Endoscopic treatment of massive lower gastrointestinal bleeding related to appendiceal stump

Wani, Hamid Ullah; Omosola, Ayobami; Mahmoud, Shadi S.; Butt, Mohammad Tariq; Kaabi, Saad Rashid Al

doi:10.1055/s-0034-1365383

Endoscopy

2015

DOI: 10.1055/s-0034-1365383

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Endoscopic treatment of massive lower gastrointestinal bleeding related to appendiceal stump

Hamid Ullah Wani

Ayobami Omosola

Shadi S. Mahmoud

et al.

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Cited by 6 publications

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“…Six months after discharge, colonoscopy revealed complete healing ( Picture 3 ). Although gastrointestinal bleeding from the appendiceal stump is extremely rare ( 1 , 2 ), it should be considered after appendectomy. Our case indicated that CT is useful for detecting unique signs, and endoscopic clipping is useful for achieving hemostasis.…”

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confidence: 99%

A Rare Cause of Gastrointestinal Bleeding after Appendectomy

2023

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confidence: 99%

A Rare Cause of Gastrointestinal Bleeding after Appendectomy

2023

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Concerns, perceived need and competing priorities: a qualitative exploration of decision-making and non-participation in a population-based flexible sigmoidoscopy screening programme to prevent colorectal cancer

et al. 2016

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ObjectiveOptimising uptake of colorectal cancer (CRC) screening is important to achieve projected health outcomes. Population-based screening by flexible sigmoidoscopy (FS) was introduced in England in 2013 (NHS Bowel scope screening). Little is known about reactions to the invitation to participate in FS screening, as offered within the context of the Bowel scope programme. We aimed to investigate responses to the screening invitation to inform understanding of decision-making, particularly in relation to non-participation in screening.DesignQualitative analysis of semistructured in-depth interviews and written accounts.Participants and settingPeople from 31 general practices in the North East and East of England invited to attend FS screening as part of NHS Bowel scope screening programme were sent invitations to take part in the study. We purposively sampled interviewees to ensure a range of accounts in terms of beliefs, screening attendance, sex and geographical location.Results20 screeners and 25 non-screeners were interviewed. Written responses describing reasons for, and circumstances surrounding, non-participation from a further 28 non-screeners were included in the analysis. Thematic analysis identified a range of reactions to the screening invitation, decision-making processes and barriers to participation. These include a perceived or actual lack of need; inability to attend; anxiety and fear about bowel preparation, procedures or hospital; inability or reluctance to self-administer an enema; beliefs about low susceptibility to bowel cancer or treatment and understanding of harm and benefits. The strength, rather than presence, of concerns about the test and perceived need for reassurance were important in the decision to participate for screeners and non-screeners. Decision-making occurs within the context of previous experiences and day-to-day life.ConclusionsUnderstanding the reasons for non-participation in FS screening can help inform strategies to improve uptake and may be transferable to other screening programmes.

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What do patients want from their endoscopy experience? The importance of measuring and understanding patient attitudes to their care

Tierney

Bevan²,

Rees

et al. 2015

Frontline Gastroenterol

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Understanding and addressing patient attitudes to their care facilitates their engagement and attendance, improves the quality of their experience and the appropriate utilisation of resources. Gastrointestinal endoscopy is a commonly performed medical procedure that can be associated with patient anxiety and apprehension. Measuring patient attitudes to endoscopy can be undertaken through a number of approaches with contrasting benefits and limitations. Methodological validation is necessary for accurate interpretation of results and avoiding bias. Retrospective post-procedure questionnaires measuring satisfaction are easily undertaken but have limited value, particularly in directing service improvements. Patient experience questionnaires indicate areas of poor care but may reflect the clinician's not the patient's perspective. Directly assessing patient priorities and expectations identifies what is important to patients in their healthcare experience (patient-reported value) that can also provide a basis for other forms of evaluation. Published studies of patient attitudes to their endoscopy procedure indicate the importance of ensuring that endoscopists and their staff control patient discomfort, have adequate technical skill and effectively communicate with their patient relating to the procedure and results. Environmental factors, including noise, privacy and the single-sex environment, are considered to have less value. There are contrasting views on patient attitudes to waiting times for the procedure. Implementing patient-centred care in endoscopy requires an understanding of what patients want from their healthcare experience. The results from available studies suggest implications for current practice that relate to the training and practice of the endoscopist and their staff.

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Endoscopic treatment of massive lower gastrointestinal bleeding related to appendiceal stump

Cited by 6 publications

References 0 publications

A Rare Cause of Gastrointestinal Bleeding after Appendectomy

A Rare Cause of Gastrointestinal Bleeding after Appendectomy

Concerns, perceived need and competing priorities: a qualitative exploration of decision-making and non-participation in a population-based flexible sigmoidoscopy screening programme to prevent colorectal cancer

What do patients want from their endoscopy experience? The importance of measuring and understanding patient attitudes to their care

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