Real-life risk factors of inadequate procedure prior to colonoscopy in a Turkish population

Colonoscopy is one of the main diagnostic tools for symptoms related to the colon and colorectal cancer screening programs. Inadequate cleansing of colonoscopy leads to misdiagnosis of adenomas. It is recommended to re-evaluate ineffective colonoscopy. It is of utmost importance to predict whether the bowel is clean or not because the procedure is expensive, invasive and time- consuming. This study aimed to identify the risk factors of inadequate bowel preparation. The consecutive two hundred and fifty-three patients who were referred for colonoscopy were enrolled into the study. The demographic and clinical data were obtained using a questionnaire. Only 79.1% of colonoscopy were assessed as adequate. In the univariate analysis; adherence to protocol, older age, consuming high-fiber diet in last two days, number of days of low residue diet, consumed all laxative, consumed 1.5 L water after laxative usage, regular diet for dinner before the day of colonoscopy, amount of water consumed before the day of colonoscopy, amount of water consumed in the morning of the day of colonoscopy, fasting status in the morning of the CD, and were found significantly relevant for adequate bowel preparation. Older age, number of days of low residue diet, consuming high-fiber diet in last two days, regular diet for the dinner before the day of colonoscopy, not Consumed all laxatives were independent risk factors for inadequate colonoscopy. These factors are reversible risk factors except older age. Increasing the adherence to the protocol with education seems to improve the bowel preparation quality. [Med-Science 2022; 11(1.000): 36-40

Conservative management equally effective to new suture anchor technique for acute mallet finger deformity: A prospective randomized clinical trial

Study Design: Prospective randomized controlled trial

Extradigital Glomus Tumor of Thigh

Glomus tumors are benign neoplasms that arise from neuromyoarterial glomus bodies. They represent around 1–5% of all soft-tissue tumors. High temperature, sensitivity, and pain and localized tenderness are the classical triad of symptoms. Most glomus tumors represent in the subungual area of digits. Extradigital glomus tumors are a very rare entity. There are rare cases of these tumors reported to be in shoulder, elbow, knee, wrist, even stomach, colon, and larynx. We are reporting a case of a glomus tumor on thigh and discuss the histological and immunohistochemical features

Effect and Tolerability of Same-Day Repeat Colonoscopy

Purpose/Aim of the study: The main purpose of the colonoscopy is screening for colorectal cancers and diagnosis of colorectal disease The cost-effectiveness of colonoscopy directly depend on the adequate bowel preparation. Inadequate colonoscopy is recommended to be re-scheduled within 1 year. Re-scheduling is an economic and patient burden. Thus instead of re-scheduling, another strategy may be attempted. The purpose of this study was to examine the usefulness and effect of the same day repeat colonoscopy after administration of an additional laxative dose. Materials and Methods: Patients with inadequate colonoscopy were enrolled in the study. The patients eligible for the enrollment were instructed to consume an additional laxative and scheduled in afternoon. The demographic data of the patient, the details of the index and repeat procedures were obtained by a questionnaire. Results: A total of 60 patients were enrolled in the study. The rate of adequate colonoscopy was 80%. Cecum intubation rate was 83.3%. There were no complications due to colonoscopy itself and additional laxatives. The polyp detection rate was 26.6%. The withdrawal time was 6.7 ± 1.34 min. Conclusion: The results of the present study showed that same day repeat colonoscopy with additional laxative dose can be a safe and effective method for repeat procedure of an inadequate colonoscopy. The patients tolerated and were satisfied with the same day protocol. Quality indicators of colonoscopy such as adenoma detection rate and cecum intubation rate were achieved. Same day bowel cleansing method may be considered as an alternative way rather than re-scheduling inadequate colonoscopy for a later time