Document Detail

Variation in colonoscopic technique and adenoma detection rates at an academic gastroenterology unit.
MedLine Citation:
PMID:  19156519     Owner:  NLM     Status:  MEDLINE    
The purpose of this research is to evaluate the quality of colonoscopy at an academic institution with a focus on factors influencing withdrawal times and adenoma detection rates. Procedural data and pathologic results of 550 consecutive screening colonoscopies in average risks patients (mean [+/-SD] age, 57 +/- 7.6, 44% male) completed by ten academic gastroenterologists were reviewed. Per individual gastroenterologist, the adenoma detection rates ranged widely from 0.09 to 0.82 adenomas per patient with a mean of 0.46 for the group. The mean withdrawal time was 7.0 min for the group and ranged from 3.4 to 9.6 min. There was a significant positive relationship between the number of adenomas detected and the withdrawal time (P = 0.006). Endoscopists with cecal intubation time to withdrawal time ratios of less than 1 detected significantly more adenomas compared to endoscopists with ratios greater than 1 (P = 0.001). (1) Significant variation in academic gastroenterologists' abilities to detect adenomas during screening colonoscopies exists. (2) Colonoscopic withdrawal time and the cecal intubation to withdrawal time ratio are important factors associated with increased adenoma detection rates.
Mark E Benson; Mark Reichelderfer; Adnan Said; Eric A Gaumnitz; Patrick R Pfau
Related Documents :
10728629 - Persistent increase of prl after oral contraceptive treatment. alterations in dopaminer...
16372229 - Changes of thyroid function during long-term hgh therapy in ghd children. a possible re...
9329359 - Effect of octreotide pretreatment on surgical outcome in acromegaly.
3489829 - Growth hormone deficiency in patients with histiocytosis x.
8636809 - Growth hormone treatment of children with neural tube defects: results from 6 months to...
11887179 - Efficacy and safety of the new 60-mg formulation of the long-acting somatostatin analog...
22342199 - Treatment of bankart lesions in traumatic anterior instability of the shoulder: a rando...
9360659 - More than 17 years of peritoneal dialysis: a case report.
3791059 - Cell loss from the nucleus basalis of meynert in alzheimer's disease.
Publication Detail:
Type:  Journal Article     Date:  2009-01-21
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  55     ISSN:  1573-2568     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-24     Completed Date:  2010-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  166-71     Citation Subset:  AIM; IM    
Section of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, H6/516 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792-5124, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Academic Medical Centers
Adenoma / diagnosis*
Clinical Competence
Colonic Neoplasms / diagnosis*
Colonic Polyps / diagnosis
Colonoscopy / methods*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Identification of high-mannose and multiantennary complex-type N-linked glycans containing alpha-gal...
Next Document:  Alcohol Drinking May Not Be a Major Risk Factor for Fatty Liver in Japanese Undergoing a Health Chec...