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PubMed1996

Complications of colonoscopy and flexible sigmoidoscopy.

Complications can occur during both diagnostic and therapeutic endoscopy. Most statistics concerning complications are based on reports generated when colonoscopy was in its infancy. This article examines the diagnosis and treatment of complications that arise during the course of both colonoscopy and polypectomy. Surgery may not be required in all cases. The criteria for operative or nonoperative treatment are presented.

Bacteremia↗
PubMed1998

Advancing from flexible sigmoidoscopy to colonoscopy in rural family practice.

This paper describes the background, experience, training, and preceptorship of a rural family physician that culminated in provision of diagnostic and therapeutic colonoscopy to his patients. Initial training took place in a two-day continuing medical education course. Subsequent training consisted of one-on-one training in 11 colonoscopies and five polypectomies, correspondence, recommended readings, a one-on-one preceptorship, and telephone consultation. Training was provided by University of Tennessee faculty who were experts in the area of colonoscopy and polypectomy procedures. The outcomes of 250 consecutive colonoscopies performed by the rural family physician are documented here. Training requirements vary widely by professional organization and subspecialty. Some subspecialists have recommended as many as 100 supervised colonoscopies and 25 polypectomies as a minimum training requirement for hospital privileges. It is our contention that unnecessarily high training requirements add to educational costs and may restrict qualified rural physicians from providing these services.

Adolescent↗