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.
Looping occurs in 90% of all colonoscopies. It is the main cause of patient pain and failed and prolonged procedures. Yet the concept of looping can be hard to grasp and even harder to visualize.
This short video illustrates WHAT looping looks like and WHY it happens.
She’s an endoscopy technician with over 30 years of experience. She loves her job, but not the pain and injuries that come along with it.
Lynch syndrome is one of the most common hereditary cancer syndromes and the most common cause of inherited colorectal cancer (CRC) in the Unites States. An estimated one out of every 300 people could be a carrier. Given these statistics, it would seem that if testing is readily available (it is) and affordable (it is), it should be routinely performed (it isn’t).
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.)
Waiting is hating
Americans hate to wait, whether it’s for food, Internet connectivity, or a green light. So it should come as no surprise that the more time patients spend waiting to see a physician, the more dissatisfied they are. What might be surprising is that longer wait times have a negative impact on other, potentially more consequential aspects of the patient experience, specifically patients’ confidence in their physician and how they perceive their quality of care.
Topics: colorectal cancer, CRC, colonoscopy, screening, ColoWrap, cecal intubation time, patient experience, hospital costs, tortuous colon, gastroenterologist, endoscopy nursing, GI nursing, endoscopist, looping in colonoscopy, healthcare costs, difficult colonoscopy, endoscopy
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.