Colonoscopy withdrawal time and polyp/adenoma detection rate: a single-site retrospective study in regional Queensland.

Abstract:

BACKGROUNDS:Bowel cancer is the second most common non-cutaneous cancer diagnosed in Australia among both genders. Colonoscopy withdrawal time of at least 6 min has been accepted as the standard to achieve the target polyp detection rate (PDR) and adenoma detection rate (ADR). A retrospective review was conducted in Bundaberg Hospital to evaluate the relationship between colonoscopy withdrawal time against polyp, adenoma and cancer detection rates. METHODS:A retrospective study was carried out in Bundaberg Hospital on patients who had colonoscopies performed between 1 October 2016 and 30 September 2017 by the general surgical team. Data collection was conducted by reviewing patient charts, general practitioner referral letters and endoscopy reports. Statistical analysis was performed with chi-squared test using Prism 8.2.1. RESULTS:A total of 1579 colonoscopies were analysed. The median age of patients undergoing a colonoscopy was 64 years (95% confidence interval (CI) 60.55-61.93). Median total duration of colonoscopy was 19 min (95% CI 20.9-22.0), with median withdrawal time of 9 min (95% CI 10.06-10.95). PDR, ADR and sessile serrated adenoma (SSA) detection rates were 43.3%, 33.1% and 5.4%, respectively. Cancer detection rate was 2.8%. Longer withdrawal times were associated with higher PDR, ADR and SSA detection rates (P < 0.0001) and higher mean number of polyp/adenoma/SSA detected. CONCLUSION:Colonoscopies with withdrawal times of less than 6 min did not achieve the target detection rates. It is clear that achieving the advocated withdrawal time for screening colonoscopy improves detection rates.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Wong WJ,Arafat Y,Wang S,Hawes S,Hung K

doi

10.1111/ans.15652

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

314-316

issue

3

eissn

1445-1433

issn

1445-2197

journal_volume

90

pub_type

杂志文章
  • Randomized blinded control trial into tourniquet tolerance in awake volunteers.

    abstract:BACKGROUND:The ability to tolerate a tourniquet is often the limiting factor to elective and emergent procedures of the upper limb performed under local anaesthesia. This study aims to demonstrate that upper limb tourniquets are more predictably and better tolerated when inflated to 200 mmHg than to the traditional inf...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12532

    authors: Lim E,Shukla L,Barker A,Trotter DJ

    更新日期:2015-09-01 00:00:00

  • Does a bipolar hemiprosthesis offer advantages for elderly patients with neck of femur fracture? A clinical trial with 261 patients.

    abstract:BACKGROUND:Previous studies comparing unipolar and bipolar hemiarthroplasty for treatment of displaced intracapsular femoral neck fractures in elderly patients have often lacked methodological power and yielded conflicting clinical results. The objective of this study was to compare the clinical outcomes from each impl...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/ans.12048

    authors: Stoffel KK,Nivbrant B,Headford J,Nicholls RL,Yates PJ

    更新日期:2013-04-01 00:00:00

  • Nodal metastasis microRNA expression correlates with the primary tumour in MTC.

    abstract:INTRODUCTION:Lymph node metastases represent a diagnostic and management challenge in patients with disseminated medullary thyroid carcinoma (MTC). Our understanding of microRNA (miRNA) profiles of metastatic disease also remains limited and may unveil novel therapeutic strategies for these patients. METHODS:MTC patie...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2012.06291.x

    authors: Gundara JS,Zhao JT,Gill AJ,Clifton-Bligh R,Robinson BG,Delbridge L,Sidhu SB

    更新日期:2014-04-01 00:00:00

  • Is bilateral duplex scanning necessary in patients with symptoms of deep venous thrombosis?

    abstract:BACKGROUND:Venous duplex ultrasound scanning (VDUS) has been shown to be an accurate non-invasive means to diagnose symptomatic deep venous thrombosis (DVT). The aim of our study was to determine whether bilateral VDUS is necessary in patients who present with symptoms of DVT. METHODS:We retrospectively reviewed the r...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.03187.x

    authors: Lemech LD,Sandroussi C,Makeham V,Burnett A,Harris JP

    更新日期:2004-10-01 00:00:00

  • Effect of nitric oxide on the hypoglycaemic phase of endotoxaemia.

    abstract:BACKGROUND:Depletion of liver glycogen stores and subsequent hypoglycaemia is one of the unresolved features in endotoxaemia. The aim of this study was to elucidate the effect of L-arginine treatment on the glucose requirement and impending liver damage during the hypoglycaemic period of endotoxaemia. METHODS:Sixty-th...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03763.x

    authors: Engin A,Zemheri M,Bukan N,Memiş L

    更新日期:2006-06-01 00:00:00

  • Central nervous system interleukin-8 production following neck of femur fracture.

    abstract:AIM:To establish a proinflammatory cytokine profile of the cerebrospinal fluid (CSF) following trauma. BACKGROUND:Trauma is associated with a postinjury syndrome consisting of loss of weight and nitrogen, pyrexia, anorexia and fatigue. It has been proposed that cytokines are pathophysiologically involved in this syndr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03530.x

    authors: Chuang D,Power SE,Dunbar PR,Hill AG

    更新日期:2005-09-01 00:00:00

  • Changing pattern of adrenalectomy at a tertiary referral centre 1970-2000.

    abstract:BACKGROUND:In 1987, a report from this unit described the changing indications for open adrenalectomy over a 15-year period. The indications for adrenalectomy had switched from it being the principal therapeutic procedure used in advanced breast cancer in the early 1970s, to being predominately performed for Cushing's ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02454.x

    authors: Sidhu S,Bambach C,Pillinger S,Reeve T,Stokes G,Robinson B,Delbridge L

    更新日期:2002-07-01 00:00:00

  • Intermediate to long-term results of repairing incompetent multiple deep venous valves using external valvular stenting.

    abstract:INTRODUCTION:Chronic venous insufficiency is a major cause of morbidity in the community. The purpose of the present study was to assess the efficacy and safety of repairing multiple deep venous valves with an External Valvular Stent. METHODS:Forty-two limbs with chronic venous disease were operated on between 1987 an...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1445-2197.2003.02604.x

    authors: Lane RJ,Cuzzilla ML,McMahon CG

    更新日期:2003-05-01 00:00:00

  • Method of pedicle division during laparoscopic right hemicolectomy affects lymph node yield and short-term outcomes.

    abstract:BACKGROUND:Several ways of performing laparoscopic right hemicolectomy (RHC) have evolved. The vascular pedicle can be divided into extracorporeal (RHC-EC) or intracorporeal (RHC-IC). It is not known whether vessel ligation during RHC-EC is as central as during RHC-IC. We compare these approaches in terms of pathologic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14504

    authors: Pal A,Stearns AT,Kapur S,Speakman CTM,Wharton RQ,Shaikh I,Hernon JM

    更新日期:2018-10-01 00:00:00

  • Nausea, vomiting and return of bowel function after colorectal surgery.

    abstract:BACKGROUND:Although patterns of return of bowel function (ROBF) following colorectal surgery with enhanced recovery after surgery (ERAS) programmes have been well delineated, regular morphine use is uncommon. This study describes the patterns of post-operative nausea and vomiting (PONV) and ROBF in this context. METHO...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13290

    authors: Barclay KL,Zhu YY,Tacey MA

    更新日期:2015-11-01 00:00:00

  • Robotic complete mesocolic excision and central vascular ligation for right-sided colon cancer: short-term outcomes from a case series.

    abstract:BACKGROUND:Despite conflicting data regarding oncological outcomes, studies demonstrate that complete mesocolic excision (CME) and central vascular ligation (CVL) for right-sided colon cancer removes significantly more tissue and yields higher lymph node counts when compared to conventional resection. This study aims t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16224

    authors: Larach JT,Rajkomar AKS,Narasimhan V,Kong J,Smart PJ,Heriot AG,Warrier SK

    更新日期:2020-08-11 00:00:00

  • Four-dimensional computed tomography for parathyroid localization: a new imaging modality.

    abstract:INTRODUCTION:Four-dimensional computed tomography (4DCT) is a new parathyroid localization technique not previously reported in Australia. It provides both functional and anatomical imaging in a single test, with superior sensitivity compared with sestamibi scintigraphy (SeS). This study examines the utility of 4DCT in...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12571

    authors: Brown SJ,Lee JC,Christie J,Maher R,Sidhu SB,Sywak MS,Delbridge LW

    更新日期:2015-06-01 00:00:00

  • Laparoscopic versus robotic-assisted radical prostatectomy: an Australian single-surgeon series.

    abstract:BACKGROUND:In Australia, robotic-assisted radical prostatectomy (RARP) has steadily replaced open and laparoscopic surgery in the management of localized prostate cancer. Given the increased cost of this technology, we aimed to compare the perioperative, pathological, oncological and functional outcomes as well as shor...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12602

    authors: Papachristos A,Basto M,Te Marvelde L,Moon D

    更新日期:2015-03-01 00:00:00

  • Splenic preservation: an additional haemostatic measure during mesh splenorrhaphy.

    abstract:BACKGROUND:Various treatment measures have been described in achieving splenic preservation following splenic injury. We describe an additional measure in achieving haemostasis during mesh splenorrhaphy. METHODS:Oxycel (BD, Franklin Lakes, NJ, USA) (topical haemostatic agent composed of oxidized cellulose) is sutured ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2004.03065.x

    authors: Reddy CG,Chalasani V,Pathma-Nathan N

    更新日期:2004-07-01 00:00:00

  • Developmental anomaly of the inferior vena cava.

    abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02502.x

    authors: Sandercoe GD,Brooke-Cowden GL

    更新日期:2003-05-01 00:00:00

  • Impact of post-haemorrhoidectomy pain relief checklists on pain outcomes: a randomized controlled trial.

    abstract:BACKGROUND:Haemorrhoidectomy is associated with significant post-operative pain which is primarily managed pharmacologically. Whether a non-pharmacological adjunct such as a checklist can improve pain outcomes after an open haemorrhoidectomy has yet to be studied. The purpose of this study was to determine if a patient...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15732

    authors: Huang J,Rickard MJFX,Keshava A,Suen MKL

    更新日期:2020-04-01 00:00:00

  • U-shaped prostatobulbar anastomosis for urethral injury after pelvic trauma.

    abstract:BACKGROUND:We describe a technique of U-shaped bulboprostatic anastomosis for urethral injury after pelvic trauma. METHODS:Sixty-eight male patients were included in our study. Suprapubic cystostomy was carried out initially, followed by U-shaped prostatobulbar anastomosis after 6-12 weeks. Follow ups were carried out...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04584.x

    authors: Mathur RK,Aggarwal H,Odiya S,Lubana PS

    更新日期:2008-07-01 00:00:00

  • Oesophagectomy for tumours and dysplasia of the oesophagus and gastro-oesophageal junction.

    abstract:BACKGROUND:Neoadjuvant therapy, radical lymphadenectomy and treatment in high-volume centres have been proposed to improve outcomes for resectable oesophageal tumours. The aim of the present study was to review the oesophagectomy experience of a single surgeon with a moderate caseload who uses neoadjuvant therapy selec...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.04855.x

    authors: Epari K,Cade R

    更新日期:2009-04-01 00:00:00

  • Clinical outcomes and safety of distal biceps repair using a modified entry point.

    abstract:BACKGROUND:The purpose of this study is to determine the safety of a one-incision technique for distal biceps repair with modified repair entry point in regards to the distance from the posterior interosseous nerve (PIN). Secondly, we present the clinical results of patients having undergone this procedure. METHODS:Te...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13684

    authors: Baba M,Leon JV,Symes M,Dorrestijn O,Young A,Cass B

    更新日期:2017-05-01 00:00:00

  • Late two-stage laparoscopic cholecystectomy is associated with an increased risk of major bile duct injury.

    abstract:BACKGROUND:Late laparoscopic cholecystectomy (LC) after endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy (ES) for common bile duct (CBD) stone clearance, two-stage LC (TSLC), is associated with difficult surgical dissection and an increased rate of conversion to open procedure. The purpose of th...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12967

    authors: Beliaev AM,Booth M

    更新日期:2016-01-01 00:00:00

  • Do we need to scan the whole neuraxis for coexistent abnormalities in children with surgically treated occult spinal dysraphism?

    abstract:BACKGROUND:Spina bifida occulta (SBO) is generally known as a benign isolated entity; however, there are ambiguous approaches for neuroaxial screening in cases of symptomatic SBO among institutions. This study aims to demonstrate the infrequency of cranial anomalies associated with symptomatic SBO and inquire the neces...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15164

    authors: Börcek AÖ,Aslan A,Uçar M

    更新日期:2019-07-01 00:00:00

  • An in-vivo paradigm for the evaluation of stimulating electrodes for use with a visual prosthesis.

    abstract:BACKGROUND:Electrical stimulation of the visual cortex with surface electrodes is able to elicit basic visual perceptions in blind patients. The development of a visual prosthesis for the blind will require an in-vivo model for the optimization of cortical neurostimulation with multielectrode arrays. METHODS:In anaest...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.02983.x

    authors: Chowdhury V,Morley JW,Coroneo MT

    更新日期:2004-05-01 00:00:00

  • Peritoneal carcinomatosis from colorectal cancer and small bowel cancer treated with peritonectomy.

    abstract:BACKGROUND:This study aims to assess the survival of patients who underwent peritonectomy, to assess the morbidity and mortality associated with the procedure and to review the published reports on the survival of patients with peritoneal spread of colorectal cancer (CRC). METHODS:Peritonectomy involves resection of a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03749.x

    authors: Shehata M,Chu F,Saunders V,Kam PC,Links M,Morris DL

    更新日期:2006-06-01 00:00:00

  • Surgical outcomes of a randomized prospective trial involving patients with a proximal femoral fracture.

    abstract:BACKGROUND:An orthopaedic management/patient-focused care unit (OMPFCU) involving a dedicated orthopaedic-geriatrics liaison team was established at the Royal Brisbane Hospital in 1994 in an effort to safely accelerate rehabilitation of patients with proximal femoral fractures. METHODS:The surgical outcomes of the pat...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1440-1622.2001.02019.x

    authors: Day GA,Swanson C,Yelland C,Broome J,Dimitri K,Massey L,Richardson H,Marsh A

    更新日期:2001-01-01 00:00:00

  • Surgical treatment of hepatic haemangiomas: a 15-year experience.

    abstract:BACKGROUND:Hepatic haemangiomas are congenital vascular malformations. They are the most common benign tumours of the liver and are often asymptomatic. Spontaneous or traumatic rupture, intratumoral bleeding, consumption coagulopathy and rapid growth are the mandatory surgical indications. We present our experience ove...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03869.x

    authors: Gourgiotis S,Moustafellos P,Zavos A,Dimopoulos N,Vericouki C,Hadjiyannakis EI

    更新日期:2006-09-01 00:00:00

  • Blood management in total hip replacement: an analysis of factors associated with allogenic blood transfusion.

    abstract:BACKGROUND:The aim of this study was to audit the blood transfusion practice throughout the Epworth Healthcare Hospitals for patients undergoing primary total hip replacement (THR). We determined if blood-saving techniques were having an impact on the risk of allogenic blood transfusion and which patients were at risk ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13048

    authors: Wong S,Tang H,de Steiger R

    更新日期:2015-06-01 00:00:00

  • Use of face masks by non-scrubbed operating room staff: a randomized controlled trial.

    abstract:BACKGROUND:Ambiguity remains about the effectiveness of wearing surgical face masks. The purpose of this study was to assess the impact on surgical site infections (SSIs) when non-scrubbed operating room staff did not wear surgical face masks. METHODS:Eight hundred twenty-seven participants undergoing elective or emer...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1445-2197.2009.05200.x

    authors: Webster J,Croger S,Lister C,Doidge M,Terry MJ,Jones I

    更新日期:2010-03-01 00:00:00

  • Tumour size as a predictor of axillary node metastases in patients with breast cancer.

    abstract:BACKGROUND:The ability to predict the behaviour of breast cancer from its dimensions allows the clinician to inform a woman about the absolute benefits of adjuvant therapies or further surgery to control her disease. Tumour size and grade are independent predictors of nodal disease. This study aims to generate a tool, ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03918.x

    authors: Laura S,Coombs NJ,Ung O,Boyages J

    更新日期:2006-11-01 00:00:00

  • Blood loss and transfusion in elective abdominal aortic aneurysm surgery.

    abstract:BACKGROUND:Intraoperative blood loss and transfusion are known determinants of mortality and morbidity of elective abdominal aortic aneurysm (AAA) repair. The present study analysed the pattern of blood loss and transfusion and evaluated the risk factors of blood loss during open repair of infrarenal AAA. METHODS:Bloo...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.03117.x

    authors: Ho P,Ting AC,Cheng SW

    更新日期:2004-08-01 00:00:00

  • Paediatric constipation for adult surgeons - article 2: new microscopic abnormalities and therapies.

    abstract::Chronic constipation is a common condition in both adults and children. Children with chronic constipation frequently have symptoms that continue into adulthood. In the second part of the review we describe advances in the identification of abnormalities in the control of motility. The role of neurotransmitters in bot...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-1433.2004.03202.x

    authors: King SK,Sutcliffe JR,Hutson JM,Southwell BR

    更新日期:2004-10-01 00:00:00