William I. Wolff, Colonoscopy Pioneer

Dr. William Wolff died on August 20 at his home Manhattan.  He was 94. In the mid 1960’s Dr. Wolff, working with his colleague Dr. Hiromi Shinya at Beth Israel Medical Center in New York, began studying how fiber optics and a long, soft, flexible tube might make it possible to see inside the entire length…  Read More

Poor Bowel Preps Mean Missed Polyps

When bowel preps are not good, doctors may miss almost half of adenomas (polyps) during colonoscopy.  Worse, they may miss nearly 1 in 3 large adenomas, the most worrisome kind. The bad news is that bowel prep may be suboptimal in as many of one in four patients. Because of the danger of missing an adenoma…  Read More

Some People Getting Colonoscopy Screening Too Often

After a normal colonoscopy when no polyps are found, guidelines call for a repeat test in 10 years. However, almost half of Medicare patients with a negative colonoscopy got another exam within 7 years, and for one in four there was no clear evidence that they needed one. Because colonoscopies have real risks and are expensive,…  Read More

Are Polyps Harder to Detect in Women?

Digestive Disease Week  2011 Update Although many studies show that men have more adenomas (pre-cancerous polyps) than women, there is no difference in rates of colorectal cancer between men and women. Could this be because women have polyps that are harder to detect during screening and so aren’t removed in time to prevent cancer? That was…  Read More

Get a Loved One Screened with an E-Card

Know someone who needs to be screened for colorectal cancer? Send a gentle e-reminder with a card from the American Society for Gastrointestinal Endoscopy. You can add your own message and Help Catch a Killer. Other information about colorectal cancer, screening, and colonoscopy, including videos, is available from ASGE on the Screen4ColonCancer web site.

FIT Beats All Other Screening for Effectiveness and Cost

In a computer simulation, FIT — fecal immunochemical testing — done every year saved more lives and cost the least of any colorectal cancer screening method, including colonoscopy. The computer model looked at 100,000 average risk people and compared screening methods results for number of colorectal cancer cases number of colorectal cancer deaths cost of screening…  Read More