Colonic Cancer
Conditions
Keywords
colonic adenoma, colonic advanced neoplasm
Brief summary
* To determine the prevalence of colonic neoplasm in patients who had previously undergone screening colonoscopy * To determine the optimal time interval for re-screening in average risk individuals * To determine potential baseline characteristics that predicts adenoma recurrence
Detailed description
Colorectal cancer (CRC) is the second commonest cancer in Hong Kong, and tends to be increasing. Screening for colorectal cancer can reduce the cancer incidence and mortality by detecting early lesions. However, the best interval for a follow up colonoscopy, particularly for those with normal baseline colonoscopy, remains largely unknown. This study aim to determine the prevalence of colonic neoplasm in average-risk patients who had previously undergone screening colonoscopy and the optimal time interval for re-screening.
Interventions
proform a follow up colonoscopy in the 5 year period from index colonoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects who are previously participated in one of our two screening colonoscopy studies \[Sung, Gastroenterol 2003; Leung, AJG 2004\] * Asymptomatic on first screening colonoscopy * Age\>50and \<75 * No family history of CRC * No other colonoscopy except the baseline screening colonoscopy
Exclusion criteria
* Subjects who refused consent * Subjects who are not warrant follow up colonoscopy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The prevalence of advanced colonic adenoma in the re-screening population | 5 year from index colonoscopy |
Secondary
| Measure | Time frame |
|---|---|
| The time to adenoma adenoma development according to different baseline characteristics of patients and colonoscopy findings | 5 years from index colonoscopy |
Countries
China