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35 GASTROENTEROLOGY The 10 States with the Best and 10 with the Worst Colorectal Cancer Screening Rates By Eric Oliver T he Health Resources and Services Administra- tion used 2015 Uniform Data System data to compile colorectal cancer screen rates at U.S. federally qualified health centers across the country. Here are the 10 states with the highest screening rates: 1. Maine: 60.5 percent 2. Vermont: 59.6 percent 3. New Hampshire: 54.5 percent 4. Delaware: 49.7 percent 5. Connecticut: 48.3 percent 6. Massachusetts: 47.9 percent 7. Washington: 41.6 percent 8. Rhode Island: 41.5 percent 9. California: 41.2 percent 10. North Dakota: 41.1 percent Here are the 10 states with the lowest screening rates: 1. Wyoming: 9.9 percent 2. Oklahoma: 16.7 percent 3. Utah: 21.4 percent 4. Nevada: 24.1 percent 5. Missouri: 25.5 percent 6. Arkansas: 28.1 percent 7. Idaho: 28.7 percent 8. Kansas: 29.7 percent 9. Mississippi: 31.5 percent 10. Alabama: 31.7 percent n Inner Damage to Endoscopes Could Jeopardize Cleanliness — 4 Insights By Eric Oliver D amage to the instrument channels of endo- scopes could jeopardize device cleanliness, according to a study published in Gastroenter- ology and Endoscopy News. Adarsh aker, MD, a UC Los Angeles fellow, and colleagues used a prototype digital video camera to examine the instrument channel of 59 duodenoscopes, gastroscopes, echoendoscopes and colonoscopes. Researchers recorded up to 120-second inspection videos. Researchers inspected the scopes aer manual cleaning and high-level disinfection. Scopes were also steril- ized. Duodenoscopes and echoendoscopes were both subjected to a manual air blowout with forced air dry- ing. ose scopes were hung in a passive ventilation cabinet overnight. Five experts reviewed the videos, scoring for a variety of quality- and damage-related factors. All scopes were under three years old, and 16 new devices were included. Here's what you should know: 1. All the scopes had damage: • 86 percent experienced scratches • 59 percent were shredded • 59 percent were discolored 2. Moisture and fluid were observed in 8 percent of inspections. While both were common in gastroscopes (36 percent) and colonoscopes (33 percent), neither was found in duodenoscopes or echoendoscopes. 3. Scopes that underwent forced air drying had no visible moisture. 4. Two of four new duodenoscopes and nine of 12 new echoendoscopes had visible scratches. One of four duodenoscopes and eight of 12 new echoendoscopes had shredding. Researchers concluded the inspection showed the im- portance of forced air drying. n Massachusetts Medical Center Removing GI Endoscopy Unit from ASC — 3 Insights By Eric Oliver P ittsfield, Mass.-based Berkshire Medical Center is moving its endoscopy unit from Pittsfield-based Crane Center for Ambu- latory Surgery into the main hospital, The Berkshire Eagle re- ports. Here's what you should know: 1. The unit will be in the hospital's former radiation oncology area. 2. The unit will feature advanced endoscopic technology. 3. The unit will have several treatment rooms and will offer patients gastrointestinal procedures, colonoscopies and other endoscopic care procedures. n