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- W158355280 abstract "In the November 2008 issue of The Canadian Journal of Gastroenterology, the difficulties and limitations associated with the performance of colonoscopy in hospitalized patients were discussed. In contrast, the present article will discuss the rationale behind the use of inpatient colonoscopy and present the evidence that supports this practice.Dr Darin KrygierThe most evident advantage to the performance of inpatient colonoscopy is clearly its ability to expedite the assessment of patients who would otherwise wait weeks or months to have the procedure performed as an outpatient. The Canadian Association of Gastroenterology has published target wait times (1) that have been deemed acceptable for patients waiting to be assessed by a gastroenterologist, ranging from two weeks for those with suspected malignancy and inflammatory bowel disease, to two months for those with iron deficiency anemia and positive fecal occult blood tests (1,2). Recent studies suggest that total wait times exceed the consensus targets, with 51% to 88% of patients not being seen within the target wait time. Given the large backlog of patients waiting to be assessed by most gastroenterologists, it is not surprising that the wait time for outpatient endoscopy often exceeds six to 12 months. As a result, colonoscopy performed while hospitalized can greatly expedite the management of patients with gastrointestinal issues.Another benefit of inpatient colonoscopy is the ability to perform the procedure in patients who may not otherwise reliably make themselves available for outpatient procedures, often due to socioeconomic or other situational factors. Additionally, it facilitates the preprocedural care of those patients who require such interventions as prophylaxis against bacterial endocarditis and titration of systemic anticoagulation. These patients can often be more difficult to coordinate before outpatient colonoscopy." @default.
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- W158355280 date "2008-01-01" @default.
- W158355280 modified "2023-09-23" @default.
- W158355280 title "The Inpatient Colonoscopy: A Worthwhile Endeavour" @default.
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- W158355280 doi "https://doi.org/10.1155/2008/576987" @default.
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