A recent study published in the journal Clinical Gastroenterology and Hepatology examines the occurrence of interval colorectal cancer and ways to prevent it.
Causes of interval CRC
• Missed lesions
• Incomplete polypectomy
• Rapid progression
What GI physicians can do
• Identify patients at risk of biologically aggressive neoplasia based on family history or molecular analysis of initial adenomas
• Improve colonoscopy quality: work to decrease missed or incompletely resected lesions
• Focus on training: studies consistently show that gastroenterologists and colorectal surgeons have lower adenoma miss rates than edoscopists with less training
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