Tag Archives: colonoscopy

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

ACG Updates Colorectal Cancer Screening Guidelines

In their new colorectal screening guidelines, the American College of Gastroenterology, says that colonoscopy, beginning at age 50 and performed every 10 years, is the “preferred” screening test for colorectal cancer.  They recommend that physicians first offer this test alone rather than a menu of options. However, if patients are not willing to have a colonoscopy, they support offering: Preferably. a cancer prevention test: Either flexible sigmoidoscopy every 5 to 10 years  or CT colonography every 5 years. A test primarily for cancer detection: Preferred test is fecal immunohistochemical test for blood (FIT). They further recommend that African Americans begin testing at 45 rather than 50.

What's the Risk of Cancer after Polyps are Removed?

Five years after a colonoscopy found and removed polyps, one in ten patients will have a new advanced polyp and six in every thousand will be diagnosed with colorectal cancer. Pooling studies that followed up nearly 10,000 men and women who had a polyp removed during a colonoscopy (polypectomy), researchers found 1,082 with a later advanced adenoma and 58 with colorectal cancer.  Median follow-up time was 47 months.

North Carolina Gastroenterologists Offer Free Colonoscopies

Digestive Health Specialists, located in Winston-Salem NC, will provide free screening colonoscopies to 50 people impacted by the economic turndown.  Patients who are over 50, have not been screened, and  have lost jobs and health insurance are eligible to apply. Colonoscopies will be performed in Digestive Health Specialist facilities in Winstom-Salem, Kernersville, and Thomasville on March 14, 2009.  The program is part of March Colorectal Cancer Awareness Month.

Quality Standards Key for Colonoscopies Says AGA

It’s important to have standards for quality colonoscopy and to be sure that quality measures are included in doctors’ reports after each procedure. In light of the recently published study showing colonoscopy impact on deaths from colorectal cancer, the American Gastroenterological Association (AGA) points out the value of documenting and reporting key indicators for a quality colonoscopy after every procedure.

Colonoscopies Not Perfect in Stopping Colorectal Cancer Deaths

The percentage of colorectal cancer deaths prevented by colonoscopy may be overestimated. While still very effective in preventing colorectal cancer and deaths from the disease, limits of the test may be larger than previously thought.  Patients need to know that having colonoscopy does not guarantee that they won’t get colorectal cancer. Experts now say that screening colonoscopy may reduce death from colorectal cancer by 60 to 70 percent and may not keep patients from dying from cancers on the right side of their colons at all. A new Canadian study found that some people who died of colorectal cancer had a colonoscopy in the years before their cancer diagnosis.  A

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