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Re: Cytotec revisitedFrom: ainsron@msn.comTue Dec 5 13:34:19 2000
ALSO FROM ACOG: > >Revised Recommendations on Colorectal Cancer Screening > >ACOG has updated two documents to reflect the latest recommendations on >colorectal cancer screening. Revised >committee opinions on Routine Cancer Screening and Primary and >Preventive Care: Periodic Assessments now >provide some testing options in routine colorectal cancer screening. >Beginning at age 50, women should have a >yearly fecal occult blood test plus one of the following: flexible >sigmoidoscopy every 5 years; colonoscopy every >10 years; or double contrast barium enema (DCBE) every 5 to 10 years. A >digital rectal exam should also be >performed at the time of each sigmoidoscopy, colonoscopy or DCBE. I stongly recommend colon cancer screening to all of my patients over 50. I don't know about your experiences, but probably only 20-30% accept. ACOG's recommendation does not correlate completely with what I tell my patients, nor what I've seen from others sources. The big selling point for colonoscopy rather than sigmoidoscopy is that if it is normal, fecal occult blood tests do not have to be obtained in the intervening years and it has to be done every 10 years rather than every five years. The purpose of the fecal occult blood is to check for the "higher lesions" that may have been missed by only looking partially at the colon. Correct? or am I missing something?
-- Ronald E. Ainsworth, MD
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