Tired doctors at risk of missing adenomas

Gastroenterologists who perform colonoscopies while fatigued are at “unacceptable risk” of missing adenomas, according to a study that assesses the impact of doctors being on call at night.

The study of 9,300 colonoscopies shows gastroenterologists experience limited or fragmented sleep when they are on call at night, reducing their attention span and ability to respond to stimuli in time.

Despite longer withdrawal times for colonoscopies following a night call, there was a 24% decrease in adenoma detection