Colonoscopy for Small Adenomas
Authors: Norton J. Greenberger
Journal: Annals of Internal Medicine (1999)

Letters20 April 1999Colonoscopy for Small AdenomasThomas E. Read, MD, Julie D. Read, RN, and Lynn F. Butterly, MDThomas E. Read, MDWashington University School of Medicine; St. Louis, MO 63110 (Read)Washington University School of Medicine; St. Louis, MO 63110 (Read)Lahey Clinic; Burlington, MA 01805 (Butterly)Search for more papers by this author, Julie D. Read, RNWashington University School of Medicine; St. Louis, MO 63110 (Read)Washington University School of Medicine; St. Louis, MO 63110 (Read)Lahey Clinic; Burlington, MA 01805 (Butterly)Search for more papers by this author, and Lynn F. Butterly, MDWashington University School of Medicine; St. Louis, MO 63110 (Read)Washington University School of Medicine; St. Louis, MO 63110 (Read)Lahey Clinic; Burlington, MA 01805 (Butterly)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-8-199904200-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In a study similar to that of Wallace and colleagues (1), we found higher rates of proximal neoplasia (29%) and advanced proximal neoplasia (6%) in patients whose index lesion at screening flexible sigmoidoscopy was an adenomatous polyp 5 mm or less in diameter (2). Wallace and colleagues attributed the variance in results to our inclusion of patients who had diminutive rectosigmoid polyps with tubulovillous, villous, and dysplastic features. Review of our data, however, does not suggest a correlation between the histologic features of diminutive and small index rectosigmoid adenomas and the prevalence of advanced proximal colonic neoplasia ...References1. Wallace MB, Kemp JA, Trnka YM, Donovan JM, Farraye FA. Is colonoscopy indicated for small adenomas found by screening flexible sigmoidoscopy? Ann Intern Med. 1998;129:273-8. LinkGoogle Scholar2. Read TE, Read JD, Butterly LF. Importance of adenomas 5 mm or less in diameter that are detected by sigmoidoscopy. N Engl J Med. 1997;336:8-12. CrossrefMedlineGoogle Scholar3. Read TE, Read JD, Butterly LF. Importance of colonic adenomas 5 mm or less in diameter [Letter]. N Engl J Med. 1997;336:1761-2. CrossrefGoogle Scholar4. Schoen RE, Corle D, Cranston L, Weissfeld JL, Lance P, Burt R, et al . Is colonoscopy needed for the nonadvanced adenoma found on sigmoidoscopy? The Polyp Prevention Trial. Gastroenterology. 1998;115:533-41. CrossrefMedlineGoogle Scholar5. Winawer SJ, Fletcher RH, Miller L, Godlee F, Stolar MH, Mulrow CD, et al . Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology. 1997;112:594-642. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Washington University School of Medicine; St. Louis, MO 63110 (Read)Washington University School of Medicine; St. Louis, MO 63110 (Read)Lahey Clinic; Burlington, MA 01805 (Butterly) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIs Colonoscopy Indicated for Small Adenomas Found by Screening Flexible Sigmoidoscopy? Michael B. Wallace , James Alan Kemp , Yvona M. Trnka , Joanne M. Donovan , and Francis A. Farraye Colonoscopy for Small Adenomas Norton J. Greenberger Colonoscopy for Small Adenomas Michael B. Wallace , Francis A. Farraye , and James Alan Kemp Colonoscopy for Small Adenomas James C. Hurowitz Colonoscopy for Small Adenomas Kenneth W. Stubbs Metrics Cited ByScreening colonoscopy: option or preference?Screening flexible sigmoidoscopy: Effectiveness is not enough 20 April 1999Volume 130, Issue 8Page: 700-701KeywordsAdenomasColonColonoscopyFlexible sigmoidoscopyLesions Issue Published: 20 April 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...