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AGA supports new guidelines favoring tests that prevent colorectal cancer
Date:3/5/2008

the majority of cancers present at the time of testing should not be offered to patients for colorectal cancer screening, including some types of previously endorsed guiaic-based stool tests.

Based on a review of the historic and recent evidence, the following tests were deemed acceptable options for the early detection of colorectal cancer and adenomatous polyps for asymptomatic adults aged 50 years and older:

Tests That Detect Adenomatous Polyps and Cancer

  • Flexible sigmoidoscopy every 5 years, or
  • Colonoscopy every 10 years, or
  • Double contrast barium enema (DCBE) every 5 years, or
  • CT colonography (CTC) every 5 years

Tests That Primarily Detect Cancer

  • Annual guaiac-based fecal occult blood test (gFOBT) with high test sensitivity for cancer, or
  • Annual fecal immunochemical test (FIT) with high test sensitivity for cancer, or
  • Stool DNA test (sDNA), with high sensitivity for cancer, interval uncertain.

The guidelines will appear in the May issue Gastroenterology, May/June issue of CA: A Cancer Journal for Clinicians, and are published early online on CA First Look.


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Contact: Aimee Frank
media@gastro.org
301-941-2620
American Gastroenterological Association
Source:Eurekalert

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