colonoscopy,
saving the
patient and the
facility the
inconvenience
of rescheduling
the exam.
"It's a new
option for
patients who
may not other-
wise seek
colonoscopy over concerns about the prepping process," says Dr.
Johnson.
Then there's an edible colon preparation. Instead of downing 2 to 4
liters of a clear liquid prep, patients are given meal kits consisting of
bowel-cleansing food infused with a laxative, sorbitol and ascorbic
acid.
"The prepackaged meals are intriguing and could offer a nice alter-
native for colonoscopy prepping for patients who don't react well to
liquid cleanse," says Seth Gross, MD, FACG, FASGE, an associate pro-
fessor of medicine and gastroenterology section chief at NYU
Langone Medical Center in New York City. "More studies are needed
to ensure it has sustaining power."
Colon cancer screenings
Dr. Johnson helped create the American College of
Gastroenterology's consensus colorectal cancer screening guideline,
with the ability to exclude polyps at least 6 mm in diameter as the
threshold for achieving an adequate colonoscopy exam. He says that
2
2
9 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • N O V E M B E R 2 0 1 6
There's great interest in
new ways to treat GERD,
but Adrian Park, MD, says
laparoscopic Nissen
fundoplication currently
produces the best results.
Anne
Arundel
Medical
Center
