{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:45:32Z","timestamp":1773269132442,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2010,1,7]],"date-time":"2010-01-07T00:00:00Z","timestamp":1262822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Colonoscopy findings compared with findings at time of surgery have a discrepancy rate of 3\u201321%. The objective of our study was to investigate this discrepancy and provide potential resolutions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective study, we identified 400 patients who underwent colonoscopy followed by colon resection at our community hospitals in 1999\u20132006. Discrepancies between colonoscopy and intraoperative findings were noted. Each discrepancy was classified as major if the surgical procedure had to be altered, the lesion was missed, an unnecessary segment was removed, or the incision was extended. A discrepancy was classified as minor if there was no alteration in planned surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 400 cases, 160 (40%) were located in the right colon, 13 (3%) were in the transverse colon, 185 (46%) were in the left colon, and 42 (11%) were in the rectum. A total of 48 (12%) discrepancies between colonoscopy and intraoperative findings were identified: 26 (54%) were major and 22 (46%) were minor. Thirteen (27%) were in the proximal colon (3\u00a0major and 10\u00a0minor discrepancies), 3 (6.3%) were in the transverse colon (all major), 22 (46%) were in the distal colon (17\u00a0major and 5\u00a0minor), and 10 (21%) were in the rectum (3\u00a0major, 7\u00a0minor). Major discrepancies were significantly higher in the left colon (17 of the 185 left\u2010sided lesions; 9.1%) than in the right colon (3\/160; 1.9%; <jats:italic>P<\/jats:italic> = 0.045).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In our study, colonoscopy has an error rate of 12% when used to localize tumors; more than half of these patients require significant unanticipated changes in their surgery. The discrepancies are significantly higher in left side of colon.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0358-y","type":"journal-article","created":{"date-parts":[[2010,1,6]],"date-time":"2010-01-06T16:44:15Z","timestamp":1262796255000},"page":"1587-1591","source":"Crossref","is-referenced-by-count":31,"title":["Correlation Between Preoperative Endoscopic and Intraoperative Findings in Localizing Colorectal Lesions"],"prefix":"10.1002","volume":"34","author":[{"given":"Martine Adam","family":"Louis","sequence":"first","affiliation":[{"name":"Department of Surgery St. John\u2019s Queens Hospital Queens New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalyana","family":"Nandipati","sequence":"additional","affiliation":[{"name":"Department of Surgery St. John\u2019s Queens Hospital, New York Hospital Queens Queens New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakel","family":"Astorga","sequence":"additional","affiliation":[{"name":"Department of Surgery St. John\u2019s Queens Hospital Queens New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anupa","family":"Mandava","sequence":"additional","affiliation":[{"name":"Department of Surgery St. John\u2019s Queens Hospital Queens New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl\u2010P.","family":"Rousseau","sequence":"additional","affiliation":[{"name":"Department of Surgery St. John\u2019s Queens Hospital Queens New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Mandava","sequence":"additional","affiliation":[{"name":"Department of Surgery Flushing Medical Center 146\u201001, 45th Ave, Suite 405 11355 Flushing NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,1,7]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.140.10.932"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.53.1.5"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1542\u20103565(04)00664\u20100"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/00855910310001421"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2006.01012.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.2003.008284"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)17784-8"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02048029"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00298535"},{"key":"e_1_2_6_11_2","volume-title":"The best offense is a good defense against medical errors: putting the full\u2010court press on medical errors","author":"Eisenberg JM","year":"2000"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102004\u2010814399"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2006.00905.x"},{"key":"e_1_2_6_14_2","first-page":"16","article-title":"Staying safe: simple tools for safe surgery","volume":"92","author":"Karl RC","year":"2007","journal-title":"Bull Am Coll Surg"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2003.12.016"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016\u20105107(02)70035\u20107"},{"key":"e_1_2_6_17_2","volume-title":"To err is human: building a safer health care system [monograph on the Internet]","author":"Kohn LT","year":"2000"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-009-0358-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-009-0358-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-009-0358-y","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:50:45Z","timestamp":1703605845000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-009-0358-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,1,7]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2010,7]]}},"alternative-id":["10.1007\/s00268-009-0358-y"],"URL":"https:\/\/doi.org\/10.1007\/s00268-009-0358-y","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,1,7]]}}}