Colonoscopy and Polyp Characteristics
Authors: Joseph D. Feuerstein, Daniel A. Leffler
Journal: Annals of Internal Medicine (2013)

Letters15 January 2013Colonoscopy and Polyp CharacteristicsJoseph D. Feuerstein, MD and Daniel A. Leffler, MD, MSJoseph D. Feuerstein, MDFrom Beth Israel Deaconess Medical Center, Boston, Massachusetts.Search for more papers by this author and Daniel A. Leffler, MD, MSFrom Beth Israel Deaconess Medical Center, Boston, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-158-2-201301150-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read Brenner and colleagues' article (1) with interest. The authors report that risk factors for colon cancer in the control group were incomplete polyp removal, detection of 3 or more polyps, and no surveillance colonoscopy in the past 5 years. In addition, incomplete colonoscopy, defined as failure to intubate the cecum, occurred in 7.7% of the control group. These findings are consistent with the accepted standard quality metrics in the United States for an adequate screening colonoscopy program (2).Brenner and colleagues' findings contrast with those of Kaminski and associates (3). In the 188 788 person-years of ...References1. Brenner H, Chang-Claude J, Jansen L, Seiler CM, Hoffmeister M. Role of colonoscopy and polyp characteristics in colorectal cancer after colonoscopic polyp detection: a population-based case-control study. Ann Intern Med. 2012;157:225-32. [PMID: 22910933] LinkGoogle Scholar2. Lieberman DA, Rex DK, Winawer SJ, Giardiello FM, Johnson DA, Levin TR; United States Multi-Society Task Force on Colorectal Cancer. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2012;143:844-57. [PMID: 22763141] CrossrefMedlineGoogle Scholar3. Kaminski MF, Regula J, Kraszewska E, Polkowski M, Wojciechowska U, Didkowska J, et al. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med. 2010;362:1795-803. [PMID: 20463339] CrossrefMedlineGoogle Scholar4. Baxter NN, Sutradhar R, Forbes SS, Paszat LF, Saskin R, Rabeneck L. Analysis of administrative data finds endoscopist quality measures associated with postcolonoscopy colorectal cancer. Gastroenterology. 2011;140:65-72. [PMID: 20854818] CrossrefMedlineGoogle Scholar5. Rex DK, Petrini JL, Baron TH, Chak A, Cohen J, Deal SE, et al; ASGE/ACG Taskforce on Quality in Endoscopy. Quality indicators for colonoscopy. Am J Gastroenterol. 2006;101:873-85. [PMID: 16635231] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Beth Israel Deaconess Medical Center, Boston, Massachusetts.Disclosures: Dr. Leffler: Consultancy and grants/grants pending: Prometheus Diagnostics, Alba Pharmaceuticals, Alvine Therapeutics, Shire Therapeutics. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRole of Colonoscopy and Polyp Characteristics in Colorectal Cancer After Colonoscopic Polyp Detection Hermann Brenner , Jenny Chang-Claude , Lina Jansen , Christoph M. Seiler , and Michael Hoffmeister Colonoscopy and Polyp Characteristics Hermann Brenner , Jenny Chang-Claude , and Michael Hoffmeister Metrics 15 January 2013Volume 158, Issue 2Page: 141-142KeywordsAdenomasColonoscopyColorectal cancerDrug therapyDysplasiaIntubationMedical risk factorsRisk management ePublished: 15 January 2013 Issue Published: 15 January 2013 Copyright & PermissionsCopyright © 2013 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...