Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Colonoscopic screening for colon cancer

Abstract

Colonoscopic screening for colon cancer was suggested in 1988 [17], but it has only recently received significant acceptance. It is a topic of much current discussion among both health care providers and the general public, especially since the nationally broadcasted colonoscopy of a well-known television anchor person [8]. This brief discussion presents the role of colonoscopy in colon cancer screening. It sets forth the rationale for endoscopic screening, evaluates it using World Health Organization guidelines, and briefly considers the timing and termination of screening. By screening is meant the testing of asymptomatic individuals in a large population. This is to be distinguished from surveillance, which involves ongoing follow-up testing of individuals at known risk. The former is the subject of this discussion.

This is a preview of subscription content, log in to check access.

References

  1. 1.

    Ackroyd FW (1994) Complications of flexible endoscopy. In: Greene FL, Ponsky JL (eds) Endoscopic surgery. WB Saunders, Philadelphia pp 440–441

  2. 2.

    American Cancer Society. Cancer Facts and Figures 2005. American Cancer Society, Atlanta

  3. 3.

    Axtell LM, Asire AJ, Meyers MD (eds) (1976) Cancer Patient Survival Report No. 5, Publication (NIH) 77-992. U.S. Department of Health, Education and Welfare, Washington, DC

  4. 4.

    Burt RW (2000) Colon cancer screening. Gastroenterology 119: 837–853

  5. 5.

    Capell MS, Forde KA (1989) spatial clustering of multiple hyperplastic, adenomatous, and malignant colonic polyps in individual patients Dis Colon Rectum 32: 641–652

  6. 6.

    Chen VW, Fenoglio-Prieser CM, Wu XC, Coates RJ, Reynolds P, Wickerham DL, Andrews P, Hunter C, Stemmermann G, Jackson JS, Edwards BK, and The National Cancer Institute Black/White Cancer Survival Study Group (1997) Aggressiveness of colon carcinoma in blacks and whites. Cancer Epidemiol Biomarkers 6: 1087–1093

  7. 7.

    Cordice JW, Johnson H (1991) Anatomic distribution of colon cancers in middle-class black Americans. J Natl Med Assoc 83: 730–732

  8. 8.

    Cram P, Fendrick AM, Inadomi J, Cohen ME, Carpenter D, Vijan S (2003) The impact of a celebrity promotional campaign on the use of colon cancer screening: the Katie Couric effect. Arch Int Med 163: 1601–1615

  9. 9.

    Feingold DL, Forde KA (2003) Colorectal cancer surveillance after 65 years. Am J Surg 185: 297–300

  10. 10.

    Fenoglio CM, Lane N (1974) The anatomical precursor of colorectal carcinoma. Cancer 34: 819–823

  11. 11.

    Ker TS, Wasserberg N, Beart RW Jr (2004) Colonoscopic perforation and bleeding of the colon can be treated safely without surgery. Am Surg 70: 922–924

  12. 12.

    Korman LY, Overholt BF, Box T, Winkler CK (2003) Perforation during colonoscopy in endoscopic ambulatory surgical centers. Gastrointest Endosc 58: 554–557

  13. 13.

    Lieberman DA (1995) Cost-effectiveness model for colon cancer screening. Gastroenterology 109: 1781–1790

  14. 14.

    Mandel J, Bond J, Church T, Snover D, Bradley M, Schuman, Ederer F (1993) Reducing mortality of colorectal cancer by screening for fecal occult blood. N Engl J Med 328: 1365–1371

  15. 15.

    Muller AD, Sonnenberg A (1995) Protection by endoscopy against death from colorectal cancer: a case–control study among veterans. Arch Int Med 155: 1741–1748

  16. 16.

    Nelson RL, Dollear T, Freels S, et al (1997) The relation of age, race, and gender to the subsite location of colorectal carcinoma. Cancer 80: 193–197

  17. 17.

    Neugut AI, Forde KA (1988) Screening colonoscopy: has the time come? Am J Gastroenterol 83: 295–297

  18. 18.

    Pignone M, Somnath S, Hoerger T, Mandelblatt J (2002) Cost-effectiveness analysis of colorectal cancer screening: a systematic review for the U.S. Preventive Services Task Force. Ann Int Med 137: 96–104

  19. 19.

    Rex DK, Cutler CS, Lemmel GT, Rahmani EY, Clark DW, Helper DJ, Lehman GA, Mark DG (1997) Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies. Gastroenterology 112: 24–28

  20. 20.

    Selby J, Friedman G, Quesenberry C, Weiss N (1992) A case–control study of screening sigmoidoscopy and mortality from colorectal cancer. N Engl J Med 326: 653–657

  21. 21.

    U.S. Department of Health and Human Services (1998) Colorectal cancer screening: technical review. AHCPR publication 98-0033. Agency for Health Care Policy and Research, Rockville, MD

  22. 22.

    Wexner SD, Forde KA, Sellers G, Lopes A, Weiss EG, et al (1998) How well can surgeons perform colonoscopy? Surg Endosc 12: 1410–1414

  23. 23.

    Winawer SJ, Zauber AG, Ho MN, O’Brien MJ, Gottleib LS, Sternberg SS, Waye JD, Schapiro M, Bond JH, Panish JF, Ackroyd F, Shike M, Kurtz RC, Hornsey-Lewis L, Gerdes H, Stewart ET, and the National Polyp Study Workgroup (1993) Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N Engl J Med 329: 1977–1981

Download references

Author information

Correspondence to K. A. Forde.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Forde, K. Colonoscopic screening for colon cancer. Surg Endosc 20, S471–S474 (2006). https://doi.org/10.1007/s00464-006-0028-1

Download citation

Keywords

  • Colon cancer
  • Colonoscopic screening
  • Colonoscopy