16 results
Colorectal Cancer Screening and Polyp Surveillance Intervals
Colon Cancer Screening - Modality - Interval:
 • Colonoscopy -
Surveillance Intervals Colon ... - Interval: • Colonoscopy ... - q5 years • Colon ... • Serrated Polyps ... Intervals #management #gastroenterology
Polyp Incidence on Colonoscopy
Tubular adenoma - 47.2%
Hyperplastic polyp - 16.0%
Tubulovillous adenoma - 17.6%
Normal - 5.6%
Inflammatory polyp
on Colonoscopy ... 2.0% Sessile serrated ... #Incidence #Colonoscopy ... #differential #diagnosis ... #gastroenterology
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Post-polypectomy, Polyps ... #Lower #GI #Bleed ... #LGIB #GIBleed ... gastrointestinal #gastroenterology
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
+ CRC + Gastric ... the colon, or FHx ... throughout colon ... Polyposis #Syndromes #diagnosis ... #management #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Bleeding Upper GI Bleed ... Lower GI Bleed ( ... intestines or ascending colon ... #Upper #Lower #GIBleed ... #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... Hemorrhoids - Polyps ... SCVMCMed #Lower #GIBleed ... #gastroenterology
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Lower Causes of GI Bleed ... Diverticular, Cancer, Polyps ... , Radiation CMC ... #Upper #Lower #GIBleed ... #differential #diagnosis
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Algorithm for Diagnosis ... Endoscopy • Colonoscopy ... Gastrointestinal #Bleeding #GIBleed ... #GI #bleed #gastroenterology
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
visualization: • Colonoscopy ... lesions or SSLs • Colon ... specificity for polyps ... Colorectal #Cancer #colon ... table #management #gastroenterology
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines

1. Adequate bowel preparation.
2. Use
and Surveillance Colonoscopy ... look of the right colon ... Goal serrated lesion ... Complex polyps that ... Guidelines #management #gastroenterology