Third Asia-Pacific consensus recommendations on colorectal cancer screening and postpolypectomy surveillance

被引：70

作者：

Sung, Joseph J. Y. ^{[1
]}

Chiu, Han-Mo ^{[2
,3
]}

Lieberman, David ^{[4
]}

Kuipers, Ernst J. ^{[5
]}

Rutter, Matthew D. ^{[6
]}

Macrae, Finlay ^{[7
]}

Yeoh, Khay-Guan ^{[8
]}

Ang, Tiing Leong ^{[9
]}

Chong, Vui Heng ^{[10
]}

John, Sneha ^{[11
]}

Li, Jingnan ^{[12
]}

Wu, Kaichun ^{[13
]}

Ng, Simon S. M. ^{[14
]}

Makharia, Govind K. ^{[15
]}

Abdullah, Murdani ^{[16
,17
]}

Kobayashi, Nozomu ^{[18
,19
]}

Sekiguchi, Masau ^{[18
,19
]}

Byeon, Jeong-Sik ^{[20
]}

Kim, Hyun-Soo ^{[21
]}

Parry, Susan ^{[22
,23
]}

Cabral-Prodigalidad, Patricia Anne, I ^{[24
]}

Wu, Deng-Chyang ^{[25
]}

Khomvilai, Suparkij ^{[26
]}

Lui, Rashid N. ^{[27
,28
]}

Wong, Sunny ^{[1
]}

Lin, Yu-Min ^{[29
]}

Dekker, E. ^{[30
]}

机构：

[1] Lee Kong Chian Sch Med, Singapore, Singapore

[2] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei, Taiwan

[3] Natl Taiwan Univ, Coll Med, Dept Internal Med, Taipei, Taiwan

[4] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[5] Erasmus MC, Rotterdam, Netherlands

[6] Univ Hosp North Tees, Stockton On Tees, England

[7] Royal Melbourne Hosp, Melbourne, Vic, Australia

[8] Natl Univ Singapore, Singapore, Singapore

[9] Changi Gen Hosp, SingHlth Grp, Singapore, Singapore

[10] Raja Isteri Pengiran Anak Saleha Hosp Brunei, Bandar Seri Begawan, Brunei

[11] Gold Coast Univ Hosp, Endoscopy, Digest Hlth, Southport, Qld, Australia

[12] Peking Union Med Coll Hosp, Beijing, Peoples R China

[13] Fourth Mil Med Univ, Xian, Peoples R China

[14] Ihe Chinese Univ Hong Kong, Hong Kong, Peoples R China

[15] A11 India Inst Med Sci, Delhi, India

[16] Hosp Dr Cipto Mangunkusumo, Div Gastroenterol, Pancreatibiliar & Digest Endoscopy Dept, Jakarta, Indonesia

[17] Univ Indonesia, Human Canc Res Ctr, IMERI Fac Med, Jakarta, Indonesia

[18] Natl Canc Ctr, Canc Screening Ctr, Endoscopy Div, Tokyo, Japan

[19] Inst Canc Control, Div Screening Technol, Natl Canc Ctr, Tokyo, Japan

[20] Univ Ulsan, Coll Med, Seoul, South Korea

[21] Yonsei Univ, Seoul, South Korea

[22] New Zealand Minist Hlth, Natl Bowel Screening Programme, Auckland, New Zealand

[23] Univ Auckland, Auckland, New Zealand

[24] St Lukes Hosp, Quezon City, Philippines

[25] Kaohsiung Med Univ, Kaohsiung, Taiwan

[26] Chulalongkorn Univ, Bangkok, Thailand

[27] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Med & Therapeut, Div Gastroenterol & Hepatol, Hong Kong, Peoples R China

[28] Chinese Univ Hong Kong, Inst Digest Dis, Hong Kong, Peoples R China

[29] Shin Kong Wu Ho Mem Hosp, Taipei, Taiwan

[30] Univ Amsterdam, Amsterdam Univ, Med Ctr, Amsterdam, Netherlands

来源：

GUT | 2022年 / 71卷 / 11期

关键词：

COLORECTAL CANCER SCREENING; FECAL IMMUNOCHEMICAL TEST; SESSILE SERRATED ADENOMAS; HIGH-RISK ADENOMAS; CT COLONOGRAPHY; ADVANCED NEOPLASIA; INDEX COLONOSCOPY; FOLLOW-UP; MORTALITY; POPULATION; PARTICIPATION;

D O I：

10.1136/gutjnl-2022-327377

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The Asia-Pacific region has the largest number of cases of colorectal cancer (CRC) and one of the highest levels of mortality due to this condition in the world. Since the publishing of two consensus recommendations in 2008 and 2015, significant advancements have been made in our knowledge of epidemiology, pathology and the natural history of the adenoma-carcinoma progression. Based on the most updated epidemiological and clinical studies in this region, considering literature from international studies, and adopting the modified Delphi process, the Asia-Pacific Working Group on Colorectal Cancer Screening has updated and revised their recommendations on (1) screening methods and preferred strategies; (2) age for starting and terminating screening for CRC; (3) screening for individuals with a family history of CRC or advanced adenoma; (4) surveillance for those with adenomas; (5) screening and surveillance for sessile serrated lesions and (6) quality assurance of screening programmes. Thirteen countries/regions in the Asia-Pacific region were represented in this exercise. International advisors from North America and Europe were invited to participate.

引用

页码：2152 / 2166

页数：15

共 167 条

[41] Risk of Colorectal Cancer and Cancer Related Mortality After Detection of Low-risk or High-risk Adenomas, Compared With No Adenoma, at Index Colonoscopy: A Systematic Review and Meta-analysis [J].