Abstract
Colorectal cancer is the second major cause of cancer-related death in the United States. The long time involved in progression of mucosal dysplasia from a small polyp to an invasive cancer and the ability to image the colon mucosa are features that make early detection and prevention of colorectal cancer by colonoscopy possible. Although colonoscopy has contributed to a marked decline in the number of colorectal cancer-related deaths, the protective effect of colonoscopy, when used in routine clinical practice, has not lived up to the expectations raised by carefully controlled prospective research studies. Therefore new systems that assess quality of colonoscopy are needed.
Original language | English (US) |
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Pages (from-to) | 699-716 |
Number of pages | 18 |
Journal | Gastrointestinal Endoscopy Clinics of North America |
Volume | 20 |
Issue number | 4 |
DOIs | |
State | Published - Oct 2010 |
Bibliographical note
Funding Information:This review discusses some research results that have been submitted for publication. I am indebted to Rohit Gupta and Vipin Kumar from the University of Minnesota in Minneapolis, Minnesota; Monique van Leerdam from the Erasmus University in Rotterdam, The Netherlands; Wallapak Tavanapong and Johnny Wong from Iowa State University in Ames, Iowa; JungHwan Oh from the University of North Texas in Denton, Texas; and Johan Bakken and Felicity Enders from the Mayo Clinic in Rochester, Minnesota; for their contributions. This work was supported by grants from the National Science Foundation, the Agency for Healthcare Research and Quality, the National Institute of Diabetes and Digestive and Kidney Diseases, and the Mayo Clinic.
Keywords
- Colonoscopy
- Colorectal cancer
- Endoscopic Multimedia Information System
- Endoscopist
- Quality