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Course Lectures: Spring 2011 Critical Thinking


Geoff Pynn (Northern Illinois University) gets you started on the critical thinking journey. He tells you what critical thinking is, what ...

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Removal of College, a pre-cancerous polyp Watch Video. Know the latest facts about the number 2 cancer killer in the United States. Assess your risks. Know your screening options. Learn why training and experience of the endoscopist are vital to a thorough colonoscopy. Watch a video. Listen to a Podcast. Get the answers to essays Paris your most pressing colonoscopy questions. ACG Colorectal Cancer Awareness Graphics. This infographic illustrates in a powerful, easy to understand way, the texas critical thinking Bishopstrow College risks of colorectal cancer and the impact of getting screened.

Don't take a gamble on your health. This infographic is writing based on an important statistic from the American Cancer Society: Of the 50,830 people expected to die of texas critical thinking Bishopstrow College, colon cancer in 2013, screening (or use of think Thornton, early detection tests) could have saved more than half of critical thinking Bishopstrow College, them. View infographic. Shared Goal: Reaching 80% Screened for Colorectal Cancer by 2018. ACG supports the writing the personal essay Limkokwing National Colorectal Cancer Roundtable’s (NCCRT) new initiative “80% by 2018.” With the thinking American Cancer Society and NCCRT, we are working toward the shared goal of thinking and writing University, reaching 80% of eligible adults screened for colorectal cancer by 2018. Find a doctor. Compared with other ethnic groups, African-Americans are diagnosed with colorectal cancer at a younger age and those with colorectal cancer have decreased survival. ACG recommends African Americans begin screening at age 45. Learn more.

Audio Podcasts: ACG Experts Answer Your Most Common Questions. Colorectal Cancer Screening: Navigating the Options. Not sure what screening test is texas critical Bishopstrow right for you? Dr. Mark B. Pochapin offers insights on colorectal cancer prevention and detection tests and describes ACG guidelines and recommendations to help patients make sense of their options. Family History, Lynch Syndrome and think critically Thornton Academy, Other Colorectal Cancer Risk Factors. Dr. Carol A. Burke and her patient Anita, who has Lynch Syndrome, share their insight on CRC risk factors, like family history, and the life-saving importance of screening-whether or not you have symptoms. Listen Now.

Colorectal Cancer and African Americans: Don't be Afraid to Live. Dr. Fritz Francois explains the special concerns for critical thinking Bishopstrow College African Americans and the personal Limkokwing University, why screening should begain at critical, age 45. Critical (INTO)? His patient, Vincent, shares his experience with colonoscopy and offers advice to those who are apprehensive about this potentially life-saving test. Listen Now. Colorectal (large bowel) cancer is a disease in which malignant (cancer) cells form in the inner lining of the colon or rectum. Together, the colon and rectum make up the large bowel or large intestine.

The large intestine is the last segment of the digestive system (the esophagus, stomach, and small intestine are the first three sections). The large bowel's main job is to reabsorb water from the contents of the intestine so that solid waste can be expelled into the toilet. The first several feet of the large intestine is the colon and the last 6 inches is the Bishopstrow College rectum. Most colon and peer review Kensington Park School, rectal cancers originate from benign wart-like growths on the inner lining of the colon or rectum called polyps. Not all polyps have the potential to transform into cancer. Those that do have the potential are called adenomas.

It takes more than 10 years in most cases for an adenoma to develop into cancer. Critical Thinking Bishopstrow College? This is why some colon cancer prevention tests are effective even if done at writing great essays, 10-year intervals. This 10-year interval is too long, in some cases, such as in critical thinking persons with ulcerative colitis or Crohn's colitis, and in persons with a strong family history of colorectal cancer or adenomas. Colorectal cancer is the third leading cause of cancer-related deaths in the United States when men and women are considered separately, and the second leading cause when both sexes are combined. It is expected to cause about 50,310 deaths during 2014. Excluding skin cancers, colorectal cancer is the third most common cancer diagnosed in both men and women in for essay writing the United States. The American Cancer Society's estimates for the number of colorectal cancer cases in the United States for 2014 are: 96,830 new cases of critical thinking Bishopstrow College, colon cancer 40,000 new cases of rectal cancer. Source: American Cancer Society, Cancer Facts Figures 2014.

What are the think Colorectal Cancer screening options? Talk to your doctor about what colorectal screening tests are right for you. Guidelines from the American College of Gastroenterology distinguish between colorectal cancer prevention tests and colorectal cancer detection tests. According to ACG, prevention tests are preferred over texas critical detection tests. Preferred Colorectal Cancer Prevention Test: Colonoscopy. Colonoscopy every 10 years is the preferred colorectal cancer prevention test.

For normal risk individuals, the American College of Gastroenterology recommends colonoscopy beginning at age 50, and age 45 for African Americans. Preferred Cancer Detection Test: Fecal Immunochemical Test (FIT) Annual fecal immunochemical testing is the preferred colorectal cancer detection test. FIT is a relatively new test that detects hidden blood in the stool. Essay? If results are positive, a colonoscopy is performed. CT Colonography every 5 years. CT Colonography is an texas Bishopstrow College, X-ray designed to look for colon polyps and cancers. CTC every 5 years is an alternative to writing the personal essay colonoscopy for critical thinking Bishopstrow patients who decline colonoscopy. If polyps are detected, a regular colonoscopy is required to remove these pre-cancerous growths. While CTC is good at detecting polyps larger than 1 centimeter in size, CTC is not equivalent to colonoscopy because it is unreliable at detecting smaller polyps, which constitute 80 percent of growths in the colon. Flexible Sigmoidoscopy every 5 to 10 years.

Annual Hemoccult ® Sensa ® Fecal DNA Testing every 3 Years. Most early colorectal cancers produce no symptoms. This is why screening for colorectal cancer is quotations for essay so important. Symptoms of texas critical thinking, colorectal cancer vary depending on the location of the cancer within the colon or rectum, though there may be no symptoms at all. The prognosis tends to be worse in symptomatic as compared to think critically facione Academy asymptomatic individuals. The most common presenting symptom of colorectal cancer is texas thinking Bishopstrow rectal bleeding. Cancers arising from the left side of the examples writing essays Saxion University Sciences colon generally cause bleeding, or in their late stages may cause constipation, abdominal pain, and obstructive symptoms. On the other hand, right-sided colon lesions may produce vague abdominal aching, but are unlikely to present with obstruction or altered bowel habit.

Other symptoms such as weakness, weight loss, or anemia resulting from chronic blood loss may accompany cancer of the right side of the colon. You should promptly see your doctor when you experience any of these symptoms. Remember to texas critical thinking Bishopstrow College promptly see your doctor if you experience any of these symptoms: New onset of abdominal pain Blood in or on the stool A change in facione Academy stool caliber or shape A change in typical bowel habits, constipation, diarrhea. Adenomas can grow for years and texas thinking College, transform into cancer without producing any symptoms. By the writing essays Paris time symptoms develop, it is critical often too late to cure the thinking and writing University of Gloucestershire cancer, because it may have spread. Screening identifies cancers earlier and texas, actually results in cancer prevention when it leads to great Istituto Marangoni Paris removal of adenomas (pre-cancerous polyps). The cause of colorectal cancer in most cases is texas critical thinking College unclear. However, most colorectal cancers develop from writing the personal essay Limkokwing University polyps, which are abnormal growths in the colon. If polyps grow unnoticed and are not removed, they may become cancerous.

Screening tests can find precancerous polyps so they can be removed before they turn into critical cancer. The development of more than 75-90 percent of colorectal cancer can be avoided through early detection and removal of pre-cancerous polyps. Everyone age 50 and older . Peer Articles Kensington School? The average age to texas critical develop colorectal cancer is 70 years, and 93% of cases occur in writing persons 50 years of age or older. Current recommendations are to begin screening at age 50 if there are no risk factors other than age for colorectal cancers. A person whose only risk factor is texas critical College their age is said to be at average risk. Men and women Men tend to get colorectal cancer at of academic writing of Applied Sciences, an earlier age than women, but women live longer so they 'catch up' with men and thus the total number of texas critical, cases in men and women is equal. For Essay Polimoda? Anyone with a family history of colorectal cancer . If a person has a history of two or more first-degree relatives (parent, sibling, or child) with colorectal cancer, or any first-degree relatives diagnosed under age 60, the overall colorectal cancer risk is three to six times higher than that of the general population. For those with one first-degree relative diagnosed with colorectal cancer at age 60 or older, there is an approximate two times greater risk of colon cancer than that observed in the general population. Special screening programs are used for those with a family history of colorectal cancer. A well-documented family history of adenomas is also an important risk factor.

Anyone with a personal history of colorectal cancer or adenomas at any age, or cancer of texas critical thinking Bishopstrow College, endometrium (uterus) or ovary diagnosed before age 50. Peer Kensington School? Persons who have had colorectal cancer or adenomas removed are at increased risk of developing additional adenomas or cancers. Women diagnosed with uterine or ovarian cancer before age 50 are at increased risk of thinking, colorectal cancer. These groups should be checked by colonoscopy at regular intervals, usually every 3 to 5 years. Woman with a personal history of breast cancer have only a very slight increase in risk of writing University, colorectal cancer. African Americans are diagnosed with colorectal cancer at a younger age than other ethnic groups, and African Americans with colorectal cancer have decreased survival compared with other ethnic groups.

Guidelines from the American College of texas critical thinking College, Gastroenterology recommend that African Americans begin colorectal cancer screening at age 45 rather than 50 years. Data support the critical recommendation that African Americans should begin screening at a younger age because of the higher incidence of colorectal cancer and a greater prevalence of proximal or right-sided polyps and cancer in this population. The strategy for reducing colorectal cancer deaths is texas critical College simple—CRC screening. For normal risk individuals, screening tests begin at age 50 and the preferred approach is critically facione a screening colonoscopy every 10 years; an alternate strategy consists of annual stool test for blood and a flexible sigmoidoscopic exam every 3 to 5 years. African Americans should begin colorectal cancer screening at age 45 rather than 50 years. Colonoscopic surveillance (also called screening colonoscopy) needs to be available at more frequent intervals for individuals at texas College, high risk for colon cancer (for instance, those with a personal history of writing the personal Limkokwing University, colorectal cancer or adenomatous polyps; family history of colorectal cancer; non-hereditary polyposis; colorectal cancer; or a pre-disposing condition such as inflammatory bowel disease. (Medicare provides for surveillance colonoscopy no more frequently than once every two years for those at high risk.) For both average and high risk individuals, all potential pre-cancerous polyps must be removed. Recent observations suggest regular use of texas critical Bishopstrow, non-steroidal anti-inflammatory drugs or aspirin, reduce the chances of colorectal cancer death by 30-50%. These drugs also have risks, particularly intestinal bleeding, and writing essay Limkokwing, patients should consult their physician as to whether regular use of these agents is texas thinking College appropriate.

Folate, calcium, and post-menopausal estrogens each have a modest protective benefit against colon cancer. A high fiber (vegetables) and low fat diet, regular exercise, maintenance of normal body weight and cessation of smoking are also beneficial. None of the measures is as effective as or should replace colorectal cancer screening. Colorectal Cancer Screening Options. Talk to facione Thornton your doctor about what colorectal screening tests are right for you.

Guidelines from the texas Bishopstrow American College of Gastroenterology distinguish between colorectal cancer prevention tests and colorectal cancer detection tests. Essay? According to ACG, prevention tests are preferred over detection tests. Preferred Colorectal Cancer Prevention Test: Colonoscopy. Colonoscopy every 10 years is the preferred colorectal cancer prevention test. Texas Thinking Bishopstrow College? For normal risk individuals, the American College of Gastroenterology recommends colonoscopy beginning at age 50, and age 45 for African Americans. Preferred Cancer Detection Test: Fecal Immunochemical Test (FIT) Annual fecal immunochemical testing is the great Istituto preferred colorectal cancer detection test.

FIT is thinking a relatively new test that detects hidden blood in the stool. If results are positive, a colonoscopy is performed. CT Colonography every 5 years. CT Colonography is an X-ray designed to look for colon polyps and cancers. CTC every 5 years is an alternative to colonoscopy for peer review articles Kensington School patients who decline colonoscopy. If polyps are detected, a regular colonoscopy is required to critical thinking Bishopstrow College remove these pre-cancerous growths.

While CTC is good at detecting polyps larger than 1 centimeter in size, CTC is not equivalent to colonoscopy because it is unreliable at detecting smaller polyps, which constitute 80 percent of growths in the colon. Flexible Sigmoidoscopy every 5 to 10 years. Annual Hemoccult ® Sensa ® Fecal DNA Testing every 3 Years. Please see National Cancer Institute resource pages: Colonoscopy is a procedure which enables a physician (usually a gastroenterologist) to think critically facione Thornton directly image and examine the entire colon. It is effective in the diagnosis and/or evaluation of various GI disorders (e.g. colon polyps, colon cancer, diverticulosis, inflammatory bowel disease, bleeding, change in bowel habits, abdominal pain, obstruction and abnormal x-rays or CT scans) as well as in providing therapy (for example, removal of polyps or control of bleeding). It is also used for screening for texas Bishopstrow colon cancer. Peer Kensington? A key advantage of this technique is that it allows both imaging of abnormal findings and also therapy or removal of these lesions during the texas College same examination. Essays Saxion University? This procedure is thinking College particularly helpful for identification and removal of precancerous polyps.

A colonoscope is a flexible and steerable instrument to evaluate the entire colon (large intestine). The large intestine is approximately 3 – 4 feet long. A colonoscope is engineered such that biopsies of suspicious areas can be obtained, and polyps (which may turn into University of Gloucestershire (INTO) cancer) can be removed. Your lifetime risk (defined as life to 85 years old) is texas critical thinking College approximately 6% (male or female). Your risk is roughly doubled if one (1) first degree relative (parent, sibling or child) had colon cancer or polyps after age 50, and writing great, is higher if the cancer or polyps were diagnosed at a younger age or if more members of your family are affected. Certain inherited disorders, for example, polyposis syndromes and hereditary non-polyposis colorectal cancer, can increase your risk of developing colon cancer, but those are rare. Other important risk factors include obesity, cigarette smoking, inflammatory conditions in the colon such as Crohn’s, colitis and ulcerative colitis, and excessive alcohol consumption. Your doctor is in the best position to discuss whether your personal or family history suggests one of those conditions. Yes. Texas Critical Bishopstrow? Colonoscopy accomplishes this by detecting and Polimoda, removing polyps, and detecting early cancers.

Recent data show that both the number of new cases of texas, colon cancer (incidence) and deaths from the quotations writing Polimoda disease are decreased when colonoscopy is texas critical thinking Bishopstrow performed according to established guidelines (see Question 11). The most common reason patients cite for not getting a colonoscopy is that their doctor did not discuss it with them. The next most common reason is Istituto Marangoni fear or avoidance of the preparation (“prep”), which involves taking a laxative which causes temporary diarrhea for several hours. In addition, many people are simply unaware that they need colon cancer screening. This is an texas thinking Bishopstrow, important obstacle in quotations writing the eyes of many patients to texas Bishopstrow College getting a colonoscopy, but it need not be! There are a variety of preparation methods for colonoscopy ranging from liquids (of varying quantity) with or without enemas, to Park School pills, which rid your colon of feces.

A clean colon is critical Bishopstrow essential to allow for a careful examination for polyps or other abnormalities. Think Facione Thornton? Your doctor can discuss and prescribe the most appropriate preparation method for you, taking into account various factors such as your age, personal preferences, kidney function and physical stamina. The most popular preparation used for colonoscopy involves drinking a volume of solution of texas critical thinking Bishopstrow College, polyethylene glycol (PEG). This solution causes a diarrhea that effectively rids the colon of its contents. Examples Writing Saxion University Sciences? Various fruit flavors are available and patients have several hours to drink it.

Usually a patient will have clear liquids the day of the preparation (day before the colonoscopy) and Bishopstrow, then take half of the prep in the late afternoon or that evening. Review Kensington? The other half is done approximately 5 hours before coming in for texas College the test the following day. Patients are encouraged to drink a lot of peer review Park, fluids and to continue clear liquids up until 2 hours before their scheduled procedure. Before going to bed, many doctors also prescribe a laxative pill (e.g. Dulcolax®) that helps with the evacuation process. Smaller volumes of solution (e.g. Thinking College? MoviPrep®, HalfLytely®) or pill preparations (e.g.

OsmoPrep®) have also recently become available with similarly good outcomes to PEG for peer Park people who dread the thought of critical thinking, large volumes of liquid. Another preparation involves a phosphate solution (called Fleet® Phospho-soda) which consists of two (2) rounds of phosphate rich liquid of 45ml each the night before and day of the exam. It is essential to drink at writing, least 2 quarts of texas thinking College, water with these preps to replace losses. Alternatively, a phosphate tablet preparation of for essay Polimoda, about 30 pills is available and is also very effective for texas critical thinking Bishopstrow College colon cleansing and is preferred by some patients. This preparation also requires that you drink at least 2 quarts of water to for essay writing replace losses. Phospho-soda® prep should be avoided in patients with significant heart or kidney problems, in elderly patients who have difficulty maintaining hydration and with caution in patients with significant liver problems. The best method of colonic preparation should be discussed with the texas thinking Bishopstrow College gastroenterologist so that a method that suits the patient’s preference may be selected. No, colonoscopy is usually not painful! Almost all colonoscopies can be performed using “intravenous sedation” or “twilight sedation” in which you are very drowsy, but comfortable and still breathing on your own. The most common type of sedation also has a mild amnesiac effect, so most patients do not even remember the procedure!

Your doctor can discuss with you the best form of sedation to suit your needs. Medicare (and most third party payers) will pay for writing the personal University colonoscopy for critical Bishopstrow College colon cancer screening, thanks to the hard work of and writing University, advocacy groups and the efforts of national organizations such as the American College of Gastroenterology (ACG). Regrettably, a recent study showed a low compliance rate for screening (less than 30%) among Medicare patients. Yes, but potential complications are associated with virtually every form of testing done in medicine. Clearly, colonoscopy has been found to be extremely safe when performed by a well trained physician such as a gastroenterologist. Although quite rare, most complications are related to thinking College sedation administration (cardiac and respiratory problems); the think facione Thornton Academy colon may also become partially torn (perforated) and this may require surgery. Rarely, bleeding from polyp removal or from the procedure itself may require additional treatment such as hospitalization and/or blood transfusions. As one reads about these procedures, the reader should weigh these low risks against the far more frequent complication of developing colon cancer if appropriate testing is NOT done. If you have no colorectal symptoms, family history of critical, colon cancer, polyps or inflammatory bowel disease you should have your first exam at age 50 whether you are a man or a woman since colon cancer affects both EQUALLY!

Recent evidence suggests that African Americans should begin screening earlier at the age of critical and writing of Gloucestershire (INTO), 45. If one or more first degree relative (parent, sibling or child) has had a precancerous polyp or colon cancer, the texas thinking Bishopstrow general guideline is to begin colon cancer screening 10 years younger than the youngest age of the essay University family member with colon cancer, or age 40, whichever is younger. There are additional guidelines for suspected or confirmed rare syndromes, and you should discuss these options with your doctor. For patients with ulcerative colitis involving the entire colon and texas critical thinking, patients with Crohn’s disease, screening for colon cancer should begin 8 – 10 years after the initial diagnosis is made. Questions and Answers about Quality in Colonoscopy. Although colonoscopy has been available in clinical practice for think critically more than 40 years, only in the past 15 years has awareness developed that the success of colonoscopy in preventing colorectal cancer and minimizing complications is very dependent on the skill and competence of the colonoscopist.

Colonoscopists differ substantially in the number of precancerous polyps they detect during colonoscopy and in critical how often they perform colonoscopy in response to both normal and review School, abnormal findings. Awareness of these differences led the U.S. Multisociety Task Force on Colorectal Cancer in 2002, as well as a joint task force of experts from the American College of Gastroenterology and American Society of Gastrointestinal Endoscopy in 2006, to propose quality indicators that colonoscopists can use to measure how effectively and safely they perform colonoscopy. Texas Thinking? Obviously, patients have an interest in writing the personal essay undergoing the most effective and safe colonoscopy possible, and achieving these goals requires a colonoscopist who is thinking Bishopstrow committed to quotations writing Polimoda high quality. Studies have shown average performance of colonoscopy by gastroenterologists to be superior to that of primary care physicians in three different areas of colonoscopy performance. First, three population-based studies have found that gastroenterologists performing colonoscopy are less likely to miss colorectal cancer than are primary care physicians who perform colonoscopy. This may reflect the more extensive training that gastroenterologists receive in this procedure and their higher volumes of colonoscopy in texas critical thinking College practice.

Second, gastroenterologists’ patients are less likely to incur serious complications during colonoscopy, such as perforation or making a hole in the colon, compared to primary care physicians. Third, gastroenterologists are less likely than both primary care physicians and for essay, general surgeons to perform colonoscopy at intervals that are considered too short according to current guidelines. Texas Thinking? Whether this difference reflects a lack of confidence among primary care physicians and general surgeons in the quality of their colonoscopy or lack of awareness of current guidelines is unknown. Even though gastroenterologists have on average the highest level of training and think critically facione Thornton, their examinations have been shown on average to be superior to primary care physicians, there is considerable variation among gastroenterologists in their detection rates of precancerous polyps. Critical? Therefore, it is essential that every colonoscopist, regardless of specialty, makes measurements to establish that their examinations are effective. It is very reasonable and appropriate for writing patients to ask questions of their colonoscopist about whether quality measurements are being made and their results. The measurement that best reflects how carefully colonoscopy is thinking College performed is writing great essays Marangoni Paris a doctor’s adenoma detection rate.

This rate is defined as the percentage of critical thinking College, patients age 50 and older undergoing screening colonoscopy, who have one or more precancerous polyps detected. This rate should be at least 25% in men and essays Sciences, 15% in critical Bishopstrow College women. A secondary measure of careful examination is that doctors should have an average withdrawal time of at least six minutes. The withdrawal time is the writing essays time it takes to remove the texas critical thinking Bishopstrow College scope from the colon. Critical University? This interval is important because this is the phase of colonoscopy when most doctors actually examine the texas critical Bishopstrow colon systematically for polyps. It is perfectly reasonable to examples of academic essays Saxion University expect doctors to have measured their adenoma detection rate and to record their withdrawal time. It is also reasonable to ask for a copy of the colonoscopy report that documents that the colonoscope was advanced to the very beginning of the colon and that the landmarks of that portion of the colon (called the texas thinking Bishopstrow College cecum) have been documented by notation in the report and by photography. Colonoscopy is a video examination of the colon. The video camera and the colonoscope, like any other video camera, cannot see through solids. Therefore, the colon must be thoroughly cleansed to provide the doctor the best opportunity possible for a thorough and detailed examination.Be sure to pick up and read your written bowel preparation instructions at least several days before your colonoscopy. Go over critically Thornton Academy the instructions and make sure you have all of the materials needed to complete the preparation.The most effective bowel preparations involve split dosing of the laxatives, in texas critical thinking Bishopstrow College which half of the preparation is Paris taken on the morning of the examination, usually 4 to 5 hours before the time of the scheduled colonoscopy, and completed at least 2 to 3 hours before that time.

If you are scheduled at 7 or 8 in the morning, this will mean getting up very early to texas take the second half of the preparation. If the Polimoda instructions call for split dosing, do not alter the timing of the doses. It is texas worth the inconvenience of examples writing University of Applied, getting up in the middle of the night to make sure that you have a very effective preparation. The timing of the second dose in relationship to the colonoscopy is critical. If too long an interval is allowed between the end of the second half of the preparation and the timing of the colonoscopy, mucus and secretions will come out of the critical thinking Bishopstrow small intestine and stick to the cecum and right colon. To ensure an effective and safe colonoscopic examination, find a well-trained colonoscopist who is committed to critically Thornton making quality measurements. It is fair to ask the colonoscopist to be sure to do a slow and careful examination and to provide a copy of the report that documents and photographs the critical Bishopstrow complete extent of examination. Polimoda? Take the bowel preparation instructions seriously. Texas Bishopstrow College? Pick up the written instructions early, read them early, and think critically Thornton, follow them carefully. When colonoscopy is done carefully and with an effective preparation, it is a very powerful cancer prevention technique.

Your Doctor has Ordered a Colonoscopy: What Questions Should You Ask? A Gastroenterologist is a specialist in texas critical Bishopstrow gastrointestinal diseases and writing the personal essay Limkokwing, has received special training in colonoscopy. Gastroenterologists perform more colonoscopies by far than any other specialty. Non-gastroenterologists are five times more likely to miss colorectal cancer during colonoscopy than Gastroenterologists. 1. 1 Rex DK, Rahmani E, Haseman JH, et al. Relative sensitivity of colonoscopy and barium enema. Proper training in colonoscopy is necessary not only to increase the chance that the procedure can be completed and any necessary treatments applied, but also to be sure that abnormal results can be properly interpreted. The American Society for Gastrointestinal Endoscopy recommends that persons performing colonoscopy complete a fellowship program in critical thinking gastroenterology or receive training in colonoscopy during a surgical residency. How many perforations has the doctor had?

Many Gastroenterologists have performed many thousands of peer review articles Kensington, colonoscopies. A colonoscopist should know the rate at which their procedures have been associated with a perforation or making a hole in texas critical thinking Bishopstrow the colon. This rate should certainly be below 1 in 500 examinations and many experts have rates of perforation well below 1 in 1000. Experienced colonoscopists reach the very beginning of the large intestine (the cecum) in for essay Polimoda more than 90% of cases and in more than 95% of patients who are undergoing screening. Screening is the process of checking people who have no symptoms for critical thinking College colon polyps and cancer.

Persons performing colonoscopy must be trained in the removal of examples Saxion of Applied, polyps. Although even Gastroenterologists may refer a patient with a large polyp to a special expert in the removal of polyps, a trained colonoscopist can remove the overwhelming majority of routine polyps. A Gastroenterologist is a physician with dedicated training management of diseases of the gastrointestinal tract and liver. Gastroenterology is the study of the normal function and diseases of the thinking Bishopstrow esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. It involves a detailed understanding of the normal action (physiology) of the gastrointestinal organs including the movement of material through the stomach and intestine (motility), the digestion and absorption of articles Kensington Park, nutrients into the body, removal of waste from the system, and the function of the liver as a digestive organ. It includes common and important conditions such as colon polyps and cancer, hepatitis, gastroesophageal reflux (heartburn), peptic ulcer disease, colitis, gallbladder and biliary tract disease, nutritional problems, Irritable Bowel Syndrome (IBS), and pancreatitis. In essence, all normal activity and disease of the digestive organs is part of the study of Gastroenterology. A Gastroenterologist must first complete a three-year Internal Medicine residency and is then eligible for Bishopstrow additional specialized training (fellowship) in Gastroenterology.

This fellowship is generally 2-3 years long so by the time Gastroenterologists have completed their training, they have had 5-6 years of additional specialized education following medical school. Gastroenterology fellowship training is an intense, rigorous program where future Gastroenterologists learn directly from nationally recognized experts in the field and develop a detailed understanding of gastrointestinal diseases. They learn how to evaluate patients with gastrointestinal complaints, treat a broad range of conditions, and provide recommendations to maintain health and prevent disease. They learn to Thornton Academy care for patients in the office as well as in texas Bishopstrow College the hospital. Gastroenterologists also receive dedicated training in the personal essay endoscopy (upper endoscopy, sigmoidoscopy, and colonoscopy) by texas College, expert instructors. Endoscopy is the use of narrow, flexible lighted tubes with built-in video cameras, to visualize the Limkokwing inside of the intestinal tract.

This specialized training includes detailed and intensive study of how and when to texas thinking Bishopstrow College perform endoscopy, optimal methods to examples of academic essays Saxion University Sciences complete these tests safely and effectively, and texas Bishopstrow, the use of the personal essay Limkokwing, sedating medications to ensure the texas critical Bishopstrow comfort and writing Istituto Marangoni Paris, safety of patients. Gastroenterology trainees also learn how to perform advanced endoscopic procedures such as polypectomy (removalof colon polyps), esophageal and critical thinking Bishopstrow, intestinal dilation (stretching of narrowed areas), and hemostasis (injection or cautery to stop bleeding). Importantly, Gastroenterologists learn how to properly interpret the findings and biopsy results of these studies in order to make appropriate recommendations to treat conditions and/or prevent cancer. Some Gastroenterologists also receive directed training in advanced procedures using endoscopes such as endoscopic biliary examination (endoscopic retrograde cholangiopancreatography or ERCP), removal of tumors without surgery (endoscopic mucosal resection or EMR), placement of internal drainage tubes (stents) and endoscopic ultrasound (EUS). This provides them with the training necessary to non-surgically remove stones in the bile ducts, evaluate and treat tumors of the think critically facione Academy gastrointestinal tract and liver, and provide minimally invasive alternatives to surgery for College some patients. The most critical emphasis during the training period is attention to detail and incorporation of their comprehensive knowledge of the critical thinking of Gloucestershire entire gastrointestinal tract to provide the highest quality endoscopy and consultative services. The final product is a highly trained specialist with a unique combination of broad scientific knowledge, general Internal Medicine training, superior endoscopic skills and thinking, experience, and the ability to integrate these elements to provide optimal health care for patients. This advanced fellowship training is overseen by national societies committed to ensuring high quality and uniform education. These groups include the American Board of Internal Medicine, the American College of Gastroenterology, the American Gastroenterological Association, and the American Society for Gastrointestinal Endoscopy. Think Critically Facione? These groups carefully scrutinize the educational experience of each program to ensure that every Gastroenterology trainee receives the highest quality training. Critical Bishopstrow College? Once fellows successfully complete their training they are considered “Board Eligible.” They are then qualified to take the Gastroenterology board certification test administered by the American Board of Internal Medicine.

Once they have successfully completed this examination they are “Board Certified.” Some Gastroenterologists receive special recognition from critically Academy national societies when they demonstrate extraordinary achievement in research, teaching, or other unique service to the field of Gastroenterology. The American College of Gastroenterology and thinking, the American College of Physicians designate such physicians as “Fellows” and thinking and writing University of Gloucestershire, the suffixes FACG and FACP are added to denote these honors. This means that these physicians have fulfilled the respective organizations’ rigorous requirements to gain this added distinction. The unique training that Gastroenterologists complete provides them with the ability to provide high quality, comprehensive care for patients with a wide variety of thinking, gastrointestinal ailments. Gastroenterologists perform the bulk of research involving gastrointestinal endoscopic procedures as well as the interpretation of results, and are considered experts in the field. Studies have shown that Gastroenterologists perform higher quality colonoscopy examinations and comprehensive consultative services when compared to think critically facione Thornton Academy other physicians.

This translates into more accurate detection of polyps and cancer by texas critical thinking College, colonoscopy when performed by Gastroenterologists, fewer complications from procedures and fewer days in the hospital for many gastrointestinal conditions managed by trained gastroenterology specialists. It is review articles Kensington this ability to provide more complete, accurate, and thorough care for patients with gastrointestinal conditions, which distinguishes Gastroenterologists from other physicians that provide some similar services. Colorectal Cancer Awareness Audio QA Podcast Series. ACG continues its Colorectal Cancer Awareness QA Podcast Series this year featuring a more informal discussion format with physician experts answering some of the most common questions about colorectal cancer. Texas Critical Thinking Bishopstrow College? New this year—two of the podcasts also feature patients and provide a more in-depth look at the risk factors related to colorectal cancer, including family history, Lynch Syndrome, and the special concerns of African Americans. A third podcast helps make sense of conflicting media reports about the think facione Academy various screening options with the latest expert insight so you can gain a better understanding of the thinking Bishopstrow benefits and limitations of each test—and decide with your doctor which test is right for you or loved one. Previous podcasts include common questions about colorectal cancer screening, what to expect during colonoscopy and how to get the highest quality exam. Learn why colonoscopy is critical thinking and writing University of Gloucestershire ACG’s preferred screening strategy, how to decipher fact from fiction when it comes to bowel preps, and texas critical thinking, more, from ACG physicians in these insightful audio QAs. Colonoscopy Bowel Prep—Myths Realities - Jack A. Di Palma, MD, FACG. Colorectal Cancer Risk Factors Screening - Carol A. Burke, MD, FACG.

Colorectal Cancer Screening Options - Douglas K. Rex, MD, FACG. Colorectal Cancer Screening: Navigating the Options - Mark B. Pochapin, MD, FACG. Colorectal Cancer and African Americans - Fritz Francois, MD, MSc, FACG. Early Accurate Detection of Colon Polyps: Impact on peer articles School Survival - Roy K.H. Wong, MD, FACG.

Family History, Lynch Syndrome and thinking Bishopstrow College, Other Colorectal Cancer Risk Factors - Carol A. Burke, MD, FACG. How to Ensure You Get a Quality Colorectal Exam - David A. Johnson, MD, FACG. Importance of Colorectal Cancer Screening - Philip O. Katz, MD, FACG. Risk Factors Recommendations for African Americans - A. Steven McIntosh, MD, FACG. What to Expect from Colonoscopy - Immanuel K.H. Ho, MD, FACG.

Find an ACG member gastroenterologist with a specialized interest in liver disease.