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ASGE Urges Patients to Seek a Qualified Endoscopist Before Undergoing a Colonoscopy for Colorectal Cancer
Date:12/16/2008

copist to perform their colonoscopy and to ask questions about their qualifications."

Study participants included patients with colorectal cancer that was diagnosed between 1996 and 2001 in the province of Ontario, Canada, and died of colorectal cancer by 2003 (the case patients). Investigators found five individuals for each case patient who were similar but had not died of colon cancer by 2003 (the controls). The study looked at 10,292 case patients and 51,460 controls were identified; 719 case patients (7.0 percent) and 5,031 controls (9.8 percent) had undergone colonoscopy. Compared with controls, case patients were less likely to have undergone any attempted colonoscopy or complete colonoscopy. Complete colonoscopy was strongly associated with fewer deaths from left-sided colorectal cancer (33 percent reduction), but not from right-sided colorectal cancer (1 percent reduction).

ASGE, as the standard-setting society for endoscopy, has issued quality indicators for colorectal cancer screening that define measures for improving quality in colonoscopy. ASGE provides training and education to physicians to ensure that patients are receiving the highest quality of care possible. The Society offers a "Find a Doctor" feature at www.asge.org, as well as a list of questions patients should ask their gastrointestinal endoscopist before undergoing a colonoscopy or endoscopy procedure.

"Bowel prep and withdrawal time are key to a complete and thorough colonoscopy. Experts in gastrointestinal endoscopy will need to be more vigilant than ever in encouraging their patients to take their bowel prep as directed before the colonoscopy. A proper bowel prep allows the physician to clearly see the colon," said Petrini. "The missed lesions in this study were mostly on the right side of the colon, which often harbors flat lesions that are more difficult to detect than the m
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SOURCE American Society for Gastrointestinal Endoscopy
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