Colonoscopy

Question 1

When is it recommended to get screening colonoscopies?

Answer 1

Once patients reach 50 years old, once every ten years

Patients with large bowel disease it varies depending on the disease

Question 2

What are the two biggest factors that encourage earlier and more frequent screening colonoscopies?

Answer 2

Hx of colon cancer

Family Hx of colon cancer

Question 3

What are the new recommendations for screening colonoscopy for African Americans?

Answer 3

45 years, then 1x every 10 yrs.

Question 4

What are recommendations for colonoscopies in patients with ulcerative colitis ranging from:

1. Pancolitis
2. Left Sided Colitis
3. Proctitis

Answer 4

1. Every 1 to 2 years after a patient has been living with the disease for 8 years
2. Every 1 to 2 years after living with the disease for 15 years
3. No surveillance

Question 5

What is Endoscopic Retrograde Cholangiopancreatography used for?

Answer 5

Examine the biliary system via insertion thru the ampulla of vater. Can retrieve stones from bile ducts and examine integrity.

Question 6

Main things that an Ultrasonic Endoscopy is used for.

Answer 6

• Tumor identification and staging.

- finding the depth of lesion or ulcers

Question 7

What four conditions merit survey endoscopy for malignancy?

Answer 7

1. Barrett Esophagus
2. Familial Polyposis or Gardner Syndrome
3. Follow-up of Adenomatous Gastric Polyp
4. Inadequately treated achalasia

Question 8

Biggest advantage of virtual colonoscopy.

Answer 8

Eliminates the bowel prep (no drinking incredibly strong laxatives to empty the GI tract the night before)