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[Results of coloscopy screening in 2005--an Internet-based documentation].
Dtsch Med Wochenschr. 2006 Feb 24; 131(8):379-83.DM

Abstract

BACKGROUND AND OBJECTIVE

In October 2002 screening coloscopy was introduced into the National Cancer Prevention Programme in Germany. The results of an online registry are presented here.

METHODS

Data from consecutive screening colonoscopies in the practices of the 280 participating gastroenterologists, performed in asymptomatic subjects, were collected in an online registry. Number and histology of colorectal polyps and carcinomas, complication rates of colonoscopy and polypectomy were registered. Advanced adenoma was defined as an adenoma >10 mm in diameter, with villous or tubulovillous histology, or presence of high-grade dysplasia.

RESULTS

A total of 109989 colonoscopies (43% in males) were evaluated from October 2003 to July 2005. Tubular and villous adenomas were found in 16.2% and 3.8%, respectively, whereas invasive cancers were diagnosed in 0.7%. Advanced adenomas amounted to 6.1%.The majority of carcinomas were detected in early stages (UICC stages I and II in 48 and 22 %, respectively). -In most of the polyps immediate polypectomy was carried out. The complication rate was low and no deaths were observed: cardiopulmonary complications occurred in 0.10% of the colonoscopies, bleeding in 0.79% of polypectomies most of which were managed endoscopically (surgery in 0.04% of polypectomies). Perforation occurred in 0.02% of the colonoscopies and 0.10% of polypectomies.

CONCLUSIONS

Neoplasias of the colon were detected in about 20% of persons who had taken part in a colonoscopy screening programme: most of the lesions were immediately removed by polypectomy. The high rate of early stages of colorectal cancers detected by screening colonoscopy is an indirect indicator of mortality reduction. In Germany screening colonoscopy has a low risk.

Authors+Show Affiliations

Fachpraxis für Gastroenterologie Heidelberg, Römerstrasse 7, 69115 Heidelberg. dr.andreas.sieg@t-online.deNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ger

PubMed ID

16479468

Citation

Sieg, A, and A Theilmeier. "[Results of Coloscopy Screening in 2005--an Internet-based Documentation]." Deutsche Medizinische Wochenschrift (1946), vol. 131, no. 8, 2006, pp. 379-83.
Sieg A, Theilmeier A. [Results of coloscopy screening in 2005--an Internet-based documentation]. Dtsch Med Wochenschr. 2006;131(8):379-83.
Sieg, A., & Theilmeier, A. (2006). [Results of coloscopy screening in 2005--an Internet-based documentation]. Deutsche Medizinische Wochenschrift (1946), 131(8), 379-83.
Sieg A, Theilmeier A. [Results of Coloscopy Screening in 2005--an Internet-based Documentation]. Dtsch Med Wochenschr. 2006 Feb 24;131(8):379-83. PubMed PMID: 16479468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Results of coloscopy screening in 2005--an Internet-based documentation]. AU - Sieg,A, AU - Theilmeier,A, PY - 2006/2/16/pubmed PY - 2006/3/25/medline PY - 2006/2/16/entrez SP - 379 EP - 83 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch Med Wochenschr VL - 131 IS - 8 N2 - BACKGROUND AND OBJECTIVE: In October 2002 screening coloscopy was introduced into the National Cancer Prevention Programme in Germany. The results of an online registry are presented here. METHODS: Data from consecutive screening colonoscopies in the practices of the 280 participating gastroenterologists, performed in asymptomatic subjects, were collected in an online registry. Number and histology of colorectal polyps and carcinomas, complication rates of colonoscopy and polypectomy were registered. Advanced adenoma was defined as an adenoma >10 mm in diameter, with villous or tubulovillous histology, or presence of high-grade dysplasia. RESULTS: A total of 109989 colonoscopies (43% in males) were evaluated from October 2003 to July 2005. Tubular and villous adenomas were found in 16.2% and 3.8%, respectively, whereas invasive cancers were diagnosed in 0.7%. Advanced adenomas amounted to 6.1%.The majority of carcinomas were detected in early stages (UICC stages I and II in 48 and 22 %, respectively). -In most of the polyps immediate polypectomy was carried out. The complication rate was low and no deaths were observed: cardiopulmonary complications occurred in 0.10% of the colonoscopies, bleeding in 0.79% of polypectomies most of which were managed endoscopically (surgery in 0.04% of polypectomies). Perforation occurred in 0.02% of the colonoscopies and 0.10% of polypectomies. CONCLUSIONS: Neoplasias of the colon were detected in about 20% of persons who had taken part in a colonoscopy screening programme: most of the lesions were immediately removed by polypectomy. The high rate of early stages of colorectal cancers detected by screening colonoscopy is an indirect indicator of mortality reduction. In Germany screening colonoscopy has a low risk. SN - 0012-0472 UR - https://www.unboundmedicine.com/medline/citation/16479468/[Results_of_coloscopy_screening_in_2005__an_Internet_based_documentation]_ L2 - https://www.thieme-connect.com/DOI/DOI?10.1055/s-2006-932528 DB - PRIME DP - Unbound Medicine ER -