48,016 results match your criteria Colonoscopy


Colonoscopy induced ischemic colitis: An endoscopic and histological assay.

Clin Res Hepatol Gastroenterol 2022 Jun 24:101975. Epub 2022 Jun 24.

Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, India. Electronic address:

Colonoscopy is a safe and effective diagnostic modality for various ileo-colonic diseases. Though the procedure itself is a rare cause of ischaemic colitis. Fewer than 30 cases of ischaemic colitis caused by colonoscopy procedure have been reported in the literature to date. Read More

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Factors Associated with Difficulty Maintaining Insufflation of the Colon During Endoscopy.

Dig Dis Sci 2022 Jun 27. Epub 2022 Jun 27.

Division of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Background: Insufflation of the colon allows for adequate visualization of the mucosal tissue and advancement of the endoscope during colonoscopy. Most colonoscopies are performed with sedation to mitigate discomfort and enhance the colonoscopy experience for both the patient and the endoscopist.

Aim: We aimed to evaluate factors associated with difficulty maintaining insufflation. Read More

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Runaway Insufflation: Does Anesthesia or Spasm Hinder Insufflation During Colonoscopy?

Authors:
Kenneth W Hung

Dig Dis Sci 2022 Jun 27. Epub 2022 Jun 27.

Department of Internal Medicine, Section of Digestive Diseases, Yale School of Medicine, P.O. Box 208019, New Haven, CT, 06520, USA.

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The Patient Experience of an Inadequate-Quality Bowel Preparation During the Colonoscopy Process: A Qualitative Study.

Gastroenterol Nurs 2022 Jun 27. Epub 2022 Jun 27.

Christine Cleary Kimpel, MA, BSN, RN, is PhD Candidate, Vanderbilt University School of Nursing, Nashville, Tennessee.

As many as 35% of patients may experience an inadequate-quality bowel preparation for colonoscopy, which may then require a repeated colonoscopy without insurance coverage. To our knowledge, there have been no qualitative studies with an in-depth exploration of patient experiences of this outcome. This study aimed to explore patients' perceptions of experiencing an inadequate preparation compared to those with only an adequate-quality bowel preparation history. Read More

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The Efficacy of Senna Bowel Preparation for Colonoscopy: A Systematic Review and Meta-analysis.

Gastroenterol Nurs 2022 Jun 27. Epub 2022 Jun 27.

Hefeng Tian, MD, is Team Coordinator, The First Hospital of Jilin University, Changchun, Jilin Province, China.

The quality of bowel preparation is an extremely important determinant of colonoscopy results. However, the efficacy of senna regimens in improving bowel cleanliness is uncertain. We conducted a systematic review and meta-analysis to synthesize data on whether using a senna bowel preparation regimen enhances the bowel cleanliness. Read More

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A Soft Sensor for Bleeding Detection in Colonoscopies.

Adv Intell Syst 2022 Apr 20;4(4). Epub 2022 Feb 20.

Department of Mechanical Engineering, Boston University, Boston, MA 02215, USA.

Colonoscopies allow surgeons to detect common diseases i.e. colorectal cancer, ulcers and other ailments. Read More

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Change in colorectal cancer (CRC) testing rates associated with the introduction of the first organized screening program in canton Uri, Switzerland: Evidence from insurance claims data analyses from 2010 to 2018.

Prev Med Rep 2022 Aug 10;28:101851. Epub 2022 Jun 10.

Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.

The first canton in Switzerland to implement an organized colorectal cancer screening program (OSP) was Uri. Starting in 2013, it offered 50-69-year-olds free testing with colonoscopy every 10 years or fecal occult blood test (FOBT) every 2 years. We tested the association between the OSP and testing rates over time. Read More

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A Rare Presentation of Sarcoidosis Masquerading as Colonic Polyps on Screening Colonoscopy.

ACG Case Rep J 2022 Jun 22;9(6):e00800. Epub 2022 Jun 22.

Division of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, VA.

Sarcoidosis is a systemic disease characterized by noncaseating granulomatous inflammation. Gastrointestinal involvement in sarcoidosis is a very rare occurrence, with the colon being affected in few patients. We present a case of sarcoidosis presenting as multiple colonic polyps found on routine colorectal cancer screening colonoscopy. Read More

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Detection of Anal Intraepithelial Neoplasia and Anal Squamous Cell Carcinoma on Colonoscopy.

ACG Case Rep J 2022 Jun 22;9(6):e00792. Epub 2022 Jun 22.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.

The purpose of this case series is to review the endoscopic detection of anal intraepithelial neoplasia and anal squamous cell carcinoma including the role of rectal retroflexion and narrow-band imaging. Four cases of anal intraepithelial neoplasia were incidentally discovered in women aged 55-71 years. Anal lesions identified included sessile polyps, nodular mucosa, and circumferential polyps. Read More

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Reaching the "Hard-to-Reach" Sexual and Gender Diverse Communities for Population-Based Research in Cancer Prevention and Control: Methods for Online Survey Data Collection and Management.

Front Oncol 2022 8;12:841951. Epub 2022 Jun 8.

Comprehensive Cancer Center, University of New Mexico, Albuquerque, NM, United States.

Purpose: Around 5% of United States (U.S.) population identifies as Sexual and Gender Diverse (SGD), yet there is limited research around cancer prevention among these populations. Read More

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Management of Acute Lower Gastrointestinal Bleeding: A Survey to Assess Adherence to Guidelines Across the United Kingdom and Ireland.

Cureus 2022 May 24;14(5):e25273. Epub 2022 May 24.

General Surgery, Pilgrim Hospital, Boston, GBR.

Introduction: Acute gastrointestinal bleeding (GIB) is a common surgical problem requiring hospitalization in the United Kingdom (UK) and Ireland. The first UK lower gastrointestinal bleeding (LGIB) management guidelines were published in 2019 by the British Society of Gastroenterology (BSG). We aimed to evaluate self-reported adherence to BSG clinical guidance (CG) within the UK and Ireland. Read More

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Gastrointestinal tuberculosis presenting as acute abdomen: a case report.

J Surg Case Rep 2022 Jun 21;2022(6):rjac305. Epub 2022 Jun 21.

Department of General Surgery, Luigi Sacco University Hospital, Milan, Italy.

Intestinal tuberculosis (ITB) represents an important diagnostic challenge in the clinical setting, as it generally can occur as a chronic condition often mimicking other diseases such as Crohn's disease (CD), and can present itself with acute onset, which can be life-threatening. A 29-years-old Chinese woman coming to ER with abdominal pain, fever and weight loss. Computed tomography and colonoscopy images were not diagnostic. Read More

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A Novel Variant of X-Linked Moesin Gene in a Boy With Inflammatory Bowel Disease Like Disease-A Case Report.

Front Genet 2022 9;13:873635. Epub 2022 Jun 9.

Department of Gastroenterology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.

Variants in the gene were recently reported as the cause of a primary immunodeficiency disease called X-linked moesin-associated immunodeficiency (X-MAID). Hitherto, only 10 patients were reported worldwide. Here, we report a boy who presented with recurrent high fever, oral ulcers, abdominal pain, and hematochezia for over 2 weeks. Read More

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Quality of endoscopic screening for colorectal cancer in Italy: A national survey.

Dig Liver Dis 2022 Jun 23. Epub 2022 Jun 23.

Gastroenterology Unit, Department of Medical and Surgical Sciences, S.Orsola-Malpighi Hospital, Bologna, Italy.

Background: Colorectal cancer (CRC) is a major healthcare problem all over the world and screening is effective in reducing mortality and increasing survival. Since colonoscopy has a central role in faecal immunochemical test (FIT)-based CRC screening and surveillance, consistent quality measures are essential to ensure quality and outcomes. Nevertheless, screening modalities in clinical practice may differ according to the centers experience and the local availability of instrumentation and devices. Read More

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Droplet nuclei is generated during the colonoscopy and is decreased by the use of carbon dioxide and water immersion technique.

Dig Endosc 2022 Jun 25. Epub 2022 Jun 25.

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.

Background: The COVID-19 pandemic has raised concerns on whether colonoscopies (CS) carry a transmission risk. The aim was to determine whether colonoscopies are an aerosol-generating procedures.

Methods: This was a prospective observational trial including all patients undergoing CS in Prince of Wales Hospital from 1st June to 31st July 2020. Read More

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Spectrum of chronic gastrointestinal diseases with final outcome in children at a tertiary care centre: A single-centre study.

J Pak Med Assoc 2022 Jun;72(6):1188-1192

Department of Anaesthesia, Pakistan Kidney and Liver Institute and Research Centre, Lahore, Pakistan.

Chronic gastrointestinal (GI) diseases in children present with a wide range of symptoms. Limited resources in Paediatric Gastroenterology in developing countries like Pakistan cause considerable difficulties in managing children with chronic GI diseases in a timely fashion. This retrospective descriptive study aimed to determine the spectrum and outcomes of chronic GI diseases in children. Read More

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Endoscopic features and clinical course of patients with asymptomatic cecal ulcers.

BMC Gastroenterol 2022 Jun 24;22(1):309. Epub 2022 Jun 24.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taichung Veterans General Hospital, 1650, Section 4, Taiwan Boulevard, Xitun Dist., Taichung City, 40705, Taiwan.

Background: Cecal ulcers are sometimes encountered in asymptomatic individuals. Their clinical outcomes and management recommendations remain uncertain.

Methods: Asymptomatic patients who underwent a colonoscopic exam for colon cancer screening were retrospectively reviewed from July 2009 to November 2016. Read More

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Tension pneumoperitoneum following colonic perforation due to barotrauma.

BMJ Case Rep 2022 Jun 24;15(6). Epub 2022 Jun 24.

Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India

Barotrauma of the colorectum is an uncommon entity that usually occurs after colonoscopy. Perforation of the colon by non-iatrogenic barotrauma of the colon, with tension pneumoperitoneum, is very rare. We present a case of a male patient in his 20s with colon barotrauma caused by industrial compressed air, causing perforation of the transverse colon, with multiple serosal tears throughout the colon. Read More

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Modelling optimal use of temporarily restricted colonoscopy capacity in a FIT-based CRC screening program: Application during the COVID-19 pandemic.

PLoS One 2022 24;17(6):e0270223. Epub 2022 Jun 24.

Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Objective: The COVID-19 pandemic forced colorectal cancer (CRC) screening programs to downscale their colonoscopy capacity. In this study, we assessed strategies to deal with temporary restricted colonoscopy capacity in a FIT-based CRC screening program while aiming to retain the maximum possible preventive effect of the screening program.

Design: We simulated the Dutch national CRC screening program inviting individuals between ages 55 and 75 for biennial FIT using the MISCAN-Colon model including the 3-month disruption in the first half of 2020 due to the COVID-19 pandemic. Read More

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The role of gastrointestinal pathogen PCR testing in liver transplant recipients hospitalized with diarrhea.

Transpl Infect Dis 2022 Jun 24. Epub 2022 Jun 24.

Center for Liver Disease and Transplantation, Columbia University Irving Medical Center, New York, New York, USA.

Background: Diarrhea is a common symptom among liver transplant (LT) recipients and can result in significant morbidity. The utility of PCR-based multiplex gastrointestinal (GI) pathogen panels in this population is unknown.

Methods: We assessed incidence, predictors, and outcomes of GI PCR positivity among inpatients who underwent stool pathogen testing with the FilmArray multiplex GI PCR panel at our institution within 1 year following LT from April 2015 to December 2019. Read More

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Intestinal and perianal tuberculosis: an uncommon clinical presentation and challenging diagnosis.

Rev Esp Enferm Dig 2022 Jun 24. Epub 2022 Jun 24.

Gastroenterology, Centro Hospitalar de Setúbal.

We present the case of a 40-year-old immunocompetent man with complaints of perianal abscess, diarrhea, and weight loss for 3 months. He denied respiratory symptoms. Colonoscopy revealed ulcers and histopathology showed non-necrotizing granulomas and excluded acid-fast bacilli. Read More

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Hemostasis of a bleeding inverted colonic diverticulum.

Rev Esp Enferm Dig 2022 Jun 24. Epub 2022 Jun 24.

Gastrenterology, Centro Hospitalar Vila Nova de Gaia/Espinho.

The authors report a case of a 62-year-old male presenting to the emergency department with hematochezia. Urgent colonoscopy revealed numerous diverticula in the sigmoid colon, two of them inverted. Oozing bleeding from a visible vessel was identified on the top of the most distal inverted diverticulum. Read More

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Colorectal Carcinoma in the Background of Pelvic Inflammatory Disease.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221106755

Texas Tech University Health Sciences Center El Paso, TX, USA.

Colorectal carcinoma (CRC) is a common malignancy with steadily declining incidence rates and mortality, secondary to improved screening and lifestyle changes (eg, decreased smoking rates). The association between pelvic inflammatory disease (PID) and CRC has been unclear in the past. However, multiple studies showed a positive association between PID and underlying malignancy (gynecologic and pelvic primarily). Read More

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Comparison with first round findings of faecal haemoglobin concentrations and clinical outcomes in the second round of a biennial faecal immunochemical test based colorectal cancer screening programme.

J Med Screen 2022 Jun 23:9691413221110012. Epub 2022 Jun 23.

Centre for Research into Cancer Prevention and Screening, University of Dundee, UK.

Objective: How faecal haemoglobin concentrations (f-Hb) vary from one round to the next in a colorectal cancer (CRC) screening programme, and relate to colonoscopy findings, are unknown. Our aim was to use data from the first two rounds of the faecal immunochemical test (FIT) based Scottish Bowel Screening Programme (SBoSP) to explore these issues.

Methods: Faecal haemoglobin concentration (f-Hb) percentiles in the second round were compared with those in the first when the first round yielded a negative FIT result (<80 µg Hb/g faeces), a positive FIT but no colonoscopy, CRC, all adenoma, and a negative colonoscopy. Read More

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Increased prevalence of colorectal neoplasia in patients with intraductal papillary mucinous neoplasms.

Therap Adv Gastroenterol 2022 16;15:17562848221104306. Epub 2022 Jun 16.

Department of Gastroenterology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Background: The association between intraductal papillary mucinous neoplasms (IPMNs) and colorectal cancer (CRC) and polyps is controversial.

Objectives: To compare the prevalence of CRC and colorectal polyps among patients with IPMN and matched average risk individuals.

Methods: A match cross-sectional historical study comparing colonoscopy findings of 310 patients with IPMN cysts who underwent at least one colonoscopy examination from 2004 through 2019, with 310 age- and gender-matched average risk participants who underwent a screening colonoscopy. Read More

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Do Socio-Demographics Play a Role in the Prevalence of Red Flags and Pursuant Colonoscopies in Patients With Irritable Bowel Syndrome?

Cureus 2022 May 19;14(5):e25137. Epub 2022 May 19.

Department of Gastroenterology and Hepatology, Rutgers University New Jersey Medical School, Newark, USA.

Background Irritable bowel syndrome (IBS) is a "brain-gut disorder" that lacks laboratory, radiologic, or physical exam findings. Colonoscopies are not routinely performed unless "red flag" symptoms, such as bleeding or abnormal weight loss, are present. Socio-demographics have been implicated as sources of potential disparities in appropriate care. Read More

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Dieulafoy Lesion of the Colon: A Rare Finding During Colonoscopy.

Cureus 2022 May 21;14(5):e25188. Epub 2022 May 21.

Gastroenterology, Parkview Medical Center, Pueblo, USA.

Dieulafoy lesions are common dilated submucosal vessels that can present with gastrointestinal (GI) bleeding. These lesions are usually found in the stomach or esophagus and colonic Dieulafoy lesions are very rare. Clinical presentation can vary from mild non-threatening GI bleeding to massive and recurrent hemorrhage. Read More

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No-Code Platform-Based Deep-Learning Models for Prediction of Colorectal Polyp Histology from White-Light Endoscopy Images: Development and Performance Verification.

J Pers Med 2022 Jun 12;12(6). Epub 2022 Jun 12.

Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang 10556, Korea.

Background: The authors previously developed deep-learning models for the prediction of colorectal polyp histology (advanced colorectal cancer, early cancer/high-grade dysplasia, tubular adenoma with or without low-grade dysplasia, or non-neoplasm) from endoscopic images. While the model achieved 67.3% internal-test accuracy and 79. Read More

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Factors Associated with Colorectal Polyps in Middle-Aged and Elderly Populations.

Int J Environ Res Public Health 2022 Jun 20;19(12). Epub 2022 Jun 20.

Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Dapi Road, Niaosong District, Kaohsiung 833, Taiwan.

Colorectal polyps are the precursor lesions of most colorectal cancers. This study aimed to evaluate associations between bone mineral density (BMD), metabolic syndrome (MetS), and gastrointestinal diseases with colorectal polyps in middle-aged and elderly populations. A retrospective cross-sectional study was performed using data from the health examination database of a tertiary medical center in southern Taiwan in 2015. Read More

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Performance of a Deep Learning System for Automatic Diagnosis of Protruding Lesions in Colon Capsule Endoscopy.

Diagnostics (Basel) 2022 Jun 12;12(6). Epub 2022 Jun 12.

Department of Gastroenterology, São João University Hospital, Alameda Professor Hernâni Monteiro, 4200-427 Porto, Portugal.

Background: Colon capsule endoscopy (CCE) is an alternative for patients unwilling or with contraindications for conventional colonoscopy. Colorectal cancer screening may benefit greatly from widespread acceptance of a non-invasive tool such as CCE. However, reviewing CCE exams is a time-consuming process, with risk of overlooking important lesions. Read More

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