PMID: 26812406Jan 27, 2016Paper

Discrepancy between gastroenterologists' and general surgeons' perspectives on repeat endoscopy in colorectal cancer

Canadian Journal of Surgery. Journal Canadien De Chirurgie
Arash AzinFayez A Quereshy

Abstract

A myriad of localization options are available to endoscopists for colorectal cancer (CRC); however, little is known about the use of such techniques and their relation to repeat endoscopy before CRC surgery. We examined the localization practices of gastroenterologists and compared their perceptions toward repeat endoscopy to those of general surgeons. We distributed a survey to practising gastroenterologists through a provincial repository. Univariate analysis was performed using the χ² test. Gastroenterologists (n = 69) reported using anatomical landmarks (91.3%), tattooing (82.6%) and image capture (73.9%) for tumour localization. The majority said they would tattoo lesions that could not be removed by colonoscopy (91.3%), high-risk polyps (95.7%) and large lesions (84.1%). They were equally likely to tattoo lesions planned for laparoscopic (91.3%) or open (88.4%) resection. Rectal lesions were less likely to be tattooed (20.3%) than left-sided (89.9%) or right-sided (85.5%) lesions. Only 1.4% agreed that repeat endoscopy is the standard of care, whereas 38.9% (n = 68) of general surgeons agreed (p < 0.001). General surgeons were more likely to agree that an incomplete initial colonoscopy was an indication for repeat endosc...Continue Reading

Citations

Aug 19, 2018·Surgical Endoscopy·Laura M FernandezSteven D Wexner
Jan 26, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Lucía Medina-PradoRodrigo Jover

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