Castells Antoni
Servicio de Gastroenterología, Institut de Malalties Digestives i Metabòliques, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CIBERehd, Barcelona, Spain.
Gastroenterol Hepatol. 2012 Sep;35 Suppl 1:68-73. doi: 10.1016/S0210-5705(12)70036-5.
Colorectal cancer is one of the neoplasms most suitable for preventive measures, especially screening. Several cost-effective screening strategies are available: detection of fecal occult bleeding through chemical (guaiac tests) or immunological tests and endoscopic procedures such as flexible sigmoidoscopy or colonoscopy. This article reviews the most important studies on colorectal cancer screening presented at the annual congress of the American Gastroenterological Association, held in San Diego in May 2012, with special emphasis on its effectiveness in reducing the incidence and/or mortality associated with this neoplasm.
结直肠癌是最适合采取预防措施，尤其是筛查的肿瘤之一。有几种具有成本效益的筛查策略：通过化学（愈创木脂试验）或免疫检测来检测粪便潜血，以及采用诸如乙状结肠镜检查或结肠镜检查等内镜检查程序。本文回顾了2012年5月在圣地亚哥举行的美国胃肠病学会年会上提出的关于结直肠癌筛查的最重要研究，特别强调其在降低与该肿瘤相关的发病率和/或死亡率方面的有效性。
