Colonoscopy for Small Adenomas
Authors: Thomas E. Read
Journal: Annals of Internal Medicine (1999)

Letters20 April 1999Colonoscopy for Small AdenomasMichael B. Wallace, MD, MPH, Francis A. Farraye, MD, and James Alan Kemp, MD, MPHMichael B. Wallace, MD, MPHMedical University of South Carolina; Charleston, SC 29425 (Wallace)Harvard Vanguard Medical Associates; Boston, MA 02167 (Farraye)Harvard Vanguard Medical Associates; Boston, MA 02167 (Alan, Kemp)Search for more papers by this author, Francis A. Farraye, MDMedical University of South Carolina; Charleston, SC 29425 (Wallace)Harvard Vanguard Medical Associates; Boston, MA 02167 (Farraye)Harvard Vanguard Medical Associates; Boston, MA 02167 (Alan, Kemp)Search for more papers by this author, and James Alan Kemp, MD, MPHMedical University of South Carolina; Charleston, SC 29425 (Wallace)Harvard Vanguard Medical Associates; Boston, MA 02167 (Farraye)Harvard Vanguard Medical Associates; Boston, MA 02167 (Alan, Kemp)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-8-199904200-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Although the divergent results of similar studies should raise a skeptical eye, the published data on the prevalence of advanced proximal polyps in patients with small distal polyps are rapidly accumulating, and some suspension of final judgment is warranted. Since our article was published, one additional large study has been published (1). This study estimated that the prevalence of advanced proximal polyps in patients with small distal adenomas was 3.2%, although this included higher-risk patients (those with stools positive on fecal occult blood testing, abnormal findings on barium enema, or a family history of colorectal cancer).Read ...References1. 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 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. 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: Medical University of South Carolina; Charleston, SC 29425 (Wallace)Harvard Vanguard Medical Associates; Boston, MA 02167 (Farraye)Harvard Vanguard Medical Associates; Boston, MA 02167 (Alan, Kemp) 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 James C. Hurowitz Colonoscopy for Small Adenomas Kenneth W. Stubbs Colonoscopy for Small Adenomas Thomas E. Read , Julie D. Read , and Lynn F. Butterly Colonoscopy for Small Adenomas Norton J. Greenberger Metrics 20 April 1999Volume 130, Issue 8Page: 701KeywordsAdenomasColonColonoscopyColorectal cancerHematologic tests Issue Published: 20 April 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...