In their new colorectal screening guidelines, the American College of Gastroenterology, says that colonoscopy, beginning at age 50 and performed every 10 years, is the “preferred” screening test for colorectal cancer. They recommend that physicians first offer this test alone rather than a menu of options.
However, if patients are not willing to have a colonoscopy, they support offering:
- Preferably. a cancer prevention test: Either flexible sigmoidoscopy every 5 to 10 years or CT colonography every 5 years.
- A test primarily for cancer detection: Preferred test is fecal immunohistochemical test for blood (FIT).
They further recommend that African Americans begin testing at 45 rather than 50. Read the rest of this entry »