Colonoscopy

The Current King of the Hill in the USA

Douglas Rex

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Colonoscopy is the dominant colorectal cancer screening strategy in the USA. There are no randomized controlled trials completed of screening colonoscopy, but multiple lines of evidence establish that colonoscopy reduces colorectal cancer incidence in both the proximal and distal colon. Colonoscopy is highly operator dependent, but systematic efforts to measure and improve quality are impacting performance. Colonoscopy holds a substantial advantage over other strategies for detection of serrated lesions, and a recent case–control study suggests that once-only colonoscopy or colonoscopy at 20-year intervals, by a high-level detector, could ensure lifetime protection from colorectal cancer for many patients.

Original languageEnglish
Pages (from-to)639-646
Number of pages8
JournalDigestive Diseases and Sciences
Volume60
Issue number3
DOIs
StatePublished - Mar 1 2015

Fingerprint

Colonoscopy
Colorectal Neoplasms
Early Detection of Cancer
Colon
Randomized Controlled Trials
Incidence

Keywords

  • Colonoscopy
  • Colorectal cancer
  • Colorectal polyp
  • Screening

ASJC Scopus subject areas

  • Gastroenterology
  • Physiology
  • Medicine(all)

Cite this

Colonoscopy : The Current King of the Hill in the USA. / Rex, Douglas.

In: Digestive Diseases and Sciences, Vol. 60, No. 3, 01.03.2015, p. 639-646.

Research output: Contribution to journalArticle

Rex, Douglas. / Colonoscopy : The Current King of the Hill in the USA. In: Digestive Diseases and Sciences. 2015 ; Vol. 60, No. 3. pp. 639-646.
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