Second Look Colonoscopy: Indication and Requirements

Abstract

Finally, in most developed countries, a priority is attributed to screening of colorectal cancer and focus is given on quality assurance of colonoscopy which is considered as the gold standard procedure in the secondary prevention of colorectal cancer.

Effects of written plus oral information vs. oral information alone on precolonoscopy anxiety

“…Colonoscopy as the gold standard procedure in the exploration of the large bowel is frequently used as the first investigation when there is any suspicion of lower gastrointestinal‐tract symptoms (Rey & Lambert 2009). According to Paspatis et al.…”

Second-Look Colonoscopies and the Impact on Capacity in FIT-Based Colorectal Cancer Screening

“…We found that in over twothirds of our patients a second-look colonoscopy was performed because of an incomplete polypectomy or to examine the polypectomy scar for residual neoplastic tissue. According to literature data, a second-look colonoscopy for the control aft er polypectomy occurs in ∼ 1 or 2% of the procedures with endoscopic treatment and is usually limited to the previously treated area ( 19 ). Our results indicate a much higher rate of second-look colonoscopies.…”

“…As more screening programs are implemented worldwide, it becomes important to estimate the number of colonoscopies needed for CRC screening. To our knowledge, this is the fi rst study to evaluate the need for second-look colonoscopies, as previous literature has mainly focused on failed cecal intubation as a cause for a second colonoscopy ( 19,21,22 ). In our cohort, cecal intubation failed in 3% of the colonoscopies.…”

“…Second-look colonoscopy was defi ned as any secondary endoscopic procedure of the colon indicated within 1 year aft er the fi rst screening colonoscopy, regardless of the end point reached, as oft en a second-look colonoscopy was limited to the area where previous neoplastic lesions were removed ( 19 ). In addition, we looked for predictive factors to identify patients at risk.…”