ACG 2023 Practice Management Summit Friday, October 20. See you there!
Proud to co-host this event with Michelle Hughes. We have a slate of great topics and speakers! It’s not too late to register, even virtually!
A retrospective study of three large health systems found that the risk for colorectal cancer following a colonoscopy was lower when the colonoscopy was conducted by a physician with higher adenoma detection rates (ADR’s). Adenomas are the usual precursor type polyps that can lead to colon cancer. At the Endoscopy Center of the North Shore,
According to study results of 95,464 women published in Gut, there were 109 incident early-onset cancer cases over up to 24-years of follow-up. Compared with women who consumed less than one serving per week of sugary drinks, women who consumed more than two servings per day of had a 2.2-fold higher risk for early-onset colon
Patients who did not have a colonoscopy as recommended after a positive fecal occult blood test had a 103% higher risk of death, compared with those who had a colonoscopy. The cumulative mortality for CRC was 6.8 per 1,000 (95% CI, 5.9-7.6) for compliant patients and 16 per 1,000 (95% CI, 13.1-18.9) for noncompliant patients
Seth (Chicago) – 12:47 PM:Are there any downsides to screening? Can it do more harm than good in any instances? Dr. Manoj Mehta Any screening test is only worth its trade-offs. That’s why we select the patients, and do not just do it on everyone. We call the threshold a “pre-test probability”. So, if you
Jose (Chicago, Illinois) – 12:40 PM:Is surgery the only way to cure colon cancer? Dr. Manoj Mehta Well, the transition from polyp to cancer is a gradual one, so we do sometimes see what we call “cancerous polyps”. They are on the edge between a polyp and an invasive cancer. By removing these polyps, we
Jim (Buffalo Grove, IL) – 12:44 PM:You mention a virtual colonoscopy. How does this procedure work and is it a viable option to the traditional colonoscopy? Dr. Manoj Mehta A traditional colonoscopy has the ability to not just identify polyps but remove them. So they are not really equivalent. A virtual colonoscopy is more like
James (Morton Grove, IL) – 12:30 PM:I have family history of polyps but no colon cancer. My family has had several other types of cancer (brain, breast, non-smokers lung). Does this put me in the high-risk category? Dr. Manoj MehtaYes. There are some cancer-family syndromes to be aware of. Breast cancer is fairly common, and
Dan (Arlington Heights) – 12:26 PM:Thank you for your response. Could you elaborate on what is involved with the preparation? Dr. Manoj Mehta Unfortunately, any bowel exam will require a prep. Even newer modalities on the horizon such as a virtual colonoscopy will still require a prep. The quality of your prep is proportional to
Andrea (Glenview) – 12:34 PM:What prompts the development of polyps in the first place? Does it have anything to do with the types of foods people eat? Dr. Manoj Mehta Colon polyps develop from a wide variety of factors. Part, of course is genetic, and has to do with our ability to repair local genetic
