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A low-residue diet prior to a colonoscopy may be better than clear liquids only

DDW: Eating Some Solid Foods May Be OK Before Colonoscopy

Low-residue diet leads to improved bowel prep, more rested patients
Despite evidence for the benefits of carbon dioxide insufflation for reducing post-colonoscopy pain

Slow Adoption of CO2 Insufflation for Post-Colonoscopy Pain

Evidence shows benefits of carbon dioxide insufflation in reducing pain
Esophageal rupture can occur in association with colonoscopy preparation

Esophageal Rupture Described After Drinking PEG Solution

Case report describes 71-year-old man with severe epigastralgia and dyspnea after drinking PEG
Recommendations have been developed for colorectal cancer screening in primary care. The guidelines were published online Feb. 22 in CMAJ

Recommendations Developed for CRC Screening in Primary Care

Screening with gFOBT or flexible sigmoidoscopy reduces incidence of late-stage CRC, mortality
Chewing gum relieves discomfort associated with ingestion of the polyethylene glycol solution for colonoscopy preparation

Chewing Gum Improves Colonoscopy Preparation

Gum chewing minimizes discomfort and improves adherence to solution ingestion
The rate of missed adenomas larger than 5 mm is similarly low for men with Boston Bowel Prep Scale scores of 2 or 3

Rate of Missed Adenomas >5 mm Similarly Low for BBPS 2, 3

Significantly higher rate of missed adenomas in colon segments with Boston Bowel Prep Scale score of 1
Characteristics of individuals and health care systems may contribute to the differences in follow-up after a positive fecal blood test

Better Follow-Up Needed After Positive Fecal Blood Tests

Median time to colonoscopy ranged from about six weeks to six months
Despite the availability of open-access colonoscopy in the United States

Office Visits Before Screening Colonoscopy Raise Costs

About one-third of colonoscopies preceded by gastroenterology office visit
A risk-adjusted measure of outpatient colonoscopy quality can help inform patient choices and assist in quality-improvement efforts

Measure of Outpatient Colonoscopy Quality Developed

Fifteen variables independently associated with measure; shows variation in quality among facilities
A citywide colon cancer control coalition can increase colorectal cancer screening and address health disparities

Citywide Colon Cancer Control Coalition Ups Screening in NYC

Efforts of coalition increased screening colonoscopy from 42 percent in 2003 to almost 70 percent in 2014