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.

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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 they might be at risk for hepatitis B or C or HIV infection because of improperly cleaned colonoscopy equipment.

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 appointment for hepatitis or HIV blood testing.
• Opening Special Care Clinics for follow-up care and testing for potentially affected patients Miami VA Medical Center, the Broward County VA Clinic, the Homestead VA Clinic and the Key West VA Clinic.

The Miami VA Healthcare System emphasizes that follow-up testing is only a precaution and that they know of no patients who have acquired an infection after endoscopy performed during the targeted dates.  There is no cost or co-pay for testing, and patients are eligible for transportation assistance. Read the rest of this entry »

Today take some time to honor those GI nurses, aides, and technologists who are saving lives every day by making colonoscopies safe and comfortable. Read the rest of this entry »

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. Read the rest of this entry »