This article has an accompanying continuing medical education activity, also eligible for MOC credit, on page e65. Learning Objective-Upon completion of this activity, successful learners will be able to name the indication for colonoscopy associated with the lowest rate of adequate colon cleansing; list the indications for colonoscopy associated with the highest adenoma detection rates; name the indication for endoscopic evaluation that has the highest advanced adenoma detection rate; list the indication for colonoscopy associated with the highest colorectal cancer detection rate.
A 78-year-old man presented with iron-deficiency anemia. Gastroscopy and colonoscopy showed no significant findings. The small intestine was examined via capsule endoscopy, which revealed an Ascaris parasite in the proximal jejunum (left); it was observed for approximately 30 minutes. Distally, in the proximal ileum, a similar but shorter Ascaris could be seen (right). We believe that the difference in the parasites' size was due to a difference in sex-the larger one was probably female. The observation of two adult worms (male and female) in the same host is quite unusual and has been achieved only by capsule endoscopy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.