Volume 85 - 2022 - Fasc.2 - Letters
Impact of enhanced instructions by short message service on the quality of bowel preparation for colonoscopy
Colorectal cancer (CRC) is the world’s fourth most deadly cancer (1). The incidence of CRC is increasing in China (2). Colonoscopy is the primary screening tool for CRC precancerous lesions (3). Adequate bowel preparation is crucial for successful colonoscopy, and mainly associated with patients’ age, body mass index (BMI), and compliance (4). The aim of this study was to explore the impact of enhanced instructions by short message service (SMS) on the quality of bowel preparation for colonoscopy.
This retrospective observational study followed the Declaration of Helsinki and obtained the ethical approved of the Medical Ethical Committee of the General Hospital of Northern Theater Command (No. Y (2021)091). We retrospectively reviewed the medical records of 475 patients who underwent colonoscopy by an endoscopist (XQ) at our department between January 2021 and July 2021. The exclusion criteria were as follows: 1) inpatients who underwent colonoscopy; 2) patients with a history of colorectal resection; 3) patients who did not complete colonoscopy due to severe intestinal obstruction or stenosis and unbearable pain; and 4) major clinical data were lacking.
Metastatic cancer in an uncommon location: importance of clinico-pathological correlation
Acrometastasis is an uncommon metastatic location appearing in the small bones of hands and feet (1). Its low incidence, around 0,1% of all bone metastases, may be due to the subclinical presentation and the lack of attention to the extremities in routine examination (1- 5). However, it sometimes represents the first expression of an occult malignancy (1-4). The symptoms are aspecific and may mimic a local infection, an inflammatory disease (arthritis, tenosynovitis) or a dermatologic lesion (1-5). The correct diagnosis of this atypical entity is important to draw the attention of the clinicians to the metastatic dissemination of the disease, to initiate adequate treatment and reduce patient morbidity.
Does endoscopic submucosal dissection have its place in the treatment of patients with gastric mucosa associated lymphoid tissue lymphoma localized disease after eradication?
Mucosa associated lymphoid tissue (MALT) lym- phoma, one of the B-cell non-Hodgkin’s lymphoma, always occurs in the extranodal margin zone. Gastric
MALT lymphoma, has attracted attention because of its relationship with Helicobacter pylori (H. pylori). H. pylori eradication was considered as the first-line treatment regardless of stages and H. pylori status in the latest review (1). As for patients with localized disease who failed response after H. pylori eradication, radiotherapy was suggested, but is there a place for endoscopic treatment in such patients remains open to debate.