Table 7.
Level | Average risk | High risk |
1 | Colonoscopy in 10 years interval, from 50 years of age | Special procedure, for individual groups |
2 | Colonoscopy once in a lifetime, at 50 years of age | Special procedure, for individual groups |
3 | Flexible sigmoidoscopy in 5 years interval, from 50 years of age; colonoscopy to follow if positive | Special procedure, for individual groups |
4 | Flexible sigmoidoscopy once in a lifetime, at 50 years of age; colonoscopy to follow if positive | Special procedure, for individual groups |
5 | Flexible sigmoidoscopy once in a lifetime, at 50 years of age; colonoscopy to follow only if advanced adenoma is detected | Same as individuals with average risk, if resources are not available for colonoscopy |
6 | FOBT in annual interval after 50 years of age; if positively tested, colonoscopy or double contrast barium enema | Same as individuals with average risk, if resources are not available for colonoscopy |
Adapted from: World Gastroenterology Organization/International Digestive Cancer Alliance. Practice Guidelines: Colorectal cancer screening. Available from: URL: http://www.worldgastroenterology.org/colorectal-cancer-screening.html. Last accessed on August 4, 2009.