Jansen Jan B M J, van Rossum Leo G M, Laheij Robert J F
Universitair Medisch Centrum St Radboud, afd. Maag-, Darm- en Leverziekten, Nijmegen, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A474.
In 2003, the European Commission advised the Member States to start colorectal cancer screening. More than 12 million Europeans have been tested to date, not only by means of faecal occult blood testing but often also by opportunistic endoscopy. Nearly all of the screening programmes concerned were opportunistic in nature. The Dutch government is currently considering the implementation of an organised screening programme for the detection of colorectal cancer. The question no longer seems to be whether a screening programme should be started but rather which screening test should be used. We argue that an immunological faecal occult blood test is to be preferred over other screening tests, such as endoscopy.
2003年，欧盟委员会建议成员国启动结直肠癌筛查。迄今为止，已有超过1200万欧洲人接受了检测，检测手段不仅包括粪便潜血检测，还常常采用机会性内镜检查。几乎所有相关的筛查项目本质上都是机会性的。荷兰政府目前正在考虑实施一项有组织的结直肠癌检测筛查项目。问题似乎不再是是否应该启动筛查项目，而是应该使用哪种筛查检测方法。我们认为，与其他筛查检测方法（如内镜检查）相比，免疫粪便潜血检测更值得优先选择。
