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

e considered to reflect competence is the polyp detection rate. Among healthy asymptomatic patients undergoing screening colonoscopy, adenomas (benign abnormal tissue) is detected in 25 percent of men and 15 percent of women more than 50 years old.

Results

The overall success rate over the eight month study for reaching the cecum in less than 20 minutes was 83.5 percent. The trainees skill at cecal intubation in less than 20 minutes improved significantly and rapidly within the first 150 procedures and reached the requisite for competence after 150 procedures. Only a slow improvement was observed subsequently. Time to cecal intubation decreased from 11.16 minutes to 8.39 minutes after 150 procedures and continuously improved afterwards.

The polyp detection rate of all colonoscopies was 21.8 percent. During the training period, the polyp detection rate did not significantly improve (all colonoscopies and healthy screenings of patients more than 50 years old).

Researchers suggest that the minimum threshold number of procedures for technical competence in screening and diagnostic colonoscopy is more than 150 and factors associated with prolonged cecal intubation for typical trainees did not differ from those for experienced colonoscopists.


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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

Page: 1 2 3

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