Female Gastroenterologists: Underpaid, Under-Represented

Posted by Larissa Biggers on September 14, 2018

One physician’s response to a Dallas Medical Journal survey has evoked angry retorts and refueled discussion about inequities between male and female physicians. Dallas County Medical Society members were asked if there was a pay gap between male and female physicians, and if so, how it could be remedied.

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Topics: gastroenterologist, pay gap, gender inequity, women in GI, female gastroenterologist

Nurse Injuries Hurt Patients & Hospitals

Posted by Larissa Biggers on September 07, 2018

Nurses who handle patients on a regular basis are likely to get injured, sooner or later. According to the U.S. Bureau of Labor Statistics, nursing has the highest rate of nonfatal occupational injuries of any profession, (yes, even higher than construction workers or factory employees), and an American Nursing Association survey revealed that 62 percent of nurses indicated that the risk of developing a disabling musculoskeletal disorder was a top health and safety concern.

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Topics: patient, safe patient handling, healthcare costs, patient safety, GI nursing, endoscopy nursing, looping in colonoscopy, nurse injury, hospital costs, patient experience

Injury in Endoscopists: Scope at Your Own Risk

Posted by Larissa Biggers on August 31, 2018

The safety and comfort of patients undergoing colonoscopy is of paramount importance to hospitals, providers, and of course, the patients themselves. But what about the physicians performing the procedure? It might be news to those outside the field, but gastroenterologists are commonly injured on the job. A review of current literature found that musculoskeletal complaints are extremely common among GIs; the incidence of pain and injuries ranges from 29% up to 89%. Another study indicated that 45% of endoscopists undergo physical therapy to combat pain, 26.8% get steroid injections, and 13.3% require surgery.

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Topics: colonoscopy, colon cancer, endoscopy, looping in colonoscopy, endoscopist, difficult colonoscopy, gastroenterologist, CRC, colorectal cancer, tortuous colon, injury endoscopist, GI injury

Fiber: Don't Believe the Hype

Posted by Marybeth Spanarkel on August 24, 2018

What do we really know about fiber and colon health? Certainly, if you believe media reports and marketing campaigns, you might think that fiber was the panacea for a wide variety of ailments. Cereals, supplements, and snack bars labeled as “rich in fiber” are touted to be healthy for your colon.

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Topics: colonoscopy, endoscopist, difficult colonoscopy, gastroenterologist, fiber, fiber and weight loss, fiber and gas, fiber and IBS, tortuous colon, fiber and constipation, fiber and bloating

SSA Detection: The Key to Preventing CRC?

Posted by Marybeth Spanarkel on August 17, 2018

 

Observational studies indicate that colonoscopy lowers colorectal cancer (CRC) rates and mortality in the general population. In support of these findings, a large-case control study showed that the procedure can significantly reduce the incidence of CRC and CRC-related mortality. However, colonoscopy may not be optimally effective for right-sided lesions. This might be due, in large part, to sessile serrated adenomas (SSAs).

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Topics: colonoscopy, colon cancer, screening, adenoma, polyp, looping in colonoscopy, endoscopist, gastroenterologist, CRC, colorectal cancer, SSA, serrated sessile adenoma

What Is a Difficult Colonoscopy?

Posted by Larissa Biggers on August 10, 2018

 

The Definition of “Difficult”

A difficult colonoscopy is one “in which the endoscopist has trouble getting through the entire colon or fails to do so,” said Dr. Jerome Waye, in an interview with the journal Gastroenterology & Hepatology. Difficult colonoscopies are problematic because they can result in longer-than-expected procedure times, incomplete procedures, and higher risks.

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Topics: colonoscopy, safe patient handling, abdominal pressure colonoscopy, looping in colonoscopy, endoscopist, difficult colonoscopy, gastroenterologist

Barriers to Colonoscopy

Posted by Larissa Biggers on August 03, 2018

If Colonoscopy Is the Gold Standard, Why Is Compliance So Low?

In 2018, 50,630 people in the United States will die of colorectal cancer, according to the American Cancer Society. It is the third leading cause of cancer-related deaths in men and women in this country.

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Topics: colonoscopy, colon cancer, screening, polyp, healthcare costs, patient safety, abdominal pain colonoscopy, bowel prep colonoscopy

Looping in Colonoscopy: A Primer

Posted by Larissa Biggers on July 27, 2018

What is looping?

During colonoscopy, looping is a frequent challenge. It occurs when the colonoscope stretches and distends the colon in response to the physician’s efforts to advance the scope forward. Typically once a loop has formed, it must be straightened before the procedure can continue. Looping is most common in the sigmoid colon, although it can occur anywhere the scope encounters a barrier.

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Topics: colonoscopy, abdominal pain colonoscopy, GI nursing, endoscopy nursing, abdominal pressure colonoscopy, looping in colonoscopy

Post-Colonoscopy ER Visits 4X More Likely Than Gastroenterologists Think

Posted by Larissa Biggers on July 20, 2018

Part of what makes colonoscopy the gold standard for colon cancer screening is its safety profile. The risk of serious complications is low (perforations and post-procedure bleeding occur in only 0.05% and 0.3% of colonoscopies, respectively). Yet according to a study out of Yale, a far larger percentage of patients return to the emergency room (ER) within seven days of colonoscopy, with far-reaching impacts on cost and patient satisfaction.

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Topics: colonoscopy, safe patient handling, healthcare costs, patient safety, emergency room, ER after colonoscopy, abdominal pain colonoscopy

Propofol Use in Routine Colonoscopy: Better Care or Better Bottom Line?

Posted by Larissa Biggers on July 13, 2018

What’s driving Propofol use for colonoscopy, better patient care or a better bottom line?

Just 10 years ago, moderate sedation—a combination of short-acting anxiety and pain medications administered by a gastroenterologist—was used in more than 80% of all colonoscopies in the U.S. Yet over the past decade, the use of deep sedation (aka, MAC) has risen sharply.  A recent study of over 6.6 million patients undergoing GI procedures found that by 2010, 33.7% of Medicare patients and 38.3% of commercially insured patients received MAC for their colonoscopy. By 2013, these figures had risen to 47.6% and 53.0%, respectively. And today those numbers are even higher.

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Topics: colonoscopy, VA, Deep sedation, conscious sedation, Propofol, Propofol for colonoscopy, MAC in colonoscopy, healthcare costs