39,240 results match your criteria Colonoscopy


Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature.

Int J Surg Case Rep 2019 Feb 10;55:206-209. Epub 2019 Feb 10.

Departament of Surgery, Hospital Felicio Rocho, Av. do Contorno, 9530, Barro Preto, 30110-017, Belo Horizonte, MG, Brazil.

Introduction: Intestinal intussusception is a relatively common cause of bowel obstruction in children, however, it is a rare clinical entity in adults. When seen in adults, it is often caused by some underlying condition, usually of malignant origin. We present a case of intestinal intussusception caused by a benign and rare condition in the gastrointestinal tract. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.042DOI Listing
February 2019

Colonoscopy Bowel Preparation Instructions.

Fed Pract 2015 Mar;32(3):35-37

is an endoscopist and gastroenterology nurse practitioner and was formerly (now retired) a gastroenterology nurse practitioner, both at the Philadelphia VAMC in Pennsylvania.

A pilot study investigated whether the impact of instructions in a group setting improved patient adherence to pre-endoscopy bowel cleaning preparations. Read More

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Timing Isn't Everything for Diagnostic Colonoscopy After Positive Results From a Fecal Immunohistochemical Test.

Clin Gastroenterol Hepatol 2019 Feb 12. Epub 2019 Feb 12.

VA Puget Sound Health Care System, University of Washington School of Medicine, 1660 S. Columbian Way (111-Gastro) Seattle, WA 98108.

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http://dx.doi.org/10.1016/j.cgh.2019.02.011DOI Listing
February 2019

Metachronous Neoplasias Arise in a Higher Proportion of Colon Segments From Which Large Polyps Were Previously Removed, and Can be Used to Estimate Incomplete Resection of 10-20 mm Colorectal Polyps.

Clin Gastroenterol Hepatol 2019 Feb 12. Epub 2019 Feb 12.

Department of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Hanover, NH; Dartmouth Geisel School of Medicine, Hanover, NH; Department of Gastroenterology and Hepatology, Veterans Affairs Medical Center, White River Junction, VT, Vermont, United States. Electronic address:

Background & Aims: Incomplete resection of polyps could be an important cause of post-colonoscopy colorectal cancer. However, it is difficult to study progression of incompletely removed polyps or their clinical importance. We aimed to estimate incomplete polyp resection using risk of metachronous neoplasia per colon segment. Read More

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http://dx.doi.org/10.1016/j.cgh.2019.01.047DOI Listing
February 2019

Real-world effectiveness and safety of Vedolizumab for the treatment of Inflammatory Bowel Disease: The Scottish Vedolizumab Cohort.

J Crohns Colitis 2019 Feb 14. Epub 2019 Feb 14.

Department of Gastroenterology, Raigmore Hospital, Inverness.

Introduction: Vedolizumab is an anti-a4b7 monoclonal antibody that is licensed for the treatment of moderate to severe Crohn's disease and ulcerative colitis.

Aims: To establish the real-world efficacy and safety of vedolizumab in the treatment of inflammatory bowel disease.

Methods: Retrospective study involving six NHS health boards in Scotland between June 2015 and November 2017. Read More

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http://dx.doi.org/10.1093/ecco-jcc/jjz042DOI Listing
February 2019

The yield and safety of screening colonoscopy in patients evaluated for liver transplantation.

Hepatology 2019 Feb 14. Epub 2019 Feb 14.

Department of Gastroenterology and Hepatology, Erasmus MC University Hospital, Rotterdam, Netherlands.

Colorectal cancer screening with colonoscopy is commonly used in candidate patients for liver transplantation. We initiated this study to define the risk-benefit ratio of performing screening colonoscopy in this population. A retrospective observational study of all consecutive patients undergoing colonoscopy during pre-liver transplantation screening between 2004-2017 was conducted. Read More

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http://dx.doi.org/10.1002/hep.30562DOI Listing
February 2019

Minimal water exchange colonoscopy.

VideoGIE 2019 Feb 11;4(2):56-57. Epub 2019 Jan 11.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taiwan Adventist Hospital, Taipei, Taiwan.

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http://dx.doi.org/10.1016/j.vgie.2018.11.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363820PMC
February 2019

Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review.

Case Rep Gastrointest Med 2019 15;2019:4587371. Epub 2019 Jan 15.

Division of Gastroenterology, Department of Medicine, Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA, USA.

We report a case of acute pancreatitis after an elective screening colonoscopy. A 51-year-old male with a left ventricular assist device for end-stage nonischemic cardiomyopathy and a family history of colorectal cancer was admitted for an expedited heart transplant evaluation. He underwent screening colonoscopy during this admission which was technically uncomplicated apart from requiring slight maneuvering at the splenic flexure. Read More

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http://dx.doi.org/10.1155/2019/4587371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350525PMC
January 2019

Stent experiences in emergency conditions in acute mechanical intestinal obstruction caused by colorectal cancer.

Wideochir Inne Tech Maloinwazyjne 2019 Jan 30;14(1):46-51. Epub 2018 May 30.

Department of General Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.

Introduction: Stent treatment can be applied to avoid surgery in surgically risky patients or to turn a high-risk emergency operation into a lower-risk elective operation and save time.

Aim: In this study, the techniques, clinical efficacy, safety and complications of endoscopic stents applied in emergency conditions were evaluated in patients with acute mechanical intestinal obstruction (AMIO) due to colorectal cancer.

Material And Methods: Between 2013 and 2015, 23 patients with an average age of 69. Read More

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http://dx.doi.org/10.5114/wiitm.2018.76072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372870PMC
January 2019

A Nationwide Survey and Needs Assessment of Colonoscopy Quality Assurance Programs in the VA.

Fed Pract 2018 Mar;35(3):26-32

is a Gastroenterologist at the Salt Lake City Specialty Care Center of Innovation at the VA Salt Lake City Health Care System and Assistant Professor at the University of Utah. is an Assistant Professor at Roseman University of Health Sciences in Utah. is a Research Instructor in the Division of Epidemiology, University of Utah. is the National Program Director for Gastroenterology at the VA and Professor of Medicine at the University of Washington in Seattle. is a Gastroenterologist at the San Diego VA Health Care System and Associate Professor at the University of California, San Diego. is a Primary Care Physician at the San Francisco VA Health Care System and Professor at University of California, San Francisco. is a Gastroenterologist at the San Francisco VA Health Care System and Associate Professor at the University of California, San Francisco.

Variability exists in quality documentation, measurement, and reporting practices of colonoscopy screening in VA facilities, and most do not have formal performance improvement plans. Read More

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[Two Cases of Locally Advanced Rectal Cancer and Lower Rectal Cancer Resected Successfully That Enabled Anus Preservation after Preoperative Chemotherapy].

Gan To Kagaku Ryoho 2019 Jan;46(1):133-135

Dept. of Surgery, Kamitsuga General Hospital.

We reported 2 cases of colorectal cancer receiving neoadjuvant chemotherapy(NAC)with the aim of curative resection or anal preservation. Case 1: A 50-year-old man was diagnosed with locally advanced rectal cancer with sacral invasion. Because of the sacral invasion, we performed preoperative chemotherapy. Read More

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January 2019

[A Case of Rectal Cancer Presenting with Perianal Abscess].

Gan To Kagaku Ryoho 2019 Jan;46(1):88-90

Dept. of Surgery, Yao Tokushukai General Hospital.

An 81-year old man with a perirectal abscess was referred in May 2017 by another hospital. We observed swelling in the anal region at the 4 o'clock position and performed incisional drainage. Although this alleviated the pain and inflammation in the anal region, the irritation recurred in early June. Read More

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January 2019

[A Case of Anastomotic Stage Ⅰ Cecal Cancer Recurrence after Functional End-To-End Anastomosis].

Gan To Kagaku Ryoho 2019 Jan;46(1):75-77

Dept. of Surgery, Tokai Memorial Hospital.

An 83-year-old woman was referred to our hospital for cecal cancer, and ileocecal resection(D3 lymph node resection) with functional end-to-end anastomosis. Since the tumor was of histological Stage Ⅰ, no adjuvant chemotherapy was performed. One year and 9 months after the operation, an anastomotic recurrence was identified alongthe staple line using colonoscopy. Read More

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January 2019

Differentiation between malignant and benign rectal tumors by dual-energy computed tomography - a feasibility study.

Acta Oncol 2019 Feb 15:1-5. Epub 2019 Feb 15.

a Department of Surgery , Odense University Hospital , Odense , Denmark.

Introduction: To assess the performance of Dual Energy Computed Tomography (DECT) in the differentiation between benign and malignant tumors in the rectum.

Material And Methods: We enrolled 8 subjects with rectal tumors suspected to be an early rectal cancer during colonoscopy. All subjects underwent Computed Tomography (CT), Magnetic Resonance Imaging (MRI) and Endorectal Ultrasound (ERUS) for staging. Read More

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http://dx.doi.org/10.1080/0284186X.2019.1574404DOI Listing
February 2019

Colonic adenoma-associated Escherichia coli express specific phenotypes.

Microbes Infect 2019 Feb 11. Epub 2019 Feb 11.

Department of Public Health and Infectious Diseases, Sapienza University of Rome, P.le A. Moro 5, 00185, Rome, Italy; Dani Di Giò Foundation-Onlus, Rome, Italy. Electronic address:

Specific Escherichia coli strains have been associated to colorectal cancer, while no data are available on genotypic and phenotypic features of E. coli colonizing premalignant adenomatous polyps and their pathogenic potential. This study was aimed at characterizing isolates collected from polyps and adjacent tissue in comparison with those from normal mucosa. Read More

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http://dx.doi.org/10.1016/j.micinf.2019.02.001DOI Listing
February 2019

Immersive Virtual Colonoscopy.

IEEE Trans Vis Comput Graph 2019 Feb 14. Epub 2019 Feb 14.

Virtual colonoscopy (VC) is a non-invasive screening tool for colorectal polyps which employs volume visualization of a colon model reconstructed from a CT scan of the patient's abdomen. We present an immersive analytics system for VC which enhances and improves the traditional desktop VC through the use of VR technologies. Our system, using a head-mounted display (HMD), includes all of the standard VC features, such as the volume rendered endoluminal fly-through, measurement tool, bookmark modes, electronic biopsy, and slice views. Read More

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http://dx.doi.org/10.1109/TVCG.2019.2898763DOI Listing
February 2019

Appendicectomy in older patients with acute appendicitis is not an indication for routine colonoscopy.

Int J Colorectal Dis 2019 Feb 14. Epub 2019 Feb 14.

Department of Accident and Emergency, St Helens and Knowsley Hospitals NHS Trust, Prescot, UK.

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http://dx.doi.org/10.1007/s00384-019-03264-8DOI Listing
February 2019

Barriers to Colonoscopy in an Uninsured Patient Population-A Quality Improvement Project.

Am Surg 2019 Jan;85(1):111-114

Colorectal cancer remains common, with the "80 per cent by 2018" initiative proposed by the National Colorectal Cancer Roundtable. This study was designed to examine obstacles for patients who did not receive their scheduled colonoscopy, focusing on the impact of insurance status. Retrospective chart review was carried out on patients who did not complete their colonoscopy as scheduled from January 2013 to June 2017. Read More

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January 2019

Inflammatory bowel disease patient perceptions of diagnostic and monitoring tests and procedures.

BMC Gastroenterol 2019 Feb 13;19(1):30. Epub 2019 Feb 13.

Department of Medicine, Université de Montréal & Montreal Heart Institute, Montreal, H1T 1C8, Canada.

Background: Inflammatory Bowel Disease (IBD) with its high incidence and prevalence rates in Canada generates a heavy burden of tests and procedures. The purpose of this study is to gain a better understanding of the transfer of information from physician to patient, as well as the patient understanding and perceptions about the tests and procedures that are ordered to them in the context of IBD diagnosis and monitoring.

Methods: An online questionnaire was completed by 210 IBD patients in Canada. Read More

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http://dx.doi.org/10.1186/s12876-019-0946-8DOI Listing
February 2019

The Development of a Liver Abscess after Screening Colonoscopy: A Calculated Risk?

Eur J Case Rep Intern Med 2017 4;4(7):000650. Epub 2017 Jul 4.

Department of Gastroenterology, Gelderse Vallei Hospital, Ede, The Netherlands.

We present the case of a patient who developed a liver abscess following screening colonoscopy. A colorectal screening program was introduced in the Netherlands in 2014 in order to reduce mortality from colorectal cancer. The patient in this report, a 63-year-old man with no significant medical history, underwent polypectomy of two polyps. Read More

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http://dx.doi.org/10.12890/2017_000650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346913PMC

Pyogenic Liver Abscess Following an Uncomplicated Colonoscopy.

Eur J Case Rep Intern Med 2017 27;4(3):000565. Epub 2017 Apr 27.

Department of Nephrology and General Medicine, Letterkenny General Hospital, Letterkenny, Ireland.

Pyogenic liver abscess is a potentially devastating clinical entity associated with significant morbidity and mortality. A myriad of causes for liver abscess have been described including intra-abdominal infections such as diverticulitis. Due to a non-specific presentation, clinicians often require a high level of suspicion in their diagnosis of this condition. Read More

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http://dx.doi.org/10.12890/2017_000565DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346875PMC

Acute Cholecystitis as a Complication after Colonoscopy: A Case Report and Literature Review.

Eur J Case Rep Intern Med 2016 12;3(6):000472. Epub 2016 Sep 12.

2 Medical Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Acute cholecystitis after colonoscopy is a rare event, with less than 10 cases described in the literature. We report the case of a male patient with silent gallstones who underwent colonoscopy for follow-up of his Crohn's disease. The colonoscopy revealed erosions in the terminal ileum, from which biopsies were taken. Read More

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http://dx.doi.org/10.12890/2016_000472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346838PMC
September 2016

Monomorphic epitheliotropic intestinal T-cell lymphoma may mimic intestinal inflammatory disorders.

Int J Immunopathol Pharmacol 2019 Jan-Dec;33:2058738419829387

3 Department of Pharmacology, Wuhan University, Wuhan, P.R. China.

There is a significant overlap between intestinal lymphoproliferative disorders (LPDs) and inflammatory conditions of the intestine, including inflammatory bowel disease (IBD), in clinical, endoscopic, or histologic appearance, leading to diagnostic challenges. We report two cases of monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) that were initially considered to be ulcerative colitis (UC) and lymphocytic colitis, respectively. Both patients presented with diarrhea and abdominal pain. Read More

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http://dx.doi.org/10.1177/2058738419829387DOI Listing
February 2019

Laparoscopic surgery to treat leiomyosarcomas of the sigmoid colon:a case report and literature review.

Surg Case Rep 2019 Feb 12;5(1):20. Epub 2019 Feb 12.

Department of Surgery, Kitasato University Kitasato Institute Hospital, 5-9-1 Shirokane, Minato-ku, Tokyo, Japan.

Background: Leiomyosarcomas (LMSs) of the colon are extremely rare and highly aggressive. Although treatment of gastrointestinal LMS is not standardized, surgical resection is generally performed. The fact that the tumors are usually large at the time of diagnosis may explain why no report on laparoscopic resection of a colonic LMS has appeared. Read More

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http://dx.doi.org/10.1186/s40792-019-0579-8DOI Listing
February 2019

Factors influencing colonoscopy behaviour among Koreans with a positive faecal occult blood tests.

Eur J Cancer Care (Engl) 2019 Feb 12:e13008. Epub 2019 Feb 12.

Department of Nursing, Doowon Technical University, Anseong-si, South Korea.

Objective: Colonoscopy is important for colorectal cancer (CRC) screening in individuals with a positive faecal occult blood test (FOBT). The purpose of the present study was to identify factors affecting the colonoscopy screening behaviour of FOBT-positive individuals, based on the health belief model (HBM).

Methods: This study involved a cross-sectional survey of 213 individuals aged 50 years or older who underwent CRC screening at a general hospital in Seoul, Korea, as part of the Korean National Cancer Screening Programme and who tested positive on FOBT. Read More

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http://dx.doi.org/10.1111/ecc.13008DOI Listing
February 2019

A High Prevalence of Gastrointestinal Manifestations in Common Variable Immunodeficiency.

Am J Gastroenterol 2019 Feb 8. Epub 2019 Feb 8.

Department of Gastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Objectives: Common variable immunodeficiency (CVID) is associated with a spectrum of autoimmune complications. We studied the prevalence of gastrointestinal (GI) manifestations and infections in patients with CVID.

Methods: Complete clinical data of 132 Finnish patients with CVID (106 probable and 26 possible CVID) followed up between 2007 and 2016 were collected to a structured database. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000140DOI Listing
February 2019
1 Read

Surveillance Colonoscopy for Ulcerative Colitis-Associated Colorectal Cancer Offers Better Overall Survival in Real-World Surgically Resected Cases.

Am J Gastroenterol 2019 Feb 8. Epub 2019 Feb 8.

Internal Medicine, Sakura Medical Center, Toho University, Tokyo, Japan.

Objectives: To determine the effectiveness of surveillance colonoscopy (SC) and optimize its use by assessing real-world surgically resected cases of ulcerative colitis (UC)-associated colorectal cancer (CRC) and dysplasia.

Methods: Clinicopathological data of 406 (238 CRC and 168 dysplasia) patients who underwent surgical resection in 10 UC specialized institutions were retrospectively reviewed. The overall survival (OS) rates were compared between the SC and non-SC groups. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000117DOI Listing
February 2019
1 Read

Colorectal penetration by two intrauterine devices.

Rev Esp Enferm Dig 2019 Feb 11;111. Epub 2019 Feb 11.

Servicio de Aparato Digestivo, Hospital Universitario La Paz , España.

A colonoscopy was performed as part of a colorectal screening program on a 77-year-old female with positive fecal occult blood test. During withdrawal, two metallic elongated foreign bodies, around 20 mm in length were found pinned into the transverse colon and rectal wall. A computed tomography with multiplanar reconstruction showed two metallic density T-shaped foreign bodies that resembled intrauterine devices (IUDs) that penetrated the intestinal wall , which ruled out other complications. Read More

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http://dx.doi.org/10.17235/reed.2019.5974/2018DOI Listing
February 2019

Personalized Inflammatory Bowel Disease Care Reduced Hospitalizations.

Dig Dis Sci 2019 Feb 12. Epub 2019 Feb 12.

Department of Medicine, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.

Background And Aims: IBD patients with inadequately treated disease often relapse and require hospitalizations for further management. The purpose of this practice review was to determine whether personalized IBD care improved patient outcomes as measured by IBD-related hospitalizations.

Methods: A dedicated IBD clinic was created for personalized patient care in a tertiary veterans health care center in 2014. Read More

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http://dx.doi.org/10.1007/s10620-019-05485-xDOI Listing
February 2019
1 Read

Optical Diagnosis of Colorectal Polyps: Recent Developments.

Curr Treat Options Gastroenterol 2019 Feb 12. Epub 2019 Feb 12.

Montreal University Hospital Research Center (CRCHUM), Montreal, Canada.

Purpose Of Review: Optical diagnosis of diminutive colorectal polyps has been recently proposed as an alternative to histopathologic diagnosis. Recent developments in imaging techniques, new classification systems, and the use of artificial intelligence have allowed for increased viability of optical diagnosis. This review provides an up-to-date overview of optical diagnosis recommendations, classifications, outcomes, and recent developments. Read More

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http://dx.doi.org/10.1007/s11938-019-00220-xDOI Listing
February 2019

Trainee colonoscopy quality is influenced by the independent and unobserved performance characteristics of supervising physicians.

Endosc Int Open 2019 Jan 9;7(1):E74-E82. Epub 2019 Jan 9.

Division of Digestive and Liver Disease, Department of Medicine, Columbia University, New York, New York, USA.

 Endoscopy training remains an apprenticeship, and the characteristics that facilitate transfer of high quality procedural skills from role models to trainees are unknown. We sought to determine whether unobserved supervisor performance influences the quality of colonoscopy performed by trainees, by studying how supervisors perform alone and how trainees perform while under those same supervisors.  This was a retrospective cross-sectional study conducted among ambulatory adults ≥ 50 years old who underwent colonoscopy for cancer screening or polyp surveillance from 2006 to 2015 at one academic medical center. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0770-2646
Publisher Site
http://dx.doi.org/10.1055/a-0770-2646DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368225PMC
January 2019
3 Reads

Colorectal Cancer Biomarkers - A New Trend in Early Diagnosis.

Curr Health Sci J 2018 Apr-Jun;44(2):140-146. Epub 2018 Mar 27.

Ist Clinic of Surgery, Emergency Clinic County Hospital of Craiova, Romania.

Colorectal cancer (CRC) is one of the most widespread malignancy, posing as a great challenge due to its high incidence and mortality in both genders. Yet, it also stands as one of the most preventable diseases because of its known malignant transformation mostly from tubular adenomas or serrated polyps, therefore offering a strong incentive to the screening programs that are being developed for this disease. Current diagnosis of CRC has surely evolved along with the evolutionary step in gastrointestinal technology of flexible endoscopy. Read More

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http://dx.doi.org/10.12865/CHSJ.44.02.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320460PMC
March 2018
3 Reads

Cold guillotine of adherent clot in delayed post-polypectomy bleeding.

Authors:
Vincent Zimmer

Clin Res Hepatol Gastroenterol 2019 Feb 7. Epub 2019 Feb 7.

Department of Medicine, Marienhausklinik St. Josef-Kohlhof, Neunkirchen, Germany; Department of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany. Electronic address:

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http://dx.doi.org/10.1016/j.clinre.2019.01.002DOI Listing
February 2019

Efficacy of Per-oral Methylene Blue Formulation for Screening Colonoscopy.

Gastroenterology 2019 Feb 8. Epub 2019 Feb 8.

Ospedale Nuovo Regina, Margherita, Gastroenterology Unit, Roma, Italy.

Background & Aims: Topically applied methylene blue dye chromoendoscopy is effective in improving detection of colorectal neoplasia. When combined with a pH- and time-dependent multi-matrix structure, a per-oral methylene blue formulation (MB-MMX) can be delivered directly to the colorectal mucosa.

Methods: We performed a phase 3 study of 1205 patients scheduled for colorectal cancer screening or surveillance colonoscopies (50-75 years old) at 20 sites in Europe and the United states, from December 2013 through October 2016. Read More

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http://dx.doi.org/10.1053/j.gastro.2019.02.001DOI Listing
February 2019

Volumetric growth rates of sessile serrated adenomas/polyps observed in situ at longitudinal CT colonography.

Eur Radiol 2019 Feb 11. Epub 2019 Feb 11.

University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Objective: Sessile serrated adenomas/polyps (SSA/Ps) are now recognized as potential cancer precursors, but little is known about their natural history. We assessed the in vivo growth rates of histologically proven SSA/Ps at longitudinal CT colonography (CTC) and compared results with non-advanced tubular adenomas (TAs).

Methods: We identified a cohort of 53 patients (mean age, 54. Read More

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http://dx.doi.org/10.1007/s00330-019-5999-0DOI Listing
February 2019

Evaluation of the combined effect of factors influencing bowel preparation and adenoma detection rates in patients undergoing colonoscopy.

BMJ Open Gastroenterol 2019 24;6(1):e000254. Epub 2019 Jan 24.

Department of Medicine, BronxCare Health System, New York City, New York, USA.

Background: Colonoscopy is a commonly used modality for screening and surveillance of colorectal cancer (CRC). Therefore, it is essential to have adequate bowel preparation (prep) for the procedure which depends on type of bowel regimens, diet before colonoscopy and timing of the procedure.

Aims: The purpose of this study is to analyse the effect of multiple factors on adenoma detection rate (ADR) and prep quality of colonoscopy. Read More

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http://bmjopengastro.bmj.com/lookup/doi/10.1136/bmjgast-2018
Publisher Site
http://dx.doi.org/10.1136/bmjgast-2018-000254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347943PMC
January 2019
6 Reads

Incidence of diverticular bleeding: a population-based study.

Scand J Gastroenterol 2019 Feb 10:1-5. Epub 2019 Feb 10.

a Faculty of Medicine , University of Iceland , Reykjavik , Iceland.

Objective: To determine the incidence of diverticular bleeding (DB) and examine the time trend of the incidence. Furthermore to study prognosis with regard to therapy and rebleeding.

Methods: A retrospective, population-based study of patients with DB in a National University Hospital from 2006 to 2016. Read More

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http://dx.doi.org/10.1080/00365521.2019.1566494DOI Listing
February 2019

Healthy behavioral choices and cancer screening in persons living with HIV/AIDS are different by sex and years since HIV diagnosis.

Cancer Causes Control 2019 Feb 9. Epub 2019 Feb 9.

Department of Epidemiology, College of Public Health and Health Professions, College of Medicine, University of Florida, 2004 Mowry Road, PO Box 100321, Gainesville, FL, 32610-0231, USA.

Purpose: The prevalence of non-AIDS-related malignancies is on the rise among people aging with HIV population, but the evidence on healthy behaviors including cancer screening practices in this population subgroup is extremely limited. Therefore, we investigated the prevalence of healthy behaviors and sex-specific cancer screening among persons living with HIV, by sex and time since HIV diagnosis.

Methods: We included 517 persons living with HIV from the Florida Cohort. Read More

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http://dx.doi.org/10.1007/s10552-019-1135-3DOI Listing
February 2019
1 Read

Magnitude, Risk Factors, and Factors Associated With Adenoma Miss Rate of Tandem Colonoscopy: A Systematic Review and Meta-analysis.

Gastroenterology 2019 Feb 6. Epub 2019 Feb 6.

Department of Gastroenterology, Changhai Hospital, Second Military Medical University/Naval Medical University, Shanghai, China; Digestive Endoscopy Center, Changhai Hospital, Naval/Second Military Medical University, Shanghai, China; National Clinical Research Center for Digestive Diseases, Shanghai, China.

Background & Aims: We performed a systematic review and meta-analysis to comprehensively estimate the adenoma miss rate (AMR) and advanced AMR (AAMR) and explore associated factors.

Methods: We searched the PubMed, Web of Science, and Ovid EMBASE databases for studies published through April 2018 on tandem colonoscopies, with AMR and AAMR as the primary outcomes. We performed meta-regression analyses to identify risk factors and factors associated with outcome. Read More

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http://dx.doi.org/10.1053/j.gastro.2019.01.260DOI Listing
February 2019

Differential risk of disease progression between isolated anastomotic ulcers and mild ileal recurrence after ileocolonic resection in patients with Crohn's disease.

Gastrointest Endosc 2019 Feb 6. Epub 2019 Feb 6.

University of Chicago Medicine, Inflammatory Bowel Disease Center, Chicago, IL, USA.

Background And Aims: It is standard of care to perform ileocolonoscopy within a year of ileocolonic resection for Crohn's disease (CD) and to guide management decisions based on the Rutgeert score (RS). The modified RS subdivides i2 into lesions confined to the anastomosis (i2a) or >5 aphthous lesions in the neoterminal ileum (i2b). There is uncertainty, however, if i2a lesions incur an increased risk of disease recurrence. Read More

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http://dx.doi.org/10.1016/j.gie.2019.01.029DOI Listing
February 2019
2 Reads

Development of FamilyTalk: an Intervention to Support Communication and Educate Families About Colorectal Cancer Risk.

J Cancer Educ 2019 Feb 9. Epub 2019 Feb 9.

Department of Medicine, Division of Medical Genetics, University of Washington, Seattle, WA, USA.

IFamily members of individuals with colorectal cancer (CRC) may be at increased risk of developing the disease. However, the majority of CRC can be prevented through colonoscopy screening and family members may not be aware if they are recommended to pursue earlier screening because of their family history of CRC. As such, tools must be developed to effectively communicate potential changes to the recommended age for colonoscopy screening and other important CRC-related information to family members. Read More

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http://dx.doi.org/10.1007/s13187-019-1484-3DOI Listing
February 2019
1 Read

An unusual cause of colic stenosis in a renal transplant recipient: primary colonic diffuse large B-cell lymphoma.

Ann Ital Chir 2019 Jan 31;8. Epub 2019 Jan 31.

Background: Primary colic lymphoma represents a rare disease accounting for the 0.2%-0.6% of all large-bowel malignancies. Read More

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January 2019
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0.683 Impact Factor

Colonoscopy-assisted application of a 14/6t over-the-scope clip for treatment of a bleeding Dieulafoy lesion in the distal jejunum.

Endoscopy 2019 Feb 8. Epub 2019 Feb 8.

Department of Gastroenterology and Gastrointestinal Oncology, Center of Interdisciplinary Endoscopy, University Medical Center Göttingen, Germany.

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http://dx.doi.org/10.1055/a-0833-8079DOI Listing
February 2019

Management of Diverticular Hemorrhage: Catching That Culprit Diverticulum Red-Handed!

Inflamm Intest Dis 2018 Dec 12;3(2):100-106. Epub 2018 Jul 12.

Department of Internal Medicine, Keiyu Hospital, Yokohama, Japan.

Background/summary: Acute colonic diverticular hemorrhage (CDH) represents a significant challenge for gastroenterologists. There are some clinical problems in the diagnosis, treatment, and prevention of CDH. CDH is the most common cause of overt lower gastrointestinal bleeding in adults in Eastern and Western countries. Read More

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http://dx.doi.org/10.1159/000490387DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361504PMC
December 2018
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The Natural History of Colonic Diverticulosis: Much Ado about Nothing?

Inflamm Intest Dis 2018 Dec 12;3(2):69-74. Epub 2018 Jul 12.

Division of Gastroenterology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Background: Colonic diverticulosis is the most common incidental lesion found on routine colonoscopy. However, its true natural history is unclear. The aim of this review is to examine the epidemiology of colonic diverticulosis and the incidence of complications, namely acute diverticulitis and diverticular hemorrhage. Read More

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http://dx.doi.org/10.1159/000490054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361501PMC
December 2018
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Association of time to colonoscopy after a positive fecal test result and fecal hemoglobin concentration with risk of advanced colorectal neoplasia.

Dig Liver Dis 2018 Dec 23. Epub 2018 Dec 23.

Division of Gastroenterology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address:

Background: We evaluated the risk of advanced colorectal neoplasia (ACRN) and colorectal cancer (CRC) according to time to colonoscopy after positive fecal immunochemical test (FIT), fecal hemoglobin concentration, and combination of both.

Methods: We analyzed the records of 2362 patients aged ≥50 years who underwent colonoscopy because of a positive FIT result through the National Cancer Screening Program of Korea.

Results: ACRN risk increased with increasing time to colonoscopy after a positive FIT (17. Read More

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http://dx.doi.org/10.1016/j.dld.2018.12.008DOI Listing
December 2018

Liver fibrosis is associated with risk for colorectal adenoma in patients with nonalcoholic fatty liver disease.

Medicine (Baltimore) 2019 Feb;98(6):e14139

Medical Research Collaboration Center in KNUH and School of Medicine, Kyungpook National University, Daegu, South Korea.

Nonalcoholic fatty liver disease (NAFLD) is associated with risks for developing colorectal adenoma. This study aimed to evaluate the association between advanced fibrosis in NAFLD and the risk for colorectal adenoma.We retrospectively analyzed the data of 6332 adults who underwent abdominal ultrasound and 1st-time colonoscopy on the same day in a health screening program at a single center. Read More

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http://dx.doi.org/10.1097/MD.0000000000014139DOI Listing
February 2019
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Diabetes Mellitus and Age are Risk Factors of Interval Colon Cancer: A Case-Control Study.

Dig Dis 2019 Feb 7:1-6. Epub 2019 Feb 7.

Gastroenterology and Hepatology Institute, Meir Medical Center, Kfar Saba, Israel.

Background And Aims: Interval colorectal cancer (CRC) is largely related to a poor endoscopic performance or different biology in the development of the polyp. However, patient-related factors were less investigated for their association with interval cancer. We thus evaluated tumor and patient characteristics as predictors of interval cancer in a population from Israel. Read More

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http://dx.doi.org/10.1159/000496740DOI Listing
February 2019

Primary hepatic neuroendocrine tumours-Case series of a rare malignancy.

Int J Surg Case Rep 2019 Jan 30;55:145-148. Epub 2019 Jan 30.

Department of Hepatobiliary and Pancreatic Surgery, Greenslopes Private Hospital, Newdegate Street, Greenslopes, Queensland, 4102, Australia. Electronic address:

Introduction: Primary hepatic neuroendocrine tumours (PHNET) were first described by Edmondson et al. in 1958 and are rare, accounting for only 0.3% of all neuroendocrine tumours. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365392PMC
January 2019

Comparing the Real-World Effectiveness of Competing Colonoscopy Preparations: Results of a Prospective Trial.

Am J Gastroenterol 2019 Feb;114(2):305-314

Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Objectives: National societies provide little guidance regarding which colonoscopy bowel preps are best tolerated and most effective; this reflects a lack of comparative effectiveness studies that directly evaluate the available preps in a "real-world" setting. To address this gap, we conducted a prospective, commercially unfunded comparative effectiveness study of currently available bowel preps and measured their impact on bowel cleansing.

Methods: We included patients aged ≥18 years, who presented for an outpatient colonoscopy at a large medical center serving more than 70 academic and community-based endoscopists who are free to prescribe the bowel prep of their choice. Read More

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http://Insights.ovid.com/crossref?an=00000434-201902000-0002
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http://dx.doi.org/10.14309/ajg.0000000000000057DOI Listing
February 2019
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