Advances in CRC Prevention: Screening and Surveillance

被引:131
作者
Dekker, Evelien [1 ]
Rex, Douglas K. [2 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Dept Gastroenterol & Hepatol, Amsterdam, Netherlands
[2] Indiana Univ Sch Med, Div Gastroenterol & Hepatol, Indianapolis, IN 46202 USA
关键词
Colorectal Cancer; Screening; Colonoscopy; ENDOSCOPIC MUCOSAL RESECTION; COLD SNARE POLYPECTOMY; LATERALLY SPREADING TUMORS; ADENOMA DETECTION RATE; FORWARD-VIEWING COLONOSCOPY; CAP-ASSISTED COLONOSCOPY; SMALL COLORECTAL POLYPS; SOCIETY TASK-FORCE; NARROW-BAND; GASTROINTESTINAL ENDOSCOPY;
D O I
10.1053/j.gastro.2018.01.069
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Colorectal cancer (CRC) is among the most commonly diagnosed cancers and causes of death from cancer across the world. CRC can, however, be detected in asymptomatic patients at a curable stage, and several studies have shown lower mortality among patients who undergo screening compared with those who do not. Using colonoscopy in CRC screening also results in the detection of precancerous polyps that can be directly removed during the procedure, thereby reducing the incidence of cancer. In the past decade, convincing evidence has appeared that the effectiveness of colonoscopy as CRC prevention tool is associated with the quality of the procedure. This review aims to provide an up-to-date overview of recent efforts to improve colonoscopy effectiveness by enhancing detection and improving the completeness and safety of resection of colorectal lesions.
引用
收藏
页码:1970 / 1984
页数:15
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