![]() The advantages of colonoscopy include complete visualization of the colon, detection and removal of polyps, and tissue sampling of significant lesions. In addition, colonoscopy with polypectomy reduces the incidence of CRC by up to 90%. 2 - 4 The overall success of screening colonoscopy depends upon several parameters such as bowel preparation, cecal intubation rate, withdrawal time, and adenoma detection rate. Cecal intubation is defined as the advancement of the colonoscope tip to a point proximal to the ileocecal valve so that the whole cecal caput, including the medial wall of the cecum, is seen. ![]() 5 Performing a complete colonoscopy is vital for minimizing polyp miss rates in all segments of the colon, including right-sided lesions. A large, multicenter trial of patients undergoing screening colonoscopy found that 50% of patients had significant dysplastic lesions in the proximal colon. ![]() 6 Another study found that the risk of proximal cancer increased 2-fold when colonoscopy was not complete. 7 Therefore, complete colonoscopy can reduce the rates of interval proximal colon cancer. 8 Current guidelines propose targets for successful cecal intubation rates of at least 90% for all colonoscopies and at least 95% for screening colonoscopies, with the knowledge that the majority of clinicians will exceed these minimal standards. In certain situations, an endoscopist will encounter difficulty in advancing the colonoscope through the colon, leading to incomplete colonoscopy. Incomplete colonoscopy rates vary from 4% to 25%. Paint the lip of the glass with lemon juice, then dust with gold cinnamon honey powder over the outside of the glass.Īdd all ingredients to a Collins glass with ice and garnish with a purple flower.It also highlights the management of incomplete colonoscopy and discusses new techniques and technologies that can be utilized to improve visualization of the entire colon.įactors Contributing to an Incomplete Colonoscopyġ0 - 13 This article reviews the potential factors of an incomplete colonoscopy and the strategies for preventing such a situation. Garnish: Purple flower, gold cinnamon honey powder Strain into a Nick & Nora or cocktail glass.Ĭombine all ingredients into a mixing tin, “whip and dump” with very little ice.ĭouble strain into an iced Collins glass. Below, we’re featuring a quartet of cocktails from Hennessy to enjoy on their own and for the rest of the playoffs.Ģ dashes of chocolate bitters Garnish: orange twistĬombine all ingredients into a mixing glass.Ĭombine all ingredients into a mixing tin without ice. Still, NBA fans of the remaining teams should raise a glass to their squads all the same. No NBA team has ever overcome a 3-0 deficit in the NBA playoffs. The Heat went up 3-0 in their series on Sunday (May 21), and the final outcome of that series will be known very soon.Ī sobering fact we’d like to share. On the other side of the map, the Boston Celtics and Miami Heat also didn’t play out as many assumed given the fact that the Heat were not expected to be this close to the final goal of the NBA championship. The Lakers can win tonight and live to fight another day but it will be quite the battle. As of this writing (May 22), the Nuggets are up 3-0 on the Lakers which is an outcome few expected. The Denver Nuggets seemed to have gained momentum behind the playmaking wizardry of Nikola Jokic and the scoring punch of Jamal Murray. Still, few analysts and NBA fans had the Lakers getting this far so we’ll be raising our glasses to LeBron James, Anthony Davis, and Austin Reaves. ![]() Of the teams left, the Los Angeles Lakers and the Denver Nuggets are currently tussling for the honor of representing the Western Conference in their best-of-seven playoff series, which hasn’t gone the right way for the Lakeshow.
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