Identifying Gender Barriers for Colorectal Cancer Screening and Assessing the Need for a Multigender Endoscopy Team: A Prospective Multicenter Study.

Introduction: Gender preferences have been reported as a barrier to colorectal cancer screening, particularly among women. We aim to identify the role of patients' gender preferences for endoscopists and endoscopy team members, with the effect of age-related and regional differences.

Methods: We conducted an anonymous, voluntary survey of all adult outpatients presenting at our endoscopy centers before their procedures.

Heads or tails: confusion about "proximal" and "distal" terminology for pancreaticobiliary anatomy.

Background And Study Aims: The anatomical meaning of the terms "proximal" and "distal" in relation to the pancreaticobiliary anatomy can be confusing. We aimed to investigate practice patterns of use of the terms "proximal" and "distal" for pancreaticobiliary anatomy amongst various medical specialties.

Materials And Methods: An online survey link to a normal pancreaticobiliary diagram was emailed to a multispecialty physician pool.

Race, Socioeconomic Position, and Physical Health: A Descriptive Analysis.

A substantial and long-standing body of research supports the widely held conclusion that socioeconomic position (SEP) is a primary determinant of physical health risk. However, supporting evidence derives almost entirely from studies of dominantly white populations, and more recent research suggests that this relationship may vary across race-ethnicity. This article considers the extent to which such evidence applies to African Americans.

Conscious or unconscious: the impact of sedation choice on colon adenoma detection.

Aim: To determine if anesthesiologist-monitored use of propofol results in improved detection of adenomas when compared with routine conscious sedation.

Methods: This retrospective study was conducted at two separate hospital-based endoscopy units where approximately 12,000 endoscopic procedures are performed annually, with one endoscopy unit exclusively using anesthesiologist-monitored propofol. Three thousand two hundred and fifty-two patients underwent initial screening or surveillance colonoscopies.

Colonoscopy in the diagnosis and management of diverticular disease.

This review examines the role of colonoscopy in the evaluation of asymptomatic diverticulosis, segmental diverticular disease-associated colitis and acute diverticulitis. Asymptomatic acute diverticulitis, discovered during screening colonoscopy, is also discussed. In addition, the use of colonoscopy, both diagnostic and therapeutic, is compared to standard radiology studies for the management of acute diverticular bleeding.

Factors associated with time to laparoscopic cholecystectomy for acute cholecystitis.

Aim: To determine patient and process of care factors associated with performance of timely laparoscopic cholecystectomy for acute cholecystitis.

Methods: A retrospective medical record review of 88 consecutive patients with acute cholecystitis was conducted. Data collected included demographic data, co-morbidities, symptoms and physical findings at presentation, laboratory and radiological investigations, length of stay, complications, and admission service (medical or surgical).

Mycophenolate mofetil for drug-induced vanishing bile duct syndrome.

Amoxicillin/clavulanate is associated with liver injury, mostly of a cholestatic pattern. While outcomes are usually benign, progression to cirrhosis and death has been reported. The role of immunosuppressive therapy for patients with a protracted course is unclear.