Effectiveness and patient tolerance of screening colonoscopy -- first results

Zeitschrift für Gastroenterologie
D HüppeG Felten

Abstract

In Germany screening colonoscopy was introduced into the national program on colorectal cancer prevention in October 2002 for asymptomatic subjects older than 55 years. It is the aim of this program to reduce the rate of mortality of colorectal cancer (CRC) during the next decade. Up to now no data are available concerning the outcome and patient tolerance of screening colonoscopy. Patients were enrolled in the prospective study between October 2002 and June 2003. The diagnoses from colonoscopy and complications were recorded. A short interview provided information on individual family risks of CRC. During June 2003 all subjects were handed a questionnaire to evaluate their satisfaction and tolerance concerning screening colonoscopy. All subjects were offered sedation (Disoprivan: Propofol). A total of 1117 subjects (776 [69.5 %] female, 341 [30.5 %] male) underwent screening colonoscopy; age: 64.3 +/- 6.9 years. 1104 (98.8 %) requested sedation. In 1090 cases (97.6 %) colonoscopy was completed to the cecum (photographic documentation of cecal landmarks). A total of 11 patients had invasive cancer (1 %), 4 of these had adenomas containing invasive carcinoma. The stage was T1/N0 or T2/N0. A total of 138 (12.4 %) patients had 168...Continue Reading

Citations

Aug 10, 2006·Der Radiologe·O SchaeferM Langer
Aug 19, 2007·Diseases of the Colon and Rectum·Andreas AdlerUNKNOWN Berlin Private-Practice Gastroenterology Working Group
Mar 13, 2009·Diseases of the Colon and Rectum·Elfriede BollschweilerArnulf H Hölscher
May 16, 2009·European Journal of Gastroenterology & Hepatology·Bernd BokemeyerHerbert Koop

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