According to the American College of Gastroenterologists (ACG), adenoma detection rate (ADR) is “the measurement that best reflects how carefully colonoscopy is performed.“ Defined as the percentage of patients age 50 and older undergoing screening colonoscopy who have one or more precancerous polyps detected, ADR is calculated by dividing the number of procedures in which one or more adenomas is detected by the total number of procedures. An endoscopist’s ADR should be at least 25% for men and 15% for women.
The human gut microbiome comprises all of the bacteria in in the human intestine, which amounts to over 100 billion bacteria. This outnumbers the cells in our bodies 10 to 1. Although probiotic products touting gut health are currently flooding the marketplace (ranging from dietary supplements to cake mixes), there is no consensus on what a healthy human microbiome looks like, and none of these products have been approved by the FDA to treat or prevent specific diseases. While most agree that it is essential to human health, facts about the microbiome and how it functions in the body are still under investigation.
Beginning in 2004, the U.S. Surgeon General designated Thanksgiving National Family Health History Day. What does that mean for you? It’s pretty simple; as you gather with your relatives for the holiday, whether in person or virtually, take time talk about and document health problems that run in your family. (Note that although this blog post focuses on gathering information related to colorectal cancer [CRC], the guidelines apply to any health condition, from diabetes to breast cancer.)
A recently published study in Journal of Gastroenterology and Hepatology Research found that use of ColoWrap significantly enhanced adenoma detection in obese patients, females, and patients 60 and older. In addition, ColoWrap was associated with increased polyp and sessile serrated polyp (SSP) detection in the cecum and ascending colon across all patients in the study. These findings provide substantial additional support for the utility of ColoWrap as a tool to improve colonoscopy quality, particularly for patients at-risk for a difficult colonoscopy due to a tortuous, redundant colon or body habitus.
Research consistently shows that the adenoma detection rate (ADR) is higher the more time spent withdrawing the scope. In fact, a presentation at the 2018 meeting of the American College of Gastroenterology indicated a significantly higher adenoma detection rate when the withdrawal time in the right colon was greater than three minutes. The reverse is true as well; in a review of 76,810 screening colonoscopies, faster withdrawal times were independently associated with lower ADRs.
Topics: gastroenterologist, colorectal cancer, CRC, endoscopist, adenoma, endocopy, tortuous colon, difficult colonoscopy, abdominal pressure colonoscopy, looping in colonoscopy, cecal intubation time, withdrawal time
All physicians want to provide superior care for their patients, but practicing medicine today can be complicated. In the last decade, doctors have been tasked with navigating new technologies, government mandates, and payment guidelines, all of which can detract from caring for patients.
Topics: gastroenterologist, colorectal cancer, CRC, endoscopist, adenoma, endocopy, women in GI, patient experience, nurse injury, GI injury, injury endoscopist, tortuous colon, difficult colonoscopy, bowel prep colonoscopy, abdominal pressure colonoscopy, looping in colonoscopy, safe patient hadling, screening
I attended ACG 2018 to represent my company whose mission is to make colonoscopy easier, safer, and more effective . I am also the daughter of a Stage IV colon cancer survivor and watched as my father underwent chemo, numerous surgeries, and immeasurable mental and physical stress. Both professionally and personally, promoting colonoscopy is high on my priority list. It is through these lenses that I experienced the conference.
A mainstay U.S. gastroenterology event is set to take place October 5 through 10 in Philadelphia, PA: the ACG Annual Scientific Meeting & Postgraduate Course. The agenda is jam-packed with worthwhile lectures, poster presentations, hands-on workshops, plus an exhibition hall full hundreds of vendors. The choices can be overwhelming, ranging from a roundtable discussion on how to get published to a lunch session on the endoscopic treatment of patients with pancreatobiliary cancers.
For those interested in educational and networking opportunities specific to colonoscopy and colorectal cancer (CRC), the sample agenda below should come in handy.
Why would you have a sedation-free colonoscopy, when the norm is sleeping through the procedure and having no recollection of it?
Topics: gastroenterologist, patient experience, hospital costs, colorectal cancer, CRC, endoscopist, endoscopy nursing, GI nursing, patient safety, Propofol for colonoscopy, Deep sedation, Propofol, polyp, adenoma, screening, patient, endocopy, nurse