Screening Sigmoidoscopy: Can the Road to Colonoscopy Be Less Traveled?
Authors: Sidney J. Winawer
Journal: Annals of Internal Medicine (2003)

Editorials16 December 2003Screening Sigmoidoscopy: Can the Road to Colonoscopy Be Less Traveled?Sidney J. Winawer, MDSidney J. Winawer, MDFrom Memorial Sloan-Kettering Cancer Center; New York, NY 10021.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-12-200312160-00013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Since 1997, there has been a consensus that screening is effective in reducing colorectal cancer mortality and is cost-effective (1-4). Colorectal cancer screening has now become the standard of medical practice, and failure to screen has become a basis for malpractice suits. Guidelines suggest a 1- or a 2-stage screening approach. The 1-stage approach is to screen average-risk men and women with colonoscopy every 10 years. This 1-stop shopping strategy can screen, diagnose, and treat by removing premalignant adenomatous polyps. 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Wagner , Ching Y. Lin , Gregory N. Larkin , James D. Rogge , and David F. Ransohoff Metrics Cited byValue of combined detection of IFOBT, tumor markers, and inflammatory markers in predicting occurrence of advanced colorectal adenomaClinical Factors Associated with Adherence to the Follow-Up Examination after Positive Fecal Occult Blood Test in National Colorectal Cancer ScreeningAdenoma and advanced neoplasia detection rates increase from 45 years of ageStatus of Colorectal Cancer Devices: Present ScenarioOverview of Colorectal CancerAdherence to follow-up after a positive fecal occult blood test in an organized colorectal cancer screening program in Korea, 2004-2008Colorectal Cancer Diagnosis Using DNA Levels in Blood and StoolColonoscopy in Colorectal-Cancer Screening for Detection of Advanced NeoplasiaColonoscopic Screening of Average-Risk Women for Colorectal NeoplasiaQuality control for flexible sigmoidoscopy: which polyps count? 16 December 2003Volume 139, Issue 12Page: 1034-1035KeywordsAdenomasAlgorithmsBiopsyColonColonoscopyColorectal cancerColorectal cancer screeningFlexible sigmoidoscopyMortalityRandomized trials ePublished: 16 December 2003 Issue Published: 16 December 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. 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