Abstract
Current gastroenterological opinion is that colonoscopy provides the most accurate technique for diagnosing structural colonic disease, especially neoplasia. A strong case has been made for continuing colonoscopic surveillance of patients with neoplastic polyps, chronic ulcerative colitis, and after resection of carcinomas. The incidence of these diseases is known, and calculations can be made of the desirable frequency of colonoscopy. These indicate that about 160 colonoscopies per 100,000 population per year are required. At present facilities in the United Kingdom fall well below that figure.
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Selected References
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- Aldridge M. C., Sim A. J. Colonoscopy findings in symptomatic patients without X-ray evidence of colonic neoplasms. Lancet. 1986 Oct 11;2(8511):833–834. doi: 10.1016/s0140-6736(86)92869-2. [DOI] [PubMed] [Google Scholar]
- Boulos P. B., Karamanolis D. G., Salmon P. R., Clark C. G. Is colonoscopy necessary in diverticular disease? Lancet. 1984 Jan 14;1(8368):95–96. doi: 10.1016/s0140-6736(84)90016-3. [DOI] [PubMed] [Google Scholar]
- Cockel R., Colin-Jones D. G., Schiller K. F. Gastrointestinal endoscopy services--a review of the 70s with predictions for the 80s. Health Trends. 1982 May;14(2):46–49. [PubMed] [Google Scholar]
- Farrands P. A., Vellacott K. D., Amar S. S., Balfour T. W., Hardcastle J. D. Flexible fiberoptic sigmoidoscopy and double-contrast barium-enema examination in the identification of adenomas and carcinoma of the colon. Dis Colon Rectum. 1983 Nov;26(11):725–727. doi: 10.1007/BF02554983. [DOI] [PubMed] [Google Scholar]
- Floyd C. E., Stirling C. T., Cohn I., Jr Cancer of the colon, rectum and anus: review of 1,687 cases. Ann Surg. 1966 Jun;163(6):829–837. doi: 10.1097/00000658-196606000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gilbertsen V. A., Nelms J. M. The prevention of invasive cancer of the rectum. Cancer. 1978 Mar;41(3):1137–1139. doi: 10.1002/1097-0142(197803)41:3<1137::aid-cncr2820410350>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
- Heald R. J., Bussey H. J. Clinical experiences at St. Mark's Hospital with multiple synchronous cancers of the colon and rectum. Dis Colon Rectum. 1975 Jan-Feb;18(1):6–10. doi: 10.1007/BF02587230. [DOI] [PubMed] [Google Scholar]
- Holdsworth C. D., Atkinson M. Gastroenterology services: a regional review. Br Med J (Clin Res Ed) 1984 Apr 21;288(6425):1245–1247. doi: 10.1136/bmj.288.6425.1245. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Langevin J. M., Nivatvongs S. The true incidence of synchronous cancer of the large bowel. A prospective study. Am J Surg. 1984 Mar;147(3):330–333. doi: 10.1016/0002-9610(84)90161-2. [DOI] [PubMed] [Google Scholar]
- Lennard-Jones J. E. Compliance, cost, and common sense limit cancer control in colitis. Gut. 1986 Dec;27(12):1403–1407. doi: 10.1136/gut.27.12.1403. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lennard-Jones J. E., Morson B. C., Ritchie J. K., Williams C. B. Cancer surveillance in ulcerative colitis. Experience over 15 years. Lancet. 1983 Jul 16;2(8342):149–152. doi: 10.1016/s0140-6736(83)90129-0. [DOI] [PubMed] [Google Scholar]
- Reilly J. C., Rusin L. C., Theuerkauf F. J., Jr Colonoscopy: its role in cancer of the colon and rectum. Dis Colon Rectum. 1982 Sep;25(6):532–538. doi: 10.1007/BF02564161. [DOI] [PubMed] [Google Scholar]
- Travieso C. R., Jr, Knoepp L. F., Jr, Hanley P. H. Multiple adenocarcinomas of the colon and rectum. Dis Colon Rectum. 1972 Jan-Feb;15(1):1–6. doi: 10.1007/BF02587659. [DOI] [PubMed] [Google Scholar]
- Williams C. B., Nishigami T. Quality of barium enemas. Lancet. 1983 Jul 2;2(8340):48–48. doi: 10.1016/s0140-6736(83)90032-6. [DOI] [PubMed] [Google Scholar]