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Screening sigmoidoscopy for colorectal cancer: further pieces in the jigsaw

Charlie H Viiala and John K Olynyk
Med J Aust 2004; 180 (10) || doi: 10.5694/j.1326-5377.2004.tb06049.x
Published online: 17 May 2004

Consensus is yet to be reached on the optimal approach to screening

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  • School of Medicine and Pharmacology, University of Western Australia, Fremantle Hospital Campus, Fremantle, WA.


Correspondence: 

  • 1. National Health and Medical Research Council. Guidelines for the prevention, early detection and management of colorectal cancer: a guide for general practitioners. Canberra: NHMRC, 2000.
  • 2. Walsh JM, Terdiman JP. Colorectal cancer screening. JAMA 2003; 289: 1288-1296.
  • 3. Selby JV, Friedman GD, Quesenberry CP, Weiss NC. A case control study of screening sigmoidoscopy and mortality from colorectal cancer. N Engl J Med 1992; 326: 653-657.
  • 4. Collett JA, Olynyk JK, Platell CF. Flexible sigmoidoscopy screening for colorectal cancer in average-risk people: update of a community-based project. Med J Aust 2000; 173: 463-466.
  • 5. Platell C, Philpott J, Olynyk J. Flexible sigmoidoscopy screening for colorectal neoplasia in average-risk people: evaluation of a five-year rescreening interval. Med J Aust 2002; 176: 371-373.
  • 6. UK Flexible Sigmoidoscopy Screening Trial Investigators. Single flexible sigmoidoscopy screening to prevent colorectal cancer: baseline findings of a UK multicentre randomised trial. Lancet 2002; 359: 1291-1300.
  • 7. Levin TR, Conell C, Shapiro JA, et al. Complications of screening flexible sigmoidoscopy. Gastroenterology 2002; 123: 1786-1792.
  • 8. Viiala CH, Zimmerman M, Cullen DJE, Hoffman N. Complication rates of colonoscopy in an Australian teaching hospital environment. Intern Med J 2003; 33: 355-359.
  • 9. Lewis J, Ng K, Hung K, et al. Detection of proximal adenomatous polyps with screening sigmoidoscopy. Arch Intern Med 2003; 163: 413-420.
  • 10. Schoenfeld P, Lipscomb S, Crook J, et al. Accuracy of polyp detection by gastroenterologists and nurse endoscopists during flexible sigmoidoscopy: a randomized trial. Gastroenterology 1999; 117: 312-318.
  • 11. Rex DK, Cutler CS, Lemmel GT, et al. Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies. Gastroenterology 1997; 112: 24-28.
  • 12. Schoen R, Pinsky P, Weissfeld J, et al. Results of repeat sigmoidoscopy 3 years after a negative examination. JAMA 2003; 290: 41-48.
  • 13. O’Leary BA, Olynyk JK, Neville AM, Platell CF. Cost-effectiveness of colorectal cancer screening: comparison of community-based flexible sigmoidoscopy with faecal occult blood testing and colonoscopy. J Gastroenterol Hepatol 2004; 19: 38-47.
  • 14. Pickhardt PJ, Choi JR, Hwang I, et al. Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults. N Engl J Med 2003; 349: 2191-2200.

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