The Importance of Colonoscopy in Colorectal Surgeons' Practices: Results of a Survey

Kann, Brian R.; Margolin, David A.; Brill, Scott A.; Hicks, Terry C.; Timmcke, Alan E.; Whitlow, Charles B.; Beck, David E.

doi:10.1007/s10350-006-0654-7

Cited by 14 publications

(6 citation statements)

References 6 publications

(4 reference statements)

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“…However, our look-back period searching for any diagnoses or procedures indicative of colon cancer was 5–7 years in all cases. Colonoscopy accounts for 25% of clinical time and total charges in the practices of colorectal surgeons, 32 and it is estimated that surgeons perform one-third of screening colonoscopies in the United States. 14 …”

Section: Discussionmentioning

confidence: 99%

Potentially Inappropriate Screening Colonoscopy in Medicare Patients

Sheffield¹,

Han²,

Kuo³

et al. 2013

JAMA Intern Med

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Section: Discussionmentioning

confidence: 99%

Potentially Inappropriate Screening Colonoscopy in Medicare Patients

Sheffield¹,

Han²,

Kuo³

et al. 2013

JAMA Intern Med

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“…On a survey assessing surgeons' comfort level with endoscopic knowledge and technical skills, 63% of surgeons wished they had received additional training in flexible endoscopy during residency (6). Similarly, literature from colorectal surgeons confirms this finding with 55% of practicing surgeons reporting that a greater emphasis on endoscopy during residency would have been a positive change to their training (8). These studies support the statement that an increase in exposure to and knowledge of flexible endoscopy would benefit many graduating surgical residents.…”

Section: Recommendations Of Flexible Endoscopy Case Volumesmentioning

confidence: 75%

Overview of methods for flexible endoscopic training and description of a simple explant model

Phillips

Marks

2011

Asian Journal of Endoscopic Surgery

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The question of how to train surgeons in flexible endoscopy has been debated over the years as these skills have become an essential part of residency and practice. As many as two-thirds of surgeons perform flexible endoscopy, and for many, endoscopy represents up to 50% of their practice. Training in flexible endoscopy has evolved over many decades from an apprenticeship-type model to a more formal training program. Surgical residencies vary widely in their approach, with some having dedicated endoscopy rotations and others using an integrated approach. Innate to a good training program are faculty dedicated to teaching, an established curriculum, and adequate exposure of residents to proper training tools, whether as patient-based learning or supplemented by simulators. Hands-on models for teaching surgical endoscopy include mechanical, animal, and computer-based platforms. Herein, we describe our experience with a low-cost approach using porcine stomach explants that offers a breadth of endoscopic training including scope navigation, band ligation, endoscopic mucosal resection, hemostasis management, esophageal stenting, foreign body extraction, and ERCP. Simulation-based learning must be validated from a construct and internal validity perspective to be considered useful. Correlation between simulator learning and improvement in clinically relevant skills must then be shown using a validated scale, such as the Global Assessment of Gastrointestinal Endoscopy Skills. Competency in flexible endoscopy, which is currently measured by case volume, may be replaced by objective programs, such as Fundamentals of Endoscopic Surgery, that combine didactic teaching, cognitive assessment, and hands-on technical skills evaluation to determine a minimum level of proficiency.

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“…A well-performed colonoscopy allows the physician to evaluate the mucosa of the terminal ileum, colon, and rectum, with biopsy and photodocumentation of abnormal findings, as well as other therapeutic interventions. A survey of American Society of Colon and Rectal Surgeons (ASCRS) members found that more than 90% reported performing colonoscopy as part of their clinical practices, completing an average of 41 procedures per month [13]. The ability to perform a thorough colonoscopy is an essential skill for colorectal surgeons to possess, and training in colonoscopy remains an essential core component of colon and rectal surgery residency programs.…”

Section: Colonoscopymentioning

confidence: 99%

Endoscopy

Zelhart

Kann

2021

The ASCRS Textbook of Colon and Rectal Surgery

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Endoscopic examination is essential in the evaluation of patients with colorectal complaints and is a key component of a complete colorectal examination.• Physical examination, anoscopy, rigid proctoscopy, and flexible sigmoidoscopy are components of the exam that can easily be performed in the office setting to evaluate complaints arising from the anus, rectum, and rectosigmoid colon. • Colonoscopy allows for complete evaluation of the entire colon and rectum, as well as the terminal ileum. • Multiple regimens for bowel preparation prior to colonoscopy exist, and the endoscopist should be aware of the differences. A split-dose prep has been shown to be more effective than a single-dose prep. • The endoscopist should be familiar with sedation regimens for endoscopy, including possible adverse effects. • A number of adjunctive maneuvers for difficult exams and alternative techniques to improve the quality of endoscopy can be employed. • The endoscopist should be able to recognize and manage complications of endoscopic procedures and employ appropriate measures to prevent their occurrence. • Quality measures to ensure adequacy of colonoscopic examinations include adenoma detection rate and withdrawal time.

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The Importance of Colonoscopy in Colorectal Surgeons' Practices: Results of a Survey

Cited by 14 publications

References 6 publications

Potentially Inappropriate Screening Colonoscopy in Medicare Patients

Potentially Inappropriate Screening Colonoscopy in Medicare Patients

Overview of methods for flexible endoscopic training and description of a simple explant model

Endoscopy

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