Castells Antoni
Servicio de Gastroenterología, Hospital Clínic, IDIBAPS, CIBERehd, Universitat de Barcelona, Barcelona, España.
Gastroenterol Hepatol. 2015 Sep;38 Suppl 1:64-70. doi: 10.1016/S0210-5705(15)30021-2.
Colorectal cancer is one of malignancies showing the greatest benefit from preventive measures, especially screening or secondary prevention. Several screening strategies are available with demonstrated efficacy and efficiency. The most widely used are the faecal occult blood test in countries with population-based screening programmes, and colonoscopy in those conducting opportunistic screening. The present article reviews the most important presentations on colorectal cancer screening at the annual congress of the American Gastroenterological Association held in Washington in 2015, with special emphasis on the medium-term results of faecal occult blood testing strategies and determining factors and on strategies to reduce the development of interval cancer after colonoscopy.
结直肠癌是从预防措施中获益最大的恶性肿瘤之一，尤其是筛查或二级预防。有几种筛查策略已证明具有有效性和效率。使用最广泛的是在实施基于人群筛查计划的国家采用的粪便潜血试验，以及在进行机会性筛查的国家采用的结肠镜检查。本文回顾了2015年在华盛顿举行的美国胃肠病学会年会上关于结直肠癌筛查的最重要报告，特别强调了粪便潜血检测策略的中期结果、决定因素以及减少结肠镜检查后间隔期癌症发生的策略。
