Monthly Archives: July 2016

Endoscopic Stigmata: Recognition Lies in the Eye of the Beholder?

Posted on July 17, 2016 by

The most widely accepted classification for endoscopic stigmata is the Forrest classification, which divides endoscopically visible lesions into 3 classes (ie, I, II, and III). The classification is most useful because it is based on risk of rebleeding… Continue reading →

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Appropriateness of Direct Access Endoscopy in a Safety-Net Academic Center

Posted on July 17, 2016 by Ashil J. Gosalia, Jarrah Alfadhli, Naga Krishnakanth Madireddy, Amit Agarwal, Daniel A. Sussman

Safety-net hospitals provide medical services to underserved patients. Given limited resources, such systems are susceptible to prolonged wait times for necessary endoscopic procedures. Direct access endoscopy (DAE) aims to limit these delays and avert… Continue reading →

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Adherence to Surveillance Guidelines After Removal of Advanced Colorectal Adenomas: Experience From a Patient Navigator Program

Posted on July 17, 2016 by

Patient navigation increases colorectal cancer screening, but it is unclear whether surveillance procedures are appropriately performed after index colonoscopy. Our aim was to assess adherence to surveillance guidelines after advanced adenoma removal o… Continue reading →

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Systematic Utilization of a Stool Color Card to Improve the Accuracy of Inpatient Melena Identification on Physical Exam in Post-Graduate Training

Posted on July 17, 2016 by Richard M. Wu, Eugene Han, Andrew Dargan, She-yan Wong, Mitchell Conn

Melena is often misidentified by resident physicians early in their careers; in addition, rectal exam (RE) completion rates are low among residents, contributing to inaccurate gastrointestinal (GI) consultations for melena. Precise melena identificatio… Continue reading →

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Systematic Utilization of a Stool Color Card to Improve the Accuracy of Inpatient Melena Identification on Physical Exam in Post-Graduate Training

Posted on July 17, 2016 by Richard M. Wu, Eugene Han, Andrew Dargan, She-yan Wong, Mitchell Conn

Melena is often misidentified by resident physicians early in their careers; in addition, rectal exam (RE) completion rates are low among residents, contributing to inaccurate gastrointestinal (GI) consultations for melena. Precise melena identificatio… Continue reading →

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Adherence to Guidelines for Repeat Colonoscopy Before and After Distribution of Educational Material: A Single Academic Medical Center Quality-Improvement Experience

Posted on July 17, 2016 by

Endoscopists frequently recommend and perform repeat colonoscopy (RC) sooner than recommended by guidelines, which exposes patients to the risks and costs of colonoscopy. Conversely, patients may be exposed to an increased risk for colorectal cancer if… Continue reading →

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Posted on July 17, 2016 by Gastroenterology
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Do Consultants Follow-Up on Tests They Recommend? Insights From an Academic Inpatient Gastrointestinal Consult Service

Posted on July 17, 2016 by Benjamin E. Cassell, Saad Alghamdi, Jason Bill, Pierre Blais, Harold Boutte, Jeffrey W. Brown, Gregory S. Sayuk, C. Prakash Gyawali

Inpatient gastrointestinal (GI) issues account for 10 of the top 100 diagnoses billed to the Centers for Medicare and Medicaid Services; these often lead to GI consultation. While these consults generate testing recommendations, studies have shown high… Continue reading →

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Compliance With and Timing of Prophylactic Antibiotic Administration and Risk of Peristomal Wound Infection After Percutaneous Endoscopic Gastrostomy

Posted on July 17, 2016 by Alisa Likhitsup, Devika Kapuria, Wendell K. Clarkston

Current guidelines suggest prophylactic antibiotics should be administered 30 minutes before percutaneous endoscopic gastrostomy (PEG) placement in order to reduce gastrostomy site infections. We observed variations in administration of prophylactic an… Continue reading →

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Reducing Medical Errors: Using Observed Standardized Clinical Examinations to Assess Fellows’ Performance in System-Based Practice Milestones

Posted on July 17, 2016 by Marianna Papademetriou, Gabriel Perreault, Colleen Gillespie, Sondra Zabar, Elizabeth Weinshel, Renee Williams

Medical training has increasingly focused on standardization to improve communication and reduce medical errors. In gastroenterology training programs, the need for clear interpersonal communication is heightened by the high acuity of patients and the … Continue reading →

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