ASGE Endoscopy Live: Colonoscopy Symposium (On-Demand) | September 2022-Endoscopy Live Presentation 4 - Update on Colonoscopy Screening and Surveillance Guidelines

Endoscopy Live Presentation 4 - Update on Colonoscopy Screening and Surveillance Guidelines

Video Transcription

Video Summary

In the video, Charles Kahi from Indiana University provides an update on colonoscopy screening and surveillance guidelines. He highlights the success of colorectal cancer screening in the United States, with decreasing trends in incidence for individuals aged 50 to 65. However, there has been a reverse trend in younger individuals, particularly for rectal cancer. This trend suggests early life exposure and increased risk of developing colorectal cancer. Early adult-onset colorectal cancer currently accounts for 11% of all colorectal cancers and 15% of rectal cancers. Due to these alarming trends, new guidelines recommend starting screening at age 45 instead of 50. The video also covers when to stop screening and surveillance, recommending screening until age 75 for individuals in good health with a life expectancy greater than 10 years. The guidelines also provide more specific recommendations for surveillance colonoscopy, taking into account adenoma size and risk factors. The goal is to decrease the burden of colorectal cancer through effective surveillance.

Keywords

colonoscopy screening

surveillance guidelines

colorectal cancer

early adult-onset colorectal cancer

screening recommendations