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American College of Gastroenterology Issues Updated Colorectal Cancer Guidelines
Date:3/5/2009

Colonoscopy Every Ten Years is Preferred Screening Strategy According, to Experts

BETHESDA, Md., March 5 /PRNewswire-USNewswire/ -- The American College of Gastroenterology has issued updated screening guidelines for colorectal cancer in the March issue of The American Journal of Gastroenterology. The guideline offers new graded recommendations for screening in an update of those published by ACG in 2000.

Key Recommendations in New ACG Colorectal Cancer Screening Guideline:

  • Colonoscopy every 10 years is the preferred colorectal cancer prevention test.
  • Annual fecal immunochemical testing is the preferred colorectal cancer detection test.
  • African Americans should begin colorectal screening with colonoscopy at age 45.
  • To improve the effectiveness and tolerability of bowel preparation, the ACG now recommends "split dosing."

The College, which for many years has explored multiple ways to increase utilization of colorectal cancer screening tests, decided to supplement the joint Multi-Society Task Force on Colorectal Cancer guideline it has endorsed that presents a "menu of options" without a specific preference for colonoscopy every 10 years. The ACG guideline offers an important distinction for patients in recommending colonoscopy every ten years beginning at age 50 as a "preferred" strategy for clinicians as an alternative to the "menu of options" approach.

"A preferred strategy simplifies and shortens discussion with patients and could increase the likelihood that screening is offered to patients," explained Eamonn M.M. Quigley, M.D., FACG, President of the College.

One of the ACG's primary objectives in updating its colorectal cancer guideline is to focus attention on the importance of quality colonoscopy. "There is little doubt that the overall impact of colonoscopy depend
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SOURCE American College of Gastroenterology
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