (Source: Journal of Pediatric Surgery)

Colonoscopy Lowers Ca Risk on Left Side Only

Internal Medicine News — Mon, 01 Feb 2010 00:00:00 +0100

Major Finding: Adults undergoing screening colonoscopy within 10 years of a previous colonoscopy had a significantly lower risk of having a left-sided advanced neoplasm detected, but their risk of right-sided neoplasms was not reduced. (Source: Internal Medicine News)

Computers for colonoscopy training: where do they fit in?

Gastrointestinal Endoscopy — Mon, 01 Feb 2010 00:00:00 +0100

Virtual reality colonoscopy simulators may enhance the learning process, improve patient comfort, and reduce the time required for labor-intensive expert supervision. (Source: Gastrointestinal Endoscopy)

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The best screening test for colorectal cancer is the one that gets done well

Gastrointestinal Endoscopy — Mon, 01 Feb 2010 00:00:00 +0100

When all patients eligible for screening are screened with colonoscopy, the fraction with no colorectal neoplasia is consistent, ranging from 75% to 83%; thus, most patients screened with colonoscopy will have neither adenomas nor cancers. (Source: Gastrointestinal Endoscopy)

Endoscopic management of multiple colonic fistulae secondary to acute pancreatitis (with video)

Gastrointestinal Endoscopy — Mon, 01 Feb 2010 00:00:00 +0100

A 29-year-old man was transferred to our hospital for management of acute pancreatitis. His medical history was unremarkable except for binge drinking. On physical examination, moderate tenderness of the epigastrium was noted, and initial laboratory test results revealed serum amylase and lipase concentrations of 450 IU/L (normal 60-160 IU/L) and 120 U/L (0-60 U/L), respectively. Abdominal CT scanning disclosed peripancreatic fatty infiltration and fluid collections involving the pancreatic body and tail (arrowheads) (A). The patient was given nothing by mouth as treatment of pancreatitis. One week after the abdominal CT scan, there was improvement of the pancreatitis and pseudocyst; however, complicated cystic lesions showing air-bubble–like densities were still present in the pancreati...

Improve anorectal examination by the cap-assisted colonoscopy method

Gastrointestinal Endoscopy — Mon, 01 Feb 2010 00:00:00 +0100

To the Editor: Quallick and Brown presented their study of 39,054 consecutive colonoscopy cases and reported 4 cases of rectal perforation during rectal retroflexion (0.1 case per 1000). Unfortunately, the authors did not record the success rate of their retroflexion technique and the rectal findings. If the success rate is taken as approximately 95%, as reported by the authors, it means that approximately 2000 patients in this cohort would have failed the retroflexion rectal examination, and the rectum may not have been appropriately examined, although the value of rectal retroflexion, as compared with forward examination, in detecting significant rectal findings has been questioned. Apart from colonoscopic rectal retroflexion, various techniques, such as rigid rectoscopy and video proct...

Symptoms No Guide on Who Needs Colonoscopy

Family Practice News — Mon, 01 Feb 2010 00:00:00 +0100

LONDON — Clinical symptoms are of little value in the selection of appropriate patients for colonoscopy for the purpose of early detection of colorectal cancer, despite common beliefs to the contrary. (Source: Family Practice News)

Colonoscopy Lowers Risk of Left-Sided Advanced Lesions

Family Practice News — Mon, 01 Feb 2010 00:00:00 +0100

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Surprising finding on colonoscopy.

The Journal of Family Practice — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Griglione N, Naik J, Christie J A 48-year-old man went to his primary care physician for his annual physical. He told his physician that for the past few years, he had intermittent, painless rectal bleeding consisting of small amounts of blood on the toilet paper after defecation. He also mentioned that he often spontaneously awoke, very early in the morning. His past medical history was unremarkable. The patient was born in Cuba but had lived in the United States for more than 30 years. He was divorced, lived alone, and had no children. He had traveled to Latin America-including Mexico, Brazil, and Cuba-off and on over the past 10 years. His last trip was approximately 2 years ago. His physical exam was unremarkable. Rectal examination revealed no masses or external hemorrhoi...

Impact of perceived racial discrimination on health screening in black women.

Journal of Health Care for the Poor and Underserved — Mon, 01 Feb 2010 00:00:00 +0100

In conclusion, perceived everyday and major discrimination is associated with poorer utilization of Pap smears for cervical cancer screening among Black women. PMID: 20173270 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)

Body Mass Index as a Predictor of Colorectal Neoplasia in Ethnically Diverse Screening Population

Digestive Diseases and Sciences — Fri, 29 Jan 2010 12:19:37 +0100

Conclusions Obesity was associated with advanced neoplasia in this screening population. Our data regarding the association of colorectal neoplasia with this modifiable risk factor has implications for screening and prevention of colorectal cancer. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10620-009-1113-9Authors Benjamin Stein, Stony Brook University Division of Gastroenterology-Hepatology Stony Brook NY USAJoseph C. Anderson, Stony Brook University Division of Gastroenterology-Hepatology Stony Brook NY USARamona Rajapakse, Stony Brook University Division of Gastroenterology-Hepatology Stony Brook NY USAZvi A. Alpern, Stony Brook University Division of Gastroenterology-Hepatology Stony Brook NY USACatherine R. Messina, Stony Brook University De...

Global Assessment of Gastrointestinal Endoscopic Skills (GAGES): a valid measurement tool for technical skills in flexible endoscopy

Surgical Endoscopy — Fri, 29 Jan 2010 12:15:55 +0100

Conclusions The GAGES-UE and GAGES-C are easy to administer and consistent and meet high standards of reliability and validity. They can be used to measure the effectiveness of simulator training and to provide specific feedback. The GAGES results can be generalized to North American and European endoscopists and may contribute to the definition of technical proficiency in endoscopy. Content Type Journal ArticleDOI 10.1007/s00464-010-0882-8Authors Melina C. Vassiliou, McGill University Health Centre Montreal QC CanadaPepa A. Kaneva, McGill University Health Centre Montreal QC CanadaBenjamin K. Poulose, Vanderbilt University Nashville TN USABrian J. Dunkin, Methodist Hospital Houston TX USAJeffrey M. Marks, Case Medical Center Cleveland OH USARiadh Sadik, Sahlgrenska H...

Virtual Colonoscopy a Good Bet for Elderly

MedicineNet Cancer General — Fri, 29 Jan 2010 07:00:00 +0100

Title: Virtual Colonoscopy a Good Bet for ElderlyCategory: Health NewsCreated: 1/28/2010 12:10:00 PMLast Editorial Review: 1/29/2010 (Source: MedicineNet Cancer General)

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The media are equally guilty over the MMR vaccine scare

Guardian Unlimited Science — Thu, 28 Jan 2010 20:12:53 +0100

Andrew Wakefield was at the centre of a media storm about the MMR vaccine and is now being blamed by journalists as if he were the only one at faultIn medicine, "untoward incident inquiries" tend to look for systems failures, rather than one individual to blame. It's certainly clear that Andrew Wakefield and his co-defendants failed to meet the high standards required of doctors in research. The GMC found he was "misleading" "dishonest" and "irresponsible" in the way he described where the children in the 1998 paper came from, by implying that they were routine clinic referrals.As the GMC has also found, these children were subjected to a programme of unpleasant and invasive tests which were not performed in their own clinical interest, but rather for research purposes, and these tests wer...

Virtual Colonoscopy a Good Bet for Elderly

MedlinePlus Health News — Thu, 28 Jan 2010 17:00:00 +0100

Screening appears to be safe, effective for older people, study finds Source: HealthDay Related MedlinePlus Topics: Colonoscopy, Seniors' Health (Source: MedlinePlus Health News)

From the Lancet to the GMC: how Dr Andrew Wakefield fell from grace

Guardian Unlimited Science — Thu, 28 Jan 2010 15:37:50 +0100

Sarah Boseley charts the downfall of the consultant whose report led to a drop in MMR uptake and divided medical opinion• MMR doctor 'failed to act in interests of children'It all began with a paper published in the prestigious Lancet medical journal in February 1998.The paper caused a massive slump in the numbers of children being vaccinated against measles, mumps and rubella and the repercussions are still with us now – MMR uptake has never completely recovered.The authors were Dr Andrew Wakefield, Dr Simon Murch and Professor John Walker-Smith, who were all at the time working at the Royal Free hospital in London.Wakefield was the lead author of the study and chief proponent of the theory that there was a link between the MMR jab, given to children around the age of 18 months and ag...

Patient interest in video recording of colonoscopy: a survey.

World Journal of Gastroenterology : WJG — Thu, 28 Jan 2010 00:00:00 +0100

CONCLUSION: Patients undergoing colonoscopy expressed substantial interest in obtaining a videorecording of their procedure. Awareness of missing lesions during colonoscopy increased interest in having a videorecording. PMID: 20101771 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)