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Endoscopic screening and surveillance: Indications and standards

Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions, Vol: 9781461482925, Page: 3-17
2014
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Book Chapter Description

Endoscopy is the gold standard for detection of early cancer in the gastrointestinal tract. For normal-risk asymptomatic persons, endoscopic screening of the upper and lower gastrointestinal tract is recommended in Japan starting at the age of 40 years. In many Western countries, colonoscopy only is approved for cancer screening starting at the age of 50 years. As rationale serves that colonoscopic screening with resection of all neoplastic lesions had strongly reduced the incidence of colorectal cancer during subsequent follow-up for 10 years. High-risk groups are subject to different, more frequent endoscopic surveillance programs which we summarize for esophageal, gastric, and colorectal cancer. We explain the preparation and procedural steps of screening colonoscopy and esophago-/gastroscopy including benchmark criteria for quality of endoscopic screening.

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