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Colonoscopy linked to decrease in colorectal cancer deaths, but many more could have been prevented
Date:3/8/2011

ted.

Other highlights from the March issue:

"The Colorectal Cancer Control Program: partnering to increase population level screening"

Researchers from the Centers for Disease Control and Prevention (CDC) authored a special article describing their work in extending screening for colorectal cancer prevention. In 2009, the CDC began a public health initiativethe Colorectal Cancer Control Program, which includes two components: a screening provision, supporting clinical service delivery for low income, under-insured persons; and screening promotion, involving activities to encourage broad, population-level screening. The article describes in detail their efforts to increase screening adherence to 80 percent of the population.

"Dynamic patient position changes during colonoscope withdrawal increase adenoma detection: a randomized, crossover trial"

Good colonoscopic withdrawal technique is associated with lower adenoma (precancerous polyp) miss rates and there has been a recent resurgence of research interest in elements of basic operator technique. Dynamic patient position changes during colonoscope withdrawal can improve luminal distension. In this study, researchers assessed whether position changes also improve polyp and adenoma detection, and the study concludes just that: dynamic position changes during colonoscope withdrawal significantly improved polyp and adenoma detection.

"Time of day variation in polyp detection rate for colonoscopies performed on a 3-hour shift schedule"

Recent research suggests that the colonoscopy polyp detection rate varies by time of day, possibly because of endoscopist fatigue. Mayo Clinic Rochester schedules colonoscopies in three-hour shifts, which should minimize fatigue. Researchers report that, at this institution, a three-hour shift schedule does not show a decrease in the polyp detection rate as the day progresses, as seen in other recent studies. Interven
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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