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

s critically on high quality baseline examinations. Therefore, ACG recommends that screening colonoscopies be performed by appropriately trained and skilled examiners, who are dedicated to consistent performance of high quality examinations," said Douglas K. Rex, M.D., FACG, lead author of the new guideline. The College has both endorsed and developed quality indicators for colonoscopy and the guideline offers extensive recommendations to physicians aimed to enhance colonoscopy's quality and effectiveness in cancer detection.

Highlights of New Cancer Screening Recommendations from the American College of Gastroenterology

The updated guidelines include several new recommendations regarding screening for certain patients at higher than average risk for colorectal cancer, as well as new recommended approaches to cleaning the bowel before colonoscopy.

Cancer Prevention Tests Are Preferred: In ACG's updated colon cancer guideline, screening tests are divided into cancer prevention and cancer detection tests. Cancer prevention tests are preferred over detection tests.

Colonoscopy is the Preferred Colorectal Cancer Prevention Test: Colonoscopy every 10 years beginning at age 50 remains the preferred strategy for colorectal cancer screening.

Screening for African Americans Should Begin Earlier: The updated guideline includes a new recommendation for African Americans to begin colorectal cancer screening earlier, at age 45, because of the high incidence of colorectal cancer and a greater prevalence of proximal or right-sided polyps and cancerous lesions in this population.

New Recommendations for Bowel Preparation Aim to Enhance Effectiveness and Improve Tolerability for Patients: To improve the quality of colonoscopy exams and the tolerability of bowel preparation, the College believes that the best established principle of bowel preparation is "split dosing" and the up
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SOURCE American College of Gastroenterology
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