Colonoscopy

Publication Title: 
The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi

BACKGROUND/AIMS: The prevalence of colonic diverticulosis in Korea is increasing in conjunction with the adoption of western dietary pattern, extension of lifespan, and advances in diagnostic modalities. The clinical characteristics of colonic diverticulosis seem to be gradually becoming similar to those of Western societies. Therefore, factors associated with the clinical characteristics of colonic diverticulosis in Korea were investigated.

Author(s): 
Kim, Sun Young
Kim, You Sun
Kim, Hyun Tae
Kwon, Sun Ok
Oh, Myoung Ki
Cha, In Hye
Ok, Kyeong Sam
Kwak, Cheol Hun
Kim, Jin Nam
Moon, Jeong Seop
Publication Title: 
Southern Medical Journal

BACKGROUND: Colorectal cancer is a leading cause of cancer-related death. Screening for colorectal cancer is a rational and cost-effective strategy for reducing the incidence of colorectal cancer and related mortality. Despite endorsement by academic and health care organizations, patient awareness and compliance with screening is low, partly because of patient-related barriers to screening. METHODS: A convenience sample of adults attending the internal medicine and family practice clinics of a community teaching hospital was studied.

Author(s): 
Sheikh, Rafiq A.
Kapre, Sheela
Calof, Olga M.
Ward, Coburn
Raina, Ashu
Publication Title: 
Journal of Clinical Gastroenterology

Sedation is often justified in patients requiring colonoscopy. We investigated the potential usefulness of hypnotic relaxation in 13 women and 11 men (median age, 43 years; range, 22-67) for whom other forms of anesthesia were not available. Hypnotic relaxation resulted in moderate or deep sedation in 12 patients (nine women; p < 0.05). In the patients in whom hypnosis was successful, pain was less intense than in patients in whom hypnosis was unsuccessful (p < 0.001).

Author(s): 
Cadranel, J. F.
Benhamou, Y.
Zylberberg, P.
Novello, P.
Luciani, F.
Valla, D.
Opolon, P.
Publication Title: 
The International Journal of Clinical and Experimental Hypnosis

This study explored using hypnosis for pain and anxiety management in 6 colonoscopy patients (5 men, 1 woman), who received a hypnotic induction and instruction in self-hypnosis on the day of their colonoscopy. Patients' levels of anxiety were obtained before and after the hypnotic induction using Visual Analogue Scales (VAS). Following colonoscopy, VASs were used to assess anxiety and pain during colonoscopy, perceived effectiveness of hypnosis, and patient satisfaction with medical care. Hypnotizability was assessed at a separate appointment.

Author(s): 
Elkins, Gary
White, Joseph
Patel, Parita
Marcus, Joel
Perfect, Michelle M.
Montgomery, Guy H.
Publication Title: 
Digestive Diseases and Sciences

In the United States sedation for colonoscopy is usual practice. Unsedated colonoscopy is limited to a small proportion of unescorted patients and those with a personal preference for no sedation. Over 80% of patients who accept the option of as-needed sedation can complete colonoscopy without sedation. Colonoscopy in these unsedated patients is performed with techniques similar to those used in the sedated patients. Uncontrolled observations indicate willingness to repeat colonoscopy amongst these patients was correlated significantly with low discomfort score during the examination.

Author(s): 
Leung, Felix W.
Publication Title: 
The American Journal of Clinical Hypnosis

The aim of this study is to evaluate the efficacy and viability of hypnosis before and during a gastrointestinal endoscopy. Six Gastroscopies and 22 colonoscopies were carried out under hypnosis in a group of patients. The patients ranged in age from 20 and 67 years and have a history of previously incomplete and poorly tolerated examinations or expressed an active demand for sedation. For 6 of the patients who underwent a gastroscopy under hypnosis, the procedure was successfully completed, reaching the second part of the duodenum without difficulty for the endoscopist.

Author(s): 
Domínguez-Ortega, Luis
Rodríguez-Muñoz, Sarbelio
Publication Title: 
Gastroenterology Nursing: The Official Journal of the Society of Gastroenterology Nurses and Associates

The purpose of this study was to evaluate the use of aromatherapy to reduce anxiety prior to a scheduled colonoscopy or esophagogastroduodenoscopy. A controlled, prospective study was done on a convenience sample of 118 patients. The "state" component of the State Trait Anxiety Inventory (STAI) was used to evaluate patients' anxiety levels pre- and postaromatherapy. The control group was given an inert oil (placebo) for inhalation, and the experimental group was given the essential oil, lavender, for inhalation.

Author(s): 
Muzzarelli, Lorie
Force, Mary
Sebold, Melissa
Publication Title: 
Hepato-Gastroenterology

BACKGROUND/AIMS: Colonoscopy is generally tolerated, some patients regarding the procedure as unpleasant and painful and generally performed with the patient sedated and receiving analgesics. The effect of sedation and analgesia for colonoscopy is limited. Aromatherapy is also applied to gastrointestinal endoscopy to reduce procedural anxiety. There is lack of information about aromatherapy specific for colonoscopy.

Author(s): 
Hu, Pei-Hsin
Peng, Yen-Chun
Lin, Yu-Ting
Chang, Chi-Sen
Ou, Ming-Chiu
Publication Title: 
Journal of Community Health

To explore compliance of Arab-Americans to colorectal cancer (CRC) screening and identify the barriers for non-compliance. An observational community based study. Arab-American Friday prayer attendees' ≥50 years in three mosques in Dearborn, MI volunteered. Demographics, health insurance status, screening history, availability of a primary care physician (PCP) and the ability to communicate in Arabic were inquired. The responses were compared using a student t test between respondents who have had CRC screening with colonoscopy and those who have not had any screening tests.

Author(s): 
Talaat, Nizar
Harb, Walid
Publication Title: 
Inflammatory Bowel Diseases

BACKGROUND: Polyamines are important in cell growth and wound repair, but have also been implicated in inflammation-induced carcinogenesis. Polyamine metabolism includes back-conversion of spermine to spermidine by the enzyme spermine oxidase (SMO), which produces hydrogen peroxide that causes oxidative stress. In ulcerative colitis (UC), levels of spermine are decreased compared to spermidine. Therefore, we sought to determine if SMO is involved in UC.

Author(s): 
Hong, Shih-Kuang S.
Chaturvedi, Rupesh
Piazuelo, M. Blanca
Coburn, Lori A.
Williams, Christopher S.
Delgado, Alberto G.
Casero, Robert A.
Schwartz, David A.
Wilson, Keith T.

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