No data to support leaving small colon polyps in place

The American Gastroenterological Association (AGA) Institute is eager to increase the number of patients who receive screening for colon cancer. There are a variety of established screening methods that are widely available, and emerging technologies, such as computed tomography colonography (CT colonography), that are under investigation. As the medical community evaluates CT colonography, the AGA Institute offers the following comments regarding the study by Pickhardt et al published in Cancer on the cost-effectiveness of colorectal cancer screening with CT colonography and the impact of not reporting diminutive lesions.

To date, there are no long-term, adequately controlled studies that define whether leaving small polyps is truly safe. The science is not there, and only anecdotal conclusions can currently be made, says John I. Allen, MD, MBA, AGAF, incoming chair of the AGA Institute Clinical Practice & Quality Management Committee. We are especially concerned as more literature emerges about small, flat, right-sided polyps. These were traditionally called hyperplastic polyps but now are recognized to be sessile serrated polyps that have a malignant potential. Radiologic imaging would not be expected to detect these polyps. This should remind us all of the need for meticulous evaluation, slow withdrawal and inspection of the proximal colon during optical colonoscopy.

The AGA has asked the National Institutes of Health to pursue a study to establish the clinical significance of diminutive polyps (<5mm) using adequate controls and long term follow up.

The need to define the natural history and biological significance of small polyps is central to refining colorectal cancer screening, irrespective of modality, says Joel V. Brill, MD, AGAF, incoming chair of the AGA Institute Practice Management & Economics Committee. We support any technology that helps more patients get screened for colorectal cancer. However, in the rush

Contact: Aimee Frank
American Gastroenterological Association

Page: 1 2 3

Related medicine news :

1. New contracts support clinical trials on antibiotic-resistant, community-acquired staph infections
2. Galileo to support global search and rescue
3. Michigan-CDC study supports value of social restrictions during influenza pandemics
4. Damon Runyon renews its $2.25 million investment to support young clinical cancer investigators
5. Advocates ask fashion industry to support braille clothing tags; talking Web site
6. ACP supports improved access to information on relative strengths and weaknesses
7. Study supports activity of GEMZAR in the treatment of early-stage breast cancer
8. Disadvantaged TB patients urgently need social support to make medical treatment more effective
9. UPMC begins study of heart support device as a bridge to transplantation
10. New research supports early testing for prostate cancer
11. ACP enthusiastically supports introduction of Bipartisan Health CARE Act

Post Your Comments:

(Date:4/17/2019)... (PRWEB) , ... April 17, 2019 , ... ... their advice. However, recently, this reluctance appears to be changing. Whether because of ... or, at least, probe their healthcare providers advice. , In the past, efforts ...
(Date:4/17/2019)... ... 17, 2019 , ... Purple Biosciences today introduces Purple Tree®, ... was designed to lessen the negative effects of alcohol, so adults can lead ... and Amazon.com . , According to the Centers for Disease Control, ...
(Date:4/17/2019)... , ... April 17, 2019 , ... ... compliance and commercialization, has just released the second installment of their two-part white ... devices. , The new white paper reviews some of the high-level ...
(Date:4/17/2019)... (PRWEB) , ... April 17, 2019 , ... Tune in ... of Women’s Excellence who overcame infertility and endometriosis with robotic surgery. Hosts Dr. ... benefits of robotic surgery for patients and the impact robotic surgery can have on ...
(Date:4/16/2019)... (PRWEB) , ... April 17, 2019 , ... ... uniforms and accessories for healthcare and hospitality industries recently relocated their Morrow, Georgia ... great focus on providing an outstanding shopping experience for customers by improving and ...
Breaking Medicine News(10 mins):
(Date:4/18/2019)... ... April 18, 2019 , ... ... life science industry in advancing the development of medical therapies, announced today that ... (NAFLD) and its more advanced form, nonalcoholic steatohepatitis (NASH), to help sponsors develop ...
(Date:4/18/2019)... ... April 18, 2019 , ... ... industry-leading OPTIMASE® portfolio of biobased enzymes for medical instrument cleaning applications. ... specific challenges faced by medical instrument cleaning customers,” said Sheril Vaidhyan, Global ...
(Date:4/17/2019)... ... ... feel overwhelmed by all of the decisions you make when it comes to your benefits ... Do you have the budget for a best in class solution? Will the tools you ... Partnerships, Hodges-Mace and Jay Schmitt, Principal, Strategic Benefits Advisors , on April ...
Breaking Medicine Technology:
Cached News: