The Guidelines for Colorectal Cancer Screening by the American College of Gastroenterology in 2021--an interpretation

doi:10.3969/j.issn.1004-583X.2021.09.013

Abstract

Abstract:

In March 2021, Am J Gastroenterol published online the Guidelines for Colorectal Cancer Screening by the American College of Gastroenterology (ACG) in 2021. The screening goal was to remove adenomas and sessile serrated polyps, and detect early colorectal cancer. Based on 2009 guidelines, 2021 guidelines put forward unresolved issues, and conducted a comprehensive literature search and discussion, and provided more comprehensive and specific recommendations for colorectal cancer screening. Based on 2021 ACG clinical guidelines, the paper mainly interpreted from the aspects of screening age, screening methods, and colorectal cancer chemoprevention. The purpose is to optimize colorectal cancer screening and effectively and continuously reduce the incidence and mortality of colorectal cancer.

Key words: colorectal cancer, adenoma, polyps, early detection of cancer, guidebook

CLC Number:

R735.34

Song Jie, Wang Jing, Zhang Xiaolan. The Guidelines for Colorectal Cancer Screening by the American College of Gastroenterology in 2021--an interpretation[J]. Clinical Focus, 2021, 36(9): 828-831.

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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2021.09.013

https://huicui.hebmu.edu.cn/EN/Y2021/V36/I9/828

References 11

[1]	Shaukat A, Kahi CJ, Burke CA, et al. ACG Clinical Guidelines: Colorectal Cancer Screening 2021[J]. Am J Gastroenterol, 2021, 116(3):458-479. doi: 10.14309/ajg.0000000000001122 pmid: 33657038
[2]	Rex DK, Johnson DA, Anderson JC, et al. American College of Gastroenterology guidelines for colorectal cancer screening 2009[J]. Am J Gastroenterol, 2009, 104(3):739-750. doi: 10.1038/ajg.2009.104 URL
[3]	陈万青, 李霓, 兰平, 等. 中国结直肠癌筛查与早诊早治指南(2020, 北京)[J]. 中国肿瘤, 2021, 30(1):1-28.
[4]	Siegel RL, Fedewa SA, Anderson WF, et al. Colorectal cancer incidence patterns in the United States, 1974-2013[J]. J Natl Cancer Inst, 2017, 109(8):djw322.
[5]	吴春晓, 顾凯, 龚杨明, 等. 2015年中国结直肠癌发病和死亡情况分析[J]. 中国癌症杂志, 2020, 30(4):241-245.
[6]	Lin JS, Piper MA, Perdue LA, et al. Screening for colorectal cancer: Updated evidence report and systematic review for the US preventive services task force[J]. JAMA, 2016, 315(23):2576-2594. doi: 10.1001/jama.2016.3332 URL
[7]	Imperiale TF, Ransohoff DF, Itzkowitz SH, et al. Colorectal Cancer Study Group. Fecal DNA versus fecal occult blood for colorectal-cancer screening in an average-risk population[J]. N Engl J Med, 2004, 351(26):2704-2714. doi: 10.1056/NEJMoa033403 URL
[8]	Obaro AE, Burling DN, Plumb AA. Colon cancer screening with CT colonography: Logistics, cost-effectiveness, efficiency and progress[J]. Br J Radiol, 2018, 91(1090):20180307. doi: 10.1259/bjr.20180307 pmid: 29927637
[9]	Zeng Y, Cao Y, Liu L, et al. SEPT9_i1 regulates human breast cancer cell motility through cytoskeletal and RhoA/FAK signaling pathway regulation[J]. Cell Death Dis, 2019, 10(10):720. doi: 10.1038/s41419-019-1947-9 URL
[10]	韩英. 未知基因突变的家族性结直肠癌现状及进展[J]. 临床荟萃, 2016, 31(6):585-589.
[11]	Butterly L, Robinson CM, Anderson JC, et al. Serrated and adenomatous polyp detection increases with longer withdrawal time:Results from the New Hampshire Colonoscopy Registry[J]. Am J Gastroenterol, 2014, 109(3):417-426. doi: 10.1038/ajg.2013.442 pmid: 24394752

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