Does Finding Cecal Adenoma Increase the Risk of Discovering More and Advanced Adenomas in the Remainder of the Colon?

Objectives: Adenomatous polyps are common, occurring in up to 25% of the population older than 50 years of age in the United States. Conflicting data are present in the literature about the impact of specific adenoma locations and the prediction on the number and advanced histology of adenomas elsewhere. With this study we aimed to review the association between cecal adenoma and the risk of discovering more and advanced adenomas in the remainder of the colon.

Impact of fellowship training level on colonoscopy quality and efficiency metrics.

Background And Aims: Previous studies have described variable effects of fellow involvement on the adenoma detection rate (ADR), but few have stratified this effect by level of training. We aimed to evaluate the "fellow effect" on multiple procedural metrics including a newly defined adenoma management efficiency index, which may have a role in documenting colonoscopy proficiency for trainees. We also describe the impact of level of training on moderate sedation use.

Diabetics on Narcotics Are Less Likely to Achieve Excellent Bowel Preparation Than Are Patients with Either Condition.

Background: Diabetes and chronic narcotic use negatively affect the quality of bowel preparation before colonoscopy.

Aim: To investigate whether narcotic use and diabetes have an additive negative impact on bowel preparation.

Patients And Methods: We performed a retrospective study of 2841 patients (mean age 61 ± 10.

The impact of chronic opioid use on colonoscopy outcomes.

Background: Endoscopic procedures are frequently performed on patients chronically on opioids, raising concerns about the safety and efficacy of conventional sedation.

Aims: We hypothesized that chronic opioid use is associated with longer procedure times, higher dosages of sedation medications, and an increase in adverse effects.

Methods: This is a retrospective review from June 2012 to June 2013.