Tag Archives: colonoscopy

Colorectal Cancer Research Briefs: Patients want colonoscopy videos

Briefly Hormone replacement therapy reduces risk of colon cancer. Smoking before age 30 increases chances that colon cancer will recur. Low CEA levels improve both survival and disease-free survival for stage II colon cancer. Most patients want videos of their colonoscopies and are willing to pay for them.

Faster, Cheaper Polyp Diagnosis

Deciding whether small colon polyps were adenomas or less dangerous hyperplastic ones can be done safely during the colonoscopy exam itself.  Avoiding the need for an additional pathology test could make diagnosis faster and less expensive. Adenomas have the potential to develop into colorectal cancer, but not all colon polyps are adenomas.  Standard procedure is to remove all polyps seen during a colonoscopy and send them to the pathology lab for testing.   However, doctors in London were able to accurately predict which polyps were adenomas more than 9 out of 10 times with colonoscopy alone.

Gastroenterology Meeting Highlights

ACG Annual Meeting 2009 Brief Reports The American College of Gastroenterology held its Annual Scientific Meeting in San Diego from October 23 – 28, 2009 in San Diego.  Research reported during the meeting included how videorecordings of colonoscopy improved quality tests, the effectiveness of a drug that reduces constipation from opiate drugs, and support for guidelines that call for screening colonoscopy beginning at age 40 for people with a family history of colorectal cancer.

Colorectal Cancer News in Brief: August 21

In research this week Japanese surgeons report very good outcomes when lung tumors from colorectal cancer tumors can be completely removed, colonoscopies done in the morning find more polyps, and high levels of vitamin D in the blood predict better survival after colorectal cancer diagnosis. US life expectancy reached a record high in 2007 according to the CDC.   A veteran treated at the Miami VA Health Center is suing the US government because of HIV infection allegedly contracted during a colonoscopy.

Two Colonoscopies Better at Predicting Future Polyp Risk

Results from two colonoscopies three years apart gave better information about whether a high-risk polyp would be found on a third exam than results from the second test alone. Even if a second colonoscopy, done three years after the first, showed no adenomas at all, 8 in 100 study participants with high-risk polyps on their first exam had developed a high-risk polyp by six years when they had a third colonoscopy.

New Report Reveals Widespread Problems with Endoscopy Cleaning Procedures at VA

Even after problems were found with how endoscopes were cleaned at three Veterans Administration medical centers earlier this year, surprise inspections found that over half additional VA medical facilities visited could not demonstrate compliance with proper procedures for safely cleaning endoscopes after each use. A report revealing the extent of problems from the VA Office of the Inspector General was discussed during a hearing of the House Veterans Affairs Subcommittee on Oversight and Investigation on July 16, 2009. Congress member Steven Buyer, Ranking Member of the House Committee on Veterans Affairs, who requested the meeting to review the report said: I asked for the InspectorGeneral to become involved after the

Colonoscopy Misses Cancers in Medicare Patients

Almost six percent of Medicare patients needed surgery for colon cancer within three years after a negative colonoscopy. A sample of five percent of Medicare enrollees identified 1,567 patients with colon cancer.  Of those 89 or 5.7 percent had had a negative colonoscopy more than six months but less than three years previously.  All 89 were of average risk for colorectal cancer.

VA Colonoscopy Infection Update: Tennessee Patients Have Hepatitis

Just reported by the Associated Press:  The Veterans Administration has confirmed 10 cases of liver infections among patients who had colonoscopies at the Murfreesboro, TN campus of the Veterans Administration Healthcare System. VA spokeswoman Katie Roberts said Friday that four Tennessee patients have tested positive for hepatitis B. Six have tested positive for hepatitis C, a potentially life-threatening form of the viral infection that can cause permanent liver damage. The Veterans Administration says that patients will get care for hepatitis even though it is not known whether the infections came from the colonoscopies or the VA facilities. Previously 6,000 patients in the Tennessee Valley VA Healthcare System were warned that

Improperly Cleaned Endoscopes Raise Infection Risk in VA Facilities

The Miami Veterans Administration Health Care System is notifying 3,260 veterans of a potential health risk from endoscopies performed between May 2004 and March 12, 2009.  While the endoscopes themselves were cleaned and disinfected, an attached section of tubing was rinsed but not disinfected between procedures. According to the Miami VA, this creates a small risk of infection with viruses Hepatitis B, Hepatitis C, or HIV (Human Immunodeficiency Virus).  Therefore, they are: Notifying patients who had endoscopies between May 2005 and March 12, 2009 of the risk for infection. Establishing a Special Care Call Center at (305) 575-7256 or 1-877-575-7256 where patients can call with questions or to schedule an