Colonoscopy and chromoscopy in hereditary colorectal cancer syndromes

Springer Science and Business Media LLC - Tập 15 - Trang 453-455 - 2016
Erin Jenkins Wessling1, Stephen J. Lanspa1
1Department of Gastroenterology, Creighton University, Omaha, USA

Tóm tắt

With hereditary colorectal cancer prevention studies it is difficult to demonstrate reduced mortality. Large populations are needed with well characterized genetics followed over a long period of time. Those studies do exist for standard white light colonoscopy surveillance in Lynch syndrome, but not for newer technologies including chromoscopy. For these newer technologies adenoma detection rate becomes the stand-in for mortality, and the assumption is made that surveillance efficacy impacts cancer occurrence. Though well-designed and important work exists in this area, the data do not support firm conclusions regarding the use of chromoscopy in Lynch syndrome.

Tài liệu tham khảo

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American Gastroenterological Association: guidelines. http://gastro.org/guidelines/2015/10/19/diagnosis-and-management-of-Lynch-syndrome. Accessed 18 Nov 2015

American College of Gastroenterology: clinical guidelines. http://gi.org/guideline/guidelines-on-genetic-evaluation-and-management-of-lynch-syndrome-a-consensus-statement-by-the-us-multi-task-force-on-colorectal-cancer/. Accessed 18 Nov 2015

Cochrane Library. http://cochranelibrary.com/cochrane-database-of-systematic-reviews/index.html. Accessed 18 Nov 2015

Rahmi G, Lecomte T et al (2015) Impact of chromoscopy on adenoma detection in patients with Lynch syndrome. Am J Gastroenterol 110(2):288–298