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Study finds that competency in colonoscopy requires experience with 150 cases or more
Date:4/23/2008

OAK BROOK, Ill. APRIL 23, 2008 Researchers from Korea have found that technically efficient screening and diagnostic colonoscopy generally requires experience with 150 cases or more. The study appears in the April issue of Gastrointestinal Endoscopy, the monthly peer-reviewed scientific journal of the American Society for Gastrointestinal Endoscopy (ASGE).

Colonoscopy is a fiberoptic (endoscopic) procedure in which a thin, flexible, lighted viewing tube (a colonoscope) is threaded up through the rectum for the purpose of inspecting the entire colon and rectum, and is considered the gold standard in colorectal cancer screening and therapy. Properly trained endoscopists can accurately and safely examine the entire colon in a manner well-tolerated by patients. Expertly trained endoscopists can identify clinically important colorectal lesions, obtain tissue samples and perform various therapeutic procedures without complication.

Colonoscopy is a complex technical procedure that requires training and experience to maximize accuracy and safety. Colonoscopy training programs recommend trainees conduct at least 100 to 200 procedures to be considered technically competent. ASGE guidelines recommend a required number of 140 procedures. Most studies, however, have only used cecal intubation rate, or the visualization of the cecum (the cul-de-sac lying below the terminal ileum forming the first part of the large intestine or colon) by notation of landmarks as a measure of actual competence and have been limited to a single center experience.

Our objective was to identify other possible measures of competence, such as cecal intubation time and the polyp detection rate, as well as the cecal intubation rate, said study lead author Dong Soo Han, MD, Hangyang University Guri Hospital, Korea. We found that based on these measures, a trainees colonoscopy success rate depends on the number of colonoscopies completed. A trainees success rate impro
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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