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Poor Attitudes About Preparation, But What’s Good for Colonoscopy Is Not Good for Advanced Imaging

Authors: S Bennett Hooks, MD, Jack A. DiPalma, MD

Abstract

Colon cancer is the second leading cause of malignant death in the United States. In 2007, there will be over 150,000 cases and 50,000 deaths. The natural history of colon cancer, with slow growth, precursor lesions (adenomatous polyps), and available prevention tests, makes it ideal for screening.1 Compelling data from observational studies and randomized trials support the benefits of screening interventions.1,2 All of the current colorectal examinations require bowel preparation.

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References

1. Winawer SJ, Fletcher RH, Miller L, et al. Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology 1997;112:594–642.
 
2. Beebe TJ, Johnson CD, Stoner SM, et al. Assessing attitudes toward laxative preparation in colorectal cancer screening and effects on future testing: potential receptivity to computed tomographic colonography. Mayo Clin Proc 2007;82:666–671.
 
3. Toledo T, Di Palma JA. Review article: colon cleansing preparation for gastrointestinal procedures. Aliment Pharmacol Ther 2001;15:605–611.
 
4. Di Palma JA. Preparation for colonscopy. In: Rex D, Waye JD, Williams CB, eds. Colonoscopy: Principles and Practice. London, Blackwell, 2003, pp 210–219.
 
5. Rex DK, Imperiale TF, Latinovich DR, Bratcher LL. Impact of bowel preparation on efficiency and cost of colonoscopy. Am J Gastroenterol 2002;97:1696–1700.