Update on Colon Cancer Screening: Recent Advances and Observations in Colorectal Cancer Screening

被引:14
|
作者
Anderson J.C. [1 ,2 ]
Shaw R.D. [3 ,4 ]
机构
[1] Department of Veterans Affairs Medical Center, 215 North Main Street, White River Junction, 05009, VT
[2] The Geisel School of Medicine at Dartmouth Medical, Hanover, NH
[3] Department of Veterans Affairs Medical Center, Northport, NY
[4] Stony Brook University School of Medicine, Stony Brook, NY
关键词
Adenoma; Adenoma detection rate; Colon capsule endoscopy; Colorectal cancer; CT colonography; Familial cancer syndromes; Fecal DNA; Fecal immunochemical test (FIT); Guidelines; Polyp resection; Quality measures; Serrated polyp; Surveillance;
D O I
10.1007/s11894-014-0403-3
中图分类号
学科分类号
摘要
There have been many recent advances and observations regarding colorectal cancer (CRC) screening. New CRC surveillance guidelines have been published to help endoscopists with the management of important clinical issues such as serrated polyps. There have been several important large studies examining the impact of endoscopic process measures such as bowel prep, withdrawal time, and adenoma detection rate on CRC screening. In addition, there have been technical advances in CT colonography including the development of exams that do not require a bowel preparation. Other new technology such as colon capsule endoscopy may aid endoscopists in the challenge of completing the evaluation of the colon in those patients with an incomplete colonoscopy. Finally, there have been large studies which examine the performance characteristics of the so-called non-invasive CRC screening tests such as fecal immunochemical test (FIT) and fecal DNA. © 2014, Springer Science+Business Media New York (outside the USA).
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