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Related Concept Videos

Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

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This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
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In gastric emptying studies, a meal's liquid and...
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Serum Laboratory Studies, Stool Test, Breath Test01:30

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Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Expanding Access to Colorectal Cancer Screening: Benchmarking Quality Indicators in a Primary Care Colonoscopy

David A McClellan1, Chinedum O Ojinnaka2, Robert Pope1

  • 1From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).

Journal of the American Board of Family Medicine : JABFM
|November 8, 2015
PubMed
Summary

Primary care physicians can perform colonoscopies, meeting quality standards for colorectal cancer screening. This expands access to care for underserved populations, improving screening rates.

Keywords:
Access to Health CareCancerColonoscopyPrevention & ControlPrimary Health Care

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Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
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Area of Science:

  • Gastroenterology
  • Primary Care Medicine
  • Public Health

Background:

  • Physician shortages limit colonoscopy access, impacting colorectal cancer screening rates, particularly in underserved communities.
  • Integrating colonoscopy services into primary care, specifically by family medicine physicians, can help address this physician gap.
  • A colorectal cancer prevention program targeted uninsured, low-income individuals.

Purpose of the Study:

  • To evaluate the quality indicators of colonoscopy procedures performed by family medicine physicians.
  • To assess the feasibility of primary care physicians performing colonoscopies within a community health program.

Main Methods:

  • A grant-funded program trained family medicine residents in colonoscopy.
  • Board-certified family physicians performed or supervised colonoscopies between 2011 and 2014.
  • Data collected included procedural outcomes and quality metrics.

Main Results:

  • Over 1100 individuals underwent 1155 colonoscopies, with a 96.25% cecal intubation rate.
  • Adenoma detection rates were 38.15% in men and 25.96% in women over 50.
  • Complication rates were low, with 1 perforation and 1 instance of postprocedural bleeding.

Conclusions:

  • Family medicine physicians performing colonoscopies achieved quality indicators recommended by the American Society for Gastrointestinal Endoscopy.
  • Primary care-based colonoscopy services can effectively increase screening access for vulnerable populations.
  • This model demonstrates a viable strategy for enhancing colorectal cancer prevention efforts.