Alternative Colorectal Imaging
Fig. 21.1 CT colonography (CTC) in a patient with incomplete colonoscopy. (a) 3D colon map from CTC shows the colonic anatomy, including marked redundancy and tortuosity. The colon measured 261…
VTE Prophylaxis: How to Optimize Patients on Anticoagulation and Avoid Infectious Complications
Risk factors Points C: congestive heart failure 1 H: hypertension 1 A: age>75 years 1 D: diabetes 1 S: prior history of stroke 2 Table 6.2 Correlation between CHADS2 score…
Detection: (CQI) Quality Measures and Tools for Improvement
Fig. 13.1 PDSA cycle to improve adenoma detection rate Quality Metrics in Colonoscopy The original publication on quality measures in colonoscopy was published in 2002 by the U.S. Multi-Society Task…
Current Guidelines for Colonoscopy
Setting Parameters Screening Absence of symptoms Defined risk categories (Table 10.2) Establishing the time for the first screening (Table 10.3) Quality assessment parameters for each test in general and in…
How to Achieve High Rates of Bowel Preparation Adequacy
Type Preparation Composition Volume Split dosing regimens Price Purgative Other liquid Isosmotic Polyethylene glycol electrolyte solution (PEG-ELS) Polyethylene glycol, sodium sulfate, sodium, bicarbonate, sodium chloride, potassium chloride 4 L None…
Patient Comfort During Colonoscopy
Authors Study design Total procedures (% sedated procedures) Difference in CIR Difference in cecal intubation time Difference in ADR Bannert et al. [5] Retrospective 52,506 (86%) Yes (1.2%) No Radaelli…
Female Pelvic Floor Imaging with Emphasis on the Overactive Pelvic Floor
Modality Probe Imaging Dynamic study Compartment Levator ani and perineal muscles assessment Transpe rineal—2D Convex 3–6 MHz Sagittal, coronal Yes All Yes Transperineal—3D Convex 4–8 MHz Axial, multiplanar, tomographic No…
Subjective Assessment of the Overactive Pelvic Floor
Fig. 10.1 The Bladder Control Self-Assessment Questionnaire (B-SAQ) Recently, a group of investigators [13] in the United States set their sights on validating a new screening tool aimed at identifying…
Urodynamic Assessment
Fig. 14.1 Schematic illustration of a normal uroflowmetry curve, with flow rates measured over time. With permission from Haylen BT, De Ridder D, Freeman RM, Swift SE, Berghmans B, Monga…
Psychosocial Management of the Overactive Pelvic Floor
Fig. 20.1 The Fear-Avoidance Model of Pain detailing how maladaptive thinking can perpetuate the cycle of pain and lead to avoidance of or hypervigilance for pain with sexual activity According…
