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

dated guidelines recommend that at least half of the preparation is given on the day of colonoscopy, rather than all of the preparation on the day before the examination. Additionally, a new recommendation from ACG is that patients be allowed to ingest clear liquids until 2 hours prior to sedation for colonoscopy consistent with practice guidelines of the American Society of Anesthesiologists.

While Virtual Colonoscopy is an Alternative, ACG Notes its Limitations: CT Colonography (also known as "virtual" colonoscopy) is endorsed in the updated ACG guideline as an alternative to colonoscopy every 10 years for patients who decline colonoscopy. The College includes CRC as an alternative in light of recent studies which reveal that CTC has a 90 percent sensitivity for colon polyps larger than 1 centimeter. The College does not consider CTC as an equivalent to colonoscopy as a screening strategy for several reasons: its inability to detect polyps 5 millimeters and smaller, which constitute 80 percent of colorectal neoplasms; false positives are common with CTC; and concerns about the radiation risk associated with one or repeated CT colonography studies, although the exact risk associated with radiation is unclear.

About the American College of Gastroenterology

Founded in 1932, the American College of Gastroenterology (ACG) is an organization with an international membership of more than 10,000 individuals from 80 countries. The College is committed to serving the clinically oriented digestive disease specialist through its emphasis on scholarly practice, teaching and research. The mission of the College is to serve the evolving needs of physicians in the delivery of high quality, scientifically sound, humanistic, ethical, and cost-effective health care to gastroenterology patients. To learn more, visit www.acg.gi.org.

A link to the guideline is located onlin
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SOURCE American College of Gastroenterology
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