SIED-GISCOR recommendations for colonoscopy in screening programs: Part I – Diagnostic

The implementation of FIT programs reduces incidence and mortality from CRC in the screened subjects. The ultimate efficacy for CRC morbidity and mortality prevention in a FIT program depends on the colonoscopy in FIT+ subjects that has the task of detecting and removing these advanced lesions. Rece...

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Published inDigestive and liver disease Vol. 56; no. 8; pp. 1350 - 1357
Main Authors Parodi, Maria Caterina, Antonelli, Giulio, Galloro, Giuseppe, Radaelli, Franco, Manes, Giampiero, Manno, Mauro, Camellini, Lorenzo, Sereni, Giuliana, Caserta, Luigi, Arrigoni, Arrigo, Fasoli, Renato, Sassatelli, Romano, Pigò, Flavia, Iovino, Paola, Scimeca, Daniela, De Luca, Luca, Rizkala, Tommy, Tringali, Alberto, Campari, Cinzia, Capogreco, Antonio, Testoni, Sabrina Gloria Giulia, Bertani, Helga, Fantin, Alberto, Mitri, Roberto Di, Familiari, Pietro, Labardi, Maurizio, De Angelis, Claudio, Anghinoni, Emanuela, Rubeca, Tiziana, Cassoni, Paola, Zorzi, Manuel, Mussetto, Alessandro, Hassan, Cesare, Senore, Carlo
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.08.2024
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Summary:The implementation of FIT programs reduces incidence and mortality from CRC in the screened subjects. The ultimate efficacy for CRC morbidity and mortality prevention in a FIT program depends on the colonoscopy in FIT+ subjects that has the task of detecting and removing these advanced lesions. Recently, there has been growing evidence on factors that influence the quality of colonoscopy specifically withing organized FIT programs, prompting to dedicated interventions in order to maximize the benefit/harm ratio of post-FIT colonoscopy. This document focuses on the diagnostic phase of colonoscopy, providing indications on how to standardise colonoscopy in FIT+ subjects, regarding timing of examination, management of antithrombotic therapy, bowel preparation, competence and sedation.
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ISSN:1590-8658
1878-3562
1878-3562
DOI:10.1016/j.dld.2023.11.028