Alfred I. Neugut, MD, PhD
To the Editors: In a recent analysis of colorectal cancer screening, Eddy (1) mentions the concept of using colonoscopy for screening asymptomatic persons at average risk, a notion that we have previously suggested (2) and that will likely be explored with great interest in the future. The logic for such an approach is based on several premises, the main one being the importance of adenomatous polyps as a positive finding in a colorectal cancer screening examination. In the few studies of colonoscopy done in asymptomatic, persons at average risk, investigators have found adenomatous polyp rates virtually identical to those in
Neugut AI. Screening for Colorectal Cancer. Ann Intern Med. ;113:899–900. doi: 10.7326/0003-4819-113-11-899_2
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Published: Ann Intern Med. 1990;113(11):899-900.
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