The Benefit of Colonoscopy
In a prospective study involving 833 consecutive outpatient and open-access colono-scopies, attempts were made to characterize the benefit of colonoscopy in terms of both predicted and unpredicted findings and therapeutic procedures. The endoscopist therefore predicted the endoscopic findings before...
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| Veröffentlicht in: | Scandinavian journal of gastroenterology 1990, Vol.25 (1), p.81-88 |
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| container_title | Scandinavian journal of gastroenterology |
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| creator | Brenna, E. Skreden, K. Waldum, H. L. Marvik, R. Dybdahl, J. H. Kleveland, P. M. Sandvik, A. K. Halvorsen, T. Myrvold, H. E. Petersen, H. |
| description | In a prospective study involving 833 consecutive outpatient and open-access colono-scopies, attempts were made to characterize the benefit of colonoscopy in terms of both predicted and unpredicted findings and therapeutic procedures. The endoscopist therefore predicted the endoscopic findings before the endoscopy. The results were compared for the different indications for colonoscopy. The overall agreement between the predictions and the colonoscopic findings was 61%. Clinically significant abnormalities were found in about half the examinations. The most frequent abnormal findings were benign polyps (24%), inflammatory bowel disease (17%), and malignancy (5%). In about half the patients with a malignancy the indication for colonoscopy was rectal bleeding, and half of the malignancies were not predicted. The greatest benefit of colonoscopy was found in patients referred because of overt rectal bleeding or occult faecal blood, and abnormal barium enema or endoscopy findings. The importance of complete colonoscopy in connection with operation for colorectal carcinoma is emphasized. |
| doi_str_mv | 10.3109/00365529008999213 |
| format | Article |
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L. ; Marvik, R. ; Dybdahl, J. H. ; Kleveland, P. M. ; Sandvik, A. K. ; Halvorsen, T. ; Myrvold, H. E. ; Petersen, H.</creator><creatorcontrib>Brenna, E. ; Skreden, K. ; Waldum, H. L. ; Marvik, R. ; Dybdahl, J. H. ; Kleveland, P. M. ; Sandvik, A. K. ; Halvorsen, T. ; Myrvold, H. E. ; Petersen, H.</creatorcontrib><description>In a prospective study involving 833 consecutive outpatient and open-access colono-scopies, attempts were made to characterize the benefit of colonoscopy in terms of both predicted and unpredicted findings and therapeutic procedures. The endoscopist therefore predicted the endoscopic findings before the endoscopy. The results were compared for the different indications for colonoscopy. The overall agreement between the predictions and the colonoscopic findings was 61%. Clinically significant abnormalities were found in about half the examinations. The most frequent abnormal findings were benign polyps (24%), inflammatory bowel disease (17%), and malignancy (5%). In about half the patients with a malignancy the indication for colonoscopy was rectal bleeding, and half of the malignancies were not predicted. The greatest benefit of colonoscopy was found in patients referred because of overt rectal bleeding or occult faecal blood, and abnormal barium enema or endoscopy findings. The importance of complete colonoscopy in connection with operation for colorectal carcinoma is emphasized.</description><identifier>ISSN: 0036-5521</identifier><identifier>EISSN: 1502-7708</identifier><identifier>DOI: 10.3109/00365529008999213</identifier><identifier>PMID: 2305208</identifier><identifier>CODEN: SJGRA4</identifier><language>eng</language><publisher>Copenhagen: Informa UK Ltd</publisher><subject>Biological and medical sciences ; Colonic Polyps - epidemiology ; Colonoscopy ; colorectal carcinoma ; Colorectal Neoplasms - epidemiology ; colorectal polyps ; Digestive system. Abdomen ; Endoscopy ; Humans ; inflammatory bowel disease ; Inflammatory Bowel Diseases - epidemiology ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Norway - epidemiology ; Predictive Value of Tests ; Prospective Studies</subject><ispartof>Scandinavian journal of gastroenterology, 1990, Vol.25 (1), p.81-88</ispartof><rights>1990 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1990</rights><rights>1990 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-6877cabed338fda9b318331c4e9b8557b619fd527aa9a69bdd79261b21f0086b3</citedby><cites>FETCH-LOGICAL-c430t-6877cabed338fda9b318331c4e9b8557b619fd527aa9a69bdd79261b21f0086b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/00365529008999213$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/00365529008999213$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6680045$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2305208$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brenna, E.</creatorcontrib><creatorcontrib>Skreden, K.</creatorcontrib><creatorcontrib>Waldum, H. L.</creatorcontrib><creatorcontrib>Marvik, R.</creatorcontrib><creatorcontrib>Dybdahl, J. H.</creatorcontrib><creatorcontrib>Kleveland, P. M.</creatorcontrib><creatorcontrib>Sandvik, A. K.</creatorcontrib><creatorcontrib>Halvorsen, T.</creatorcontrib><creatorcontrib>Myrvold, H. E.</creatorcontrib><creatorcontrib>Petersen, H.</creatorcontrib><title>The Benefit of Colonoscopy</title><title>Scandinavian journal of gastroenterology</title><addtitle>Scand J Gastroenterol</addtitle><description>In a prospective study involving 833 consecutive outpatient and open-access colono-scopies, attempts were made to characterize the benefit of colonoscopy in terms of both predicted and unpredicted findings and therapeutic procedures. The endoscopist therefore predicted the endoscopic findings before the endoscopy. The results were compared for the different indications for colonoscopy. The overall agreement between the predictions and the colonoscopic findings was 61%. Clinically significant abnormalities were found in about half the examinations. The most frequent abnormal findings were benign polyps (24%), inflammatory bowel disease (17%), and malignancy (5%). In about half the patients with a malignancy the indication for colonoscopy was rectal bleeding, and half of the malignancies were not predicted. The greatest benefit of colonoscopy was found in patients referred because of overt rectal bleeding or occult faecal blood, and abnormal barium enema or endoscopy findings. The importance of complete colonoscopy in connection with operation for colorectal carcinoma is emphasized.</description><subject>Biological and medical sciences</subject><subject>Colonic Polyps - epidemiology</subject><subject>Colonoscopy</subject><subject>colorectal carcinoma</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>colorectal polyps</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Humans</subject><subject>inflammatory bowel disease</subject><subject>Inflammatory Bowel Diseases - epidemiology</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Norway - epidemiology</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><issn>0036-5521</issn><issn>1502-7708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF9LwzAUxYMoc04_gIKwB_GtetM0SYO-6PAfDHyZzyFNE9aRNjNpkX17O1YFEfZ0H87vnHvvQegcww3BIG4BCKM0FQC5ECLF5ACNMYU04RzyQzTe6kkP4GN0EuMKACjPxAiNUgI0hXyMLhZLM300jbFVO_V2OvPONz5qv96coiOrXDRnw5ygj-enxew1mb-_vM0e5onOCLQJyznXqjAlIbktlSgIzgnBOjOiyCnlBcPCljTlSgnFRFGWXKQMFym2_dmsIBN0vctdB__ZmdjKuoraOKca47souWA0yyjpQbwDdfAxBmPlOlS1ChuJQW77kP_66D2XQ3hX1Kb8dQwF9PrVoKuolbNBNbqKvxhjOUC_e4Lud1jVWB9q9eWDK2WrNs6HHw_Zd8XdH_vSKNcutQpGrnwXmr7ePT98AwnriiI</recordid><startdate>1990</startdate><enddate>1990</enddate><creator>Brenna, E.</creator><creator>Skreden, K.</creator><creator>Waldum, H. L.</creator><creator>Marvik, R.</creator><creator>Dybdahl, J. H.</creator><creator>Kleveland, P. M.</creator><creator>Sandvik, A. K.</creator><creator>Halvorsen, T.</creator><creator>Myrvold, H. E.</creator><creator>Petersen, H.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Scandinavian University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1990</creationdate><title>The Benefit of Colonoscopy</title><author>Brenna, E. ; Skreden, K. ; Waldum, H. L. ; Marvik, R. ; Dybdahl, J. H. ; Kleveland, P. M. ; Sandvik, A. K. ; Halvorsen, T. ; Myrvold, H. 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Abdomen</topic><topic>Endoscopy</topic><topic>Humans</topic><topic>inflammatory bowel disease</topic><topic>Inflammatory Bowel Diseases - epidemiology</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Norway - epidemiology</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brenna, E.</creatorcontrib><creatorcontrib>Skreden, K.</creatorcontrib><creatorcontrib>Waldum, H. L.</creatorcontrib><creatorcontrib>Marvik, R.</creatorcontrib><creatorcontrib>Dybdahl, J. H.</creatorcontrib><creatorcontrib>Kleveland, P. M.</creatorcontrib><creatorcontrib>Sandvik, A. K.</creatorcontrib><creatorcontrib>Halvorsen, T.</creatorcontrib><creatorcontrib>Myrvold, H. 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| ispartof | Scandinavian journal of gastroenterology, 1990, Vol.25 (1), p.81-88 |
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| language | eng |
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| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Access via Taylor & Francis |
| subjects | Biological and medical sciences Colonic Polyps - epidemiology Colonoscopy colorectal carcinoma Colorectal Neoplasms - epidemiology colorectal polyps Digestive system. Abdomen Endoscopy Humans inflammatory bowel disease Inflammatory Bowel Diseases - epidemiology Investigative techniques, diagnostic techniques (general aspects) Medical sciences Norway - epidemiology Predictive Value of Tests Prospective Studies |
| title | The Benefit of Colonoscopy |
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