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Colonoscopy

Colonoscopies


Presentation

  • The authors present a rare case of a 71-year-old man presenting with large bowel obstruction after attempted colonoscopy.[ncbi.nlm.nih.gov]
Asymptomatic
  • The addition of ileoscopy to screening colonoscopy can detect asymptomatic small bowel carcinoid tumors and improve long-term prognosis through early surgical resection.[ncbi.nlm.nih.gov]
  • Medical editor Arild Nesbakken MD Professor of Surgery Oslo University Hospital Norway Recently updated 25.05.2016 General Colonoscopy is performed when: proven blood (visible or occult), or other symptoms suggestive of colorectal cancer. screening of asymptomatic[oncolex.org]
  • To be eligible, patients must be between the ages of 50 and 75, and they must be asymptomatic and in generally good health. All procedures are subject to insurance verification. Screening colonoscopy is performed as an outpatient procedure.[crozerkeystone.org]
Sepsis
  • Sepsis affects more than 1.5 million people in the U.S. each year. But many don’t know the signs of this deadly medical emergency. Latest As you get older, excessive anger could up your risk of chronic illness, a new study finds.[healthafter50.com]
  • […] for the use of innovative therapies in sepsis.[doi.org]
Wound Infection
  • The IOC group was not significantly different from the POC group with regard to overall morbidity (31% vs 39% P 0.45), anastomotic leakage (1.3% vs 0%, P 0.46), or wound infection (5.1% vs 1.1%, P 0.18).[ncbi.nlm.nih.gov]
  • While the trials demonstrated a reduction in wound infections for the laparoscopic appendectomy group, they also exhibited a threefold increase in intra-abdominal abscesses.[doi.org]
Localized Pain
  • Initially, the pain may be dull and poorly localized (visceral peritoneum) before progressing to steady, severe, and more localized pain (parietal peritoneum).[doi.org]
Pneumonia
  • This can prevent pneumonia associated with colonoscopy sedation. This is YOUR body and having colonoscopy is your decision. Make a wise one. And for meantime, make sure you don’t have constipation.[journey-with-crohns-disease.com]
  • The recent and rapid spread of serine carbapenemases in Klebsiella pneumoniae (known as Klebsiella pneumoniae carbapenemases or KPCs) has become an issue of crucial importantance in hospitals worldwide [ 224 ].[doi.org]
Pleural Effusion
  • The case reported here would not have been diagnosed if the patient had not presented with a pleural effusion.[ncbi.nlm.nih.gov]
Severe Abdominal Pain
  • Call your doctor right away if you have any of the following: Excessive or prolonged rectal bleeding Severe abdominal pain, fever, or chills[webmd.com]
  • Contact your physician if you notice any of the following symptoms: severe abdominal pain, fever and chills, or rectal bleeding even several days following a polyp removal.[evergreenhealth.com]
  • If you have a large amount of rectal bleeding, high or persistent fevers, or severe abdominal pain within the next 2 weeks, go to your local emergency room and call the physician who performed your exam.[my.clevelandclinic.org]
  • Contact your doctor if you notice severe abdominal pain, fever and chills, or rectal bleeding. Note that bleeding can occur several days after the procedure.[asge.org]
Blood in Stool
  • […] in stool; Diagnose the reason for chronic diarrhea; Screen the colon if abnormal results come back from a stool or barium enema test; Diagnose inflammatory bowel disease (IBD); Diagnose the reason for unexplained abdominal pain.[barnesjewish.org]
  • […] in stool - colonoscopy Chernecky CC, Berger BJ.[nlm.nih.gov]
  • […] in stool - colonoscopy How the Test is Performed Colonoscopy is done most often in a procedure room at your doctor's office.[ufhealth.org]
Intestinal Perforation
  • Intestinal perforation (orifice) that might require even surgical intervention to sew the orifice (less than 2 per 1,000 examinations). Profuse bleeding or persistent bleeding at the biopsy sites or polypectomy (1 out of each 1,000 examinations).[olgatorresfoundation.org]
  • Perforation After Colonoscopy We identified 77 subjects with an intestinal perforation within 0–7 days after a colonoscopy, corresponding to an incidence of 1.96 per 1000 procedures.[doi.org]
Lower Abdominal Pain
  • You may also feel some cramping or lower abdominal pain during the procedure. Medication will help decrease discomfort, some will sleep through the procedure. After the procedure, gas pains and cramping are common.[wkhs.com]
  • A colonoscopy is performed to evaluate symptoms of diarrhea, constipation, rectal bleeding, lower abdominal pain, or to screen for colon cancer and colon polyps (growths in the colon).[tuftsmedicalcenter.org]
  • ., reported no recent visible rectal bleeding, no change in bowel habits, and no recent or current lower abdominal pain).[content.nejm.org]
Acute Abdomen
  • The potential differentials of an acute abdomen post-colonoscopy are discussed and the literature reviewed on this rare complication.[ncbi.nlm.nih.gov]
  • PubMed Google Scholar Foinant M, Lipiecka E, Buc E, Boire JY, Schmidt J, Garcier JM, Pezet D, Boyer L: Impact of computed tomography on patient's care in non-traumatic acute abdomen: 90 patients. J Radiol. 2007, 88 (4): 559-566.[doi.org]
Heart Failure
  • Complications during the prep for a colonoscopy are uncommon, but can occur, particularly in elderly patients, or in those with congestive heart failure. Risk of Perforation A perforation is a tear or a hole in the intestine.[ibdcrohns.about.com]
  • Colonoscopy sedation can increase the risk of heart failure. Colonoscopy increases risk of internal bleeding, rectal bleeding because this is an invasive procedure. Coma associated with anesthesia is one of the colonoscopy risks.[journey-with-crohns-disease.com]
  • failure, asthma or COPD Take the Next Step Schedule an appointment at one of the practices below that is most convenient to you.[pinnaclehealth.org]
  • Researchers have found that older patients with three or more significant health problems, like dementia or heart failure, had high rates of repeat colonoscopies without medical indications.[en.wikipedia.org]
Ulcer
  • Ulcerative colitis — A chronic condition where recurrent ulcers are found in the colon.[medical-dictionary.thefreedictionary.com]
  • We herein report five cases of ulcerative colitis-associated cancer/dysplasia. Although clinical remission had been achieved in all patients, mucosal inflammation had been resolved in only one patient.[ncbi.nlm.nih.gov]
  • Colonoscopy can assist in identifying problems with the colon, such as early signs of cancer, inflamed tissue, ulcers, and bleeding.[northwell.edu]
  • Ulcerative colitis as visualized with colonoscope. Colonoscopic image of large ulcer and inflammation of descending colon in 12-year-old boy with Crohn disease. The cancer surveillance schedule varies in patients with inflammatory disease.[emedicine.medscape.com]
  • Abnormal test results may mean any of the following: Abnormal pouches on the lining of the intestines, called diverticulosis Areas of bleeding Cancer in the colon or rectum Colitis (a swollen and inflamed intestine) due to Crohn disease, ulcerative colitis[nlm.nih.gov]

Workup

Pleural Effusion
  • The case reported here would not have been diagnosed if the patient had not presented with a pleural effusion.[ncbi.nlm.nih.gov]

Treatment

  • Therefore, we present two cases whose management was different and we show their clinical presentation, their diagnosis and their treatment in order to recognize this complication early to establish early treatment.[ncbi.nlm.nih.gov]
  • This type of bleeding may also go away on its own, but it may require treatment if it becomes severe. Postpolypectomy Syndrome This is a syndrome that occurs as a result of a burn to the bowel wall during polyp removal.[ibdcrohns.about.com]

Prognosis

  • The addition of ileoscopy to screening colonoscopy can detect asymptomatic small bowel carcinoid tumors and improve long-term prognosis through early surgical resection.[ncbi.nlm.nih.gov]

Etiology

  • CONCLUSIONS: A 20-member international team has provided standardized methods for analysis of etiologies of PCCRCs and PICRCs and defines its use as a quality indicator.[ncbi.nlm.nih.gov]
  • Whitcomb and Dhiraj Yadav, Validation of Demographics, Etiology, and Risk Factors for Chronic Pancreatitis in the USA: A Report of the North American Pancreas Study (NAPS) Group, Digestive Diseases and Sciences, 62, 8, (2133), (2017).[doi.org]

Epidemiology

  • Chang-Claude: Division of Cancer Epidemiology, Unit of Genetic Epidemiology, German Cancer Research Center, Im Neuenheimer Feld 280, D-69120 Heidelberg, Germany. Dr.[doi.org]
  • We used a large population-based cohort that consisted of a random sample of 5% of Medicare beneficiaries living in regions of the United States covered by the Surveillance, Epidemiology, and End Results (SEER) Program registries to determine rates of[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 126.[nlm.nih.gov]
  • Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 126. Lieberman DA, Rex DK, Winawer SJ, et al.[ucsfhealth.org]

Prevention

  • Most patients know to drink lots of fluids to prevent dehydration but a lot of them get week or nauseous. This prevents them from drinking more. Loss of electrolytes or dehydration is potential risk that can even get deadly.[journey-with-crohns-disease.com]
  • From Kaiser Permanente Medical Care Program, Oakland, California; Battelle Memorial Institute, Seattle, Washington; and the Centers for Disease Control and Prevention, Atlanta, Georgia.[doi.org]
  • This article presents a cost-effectiveness analysis of colorectal cancer screening tests that have been recommended by the United States Preventive Services Task Force, American Cancer Society US Multi-Society Task Force on Colorectal Cancer American[ncbi.nlm.nih.gov]

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